Identification of risk factors for suffering fear of hypoglycemia in type 1 Diabetes Mellitus patients

Hypoglycemia is one of the main burdens for type I Diabetes Mellitus (DM I) patients. The consequences of hypoglycemia can be quite unpleasant due to the variety of disagreeable physical and psychological symptoms it triggers. The patient's previous experience with hypoglycemia episodes will condition his psychological reaction to future episodes, promoting behavioral modifications that associate with poor glycemic control and worse prognosis, and even with developing psychological disorders, leading to fear of hypoglycemia (FH). To be able to provide tailored prevention and treatment of patients with FH it is necessary to identify the risk factors in DM I patients. We developed and validated the FH‐15 scale, a novel instrument to assess FH, which showed good concurrent and predictive validity in DM I patients. In this work we aim to identify the risk factors for suffering FH by detecting DM I patients with FH using the FH‐15 scale and then analyzing the association of clinical and sociodemographic variables. We found that age, needing help to resolve an episode of hypoglycemia, and a perceived lack of social support are risk factors for suffering FH.     

Here Today,Gone Tomorrow? Assessing How Timing and Repetition of Scandal Information Affects Candidate Evaluations

Scholars and political consultants alike know that during a campaign even the hint of a scandal has the potential to distract from a candidate's policy messages—or even worse—can have dire consequences on Election Day. But does it matter whether the scandal breaks early as opposed to late in the campaign? And how do citizens respond when the scandal drags on for weeks? This study represents the first effort to shed light on these temporal dynamics. Results reveal that timing affects the immediate impact of scandal information, the rate at which those initial effects decay, and candidate evaluations offered at the campaign's conclusion. Additionally, I develop two competing hypotheses regarding how citizens may process scandal information when it is repeated throughout a campaign. Empirical tests suggest that voters eventually reach a saturation threshold after which additional repetition of scandal information has negligible effects on evaluations unless new details are a prominent feature of ongoing coverage, in which case repetition can extend the negative effects of scandal.     

Arab Americans With Disabilities and Their Families: A Culturally Appropriate Approach for Counselors

The authors present a brief introduction to Americans of Arab descent and a brief overview of Arab culture. Then, culturally appropriate counseling considerations related to family, attitudes toward disability, religion, communication, acculturation, help‐seeking behaviors, and stereotypes are highlighted. In the last section, the authors provide conclusions and recommendations for culturally appropriate considerations in working with Arab Americans with disabilities and their families. Los autores presentan una breve introducción sobre los americanos de origen árabe y un breve resumen de la cultura árabe. Después, se destacan consideraciones para la consejería culturalmente apropiada relacionadas con la familia, actitudes sobre discapacidad, religión, comunicación, aculturación, comportamientos de búsqueda de ayuda, y estereotipos. En la última sección, los autores proporcionan conclusiones y recomendaciones para consideraciones culturalmente apropiadas a la hora de trabajar con americanos de origen árabe con discapacidades y sus familias.     

网络心理教育在1型糖尿病青少年患者自我管理中的作用

探讨网络心理健康教育在1型糖尿病青少年患者中的实证效果,选取1型糖尿病青少年100例,随机分成对照组和干预组各50例.干预组实施网络健康教育,通过网络视频,讲授糖尿病的相关知识,进行定期随访;对照组采用常规健康管理模式,只发放糖尿病知识宣传册由1型糖尿青少年患者和家属自己学习.干预组糖尿病青少年患者自我管理、生活质量、心理状态情况有明显改善,干预后糖化血红蛋白水平下降,对照组上述指标无明显改变.网络心理教育课程是一种新型的有效的健康教育管理模式,能够让1型糖尿病青少年患者病情稳定,同时减少并发症的发生.     

暴发性1型糖尿病：一种不可忽视的重症糖尿病

暴发性1型糖尿病以起病急骤、代谢紊乱严重、胰酶升高并缺乏糖尿病相关抗体为特征。本文回顾分析我院收治的3例暴发性l型糖尿病的临床资料并结合文献与经典1型糖尿病进行对比复习,以提高对该病的认识。3例患者平均病程5．3天,入院平均血糖27．8mmol／L,平均糖化血红蛋白（HbAlC）6．8％,平均空腹C肽0．043ng／ml,平均餐后2hC肽0．04ng／ml,平均胰岛素使用剂量0．50U／（kg·d）。随访6个月HbAlC平均值为7．5％,胰岛8细胞功能无改善。暴发性1型糖尿病较经典1型糖尿病有更严重的胰岛素缺乏、代谢紊乱,更强烈的免疫反应,预后较差。     

PTEN、p53和BAG-1在三阴乳腺癌中的表达及意义

为了研究PTEN、p53和BAG-1在三阴乳腺癌中的表达情况及临床病理意义,并讨论三者之间的关系.采用免疫组织化学SP法检测89例三阴乳腺癌中PTEN、p53、BAG-1的表达,其阳性表达率分别为44.9％、47.2％、73.0％,三者的表达均与患者的病理组织学分级、淋巴结转移情况有关（P＜0.05）.PTEN的表达与p53、BAG-1表达呈负相关;BAG-1与p53的表达呈正相关,提示三者在三阴乳腺癌中的表达存在一定关联性,临床上联合检测三者可能为TNBC预后评估、患者的个体化治疗提供一定的参考.     

The impact of extrafoveal information on visual short-term memory for object position

The role of extrafoveal information in visual short-term memory has been investigated relatively little, and, in most existing studies, using verbalisable stimuli susceptible to the recruitment of long-term memory (LTM). In addition, little is known about the impact of extrafoveal information available pre- and posttarget foveation, as it is typical to provide extrafoveal information prior to the foveation of memory targets. In this study, two object-position recognition experiments were conducted (each with two conditions) to establish the impact of extrafoveal information provided before and after the foveation of memory targets. Stimuli comprised 1/f noise discs that minimised the recruitment of LTM by eliminating verbal and semantic cues. Overall, a greater hit rate was found where extrafoveal information was available; however, performance analyses in which extrafoveal information was considered relative to the temporal lag at which target stimuli were foveated reveals both costs and benefits. A beneficial effect arose only where extrafoveal information was provided after the target had been foveated, but not prior to target foveation. Findings are discussed in terms of recency and extrafoveal perception effects, incorporating a postfoveation object-file refresh mechanism.     

刺激同一性对错误后反应的影响

当错误发生后,人们往往会放慢错误后反应的速度,以避免错误的再次发生,许多研究者认为,这是自上而下的认知控制对错误后反应的影响.为了探讨刺激属性是否也在错误后的反应中起作用,本研究从刺激同一性角度出发,探讨错误反应刺激与错误后刺激的同一性以及反应-刺激间隔时间(RSI)对错误后反应的影响.结果发现,当错误后的刺激与错误反应的刺激一致时,可减小错误后反应时延长的程度,同时,RSI越大,PES越小.本研究得出结论,刺激同一性和RSI作为自下而上的刺激驱动在PES的产生过程中发挥了作用.     

Sudden Unexpected Versus Violent Death and PTSD Symptom Development

Changes to posttraumatic stress disorder (PTSD) trauma criterion in the 5th edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM–5) have been an area of much scrutiny and debate. One of the proposed changes included removing sudden unexpected death (SUD) from the list of potentially traumatic events. This study tested the extent to which unexpected death differed from violent death and other traumas as measured by PTSD symptoms. Our results indicated a significant difference in symptom development between those experiencing sudden violent death and sudden unexpected, but nonviolent, death. Additional analyses at the DSM–IV symptom cluster level, as well as with Simms, Watson, and Doebbeling’s (2002) factor structure of PTSD symptoms, suggested further distinctions between event types and symptom development. The extent to which SUD should be included in the trauma criterion is considered.