Motivational Interviewing as a new Approach to Improve Outcome Through Self-care Behavioral Changes in Advanced Heart Failure Patient: a case report

Background A lack of adherence and inadequate self-care behaviors are common reasons for recurrent hospitalizations among patients with heart failure (HF). Although patients recognize the importance of HF self-care, it is sometimes difficult to correct their behavioral patterns. Motivational interviewing is a communication technique to resolve ambivalence toward changing behavior, and it has been widely used to promote behavioral changes and improve outcomes in various chronic diseases. We described a case of advanced HF with reduced ejection fraction in which motivational interviewing lead to stabilize the patient’s condition. Case summary A 33-year-old man was diagnosed with dilated cardiomyopathy (DCM) who experienced repeated episodes of HF requiring hospitalization despite optimal guideline-based HF treatment. Transthoracic echocardiography disclosed a severely reduced LV contraction (LVEF 18%) and CPET disclosed markedly reduced functional capacity and increased ventilatory response (peak VO2 of 10.7 mL/min/kg, predicted peak VO2 of 34.7% and VE/VCO2 slope of 35.2). In this case, poor adherence to self-care such as excessive fluid intake and excessive daily activities after hospital discharge was the main cause of recurrent hospitalization for HF. Despite repeated patient education to correct his diet and lifestyle, he could not change his lifestyle behavior. However, motivational interviewing dramatically helped stabilize the patient’s condition and prevent HF re-hospitalization. Discussion In general, patients with advanced HF and reduced ejection fraction despite optimal medical therapy should be evaluated to assess their eligibility of cardiac transplantation or palliative care. Motivational interviewing might represent a new therapeutic approach for stabilizing and preventing HF through self-care behavioral changes, even in patients with advanced HF and severely reduced ejection fraction.

Numerical Model on the Dynamic Behavior of a Prototype Kaplan Turbine Runner

Experimental and numerical investigations of the modal behavior of a prototype Kaplan turbine runner in air have been conducted in this paper. The widely used roving accelerometer method was used in the experimental modal analysis. A systematic approach from a single blade model to the whole runner has been used in the simulation to get a thorough understanding. The experimental results show that all the detected modes concentrate their displacements on the impacted blade. The numerical results show that the modes of the single blade form different mode families of the runner, and each mode family corresponds to a narrow frequency band. Harmonic response analysis shows that, at the response peak point, the single blade excitation can only get mode shapes with concentrations on the exciting blade due to the superposition of the close modes in each mode family, which explains the experimental results well, while the mode superposition can be avoided by the order excitation method. With the reduction of the connection stiffness between the blades and hub/control system, the frequencies of most modes change from insensitive to more and more sensitive to the connection stiffness change, which results in a sensitive area and an insensitive area. Through comparison with the experimental results, it is indicated that the natural frequencies of the runner can probably be predicted by merging the runner into a whole body.

Yawn contagion in domestic pigs (Sus scrofa)

Contrary to spontaneous yawning—an ancient phenomenon common to vertebrates—contagious yawning (elicited by others’ yawns) has been found only in highly social species and may reflect an emotional inter-individual connection. We investigated yawn contagion in the domestic pig, Sus scrofa. Owing to the complex socio-emotional and cognitive abilities of Sus scrofa, we posited that yawn contagion could be present in this species (Prediction 1) and influenced by individual/social factors (Prediction 2). In June-November 2018, on 104 semi-free ranging adolescent/adult pigs, 224 videos were recorded for video analysis on yawning. Kinship information was refined via genetic analyses. Statistical elaboration was conducted via GLMMs and non-parametric/randomization/cross-tabulation tests. We found yawn contagion in Sus scrofa, as it was more likely that pigs yawned when perceiving rather than not perceiving (yawning/control condition) others’ yawns (response peak in the first out of three minutes). Yawn contagion was more likely: (1) in response to males’ yawns; (2) as the age increased; (3) within short distance (1 m); (4) between full siblings, with no significant association between kinship and distance. The influence of kinship suggests that—as also hypothesized for Homo sapiens—yawn contagion might be linked with emotional communication and possibly contagion.

Multi-Scale Anti-Occlusion Correlation Filters Object Tracking Method Based on Complementary Features

Aiming to tackle the problem of tracking drift easily caused by complex factors during the tracking process, this paper proposes an improved object tracking method under the framework of kernel correlation filter. To achieve discriminative information that is not sensitive to object appearance change, it combines dimensionality-reduced Histogram of Oriented Gradients features and Lab color features, which can be used to exploit the complementary characteristics robustly. Based on the idea of multi-resolution pyramid theory, a multi-scale model of the object is constructed, and the optimal scale for tracking the object is found according to the confidence maps’ response peaks of different sizes. For the case that tracking failure can easily occur when there exists inappropriate updating in the model, it detects occlusion based on whether the occlusion rate of the response peak corresponding to the best object state is less than a set threshold. At the same time, Kalman filter is used to record the motion feature information of the object before occlusion, and predict the state of the object disturbed by occlusion, which can achieve robust tracking of the object affected by occlusion influence. Experimental results show the effectiveness of the proposed method in handling various internal and external interferences under challenging environments.

The Influence of Structure Parameters on Nanoantennas’ Optical Response

Currently, huge opportunities for the inclusion of new optical devices in our lives have been appearing. There are evident and irrefutable examples for nanoantenna applications. They can be used to improve already developed devices or even be used as the device. In both cases, they can be applied in diverse areas, such as medicine, environment, energy, defense, and communications. A square arrayed metallic nanoantenna composed of circular holes is studied by performing simulations using COMSOL Multiphysics. This article aims to study the influence of the nanoantenna’s metal, silver, gold, copper and aluminum, but also the optical response dependence on the nanoantenna’s periodicity, its thickness, the hole diameter, and the number of holes. It is evidenced that the optical response can be tuned using the structure parameters and by choosing an appropriate material. This tuning will allow developers to fulfil the specifications, since it is proven that the response peak can be deliberately shifted, amplified, or attenuated.

Classical and controlled auditory mismatch responses to multiple physical deviances in anaesthetised and conscious mice

Human mismatch negativity (MMN) is modelled in rodents and other non-human species to examine its underlying neurological mechanisms, primarily described in terms of deviance-detection and adaptation. Using the mouse model, we aim to elucidate subtle dependencies between the mismatch response (MMR) and different physical properties of sound. Epidural field potentials were recorded from urethane-anaesthetised and conscious mice during oddball and many-standards control paradigms; with stimuli varying in duration, frequency, intensity, and inter-stimulus interval. Resulting auditory evoked potentials, classical MMR (oddball – standard), and controlled MMR (oddball – control) waveforms were analysed. Stimulus duration correlated with stimulus-off response peak latency (p < 0.0001). Frequency (p < 0.0001), intensity (p < 0.0001), and inter-stimulus interval (p < 0.0001) correlated with stimulu-son N1 and P1 (conscious only) peak amplitudes. These relationships were instrumental in shaping classical MMR morphology in both anaesthetised and conscious animals, suggesting these waveforms reflect modification of normal auditory processing by different physical properties of stimuli. Controlled MMR waveforms appeared to exhibit habituation to auditory stimulation over time, which was equally observed in response to oddball and standard stimuli. These observations are not consistent with the mechanisms thought to underlie human MMN, which currently do not address differences due to specific physical features of auditory deviance. Thus, no evidence was found to objectively support the deviance-detection or adaptation hypotheses of MMN in relation to anaesthetised or conscious mice.

Behavioral, energetic, and color trait integration in male guppies: testing the melanocortin hypothesis

Individuals of the same population differ consistently from each other in the average expression of behavioral and physiological traits. Often, such traits are integrated and thus correlated with each other. However, the underlying proximate mechanisms generating and maintaining this among-individual covariation are still poorly understood. The melanocortin hypothesis suggests that the melanocortin pathways can have pleiotropic effects linking the expression of melanin-based coloration with physiological and behavioral traits. In the present study, we test this hypothesis in adult male guppies (Poecilia reticulata), by estimating among individual correlations between behaviors (activity, feeding, boldness, display, and chase during courtship), stress response (peak metabolic rate), and coloration (black spot, fuzzy black, and orange). The lack of correlation of any behavior or metabolism with black coloration indicates that the melanocortin hypothesis is not supported in this species. However, we observed covariation among coloration traits, as well as among behavioral traits. Our findings suggest that, although there appear to be constraints within sets of related traits, coloration, physiology, and behaviors can potentially evolve as independent modules in response to selection in this species.