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Timm Kiilerich posted an update 6 months ago
Overall, support was found for the validity of the metacognitive model of PTSD.
The present study was designed to directly compare the diagnostic performance of preoperative magnetic resonance imaging (MRI) and intraoperative frozen section (FS) diagnoses in predicting deep myometrial invasion (MI) of endometrial cancer.
Using MRI findings and FS diagnoses, 194 patients with surgically staged endometrial cancer were evaluated for deep MI between 2006 and 2018. Definitive histological diagnosis of paraffin sections of excised tissues was used as the gold standard approach.
Of 194 cases, 53 (27.3%) cases were finally diagnosed as having deep MI (≥50%). There was 82% total agreement between MRI and FS diagnoses in predicting deep MI, with a kappa value of 0.54 (95% confidence interval =0.40-0.67, moderate agreement). The sensitivity of FS diagnosis (0.66, 95%CI=0.52-0.78) for predicting deep MI was lower than that of MRI (0.77, 95%CI=0.63-0.87; p=0.21), while the specificity of FS (0.98, 95%CI=0.93-0.99) was significantly higher than that of MRI (0.88, 95%CI=0.81-0.93; p=0.001). read more Overall, the accuracy of FS (0.89, 95%CI=0.84-0.93) was higher than that of MRI (0.85, 95%CI=0.79-0.90), although the difference did not reach statistical significance (p=0.23). The accuracy (0.95, 95%CI=0.90-0.97) was very high in cases with concordant MRI and FS results.
MRI and FS showed different diagnostic characteristics for predicting deep MI, with a higher specificity observed for FS and the greatest accuracy obtained in concordant cases. Thus, our findings recommend the addition of FS diagnosis, either alone or in conjunction with MRI, to MI evaluation.
MRI and FS showed different diagnostic characteristics for predicting deep MI, with a higher specificity observed for FS and the greatest accuracy obtained in concordant cases. Thus, our findings recommend the addition of FS diagnosis, either alone or in conjunction with MRI, to MI evaluation.
Recent advances in cancer treatment have improved the prognosis of child, adolescent, and young adult (CAYA) cancer survivors. This study aimed to examine the current status of pregnancy outcomes among female cancer survivors in Japan.
The first questionnaire was sent to 633 major tertiary institutions certified by the Japan Society of Obstetrics and Gynecology to identify institutions managing cases of pregnant cancer survivors between January 2011 and December 2015. The second questionnaire was sent only to institutions with pregnant cancer survivors during the study period.
We analyzed 2242 singleton deliveries of cancer survivors based on the responses received in the second questionnaire (199/255 responses; 78.0%). The three most frequent types of malignant tumors were uterine cervical (23.4%), breast (17.6%), and thyroid cancers (17.5%). Conception was aided by the use of assisted reproductive technology in 17.0% of the patients. The proportions of mothers aged 35-39.9 and ≥ 40 years were 36.5% and 11.8%, respectively. The prevalence of preterm birth (PTB) at <37, <34, and < 32 weeks’ gestation were 16.7%, 6.8%, and 4.3%, respectively. The proportion of infants with low birth weight (LBW) was 18.9%.
The present study findings suggest that advanced maternal age was common among pregnant cancer survivors and these survivors often gave birth to PTB and LBW infants in Japan. The likelihood of adverse pregnancy outcomes should be considered by healthcare providers when planning counseling and perinatal care for cancer survivors.
The present study findings suggest that advanced maternal age was common among pregnant cancer survivors and these survivors often gave birth to PTB and LBW infants in Japan. The likelihood of adverse pregnancy outcomes should be considered by healthcare providers when planning counseling and perinatal care for cancer survivors.Ample evidence shows that the human brain carefully tracks acoustic temporal regularities in the input, perhaps by entraining cortical neural oscillations to the rate of the stimulation. To what extent the entrained oscillatory activity influences processing of upcoming auditory events remains debated. Here, we revisit a critical finding from Hickok et al. (2015) that demonstrated a clear impact of auditory entrainment on subsequent auditory detection. Participants were asked to detect tones embedded in stationary noise, following a noise that was amplitude modulated at 3 Hz. Tonal targets occurred at various phases relative to the preceding noise modulation. The original study (N = 5) showed that the detectability of the tones (presented at near-threshold intensity) fluctuated cyclically at the same rate as the preceding noise modulation. We conducted an exact replication of the original paradigm (N = 23) and a conceptual replication using a shorter experimental procedure (N = 24). Neither experiment revealed significant entrainment effects at the group level. A restricted analysis on the subset of participants (36%) who did show the entrainment effect revealed no consistent phase alignment between detection facilitation and the preceding rhythmic modulation. Interestingly, both experiments showed group-wide presence of a non-cyclic behavioural pattern, wherein participants’ detection of the tonal targets was lower at early and late time points of the target period. The two experiments highlight both the sensitivity of the task to elicit oscillatory entrainment and the striking individual variability in performance.The idea that individuals differ in their sensitivity to the environment’s effects is a cornerstone of developmental science. It has been demonstrated repeatedly, for different kinds of stressors, outcomes, and sensitivity markers. However, almost no empirical work was done to examine whether environmental sensitivity is domain-general (i.e., the same individuals are sensitive to different environmental contexts) or domain-specific (i.e., different individuals are sensitive to different environmental contexts), despite its importance to understanding human development, learning, and behavior. To address this question, phenotypic sensitivity to parents and to peers were compared in 1313 11-year-old Israeli adolescent twins. We found that, (1) our phenotypic markers indeed moderate environmental influences, with a discriminant predictive utility, (2) adolescents who are sensitive to their parents are not necessarily sensitive to their peers, and (3) sensitivity to parents and sensitivity to peers have different etiologies and show a negative genetic correlation, indicating that adolescents carrying genetic markers for sensitivity to parents are less likely to carry genetic markers for sensitivity to peers.
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