Are there still indications for cerclage in 1995?

AIM: In order to assess their undertook a retrospective study in their department over a 4 year period: from January 1991 to December 1994. METHOD: the study concerned 129 patients who were treated by cerclage. This procedure was performed prophylactically in the great majority of them (97), while it was carried out as an emergency in 32 (25%). RESULTS: the authors drew a distinction between two groups (prophylactic and emergency suture) when analyzing the various results: complications due to suture, mean age of pregnancy at delivery, threatened premature labor, mean length of prolongation obtained. These personal data formed the basis of a review of the literature, in order to specify the indications for suture adopted by various authors at the present time. CONCLUSION: the authors found themselves to be in agreement with data from the literature, considering a history of at least two obstetric accidents (late abortions) and/or the existence of a severe uterine malformation to be the principal indication for prophylactic suture. "Emergency" suture should be performed whenever there is a serious threat of early premature labor in the presence of cervical changes such that suture offers the only chance of prolonging the pregnancy.     

Are there cytopathic features associated with cytomegalovirus infection predictive of resistance to antiviral therapy?

In recent years, identifying the origins of medical errors has been aided by a growing awareness that such errors are frequently the result of flaws in the system. In short, they are "accidents waiting to happen." Despite the value of the systems approach in identifying and preventing errors, it creates a difficult ethical problem for medical educators. Evidence suggests that when physicians ascribe errors to systemic causes, they may be less likely to modify their future behaviors and thus will be more likely to repeat past errors. Therefore, academic medical centers (i.e., teaching hospitals) must achieve a delicate balance that protects patients from the error that a systems approach can identify, yet provides optimal education for house officers by teaching them to focus also on personal reasons for errors. The authors suggest that this balance can be achieved by having residency programs work aggressively to remove the obstacles that house officers predictably encounter when they look for the personal causes of error (e.g., being shamed, feeling fear and inadequacy). Programs must also encourage house staff to disclose their errors and make constructive changes in their own behaviors, encouraged and guided by role models. The article concludes with discussion of these and related strategies to achieve the desired balance between the use of a systems approach and a personal-responsibility approach to managing errors in academic medical centers.     

Are there social correlates to suicide?

A structural-sociological approach to suicide research holds that an aggregate-level cause of suicide should correlate with the suicide rates in a population. In 1980, Sainsbury, Jenkins, and Levey published the article "The Social Correlates of Suicide in Europe" which related the suicide rates in 1961-63 and the changes in them in the following 11 years to 15 social variables in 18 European countries. Its main findings were that the changes in suicide rates could be attributed to specific changes in the social environment. Complementary discriminant analyses showed that it was possible accurately to divide the countries into low- and high-change suicide rate groups on the basis of a combination of the social variables. Although criticized for its method, the study has been widely quoted and sometimes presented as the most definitive current study on the subject. In order to see whether its results held for similar data 16 years later it was replicated for 1977-79 and the ensuing 11 years, with data and method as similar as possible to the original. The results agreed with those of the original study on only one point: the correlations between the levels of the social variables and those of the suicide rates were similar in both periods. However, changes in the suicide rates were unrelated to either the levels of the social variables or the changes in them: correlations found in the original study tended to change profoundly or disappear. Moreover, the results of the original discriminant analyses were a property of the method employed and thus independent of the data. Statistical artefacts or social processes such as changing expectations are unlikely to explain the suddenly changing or vanishing correlations. The original correlations seem to have been largely spurious and dependent on the fact that the more modern countries in Europe experienced a "suicide boom" in the 1960s. As the boom waned in these, it was beginning in the less modern countries: the correlations between the processes indicated by the social variables and the suicide rates were reversed or disappeared. The results call the existence of clear relations between these "suicidogenic" social circumstances and the suicide rates into question. Since many of the variables used are traditional "Durkheimian" indicators of the integration of society, a critique of this still-dominant view of the relationship between society and suicide mortality, or its common operationalization, is implied.     

Are we there yet? Stasis and progress in forensic psychology.

Progress in forensic psychology has been rapid in some areas and nonexistent in others. By contrasting technological and conceptual scientific progress in three areas--the legal disposition of mentally ill offenders, risk appraisal, and theories of individual differences in antisocial behaviour--I attempt to identify some determinants of progress. Conceptual progress appears to depend even more heavily than technological progress on developments in the more advanced sciences, supporting the idea that consilience plays a vital heuristic role in psychology. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Are there cognitive subtypes in adult attention deficit/hyperactivity disorder?

There has been increasing knowledge of the treatment, diagnosis, and demographics of adults with residual attention deficit/hyperactivity disorder (ADHD). However, less is known about the neuropsychological functioning in adults with residual ADHD. In comparing the clinical neuropsychological test performance of a group of adult clinic patients with residual ADHD (N = 30) with that of normal controls (N = 10), we found the patients performed worse on the Trail Making Test, a visual continuous performance test, and the "Brown-Peterson" Auditory Consonant Trigrams Test, but not on any other neuropsychological measures. This pattern indicated a deficit in the area of executive control type functioning, a functional deficit that could be linked to dysregulation of frontal lobe brain systems. Of equal interest was that patients diagnosed with ADHD/hyperactive impulsive type (ADHD+) and patients diagnosed with ADHD/inattentive type (ADHD-) had different types of executive system deficits. ADHD+ was associated with relative deficiency on the Wisconsin Card Sorting Test. ADHD- was associated with relative deficiency on the "Brown-Peterson" Auditory Consonant Trigrams Test, a measure of working memory, as well as less olfactory identification on a smell identification test. The data are discussed in terms of recent localization theories of frontal lobe function. The preliminary data suggest that the different cognitive weaknesses of ADD subtypes may be linked to dysregulation of separate frontal brain regions and/or neurotransmitter systems.     

Are there developmentally limited forms of bipolar disorder?

Bipolar spectrum disorders have traditionally been thought to be chronic in course. However, recent epidemiologic research suggests that there may be developmentally limited forms of bipolar disorder. Two large, nationally representative studies reveal a strikingly high prevalence of bipolar disorders in emerging adulthood (5.5%–6.2% among 18–24-year-olds) that appear to resolve substantially during the latter half of the 3rd decade of life (3.1%–3.4% among 25–29-year-olds). Although ascertainment bias due to early mortality, institutionalization, incarceration, and homelessness may account for some of this reduction, the prevalence distribution suggests a high incidence in late adolescence and emerging adulthood that appears to resolve spontaneously in most cases. There were very few differences across age groups in symptom endorsement and comorbid diagnoses, suggesting that 18–24-year-olds that meet criteria for bipolar diagnoses experience clinically significant impairment and associated consequences of the disorder. More fine-grained longitudinal research is needed to determine whether developmentally limited forms of bipolar disorder exist and, if so, what markers might distinguish these forms of the disorder from more chronic courses. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Early reading achievement of children in immigrant families: Is there an immigrant paradox?

This article examines whether longitudinal reading trajectories vary by the generational status of immigrant children as they begin formal schooling through the 3rd grade. The results of the hierarchical linear model indicated that 1st and 2nd generation children (i.e., those born in a foreign country and those born in the United States to foreign-born parents, respectively) had higher achievement scores at the spring of kindergarten than did 3rd generation children. Yet, controlling for race/ethnicity and maternal education fully reduced the 1st generation advantage. In addition, 1st generation children grew in reading achievement at a faster rate than did 3rd generation children. Controlling for a host of proximal and distal factors that included demographic, race/ethnic, family, and school characteristics somewhat reduced the association between generational status and rate of growth. First and 2nd generation children continued to increase their reading scores at a faster rate than did 3rd generation children. It is likely that additional factors not measured in the Early Childhood Longitudinal Survey-Kindergarten cohort, such as selection, cultural, or motivational factors, would be useful in further explaining the immigrant advantage. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Epiglottitis: pathology in young children?

Aqueous solubilities for some guanine derivatives were estimated by semiempirical equations developed by Yalkowsky and Valvani1 using the data for partition coefficient and melting temperature. It was shown that in the case of guanine derivatives examined in this study, the solubility values could not be estimated adequately by these equations.     

Are there positive emotions in short-term dynamic psychotherapy or is it all Freude-less?

Psychodynamic therapists are often suspicious of positive emotions and consider them to be nothing more than a form of denial or of another defense aiming to diminish painful or difficult affects. Positive emotions seem to exist only through the absence of negative emotions or as something that may happen outside of therapy. On the other hand, clinicians also agree that psychoanalytic work could not be successful without such positive emotions as interest, pleasure, surprise and creativity. Contemporary psychoanalytic thinking and new research findings in the area of relationship regulation are likely to give positive emotions an increasingly prominent place in dynamically oriented therapies. With today's emphasis on the therapeutic relationship and intersubjectivity, the time appears right to integrate positive emotions more formally into psychodynamic clinical theories. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Uremic leontiasis ossea: "bighead" disease in humans? Radiologic, clinical, and pathologic features

PURPOSE: To describe the clinical, radiologic, and pathologic findings in patients with uremic leontiasis ossea (ULO). MATERIALS AND METHODS: Five patients with renal osteodystrophy developed marked hyperostosis of the facial and cranial bones. Radiologic studies included plain radiography of the skull (n = 5), computed tomography with three-dimensional reconstruction (n = 4), magnetic resonance imaging (n = 3), and fluorine-18 sodium fluoride positron emission tomography (PET) (n = 1). Specimens from bone biopsies (three patients) were examined. RESULTS: Skull and facial alterations were remarkably similar. Numerous nodules of varying attenuation and signal intensity in the widened diploic space suggested brown tumors in different stages of evolution. Biochemical data and PET findings enabled confirmation of markedly increased bone turnover. Bone specimens demonstrated severe osteitis fibrosa. After parathyroidectomy, facial changes in all patients stabilized or improved mildly. CONCLUSION: A similar entity in animals, "bighead" disease, which results from nutritional and uremic secondary hyperparathyroidism, may provide a useful animal model for ULO in humans. Mild forms of this entity may be more common than the scarcity of previous reports suggests.     

Do children DRM like adults? False memory production in children.

The Deese/Roediger-McDermott (DRM) paradigm was used to investigate developmental trends in accurate and false memory production. In Experiment 1, DRM lists adjusted to be more consistent with children's vocabulary were used with 2nd graders, 8th graders, and college students. Accurate and false recall and recognition increased with age, but semantic information appeared to be available to all age groups. Experiment 2 created a set of child-generated lists based on the free associations by a group of 3rd graders to critical items. The child-generated associates were different from those generated by adults; long and short versions of the child-generated lists were therefore presented to 2nd, 5th, and 8th graders and college students in Experiment 3. Second graders exhibited few false memories, whereas 5th graders were similar to adults in low-demand conditions and more similar to younger children in high-demand conditions. Findings are discussed in terms of developmental changes in automatic and effortful processing and the use of semantic networks. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Are there "his" and "hers" types of interdependence? The implications of gender differences in collective versus relational interdependence for affect, behavior, and cognition.

In a recent review, S. E. Cross and L. Madson (1997) forwarded that many gender differences in social experience and behavior may be better understood through consideration of gender differences in independence and interdependence. In the current studies an expansion of the model to include both relational and collective aspects of interdependence was investigated (see R. F. Baumeister & K. L. Sommer, 1997). On the basis of the literature regarding gender differences in affect, behavior, and cognition, it was hypothesized that women would focus more on the relational aspects of interdependence, whereas men would focus more on the collective aspects of interdependence. Five studies in which gender differences in self-construals, emotional experience, selective memory, and behavioral intentions were examined supported the expansion of the model to include both relational and collective aspects of interdependence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Young and older emotional faces: Are there age group differences in expression identification and memory?

Studies have found that older compared with young adults are less able to identify facial expressions and have worse memory for negative than for positive faces, but those studies have used only young faces. Studies finding that both age groups are more accurate at recognizing faces of their own than other ages have used mostly neutral faces. Thus, age differences in processing faces may not extend to older faces, and preferential memory for own age faces may not extend to emotional faces. To investigate these possibilities, young and older participants viewed young and older faces presented either with happy, angry, or neutral expressions; participants identified the expressions displayed and then completed a surprise face recognition task. Older compared with young participants were less able to identify expressions of angry young and older faces and (based on participants’ categorizations) remembered angry faces less well than happy faces. There was no evidence of an own age bias in memory, but self-reported frequency of contact with young and older adults and awareness of own emotions played a role in expression identification of and memory for young and older faces. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A large-scale investigation of lateralization in cortical anatomy and word reading: Are there sex differences?

The authors report findings of a large-scale, multitask investigation of sex differences in both structural asymmetries and lateralization of word reading. Two hundred participants were tested in eight divided visual field lexical tasks, and each received a structural magnetic resonance imaging scan. The authors examined whether there was evidence for sex differences in overall measures of neuroanatomical and behavioral lateralization, in specific language tasks and brain regions, and in variation in asymmetry within and across tasks and brain regions. There was very little evidence for sex differences on any behavioral measure. The few indications of sex differences in the current report accounted for 2% or less of the individual variation in asymmetry and could not be replicated in independent subsamples. No sex differences were observed in the asymmetry of structures in Broca's and Wernicke's areas such as pars triangularis, pars opercularis, the planum temporale, planum parietale, or Heschl's gyrus. There were also no sex differences in the variability of neuroanatomical asymmetries within or between brain regions. However, a significant relationship between planum temporale and behavioral asymmetry was restricted to men. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Is there semantic interference in delayed naming?

The semantic interference effect in the picture–word interference task is interpreted as an index of lexical competition in prominent speech production models. Janssen, Schirm, Mahon, and Caramazza (2008) challenged this interpretation on the basis of experiments with a novel version of this task, which introduced a task-switching component. Participants either named the picture or read the word, depending on the word's color. Janssen et al. reported semantic interference in picture naming, regardless of whether the word appeared simultaneously with the picture (immediate naming) or 1,000 ms after the picture (delayed naming). Because picture name retrieval is completed in less than 1,000 ms, the finding in delayed naming was taken as evidence against the lexical competition account. In 3 sets of experiments conducted in German and English, we tested for semantic effects in Janssen et al.'s task-switching version and in the standard picture–word interference task. Using identical materials, we obtained sizeable interference effects in the standard task (Experiments 2, 4, and 6) but no effects in the task-switching version (Experiments 1, 3, and 5). When the word reading trials of the task-switching version were replaced with no-go trials (Experiment 7), semantic interference reemerged in immediate naming but was still absent in delayed naming. The experiments question the reliability of Janssen et al.'s critical finding and suggest that theoretical inferences about the origin of semantic effects in the standard picture–word interference task based on results from the task-switching version used by Janssen et al. are difficult to draw. (PsycINFO Database Record (c) 2011 APA, all rights reserved)     

Juvenile Beh?et's disease in Arab children

Beh?et's disease is a chronic, relapsing, multisystem disease characterized by the clinical triad of genital ulcers, oral ulcers and ocular involvement. Twelve Saudi children are presented, all of whom satisfied the international criteria for the classification of Beh?et's disease and whose initial manifestations appeared at or before the age of 16 years. The male-to-female ratio was 1.4:1. The mean age at onset was 11.5 years (range 7-16 years) and the mean duration of disease was 6.5 years (range 3-13 years). Oral ulcers were present in all patients (100%), genital ulcers in 11 patients (91%), ocular involvement in the form of anterior and/or posterior uveitis in 6 patients (50%), skin manifestations in 10 patients (83%), musculoskeletal symptoms in 9 patients (75%), and central nervous system involvement in 6 patients (50%). One patient had thrombophlebitis and another had pulmonary artery aneurysm. No renal, cardiovascular or gastrointestinal abnormalities were detected. The pathergy test was positive in 3/7 patients. HLA B5 (W51) typing was positive in 5/10 patients. This report of juvenile Beh?et's disease in Saudi children suggests that this multisystem disease has an aggressive nature and should be considered in the differential diagnosis of childhood vasculitis in endemic areas.     

"Tests" in Russia?

In the February 1957 issue of the Bulletin of the (French) National Institute for the Study of Work and for Vocational Guidance appeared a short paper by a member of the Moscow Academy of Pedagogy which contains a few sentences which suggest that psychological tests may possibly again be used in Russia. It will be interesting to watch further developments. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Do parents reinforce somatic complaints in their children?

Objective: To examine the influence of parental solicitousness on self-reported somatic complaints in school-age children. Design and Main Outcome Measures: Participants were 564 children (mean age 10 years) and their parents. Children completed self-report measures of somatic complaints, parental solicitousness, depressiveness, fear, and sense of coherence. Somatic complaints were assessed again 6 months later. Parents also completed a questionnaire about solicitousness. Results: Parental solicitousness as reported by children or parents was unrelated to the frequency of self-reported somatic complaints. Symptoms of depression, fear, and lower sense of coherence were associated with more somatic complaints, but did not interact with parental solicitousness. Conclusion: Parental solicitousness seems unrelated to more frequent somatic complaints in schoolchildren. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Working memory and intelligence in children: What develops?

This study explored the contribution of the phonological and executive working memory (WM) systems to 205 (102 girls, 103 boys, 6 to 9 years old) elementary school children's fluid and crystallized intelligence. The results show that (a) a 3-factor structure (phonological short-term memory [STM], visual-spatial WM, and verbal WM) was comparable between age groups, (b) controlled attention and STM storage accounted for 67% of the age-related variance in WM, (c) effect sizes for direct paths from WM were substantially larger when predicting fluid intelligence than crystallized intelligence, and (d) the contribution of STM to intelligence was isolated to reading. The results suggest that the development of WM is distinct from STM, controlled attention plus storage accounted for age-related WM changes, and WM underlies age-related changes in both fluid and crystallized intelligence. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Feeling "holier than thou": Are self-serving assessments produced by errors in self- or social prediction?

People typically believe they are more likely to engage in selfless, kind, and generous behaviors than their peers, a result that is both logically and statistically suspect. However, this oft-documented tendency presents an important ambiguity. Do people feel "holier than thou" because they harbor overly cynical views of their peers (but accurate impressions of themselves) or overly charitable views of themselves (and accurate impressions of their peers)? Four studies suggested it was the latter. Participants consistently overestimated the likelihood that they would act in generous or selfless ways, whereas their predictions of others were considerably more accurate. Two final studies suggest this divergence in accuracy arises, in part, because people are unwilling to consult population base rates when predicting their own behavior but use this diagnostic information more readily when predicting others'. (PsycINFO Database Record (c) 2010 APA, all rights reserved)