心房颤动处理策略上的一些新认识

阐述近年来对心房颤动部分处理方法的新进展。心室率控制：质疑静息中或剧烈活动时严格控制心室率,引用RACE2研究,提出宽松的心率控制,其预后与严格控制的相仿。药物转复房颤：首选为胺碘酮,决奈达龙已获FDA批准用于非永久性房颤,伊布利特近年提出在射频消融过程中应用,可使心房碎裂波区缩小,消融易成功。其他新药尚无临床确切疗效...     

The similarity heuristic

Decision makers often make snap judgments using fast‐and‐frugal decision rules called cognitive heuristics. Research into cognitive heuristics has been divided into two camps. One camp has emphasized the limitations and biases produced by the heuristics; another has focused on the accuracy of heuristics and their ecological validity. In this paper we investigate a heuristic proposed by the first camp, using the methods of the second. We investigate a subset of the representativeness heuristic we call the “similarity” heuristic, whereby decision makers who use it judge the likelihood that an instance is a member of one category rather than another by the degree to which it is similar to others in that category. We provide a mathematical model of the heuristic and test it experimentally in a trinomial environment. In this environment, the similarity heuristic turns out to be a reliable and accurate choice rule and both choice and response time data suggest it is also how choices are made. We conclude with a theoretical discussion of how our work fits in the broader “fast‐and‐frugal” heuristics program, and of the boundary conditions for the similarity heuristic. Copyright © 2009 John Wiley & Sons, Ltd.     

An integrated perspective on the relation between response speed and intelligence

Research in the field of mental chronometry and individual differences has revealed several robust regularities (Jensen, 2006). These include right-skewed response time (RT) distributions, the worst performance rule, correlations with general intelligence (g) that are more pronounced for RT standard deviations (RTSD) than they are for RT means (RTm), an almost perfect linear relation between individual differences in RTSD and RTm, linear Brinley plots, and stronger correlations between g and inspection time (IT) than between g and RTm. Here we show how all these regularities are manifestations of a single underlying relationship, when viewed through the lens of Ratcliff’s diffusion model ( [Ratcliff, 1978] and [Ratcliff et al., 2008] ). The single underlying relationship is between individual differences in general intelligence and individual differences in “drift rate”, which is just the speed of information processing in Ratcliff’s model. We also test and confirm a strong prediction of the diffusion model, namely that the worst performance rule generalizes to phenomena outside of the field of intelligence. Our approach provides an integrative perspective on intelligence findings.     

Gender and Speech Rate in the Perception of Competence and Social Attractiveness

Abstract

The authors' hypotheses were that (a) listeners regard speakers whose global speech rates they judge to be similar to their own as more competent and more socially attractive than speakers whose rates are different from their own and (b) gender influences those perceptions. Participants were 17 male and 28 female listeners; they judged each of 3 male and 3 female speakers in terms of 10 unipolar adjective scales. The authors used 8 of the scales to derive 2 scores describing the extent to which the listener viewed a speaker as competent and socially attractive. The 2 scores were related by trend analyses (a) to the listeners' perceptions of the speakers' speech rates as compared with their own and (b) to comparisons of the actual speech rates of the speakers and listeners. The authors examined trend components of the data by split-plot multiple regression analyses. In general, the results supported both hypotheses. The participants judged speakers with speech rates similar to their own as more competent and socially attractive than speakers with speech rates slower or faster than their own. However, the ratings of competence were significantly influenced by the gender of the listeners, and those of social attractiveness were influenced by the gender of the listeners and the speakers.     

Analysis of heart rate variability amongst cyclists under perceived variations of risk exposure

Cycling as a mode of travel provides an opportunity for many people to increase their levels of regular physical activity and contribute to their mental and physical health. Heart rate is often used as a means of measuring the intensity and energy expenditure of physical activity. However, heart rate is also linked to emotional factors such as anxiety and fear. Perceptions of risk due to external factors such as other road users and infrastructure may arouse such emotions in urban cyclists. The present study set out to investigate whether or not perceptions of risk among urban cyclists may lead to increased heart rates. Cyclists completed a test route in normal traffic conditions in Cork, Ireland and heart rates and self-reported risk ratings were recorded in real time. Evidence was found of a link between perceptions of risk and heart rates. This raises questions regarding the use of heart rate to estimate exercise intensity and energy expenditure during urban cycling. The perceptions of cyclists of their safety in relation to various road elements on familiar routes were also assessed, as well as specific events which they perceive to be high in risk. The results indicate that incidents involving car traffic and busy roads which offer no protection from interaction with car traffic are associated with greatest perceptions of risk.     

Moderating effects of the valence of social interaction on the dysfunctional consequences of perseverative cognition: an ecological study in major depression and social anxiety disorder

Background and Objectives: Major depression disorder (MDD) and social anxiety disorder (SAD) are characterized by the use of perseverative cognition (PC) as a dysfunctional coping strategy. We sought to investigate the dysfunctional physiological and psychological consequences of PC and how the valence of social interactions moderates such consequences in these psychopathological conditions.

Design/Methods: The study combined 24-hour heart rate variability (HRV) and ecological momentary assessments in 48 individuals with MDD, SAD, and sex-matched controls.

Results: In all participants, PC was associated with mood worsening and reduced ability of the parasympathetic nervous system, mainly the vagus, to inhibit sympathetic arousal (i.e., reduced HRV). Individuals with SAD had the highest frequency of daily PC, while those with MDD reported that PC interfered more with their ongoing activities. In SAD, daily PC was associated with significantly lower HRV after negative social interactions. Individuals with MDD reported higher levels of sadness during PC irrespective of the valence of the preceding social interaction but higher levels of anxiety and efforts to inhibit PC following positive interactions.

Conclusions: Results highlight the need to account for important moderators like the valence of social interaction when looking at the physiological consequences of maladaptive emotion regulation strategies.     

Is emotion regulation associated with cancer-related psychological symptoms?

Objectives: This study examined the cross-sectional and prospective relationships between subjective (cognitive reappraisal, expressive suppression and experiential avoidance) and objective (high-frequency heart rate variability [HF-HRV]) measures of emotion regulation (ER) and a set of psychological symptoms (anxiety, depression, fear of cancer recurrence [FCR], insomnia, fatigue, pain, and cognitive impairments) among women receiving radiation therapy for non-metastatic breast cancer.

Design: Eighty-one participants completed a battery of self-report scales within 10 days before the start of radiotherapy (T1) and within 10 days after its end (T2; approximately 6 weeks after T1). HF-HRV at rest was measured at T1.

Results: Canonical correlation analyses revealed that higher levels of experiential avoidance and expressive suppression were cross-sectionally associated with higher levels of all symptoms, except pain, at T1 and at T2 (both p’s?<?0.0001). Higher levels of suppression and reappraisal at T1 were marginally associated with reduced FCR and with increased depression and fatigue between T1 and T2 (p?=?0.07). HF-HRV was not associated with symptoms cross-sectionally or prospectively.

Conclusions: Although preliminary, these results are consistent with the hypothesis that maladaptive ER strategies, assessed subjectively, may cross-sectionally act as a transdiagnostic mechanism underlying several cancer-related psychological symptoms.