Pre-screening education in multiple marker screening programs: The effect on patient anxiety and knowledge

Previous studies have shown that unexplained deviations in maternal serum multiple marker screening (MMS) generate considerable anxiety during the remainder of pregnancy. While the role of education in decreasing anxiety is documented, to date there has been no prospective evaluation of which educational practices might minimize this emotional stress. In a pilot study, we prospectively examined the effects on anxiety and knowledge by providing information about MMS (1) by genetic counselor, (2) by pamphlet, and (3) by primary physician. Women randomized to one of these three modalities were administered the Spielberger State- Trait Anxiety Inventory [STAI] and knowledge questionnaires at their initial obstetrics visit, at their second visit after educational intervention and 1–2 weeks after MMS results were provided to patients. Education resulted in an increase in knowledge and post-education knowledge was different between educational modalities. Anxiety declined in patients educated through genetic counseling or a pamphlet.     

自身免疫性胰腺炎的诊治进展

自身免疫性胰腺炎（AIP）是一种特殊类型的慢性胰腺炎,以胰腺肿大及胰管不规则狭窄为特征.AIP分两个亚型：Ⅰ型AIP好发于亚洲老年人,为淋巴浆细胞硬化性胰腺炎;Ⅱ型AIP多见于西方人,为导管中心型胰腺炎.AIP缺乏特异性血清标志物,诊断主要依赖于其特征性改变.依据AIP诊断标准国际共识,AIP的诊断包括影像学、血清学、胰腺外器官受累、组织病理学和诊断性激素治疗5个方面.糖皮质激素是AIP的首选治疗方法,但复发率高,免疫调节剂对维持AIP的持续缓解具有一定作用.AIP总体预后良好,胰管结石和癌变是其潜在的并发症,但发生率极低.     

Characterization of Children's Decision Making: Sensitivity to Punishment Frequency,Not Task Complexity

On a gambling task that models real-life decision making, children between ages 7 and 12 perform like patients with bilateral lesions of the ventromedial prefrontal cortex (VMPFC), opting for choices that yield high immediate gains in spite of higher future losses (Crone &; Van der Molen, 2004 Crone, E. A. and Van der Molen, M. W. 2004. Developmental changes in decision-making: Performance on a gambling task previously shown to rely on ventromedial prefrontal cortex. Developmental Neuropsychology, 25(3): 251–279. [PUBMED][INFOTRIEVE][CROSSREF][Taylor &; Francis Online], [Web of Science ®] , [Google Scholar]). The current study set out to characterize developmental changes in decision making by varying task complexity and punishment frequency. Three age groups (7–9 years, 10–12 years, 13–15 years) performed two versions of a computerized variant of the original Iowa gambling task. Task complexity was manipulated by varying the number of choices participants could make. Punishment frequency was manipulated by varying the frequency of delayed punishment. Results showed a developmental increase in the sensitivity to future consequences, which was present only when the punishment was presented infrequently. These results could not be explained by differential sensitivity to task complexity, hypersensitivity to reward, or failure to switch response set after receiving punishment. There was a general pattern of boys outperforming girls by making more advantageous choices over the course of the task. In conclusion, 7–12-year-old children—like VMPFC patients—appear myopic about the future except when the potential for future punishment is high.     

Self-deception as affective coping. An empirical perspective on philosophical issues

In the philosophical literature, self-deception is mainly approached through the analysis of paradoxes. Yet, it is agreed that self-deception is motivated by protection from distress. In this paper, we argue, with the help of findings from cognitive neuroscience and psychology, that self-deception is a type of affective coping.First, we criticize the main solutions to the paradoxes of self-deception. We then present a new approach to self-deception. Self-deception, we argue, involves three appraisals of the distressing evidence: (a) appraisal of the strength of evidence as uncertain, (b) low coping potential and (c) negative anticipation along the lines of Damasio’s somatic marker hypothesis. At the same time, desire impacts the treatment of flattering evidence via dopamine. Our main proposal is that self-deception involves emotional mechanisms provoking a preference for immediate reward despite possible long-term negative repercussions. In the last part, we use this emotional model to revisit the philosophical paradoxes.     

结直肠癌相关肿瘤标志物的最新研究进展

结直肠癌是最常见的恶性肿瘤之一。其起病隐匿、病死率较高,治疗成功的关键在于早期发现、早期诊断,结直肠癌相关肿瘤标志物曾为此做出了贡献。近年又发现了许多新的结直肠癌相关肿瘤标志物,其中有的已进入临床应用,还将有更多标志物为结直肠癌的早期诊断、疗效观察、预后判断和复发监测提供新思路和新方法。     

中文阅读中的边界效应及其消除：事件持续效应

运用动窗技术探讨中文阅读中的边界效应及其消除的条件,包括3个实验。实验一探讨中文阅读中是否存在边界效应,结果发现,边界效应同样存在于中文阅读中;实验二、三探讨时间切分标记能否消除边界效应以及消除的条件,结果发现,只有当切分标记表示的时间在前一事件持续的时间跨度外时才能消除边界效应,如果切分标记表示的时间仍在前一事件持续的时间跨度内,则不能消除边界效应,本研究称此为事件持续效应。从本研究结果中可以得出,时间切分标记降低了主题转换句子所需要的认知加工能量     

Navigating joint projects with dialogue

Dialogue has its origins in joint activities, which it serves to coordinate. Joint activities, in turn, usually emerge in hierarchically nested projects and subprojects. We propose that participants use dialogue to coordinate two kinds of transitions in these joint projects: vertical transitions, or entering and exiting joint projects; and horizontal transitions, or continuing within joint projects. The participants help signal these transitions with project markers, words such as uh‐huh, m‐hm, yeah, okay, or all right. These words have been studied mainly as signals of listener feedback (back‐channel signals) or turn‐taking devices (acknowledgment tokens). We present evidence from several types of well‐defined tasks that they are also part of a system of contrasts specialized for navigating joint projects. Uh‐huh, m‐hm and yeah are used for horizontal transitions, and okay and all right for vertical transitions.     

Women outperform men in distinguishing between authentic and nonauthentic smiles

Women tend to be more accurate in decoding facial expressions than men. We hypothesized that women’s better performance in decoding facial expressions extends to distinguishing between authentic and nonauthentic smiles. We showed participants portrait photos of persons who smiled because either they saw a pleasant picture (authentic smile) or were instructed to smile by the experimenter (nonauthentic smile) and asked them to identify the smiles. Participants judged single photos of persons depicting either an authentic or a nonauthentic smile, and they judged adjacent photos of the same person depicting an authentic smile and a nonauthentic smile. Women outperformed men in identifying the smiles when judging the adjacent photos. We discuss implications for judging smile authenticity in real life and limitations for the observed sex difference.     

Obstructive sleep apnea syndrome: autobiographical memory predicts the course of depressive affect after nCPAP therapy

Although nCPAP therapy has proven to be efficient at removing symptoms of obstructive sleep apnea syndrome (OSAS), recovery from depression frequently remains unsatisfactory. Other studies have shown that recall of autobiographical memories (AM) is a psychological vulnerability marker for depression, and also have shown its predictive power for the course of depression. It is therefore hypothesized that AM also predict the course of depressive affect in OSAS patients. Fifty-four consecutively admitted OSAS patients received standard nCPAP therapy. Specificity of AM assessed at the beginning of treatment was used as a predictor in a regression analysis, and the extent of recovery from depression over a follow-up period of between six to nine weeks served as the criterion variable. The results supported the hypothesis that patients who were able to recall more specific AM in response to positively valenced cue words showed a more substantial recovery from depression. This has important treatment implications.     

Update and Review: Supernumerary Marker Chromosomes

Supernumerary marker chromosomes (SMCs) are found in individuals with normal and abnormal clinical phenotypes. Correlations between karyotype and phenotype have been made in only a few circumstances. This article summarizes the most recent information regarding supernumerary marker chromosomes, including genetic counseling issues.