Thrombolysis for evolving myocardial infarction in a rural primary care clinic

Early thrombolytic therapy gives maximum benefit in acute myocardial infarction. In remote rural areas with no mobile intensive care service there is a significant delay between onset of symptoms and administration of thrombolytic therapy which has a critical impact on revascularization. Thrombolytic therapy with streptokinase 1,500,000 U was given in a primary care rural clinic to 2 patients with evolving myocardial infarction 45-50 minutes from onset of symptoms. In both patients, who were transported to hospital after the therapy, there were clinical signs of reperfusion. There were no complications during treatment or transportation. We conclude that thrombolytic therapy given for evolving myocardial infarction in a rural primary care clinic is possible and safe.     

Personality traits are linked to crime among men and women: Evidence from a birth cohort.

Is there a relationship between personality and criminal behavior? We addressed this question in a representative birth cohort of 862 male and female 18-yr-olds. Personality was assessed with the Multidimensional Personality Questionnaire (MPQ). The MPQ measures 10 relatively independent personality traits and was not designed to identify offenders. Delinquency was assessed via 3 data sources: self-reports, informant reports, and official records. Variable-centered analyses revealed that MPQ scales indexing negative emotionality and behavioral constraint were consistent predictors of delinquency across the 3 data sources. Person-centered analyses revealed that youths abstaining from delinquency were uniquely characterized by low interpersonal potency. Youths involved in extensive delinquency were uniquely characterized by feelings of alienation, lack of social closeness and risk taking. Advances in understanding criminal behavior can be made through research that places the personality-delinquency link in a developmental context. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Physical Maltreatment Victim to Antisocial Child: Evidence of an Environmentally Mediated Process.

The well-documented finding that child physical maltreatment predicts later antisocial behavior has at least 2 explanations: (a) Physical maltreatment causes antisocial behavior, and (b) genetic factors transmitted from parents to children influence the likelihood that parents will be abusive and that children will engage in antisocial behavior. The authors tested these hypotheses in the representative Environmental-Risk cohort of 1,116 twin pairs and their families, who were assessed when the twins were 5 and 7 years old. Mothers reported on children's experience of physical maltreatment, and mothers and teachers reported on children's antisocial behavior. The findings support the hypothesis that physical maltreatment plays a causal role in the development of children's antisocial behavior and that preventing maltreatment can prevent its violent sequelae. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

High‐Temperature Neutron Diffraction,Raman Spectroscopy,and First‐Principles Calculations of Ti3SnC2 and Ti2SnC

Herein, we report—for the first time—on the additive‐free bulk synthesis of Ti₃SnC₂. A detailed experimental study of the structure of the latter together with a secondary phase, Ti₂SnC, is presented through the use of X‐ray diffraction (XRD), and high‐resolution transmission microscopy (HRTEM). A previous sample of Ti₃SnC₂, made using Fe as an additive and Ti₂SnC as a secondary phase, was studied by high‐temperature neutron diffraction (HTND) and XRD. The room‐temperature crystallographic parameters of the two MAX phases in the two samples are quite similar. Based on Rietveld analysis of the HTND data, the average linear thermal expansion coefficients of Ti₃SnC₂ in the a and c directions were found to be 8.5 (2)·10^?6 K^?1 and 8.9 (1)·10^?6 K^?1, respectively. The respective values for the Ti₂SnC phase are 10.1 (3)·10^?6 K^?1 and 10.8 (6)·10^?6 K^?1. Unlike other MAX phases, the atomic displacement parameters of the Sn atoms in Ti₃SnC₂ are comparable to those of the Ti and C atoms. When the predictions of the atomic displacement parameters obtained from density functional theory are compared to the experimental results, good quantitative agreement is found for the Sn atoms. In the case of the Ti and C atoms, the agreement is more qualitative. We also used first principles to calculate the elastic properties of both Ti₂SnC and Ti₃SnC₂ and their Raman active modes. The latter are compared to experiment and the agreement was found to be good.     

The (artefactual) remission of reading disability: Psychometric lessons in the study of stability and change in behavioral development.

Patterns of reading disability were examined in 2 longitudinal studies. The major findings were (a) that on the basis of the observed data, remission of reading disability was relatively common with up to 37% of reading-disabled children showing remission of this disability within a 2-year period, and (b) when the data were analyzed with a latent Markov model that took account of measurement errors in test scores, the estimated true rate of remission of reading disability was between 15% and 19% over a 2-year period. The presence of measurement error in reading disability classifications may lead to an inflated and misleading impression of the rate of remission of these problems. General implications of these findings for interpreting patterns of stability and change in longitudinal developmental data were discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Longitudinal evidence that psychopathy scores in early adolescence predict adult psychopathy.

This study examined the relation between psychopathy assessed at age 13 by using the mother-reported Childhood Psychopathy Scale (D. R. Lynam, 1997) and psychopathy assessed at age 24 by using the interviewer-rated Psychopathy Checklist: Screening Version (PCL:SV; S. D. Hart, D. N. Cox, & R. D. Hare, 1995). Data from over 250 participants of the middle sample of the Pittsburgh Youth Study were used to examine this relation; approximately 9% of the sample met criteria for a possible PCL:SV diagnosis. Despite the long time lag, different sources, and different methods, psychopathy from early adolescence into young adulthood was moderately stable (r=.31). The relation was present for the PCL:SV total and facet scores, was not moderated by initial risk status or initial psychopathy level, and held even after controlling for other age 13 variables. Diagnostic stability was somewhat lower. Both specificity and negative predictive power were good, and sensitivity was adequate, but positive predictive power was poor. This constitutes the first demonstration of the relative stability of psychopathy from adolescence into adulthood and provides evidence for the incremental utility of the adolescent psychopathy construct. Implications and future directions are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Life satisfaction in old age: Linking social psychology and history.

A life course perspective on aging assumes that adaptation is governed by factors beyond the immediate situation. Longitudinal data on 79 women from the 1900 generation of the Berkeley Guidance Study (J. Macfarlane, 1938) were used to examine how social and psychological factors interact over time in the course of successful aging, as expressed by life satisfaction. The consequences of adaptive resources in early adulthood varied in relation to social class. Intellectual skills in 1930 indirectly predicted life satisfaction in old age for Ss from the working class, whereas emotional health is more influential in the life satisfaction of Ss with higher class origins. Social activity in old age made a difference only in the lives of Ss from the working class. Finally, adaptation to old age was related to Ss' experiences with past stressful events. Middle-class Ss in 1930 showed gains attributable to Depression hardship, whereas the life satisfaction of Ss from the working class was diminished by such hardships. Several mechanisms are discussed that may link widely separated problem situations and life events across the life course. Results support the proposition that the influence of social change on life trajectories is contingent on what individuals bring to change situations. (47 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Influence of thermohydrodynamic shock on He I-He II interfacial domain transport

Experiments probing He II-He I coexistence show that in the presence of heat flow there exists a thin interfacial domain. A thermohydrodynamic shock model is proposed to predict the location of the shock domain in the⁴He phase diagram. Experimental domain thicknesses are reported that are consistent with the model prediction. Consequences of the model for other cases are discussed.     

Superconducting toroidal combined-function magnet for a compact ion beam cancer therapy gantry

A superconducting, combined-function, 5 T, 90°, toroidal magnet with a large bore is described in this paper. This magnet is designed to be the last and most difficult part of a compact superconducting magnet-based carbon gantry optics for ion beam cancer therapy. The relatively small size of this toroidal magnet allows for a gantry the size of which is smaller or at least comparable to that of a proton gantry. The gantry design places the toroidal magnet between the scanning magnets and the patient, that is the scanning magnets are placed midway through the gantry. By optimizing the coil winding configuration of this magnet, near point-to-parallel optics is achieved between the scanning magnets and the patient; while at the same time there is only a small distortion of the beam-shape when scanning. We show that the origin of the beam-shape distortion is the strong sextupole components, whose effects are greatly pronounced when the beam is widely steered in the magnet. A method to correct such an undesirable effect is suggested and demonstrated by a numerical particle tracking through the calculated three-dimensional magnetic field.     

Chronic aortic dissection presenting as a prolonged febrile disease and arterial embolization

Aortic dissection most often is an acute event dominated by excruciating pain and other symptoms which suggest the diagnosis. Our report and a review of the medical literature demonstrate that chronic aortic dissection may, rarely, present as a prolonged febrile illness, with night sweats, weight loss, pleural effusion, and little or no pain. These symptoms may be associated with a markedly elevated erythrocyte sedimentation rate (ESR), anemia of chronic disease, and hyperglobulinemia. Awareness of this unusual presentation, a high index of suspicion, and confirmation by an appropriate imagine technique (CT or MRI of the chest or transesophageal echocardiography have a very high sensitivity) will result in earlier diagnosis and better patient outcome.