To determine how hypnosis and empathic attention during percutaneous tumor treatments affect pain, anxiety, drug use, and adverse events.
For their tumor embolization or radiofrequency ablation, 201 ...patients were randomized to receive standard care, empathic attention with defined behaviors displayed by an additional provider, or self-hypnotic relaxation including the defined empathic attention behaviors. All had local anesthesia and access to intravenous medication. Main outcome measures were pain and anxiety assessed every 15 minutes by patient self-report, medication use (with 50 mug fentanyl or 1 mg midazolam counted as one unit), and adverse events, defined as occurrences requiring extra medical attention, including systolic blood pressure fluctuations (> or =50 mm Hg change to >180 mm Hg or <105 mm Hg), vasovagal episodes, cardiac events, and respiratory impairment.
Patients treated with hypnosis experienced significantly less pain and anxiety than those in the standard care and empathy groups at several time intervals and received significantly fewer median drug units (mean, 2.0; interquartile range IQR, 1-4) than patients in the standard (mean, 3.0; IQR, 1.5-5.0; P = .0147) and empathy groups (mean, 3.50; IQR, 2.0-5.9; P = .0026). Thirty-one of 65 patients (48%) in the empathy group had adverse events, which was significantly more than in the hypnosis group (eight of 66; 12%; P = .0001) and standard care group (18 of 70; 26%; P = .0118).
Procedural hypnosis including empathic attention reduces pain, anxiety, and medication use. Conversely, empathic approaches without hypnosis that provide an external focus of attention and do not enhance patients' self-coping can result in more adverse events. These findings should have major implications in the education of procedural personnel.
We present a study of top quark polarization in $t \overline{t}$ events produced in $p \overline{p}$ collisions at $\sqrt{s}=1.96$ TeV. Data correspond to 9.7 fb$^{-1}$ collected with the D0 detector ...at the Tevatron. We use final states containing a lepton and at least three jets. The polarization is measured using the distribution of leptons along the beam and helicity axes, and the axis normal to the production plane. This is the first measurement of top quark polarization at the Tevatron in $\ell$+jets final states, and first measurement of transverse polarization in $t \overline{t}$ production. The observed distributions are consistent with the standard model.
We use a sample of diphoton + dijet events to measure the effective cross section of double parton interactions, which characterizes the area containing the interacting partons in proton-antiproton ...collisions, and find it to be σ eff = 19.3 ± 1.4 ( stat ) ± 7.8 ( syst ) mb . The sample was collected by the D0 detector at the Fermilab Tevatron collider in p$\bar{p}$ collisions at √ s = 1.96 TeV and corresponds to an integrated luminosity of 8.7 fb - 1 .
Background. A dentist’s professional activity requires a high level of personality traits that are usually regarded as a combination of both female and male traits. Androgynous gender identity ...corresponds to dentists’ professional requirements and allows the dentists to retain mental stability and psychological well-being. Objective. The goal of this study is to determine the specificity of the androgynous identity in dentists in the context of gender differences as indicators of mental health and subjective well-being. Design. The first stage of the research covered 129 dentists of both sexes to reveal their androgynous gender type using the Bem Sex Role Inventory. During the second stage, 117 androgynous dentists were studied using the SCL-90-R and Brief Subjective Well-being Questionnaire in an effort to reveal the specificity of the dentists’ mental health and self-esteem. Results. According to the results, individuals with an androgynous type of gender identity constitute the largest part of dentists (90.70 %), regardless of their biological sex. The expression of masculinity does not statistically differ from the expression of femininity within the androgynous sample. Regardless of their sex, these dentists are characterized by a higher level of mental health. No significant differences were revealed between androgynous men and androgynous women in their subjective well-being indicators - self-estimation of health, satisfaction with material status and success motivation. Conclusion. We concluded that androgyny is the most common type of gender identity in the men and women engaged in dentistry. The basic gender characteristic in the structure of androgynous identity in dentists is masculinity, which is closely interrelated with mental health and subjective well-being regardless of biological sex.
PDF
