The present study investigated whether perceived partner responsiveness—the extent to which individuals feel cared for, understood, and validated by their partner—predicted subjective sleep problems ...and objective (actigraph-based) sleep efficiency through lower anxiety and depression symptoms. A life span sample of 698 married or cohabiting adults (35–86 years old) completed measures of perceived partner responsiveness and subjective sleep problems. A subset of the sample (N = 219) completed a weeklong sleep study where actigraph-based measures of sleep efficiency were obtained. Perceived partner responsiveness predicted lower self-reported global sleep problems through lower anxiety and depression and greater actigraph-assessed sleep efficiency through lower anxiety. All indirect associations held after controlling for emotional support provision to the partner, agreeableness, and demographic and health covariates known to affect sleep quality. These findings are among the first to demonstrate how perceived partner responsiveness, a core aspect of romantic relationships, is linked to sleep behavior.
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NUK, OILJ, SAZU, UKNU, UL, UM, UPUK
Guided by the self‐determination theory, this weekly diary study tested a process model in which week‐to‐week mother‐reported interparental conflict and perceived partner responsiveness were ...associated with maternal autonomy support by means of maternal psychological need satisfaction. During six consecutive weeks, 258 mothers (Mage = 41.71 years) and their 157 adolescents (51.4% females, Mage = 14.92 years) from Turkey provided weekly reports of the study variables via an online survey. Multilevel analyses showed that maternal need satisfaction was predicted by lower levels of interparental conflict and greater levels of perceived partner responsiveness. Maternal need satisfaction, in turn, was positively associated with maternal and adolescent reports of maternal autonomy support. Further, these week‐to‐week associations were partly moderated by maternal perfectionism. The results underscore the dynamic nature of the intra‐family relationships, the important role of particular conditions in which mothers may become more autonomy supportive, and the necessity to consider mother’s personal characteristics while examining these dynamics.
Resumen
Guided by the self‐determination theory, this weekly diary study tested a process model in which week‐to‐week mother‐reported interparental conflict and perceived partner responsiveness were associated with maternal autonomy‐support by means of maternal psychological need satisfaction. During 6 consecutive weeks, 258 mothers (Mage = 41.71 years) and their 157 adolescents (51.4% females, Mage = 14.92 years) from Turkey provided weekly reports of the study variables via an online survey. Multilevel analyses showed that maternal need satisfaction was predicted by lower levels of interparental conflict and greater levels of perceived partner responsiveness. Maternal need satisfaction, in turn, was positively associated with maternal and adolescent reports of maternal autonomy‐support. Further, these week‐to‐week associations were partly moderated by maternal perfectionism. The results underscore the dynamic nature of the intra‐family relationships, the important role of particular conditions in which mothers may become more autonomy supportive, and the necessity to consider mother’s personal characteristics while examining these dynamics.
摘要
本研究是在自我决定理论指导下进行的连续数周的日记研究，针对一个过程模型展开了测试。在此模型中，由母亲每周报告一次父母之间的冲突和观察到的伴侣反应，通过母亲方面的心理需要满足将报告内容与母亲给予的自主支持联系在一起。本研究持续的6周中，有来自土耳其的258名母亲（M 年龄= 41.71岁）和157名青少年（女性51.4％，M 年龄= 14.92岁）通过完成在线调查提供周报，告知研究变量的周变化。多层次分析后的结果表明，如果父母之间的冲突水平较低，可觉察到的伴侣回应水平较高，则可以预测母亲方面的需求得到满足的水平。反过来，母亲方面的需求满意度与来自母亲方面告知的和青少年告知的关于自主支持情况的报告是呈正相关的。此外，这些周与周之间的相互关联性在一定程度上受到母亲方面完美主义的控制。本研究结果强调了家庭内部关系是处于不断动态变化中的这个性质，指出某些特定条件的重要性，因其可以促使母亲变得更加支持孩子自主；以及在研究这些关系的动态状况时把母亲的个性特征作为要素加以考虑的必要性。
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BFBNIB, DOBA, FZAB, GIS, IJS, IZUM, KILJ, NLZOH, NUK, OILJ, PILJ, PNG, SAZU, SBCE, SBMB, SIK, UILJ, UKNU, UL, UM, UPUK, VSZLJ
Abstract Objective: To evaluate the clinical impact of coronary dominance type in terms of early and long-term outcomes in patients undergoing elective coronary artery bypass grafting (CABG). ...Methods: A total of 844 consecutive patients who underwent elective CABG were divided into two groups based on preoperative angiographic views as left dominant (LD) and right dominant or co-dominant (RD+CD). The measured outcomes were postoperative complications, 30-day mortality, long-term mortality, and major adverse cardiac and cerebrovascular events (MACCE). Results: RD+CD was present in 87.9% (n=742) and LD in 12.1% (n=102) of patients. Postoperative complications, 30-day mortality, and 30-day readmissions were similar in both groups. The median duration of follow-up was 3.4 years. LD was not an independent predictor of mortality (adjusted hazard ratio HR 1.53, 95% confidence interval CI 0.89-2.45, P=0.12), but it was an independent predictor of MACCE in the long term (adjusted HR 2.18, 95% CI 1.39-3.42, P=0.001). Conclusion: In patients undergoing elective surgical revascularization, left coronary dominance is associated with increased MACCE risk in the long term. Therefore, the assessment of coronary dominance type should be an integral part of outpatient management after CABG.
Our study was conducted to determine the effects of intraoperative antithymocyte globulin administration on donor hearts procured after cardiocirculatory death. We evaluated the impact of ...antithymocyte globulin on graft function and related parameters during isothermic blood cardioplegia.
In this prospective and randomized single center study, 30 patients with orthotropic heart transplant were divided into 2 groups: group 1 included 15 patients who received retrograde antithymocyte globulin infusion via coronary sinus intraoperatively and immediately after organ procurement and group 2 included 15 patients who received traditional antithymocyte globulin infusion after implantation.
Study patients had a mean age of 33.8 years (range, 15-56 y). All patients had panel reactive antibody less than 10% except for 3 patients. The cluster of differentiation 3-positive cell count decrease was more than 20%. The inotropic therapy dose required and the myocardial pressure (stiffness) were less for group 1 patients. These patients had less acute rejection episodes than group 2 (0% vs 13.3%; P < .05).
Favorable clinical outcomes were observed in terms of less acute rejection episodes and better graft function at least during the early posttransplant period. Intraoperative antithymocyte globulin treatment may have a preventive effect for acute cellular rejection in heart transplant patients.
Past research has shown a negative relationship between time spent watching television (TV) and several indicators of hedonic well-being—including positive affect (PA). However, cross-sectional ...designs employed in most of these studies do not allow for inferences regarding the direction of the link between TV watching and PA. Present research aimed to address this gap by using daily diary data from a large national sample of U.S. adults (
N
= 1668, age = 33–83 years). Respondents reported time spent watching TV as well as PA for eight consecutive days. Results of multilevel modeling analyses showed that duration of TV watching on the previous day did not significantly predict changes in PA on the next day. However, PA on the previous day significantly predicted decreases in duration of TV watching the following day. The results held after controlling for factors known to predict duration of TV watching and PA (i.e., age, gender, income level, employment status, marital status, health status, and personality traits). The present research goes beyond past cross-sectional work by shedding light on the direction of the link between TV watching and PA. Our findings indicate that watching TV does not seem to diminish PA—as critics of TV proclaim—but individuals seem to watch TV to a greater extent whenever they experience reduced PA.
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CEKLJ, DOBA, EMUNI, FIS, FZAB, GEOZS, GIS, IJS, IMTLJ, IZUM, KILJ, KISLJ, MFDPS, NLZOH, NUK, OBVAL, ODKLJ, OILJ, PILJ, PNG, SAZU, SBCE, SBJE, SBMB, SBNM, SIK, UILJ, UKNU, UL, UM, UPUK, VKSCE, ZAGLJ
Although numerous studies examined how individual differences in mothers’ discourse about their early attachment experiences are associated with their caregiving behaviors toward their children, ...research examining how self-reported romantic attachment style is associated with maternal caregiving has been very limited. To help fill this gap, we examined whether self-reported romantic attachment style is associated with maternal caregiving behaviors observed in home settings. Mother–child interactions were observed for three hours and the mothers completed measures of attachment style and child temperament. Results indicated that attachment-related avoidance, but not attachment-related anxiety, was negatively associated with global maternal sensitivity, after controlling for the child’s temperament. Consistent with the propositions of attachment theory, both attachment-related avoidance and anxiety were associated with specific caregiving themes.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPUK
Does a new person's objective facial resemblance to a significant other influence snap judgments of liking, and if so, does this effect occur even when individuals are not consciously aware of the ...resemblance? Participants (romantic couples) made trait judgments about 24 novel faces, each shown for 500
ms. Objective facial resemblance was manipulated using morphing techniques such that half of the novel faces resembled participants' partner and half did not. We found that women's evaluations of novel men who resembled their partner (vs. those who did not) were more positive, but men's evaluations of novel women were not appreciably affected by facial resemblance. These results held even when individuals were not consciously aware of the resemblance. Moreover, the effect of facial resemblance on judgments of liking was more pronounced for individuals who were more satisfied in their relationship, suggesting that these results were due to activating the specific partner representation (rather than familiarity). This research shows that objective facial resemblance to a significant other influences snap judgments of liking automatically, effortlessly, and without conscious awareness.
► Using morphing, we created novel faces resembling participants' romantic partner. ► Women judged partner-similar novel faces more favorably than non-similar faces. ► Men's evaluations of novel faces were not affected by facial resemblance. ► Results held when individuals were not consciously aware of the resemblance. ► Relationship quality predicted favorable judgments of partner-similar faces.
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GEOZS, IJS, IMTLJ, KILJ, KISLJ, NUK, OILJ, PNG, SAZU, SBCE, SBJE, UL, UM, UPUK
Aim: In cancer patients, the overall risk of venous thromboembolism (VTE) is increased 7-fold, and in cases of certain malignancies, this risk increases to 28-fold. The main objectives of this study ...are to describe patterns of use of anticoagulants for the treatment of cancer-related VTE in Türkiye and to assess patient characteristics. Material and Methods: This was a multicenter, retrospective, descriptive study utilizing data from 17 centers across Türkiye. We included 2936 patients with a diagnosis of any cancer and a diagnosis of proximal lower-limb deep vein thrombosis (DVT) and/or pulmonary embolism (PE) between January 1, 2016, and December 31, 2019. These patients were only included if the cancer diagnosis was made at least 6 months before the diagnosis of VTE or within 30 days following the diagnosis of VTE. Patients were followed from the day after the index date until the earliest date among the dates of death, the end of the study, or the end of the 6-month treatment period. Results: The study included 2796 patients with VTE between 2016 and 2019. While 41.4% of the participants were female, 58.6% were male, and 66.1% of the patients had DVT while 45.2% had PE. Furthermore, 52.7% had a history of smoking and only three patients had known hereditary thrombophilia. Lung cancer was the most common type of cancer, diagnosed in 872 patients (29.3%), followed by colon cancer diagnosed in 255 patients (8.6%) and breast cancer diagnosed in 202 patients (6.8%). Among these patients, 70.3% were in an advanced stage of the disease. Chemotherapy was administered to 469 (65.7%) patients at the time of disease onset. Among the patients with VTE, 99.5% were treated, and low-molecular-weight heparin was used in 97.5% of these cases while 3% of the patients were treated with direct oral anticoagulants. Bleeding was observed in 1.6% of the patients who participated in this study, and 39.1% of the bleeding events whose type was specified were categorized as major bleeding. Bleeding was most intense in the gastrointestinal tract (56.7%). Recurrence was observed in 1.5% of the patients and improvement was observed in 42.1%. In the first 6 months after diagnosis, 14.3% of the patients died. Causes of mortality could not be obtained from the patients’ records. Conclusion: VTE is common in patients with active cancer and associated with high recurrence and mortality rates. Efforts are needed to prevent VTE, diagnose it in time, and reduce the recurrence rates, especially in the first year after VTE diagnosis.
In this study, we aimed to investigate frequency, patterns, etiologies, and costs of unplanned readmissions after left ventricular assist device implantation.
Between April 2012 and September 2016, ...99 unplanned readmissions of a total of 50 consecutive bridge-to-transplant patients (45 males, 5 females; mean age 46.9±10.3 years; range, 19 to 67 years) who were successfully discharged after left ventricular assist device implantation were retrospectively analyzed. Patient demographic data, hemodynamic measurements before implantation, and readmissions after discharge were recorded. Hospitalizations due to major problems which were unable to be managed in routine outpatient clinic were accepted as unplanned readmissions. Survival analysis was performed.
The readmission rate was 1.7 per year after discharge. Survival of patients who were readmitted within the first 90 days was found to be significantly lower than those without early readmission. The most common reasons of readmissions during follow-up were major infection (23.2%), neurological dysfunction (22.2%), cardiac causes (12.1%), bleeding (11.1%), and device malfunction (10.1%). Neurological dysfunctions (82,005 USD) and device malfunctions (73,300 USD) caused the highest economic burden.
Among patients with a left ventricular assist device, hospital readmissions are common. Development of preventive strategies as well as effective treatment methods focused on longterm adverse events is critical to reduce the frequency and costs of hospital readmissions.
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