The Temporal Relationship Between Self-Acceptance and Generativity over Two Decades

Generativity is defined as a concern for the well-being of future generations, which involves both caring and a will to extend the self into the future. Extant research indicates that generativity plays an important role in successful aging. The present study sought to examine the temporal relationship between self-acceptance and generativity over about 2 decades. The data were drawn from the three waves of the Midlife in the United States (MIDUS) project, collected with intervals of about 10 years ( N = 4,167). The random-intercept cross-lagged panel model was used for data analysis. It was found that self-acceptance prospectively predicted generativity, whereas generativity did not predict self-acceptance. Thus, coming to terms with various aspects of one’s personality and past life contributes to higher future levels of generativity.

The role of the pre-Alpine polycrystalline basement in the paleogeographic configuration of multiple Neotethyan oceanic basins

The study provides a deeper understanding of the early Mesozoic paleogeogeographic spatial-temporal relationship by studying the two Adria-Europe intervening basement blocks. The Drina-Ivanjica and Pelagonian crustal fragments play important role in the internal early Alpine oceanic constitution further controlling the late Jurassic emplacement of Tethyan Dinaric-Hellenic ophiolites. The proposed paleogeographic reassessment is driven by the new paleocontinental inheritance data associated with the Variscan – pre-Variscan basement terranes. The recently published data suggest an Avalonian-type inheritance of the Pelagonian basement block which indicates a different pre-Variscan plate-tectonic journey, including separate spatial arrangement during Variscan amalgamation. In turn, Cadomian-type basement inheritance has been documented within the sliced Adria microplate. Thus, the Avalonian inheritance place the Pelagonian block away from the Apulia/Adria (Dinarides). In the investigated context of Paleozoic-Mesozoic paleogeographic transition, the Pelagonian block may represent a segment of the Cimmerian ribbon continent or southernmost segment of the Variscan Europe. With regards the nearby Adria microplate, a Triassic-Jurassic oceanic opening led to the decoupling (spreading away from the main Adria microplate) of the Drina-Ivanjica block. The rifting is in line with the simultaneous yet opposite or westward-directed drift of the Pelagonides. The breakup of south European Variscan configuration eventually result in the spatial alignment of the two basement fragments referred to as the “Drina–Pelagonide continental splinter”. By linking the paleogeographic pre-Jurassic–Jurassic relationship between these continental units, the two landlocked Neotethyan Vardar s.l. basins are extrapolated, “Dinaric Tethys” / Inner Dinaric-(Mirdita-Pindos) and the main Vardar Ocean (Western Vardar Zone).

The Temporal Relationship Between Sleep Duration and Blood Lipids in Chinese Middle-aged and Elderly Individuals: Evidence From CHARLS

Background: To explore the temporal relationship between blood lipids and sleep duration and clarify their potential causality in Chinese middle-aged and elderly individuals.Methods: We used medical examinations and questionnaire data of 5016 Chinese middle-aged and elderly individuals in 2011 and 2015. Cross-lagged path analysis was performed to examine the potential bidirectional relationships between blood lipids and sleep duration.Results: In total population, significant bidirectional relationship was observed between sleep duration and high-density lipoprotein cholesterol level and the path coefficients were -0.171 (P = 0.005) and -0.006 (P = 0.002). In contrast, there was a positive correlation between and sleep duration, and the path coefficient from triglycerides to sleep duration 4 year later (O = 0.001, P = 0.018) was greater than that from sleep duration to triglycerides 4 year later (b = 0.109, P = 0.847), with P = 0.030 for the difference between j and e. Longer sleep duration was associated lower levels of low-density lipoprotein cholesterol (c = -0.275, P = 0.097) and total cholesterol (t = -0.329, P = 0.096) 4 year later. In stratified analysis, effects of sleep duration on blood lipids were only observed among individuals aged < 60 years, while the effect in the opposite direction was observed in elderly individuals, and the cross-lagged path coefficients were more significant in adults with BMI > 25.Conclusions: Temporal relationships between sleep duration and high-density lipoprotein cholesterol, low-density lipoprotein cholesterol, total cholesterol, and triglycerides were different. The strength and direction of the relationships may be related to age and BMI.

Temporal Relationship of Extraintestinal Manifestations in Inflammatory Bowel Disease

Objectives: Thus far, few attempted to characterize the temporal onset of extraintestinal manifestations (EIM) in inflammatory bowel diseases (IBD). We sought to determine the time of onset of these findings in a patient cohort with IBD. Methods: We reviewed the electronic health records of 508 IBD patients (303 CD, 205 UC) and summarized general patient characteristics and the temporal relationship and order of presentation of extraintestinal manifestations. Results: CD patients were younger at diagnosis. CD patients with ileocolonic involvement (L3) were younger, and UC patients with pancolitis (E3) were slightly younger at diagnosis. A total of 127 out of 303 (41.91%) CD and 81 out of 205 (39.51%) UC patients had EIMs (p = 0.5898). Some patients presented with EIMs before the diagnosis of IBD (9.45% of Crohn’s disease and 17.28% of ulcerative colitis patients with EIMs, respectively). Of these, seven cases (four in CD and three in UC) were visible by inspection of the patients (either dermatologic or ocular findings). The diagnosis of IBD and extraintestinal symptoms often occurred within a year (22.83% of CD and 16.04% of UC patients). Typically, the diagnosis of the first extraintestinal symptoms happened after the onset of bowel disease (+4.3 (±6.3) years, range: 10 years before to 30 years after in Crohn’s disease and +3.8 (±10) years, range: 24 years before to 30 years after) in ulcerative colitis. UC patients with pancolitis (E3) usually had EIMs earlier in the disease course and displayed EIMs more frequently before IBD diagnosis. Furthermore, patients with pancolitis developed EIMs more frequently than other sub-groups. Conclusion: Extraintestinal manifestations in inflammatory bowel diseases can present at any time, relative to the bowel symptoms. In cases, the presence of a characteristic EIM might be a harbinger of the development of IBD.

Temporal Relationship between Nystagmus and Perception during Bithermal Alternate Caloric Test

Objectives: During caloric irritation, the spinning/rotating sensation is predominant. However, there is no report on the temporal relationship between caloric nystagmus and perception.Methods: Consecutive 57 participants underwent bithermal caloric test in the dizziness clinic of Chungnam National University Hospital from February 2018 to September 2018. For vestibular perception, we asked the subject to report feelings of rotation and/or linear sensation during each warm and cold water irrigation period. Besides routine caloric parameters, the duration of nystagmus and vestibular sensation were analyzed.Results: In most participants, the caloric nystagmus preceded the vestibular sensation (79.6% in right warm, 83.3% in left warm, 88.5% in right cool, and 84.6% in left cool stimuli). The precedence of perception was observed in 5 normal persons and 15 patients with vestibular migraine (n=4), unilateral vestibulopathy (n=3), and Menière’s disease (n=2), multiple systemic atrophy (n=2), cerebellar ataxia (n=2), vertebrobasilar insufficiency (n=1), and post-earthquake dizziness (n=1). The mean latency between nystagmus and perception was 11.7 seconds. And the duration of nystagmus was longer than that of perception in all conditions. Non-spinning sensations during the caloric test were also observed in some participants (26.8% in right warm, 30.3% in left warm, 29.1% in right cool, and 24.1% in left cool stimuli).Conclusions: During the bithemal alternate caloric test, various vestibular perception and temporal relationship between perception and nystagmus suggest the bithermal caloric stimulation does not reflect only the signal originating from the horizontal canal pathway. A further validation study is needed.

Steroid hormonal endpoints in goats carrying single or twin fetuses reared in semi-extensive systems

The study provides baseline data regarding 17-β-estradiol (E2), progesterone (P4), and cortisol profile of 30 Nicastrese goats during different physiological periods. Animals were evaluated monthly from the pre-mating period (non-pregnant), during pregnancy, and from 30 to 105 d of lactation. The effects of single or twin births and the kid's sex were also considered. Serum E2, P4, and cortisol concentrations were measured using immunoenzymatic assay kits. The highest concentrations of E2 and P4 (P<0.0001) were found during pregnancy and their lowest values (P<0.0001) in the non-pregnant period. E2 was negatively correlated with P4 (r=-0.41; P<0.01) during lactation. The mothers with twin kids showed the highest concentration of P4 (P<0.04) at > 95–115 d of gestation and the lowest of E2 (P<0.04) at > 50–70 d of lactation. Pregnant goats carrying male kid(s) presented the highest E2 concentrations (P<0.02) at > 130–150 d of gestation. Different physiological conditions induced a temporal relationship with the endocrine profile in Nicastrese goats. Understanding the effects of single or twin fetuses on the gestation and lactation will also be helpful to improve the managemental approach for the health of mothers and their kids.

Post-traumatic growth in psychosis: a systematic review and narrative synthesis

Background and objective People with psychosis report experiences of highly traumatic events. Positive change or post-traumatic growth (PTG) can occur as a result of traumatic experiences. Yet there is limited attention on PTG in psychosis, possibly due to the negative impact of psychotic symptoms on functioning and quality of life. The aim of this review was to identify significant correlates and mediators of PTG in psychosis, and to develop a conceptual framework synthesising facilitators of PTG in psychosis. Method Ten electronic databases were searched in seven languages, and five journals and grey literature were searched in English. Quantitative studies were eligible if examining correlates, mediators, or the temporal relationship between PTG and one or more variables. Qualitative studies were eligible if describing PTG arising from experiences of psychosis. Findings from quantitative papers were grouped by analysis method, with significant correlates, mediators, and temporal relationships descriptively reported upon. Narrative synthesis was conducted on findings in qualitative papers. Results Thirty-seven papers were included. Significant correlates and mediators of PTG were identified. Mediators of PTG in psychosis included meaning in life, coping self-efficacy, core beliefs, and self-reported recovery. No studies describing the temporal relationship between PTG and psychosis were identified. The narrative synthesis identified seven facilitators of PTG in psychosis: Personal identity and strength, Receiving support, Opportunities and possibilities, Strategies for coping, Perspective shift, Emotional experience, and Relationships, giving the acronym PROSPER. Conclusions Individuals with psychosis can be supported to grow from traumatic experiences. Clinicians can support PTG through the provision of trauma-informed care that supports positively valued identity changes. For researchers, the findings provide an evidence-based theoretical framework for conceptualising PTG, which can be validated through longitudinal cohort studies and underpin the development of new clinical interventions.

Assessment of the effects of methodological choice in continuity of care research: a real-world example with dyslipidaemia cohort

ObjectiveTo determine if the choice of methodological elements affects the results in continuity of care studies.DesignThis is a retrospective cohort study. The association between continuity of care and clinical outcome was investigated using the Continuity of Care Index. The association was explored in 12 scenarios based on four definitions of the relative timing of continuity and outcome measurements in three populations (three Ps × four Ts).SettingNational Health Insurance claims from all primary and secondary care facilities in South Korea between 2007 and 2015.ParticipantsParticipants were patients diagnosed with dyslipidaemia, made ≥2 ambulatory visits and were newly prescribed with ≥1 antihyperlipidaemic agent at an ambulatory setting in 2008. Three study populations were defined based on the number of ambulatory visits: 10 084 patients in population 1 (P1), 8454 in population 2 (P2) and 4754 in population 3 (P3).Main outcome measureHospitalisation related to one of the four atherosclerotic cardiovascular diseases, including myocardial infarction, stable or unstable angina, ischaemic stroke and transient ischaemic attack.ResultsConcurrent measure of continuity and outcome (T1) showed a significantly higher risk of hospitalisation (adjusted HRs: 2.73–3.07, p<0.0001) in the low continuity of care group, whereas T2, which measured continuity until the outcome occurred, showed no risk difference between the continuity of care groups. T3, which measured continuity as a time-varying variable, had adjusted HRs of 1.31–1.55 (p<0.05), and T4, measuring continuity for a predefined period and measuring outcomes in the remaining period, had adjusted HRs of 1.34–1.46 (p<0.05) in the low continuity of care. Within each temporal relationship, the effect estimates became more substantial as the inclusion criteria became stricter.ConclusionsThe study design in continuity of care studies should be planned carefully because the results are sensitive to the temporal relationship between continuity and outcome and the population selection criteria.