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Background/objective

The aim of this study was to examine the role of vital exhaustion in predicting the recurrence of vascular events.

Method

The sample comprised of 816 individuals (65.3% female, Mage = 43.2 years, SD = 14.7 years), 395 (48.4%) of whom reported treatment for the reoccurrence of a vascular event during the four-year follow-up period. Concurrent effects of baseline vital exhaustion (measured by a shortened version of the Maastricht Questionnaire), depression (assessed by a shortened version of the BDI), anxiety (assessed by the HADS), and hostility (assessed by a shortened version of the Cook-Medley Hostility Scale) in predicting the recurrence of T2 vascular events were examined. The analyses were also controlled for traditional risk factors, such as age, education, body mass index, smoking, alcohol use, and lack of physical activity.

Results

The regression analyses showed that vital exhaustion scores significantly predicted the reoccurrence of vascular events even after controlling for all covariates. None of the other psychological predictors (depression, anxiety, and hostility) was significant in the final model.

Conclusions

These results suggest that despite the partial conceptual overlap with several similar constructs, vital exhaustion is a distinct phenomenon that deserves consideration when planning and implementing interventions to reduce the risk of vascular diseases.  相似文献   
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Given the rapid proliferation of smartphone applications and data aggregation websites, in many situations people can use decision aids to guide their choices. For example, they may consider whether to use a navigation device to check the fastest route or whether to use a price comparison website to find the cheapest deal. In what circumstances will subjects use a costly comparison decision aid (which I refer to as “checking”) to choose for them? In six studies, I investigate the impact of the number of available alternatives and checking's attractiveness on the decision to check. While at first increasing the attractiveness of checking led to higher checking rates, a further increase in the number of available alternatives (and thus checking's attractiveness) did not increase the checking rate. Surprisingly, even when checking had a 40% higher expected value compared with not checking, the observed checking rate was below 45%, contrary to risk and ambiguity aversion predictions. Furthermore, labeling the checking alternative as the default had no impact on its choice rate. I find large individual differences in decisions to check. Surprisingly, subjects' initial decisions had high predictive power over their subsequent checking rates, even after 100 trials with full feedback. I propose two simple learning models that capture well the aggregated results.  相似文献   
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Antepartum Foetal surveillance is the most vital epoch of investigation during the pregnancy period. This surveillance would provide an opening to plan and manage the Foetus during Intrapartum and Antepartum stages of pregnancy. Moreover, it will help to identify high risk Foetuses during pregnancies which are complicated by maternal health conditions like diabetes mellitus, intrauterine growth restriction, etc. The foetal electrocardiogram (fECG) signal can be detected in the course of pregnancy from the Antepartum stage. Generally, fECG signal analysis is not carried out for Foetal surveillance. Rather, the traditional methodologies like phonocardiogram, etc. are being utilized. The reason is the unavailability of an effective methodology for providing good quality fECG signal. The proposal of a hybrid tactic called Bayesian Deep Belief Network (BDBN) for fECG signal enhancement is presented in this article. The proposed BDBN technique involves Baye’s filtering methodology in amalgamation with Deep Belief Network. The Baye’s filtering was employed to eliminate undesired signal components. Deep learning (DL) technique was utilized with Deep belief network (DBN) to extract high quality fECG signal. The methodology resulted with good quality fECG signal which is indeed valuable for timely Physician analysis.  相似文献   
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Test theory without an answer key   总被引:2,自引:0,他引:2  
A general model is presented for homogeneous, dichotomous items when the answer key is not known a priori. The model is structurally related to the two-class latent structure model with the roles of respondents and items interchanged. For very small sets of respondents, iterative maximum likelihood estimates of the parameters can be obtained by existing methods. For other situations, new estimation methods are developed and assessed with Monte Carlo data. The answer key can be accurately reconstructed with relatively small sets of respondents. The model is useful when a researcher wants to study objectively the knowledge possessed by members of a culturally coherent group that the researcher is not a member of.This research was supported by NSF Grant No. SES-8320173 to the authors. We gratefully acknowledge comments and suggestions from John Boyd, Tarow Indow, and Kathy Maher as well as the editor and several anonymous referees.  相似文献   
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This article explores how the sales budget is set in a business organization. Findings from a longitudinal participant observation study revealed that the sales budget is considered of great importance to the organization as sales estimates serve as premises for planning of production and supply and new product developments. It was observed that the sales budget was based on a narrow, inner-directed perspective, almost looking away from important environmental driving forces such as competitors and customers. The findings also showed that individuals involved in the sales budgeting process behaved opportunistically, influencing the budgetary process and outcomes. Theoretical and normative implications are highlighted.  相似文献   
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The problem of detecting instructional sensitivity (item basis) in test items is considered. An illustration is given which shows that for tests with many biased items, traditional item bias detection schemes give a very poor assessment of bias. A new method is proposed instead. This method extends item response theory (IRT) by including item-specific auxiliary measurement information related to opportunity-to-learn. Item-specific variation in measurement relations across students with varying opportunity-to-learn is allowed for.This paper was presented at the 1987 AERA meeting in Washington, DC. This research was supported by grant OERI-G-86-003 from the Office of Educational Research and Improvement, Department of Education. The author thanks Michael Hollis and Chih-fen Kao for valuable research assistance, and appreciates valuable comments made by an anonymous reviewer.  相似文献   
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A 47-year-old man with a left temporo-occipital infarct in the area of the posterior cerebral artery is presented. The neuropsychological examination did not reveal aphasia or gross mental deficits. The patient presented with alexia without agraphia, color agnosia, but few visual perceptual deficits. The main impairment was in confrontation naming; he was incapable of naming objects and pictures, not from lack of recognition (excluding visual agnosia) but from lack of access to the appropriate word (optic aphasia). The patient also exhibited a deficit in the evocation of gesture from the visual presentation of an object (optic apraxia) and a difficulty in "conjuring up" visual images of objects (impaired visual imagery) and loss of dreams. The fundamental deficit of this patient is tentatively explained in terms of visuoverbal and visuogestural disconnection and a deficit of mental imagery.  相似文献   
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