A comparative morphologic study of the cardiac innervation in domestic animals II. The feline

Detailed morphological studies of the cardiac innervation of the cat were reported. Sympathetic cardiac nerves arose from the thoracic, cervicothoracic, vertebral, and intermediate ganglia. Parasympathetic cardiac nerves arose from the vagi, both cranial and caudal to the origin of the recurrent laryngeal nerves, and from the right recurrent laryngeal nerve. Left cardiac nerves passed primarily to the caudal and right surfaces of the left chambers while right ones ramified on the right chambers and left portion of the left chambers. Left cardiac nerves are more prominent around the coronary sinus and atrioventricular node, while right ones contribute more to the area of the sinoatrial node. Both sympathetic and parasympathetic nerves were followed to each chamber. Interconnections through the cardiac plexus facilitated overlapping of nerve distributions.     

Feminist supervision and supervisee nondisclosure: The mediating role of the supervisory relationship

In this study, the authors investigated the predictive relationship between a feminist supervisory approach and supervisee nondisclosure, along with the potential mediating effect of the supervisory relationship. Among a sample of master’s-level counseling interns (N = 111), supervisees who perceived more feminist behaviors from their supervisor were more likely to rank the supervisory relationship as stronger and were less likely to report withholding information from their supervisor. Furthermore, the supervisory relationship partially mediated the link between feminist supervision and supervisee nondisclosure. Implications for supervisors and researchers are discussed.     

Investigating the impact of supervisee attachment system activation on the supervisory relationship

Using a quasi-experimental design, the authors explored how supervisee attachment to supervisor predicted the supervisory relationship after recalling critical feedback from a supervisor. To examine effects of supervisee attachment system activation, participants were randomly assigned either to recall critical feedback from a supervisor (experimental condition) or to list objects in the room (control condition). Anxious and avoidant attachment to supervisor significantly predicted the supervisory relationship, but there were no significant differences among participants in either condition in predicting the supervisory relationship. Results are discussed in light of attachment theory, and implications for further investigating attachment dynamics in supervision are presented.     

Static and dynamic predictors of recidivism in sexual aggressor

The aim of this stydy was to verify whether static factors (criminal history, age, relationship status) and dynamic factors (deviance index based on phallometric data, score of psychometric testing) permit prediction of recidivism in sexual aggressors. Three types of recidivism (sexual, violent, criminal) were determined in 113 rapists and in 269 child molesters over an average follow-up of 64.5 months. The sexual reconviction rate was 21.2% in rapists and 13% in child molesters. Reconvicted rapists were younger and had more previous convictions than those who were not reconvicted. Compared with those who did not reoffend, the child molesters who were reconvicted for a sexual offense had higher pedophilic indices, had more previous sexual charges, were younger, more frequently had male victims, had more frequently extrafamilial victims, and a higher percentage of them were living alone. Psychometric data did not predict recidivism in either rapists or child molesters.     

Child neglect in Army families: a public health perspective

Military families include 2.9 million people, with approximately 40% of all service members having at least one child. Rates of child neglect in this population have increased in recent years, but little is known about the characteristics of the neglect. To better identify targets for intervention, it is necessary that we refine our understanding of child neglect in the military. In this review, we examine definitions of child neglect and the specific definitions used by the U.S. Army. We identify domains of neglect and caregiver behaviors and affiliated. We suggest that this approach can inform prevention efforts within the Institute of Medicine's framework for preventive interventions. Understanding risk and protective factors in the military family are important to interventions for child neglect in military families.     

Characteristics of long-term-care facility residents associated with receipt of influenza and pneumococcal vaccinations.

BACKGROUND: Studies have found residency in long-term-care facilities (LTCFs) a risk factor for influenza and pneumonia and have demonstrated that vaccinations against these diseases reduce the risk of disease. However, rates are below Healthy People 2010 goals of 90% for LTCFs. During 1999-2002, a multi-state demonstration project was conducted in LTCFs to implement standing orders programs for immunizations. OBJECTIVE: Identify nursing home resident-specific characteristics associated with vaccination coverage at baseline. METHODS: Facility-level data were collected from self-reported surveys of selected nursing homes in 14 states and from the On-line Survey and Certification Reporting System. Resident-level data, including demographics and physical functioning, were obtained from the Centers for Medicare & Medicaid Services' Minimum Data Set; 2000-2001 vaccination status was obtained by chart review. Influenza vaccination status reflected a single season, whereas pneumococcal vaccination status reflected vaccination in the past. Multilevel analysis was used to control for facility-level variation. RESULTS: Of 22,188 residents sampled in 249 LTCFs, complete data were obtained for 20,516 (92%). The average coverage for immunizations was 58.5% +/- 0.7% for influenza and 34.6% +/- 0.3% for pneumococcal. On bivariate analyses, residents with cognitive, psychiatric, or neurologic problems were more likely to be vaccinated; those with accidental injuries, unstable conditions, or cancer were less likely to receive either vaccine. On multilevel analysis, the strongest resident characteristics associated with receipt of immunizations, controlling facility variation, were cognitive deficits and psychiatric illness. CONCLUSION: The variation in baseline vaccination coverage associated with LTCF resident characteristics supports the need for strategies to increase vaccination coverage in LTCFs.     

Expression of receptors for epidermal growth factor and insulin-like growth factor I by ZR-75-1 human breast cancer cell variants is inversely related: the effect of steroid hormones on insulin-like growth factor I receptor expression.

We have investigated the expression of insulin-like growth factor I receptors (IGFR) by the ZR-75-1 human breast cancer cell line and tamoxifen-resistant (ZR-75-9a1) and oestrogen-independent (ZR-PR-LT) variants. ZR-75-1 cells expressed 6633+/-953 receptors per cell,(K(d) 0.24+/-0.06 nM). IGFR expression was reduced in ZR-75-9a1 cells (1180+/-614 receptors per cell, K(d) 0.13+/-0.05) and increased in the ZR-PR-LT cell line (18 430+/-3210 receptors per cell, K(d) 0.24+/-17). A comparison of these data with previously published findings for epidermal growth factor receptor (EGFR) expression by these cell lines revealed that IGFR and EGFR expression are inversely related in the variant lines whereas ZR-75-1 cells express similar numbers of both receptors. Since the changes in IGFR expression observed are associated with changes in steroid hormone receptor status, we also investigated the effects of oestradiol, the synthetic progestin ORG 2058 and dexamethasone on IGFR expression. Oestradiol increased IGFR expression only in the ZR-75-1 cell line. Low concentrations of ORG 2058 increased IGFR levels in the two cell lines positive for progesterone receptor (ZR-75-1 and ZR-PR-LT). High concentrations of ORG 2058 increased IGFR expression in all cell lines, as did dexamethasone. These data suggest that EGFR and IGFR expression may be linked in breast cancer, and that EGFR/IGFR ratios in breast cancer may be a more sensitive prognostic indicator than EGFR expression alone. Regardless of basal IGFR expression by the cell studied, ORG 2058 increased IGFR expression, possibly via both the progesterone and glucocorticoid receptors.     

Treatment progress scale for violent psychosis patients]

OBJECTIVES: The dangerousness of psychiatric patients is related to many well-documented factors in literature. To better document the course of dangerousness in most violent psychotic patients with severe and persistent diseases, we have developed a Treatment Progress Scale (TPS). METHOD: The TPS was developed based on the literature research and the expertise of a multidisciplinary team. RESULTS: The instrument has good interrater reliability and has shown to be easy to use, after being implemented for 5 years in a treatment unit at Philippe-Pinel Institute. The instrument provides a systematic assessment of important clinical parameters validating treatment observance and patient evolution over months. It also builds on the daily observations made by different members of the multidisciplinary team, the common language of patients and staff, the transparency of our work with patients, and the clear identification of most treatment targets. It also brings a valued complement to the dangerousness assessment. CONCLUSIONS: The TPS is a relevant instrument for the violent psychotic inpatient specific population. It provides a better identification of treatment progress and helps to specify dangerousness from an evolution perspective. Variations may be developed to assess outpatients and patients in a general setting.