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Cosci, Fiammetta, Andrea Svicher, Sara Romanazzo, et al. "Criterion-related validity in a sample of migraine outpatients: the diagnostic criteria for psychosomatic research." CNS Spectrums 25, no. 4 (2019): 545–51. http://dx.doi.org/10.1017/s1092852919001536.
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AbstractObjective.The Diagnostic Criteria for Psychosomatic Research (DCPR) are those of psychosomatic syndromes that did not find room in the classical taxonomy. More recently, the DCPR were updated, called DCPR-revised (DCPR-R). The present study was conducted to test the criterion-related validity of the DCPR-R.Methods.Two hundred consecutive subjects were enrolled at the Headache Center of Careggi University Hospital (Italy): 100 subjects had a diagnosis of chronic migraine (CM) and 100 had a diagnosis of episodic migraine (EM). Participants received a clinical assessment, which included the DCPR-revised Semi-Structured Interview (DCPR-R SSI), the Structured Clinical Interview for DSM-5 (SCID-5), and the psychosocial index (PSI).Results.Forty-seven subjects (23.5%) had at least one DSM-5 diagnosis: major depressive disorder (8.5%; n = 17) and agoraphobia (7.5%; n = 15) were the most frequent. One hundred and ten subjects (55%) reported a DCPR-R diagnosis: allostatic overload (29%; n = 58) and type A behavior (10.5%; n = 21) were the most frequent. When the incremental validity of the DCPR system over the DSM system was tested using PSI subscales as the criterion variable, the DCPR-R increased up to 0.11–0.24 the amount of explained variance. Subjects with at least one DCPR-R diagnosis showed lower PSI well-being scores (p = .001), higher PSI stress scores (p < .001), and higher PSI psychological distress scores (p = .008) than subjects without a DCPR-R diagnosis.Conclusion. The DCPR-R showed a good criterion-related validity in migraine outpatients. Thus, they might be implemented, together with the DSM-5, in the assessment of migraine subjects.
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Battaglia, Yuri, Luigi Zerbinati, Elena Martino, et al. "Psychosocial Dimensions in Hemodialysis Patients on Kidney Transplant Waiting List: Preliminary Data." Transplantology 1, no. 2 (2020): 123–34. http://dx.doi.org/10.3390/transplantology1020012.
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Although the donation rate for deceased and living kidneys has been increasing, the donor organ availability meets only the 30% of kidney needs in Italy. Consequently, hemodialysis patients stay for a long time, an average of 3.2 years, on a waiting list for a kidney transplant with consequent relevant psychological distress or even full-fledged psychiatric disorders, as diagnosed with traditional psychiatric nosological systems. Recent studies report, however, a higher prevalence of other psychosocial syndromes, as diagnosed by using the Diagnostic Criteria for Psychosomatic Research (DCPR) in medically ill and kidney transplant patients. Nevertheless, no data regarding DCPR prevalence are available in patients waitlisted for a renal transplant (WKTs). Thus, the primary aim of this study was to identify sub-threshold or undetected syndromes by using the DCPR and, secondly, to analyze its relationship with physical and psychological symptoms and daily-life problems in WKTs. A total of 30 consecutive WKTs were assessed using the DCPR Interview and the MINI International Neuropsychiatric Interview 6.0. The Edmonton Symptom Assessment System (ESAS) and the Canadian Problem Checklist were used to assess physical and psychological distress symptoms and daily-life problems. A total of 60% of patients met the criteria for at least one DCPR diagnosis; of them, 20% received one DCPR diagnosis (DCPR = 1), and 40% more than one (DCPR > 1), especially the irritability cluster (46.7%), Abnormal Illness Behavior (AIB) cluster (23.3%) and somatization cluster (23.3%). Fifteen patients met the criteria for an ICD diagnosis. Among patients without an ICD-10 diagnosis, 77.8% had at least one DCPR syndrome (p < 0.05). Higher scores on ESAS symptoms (i.e., tiredness, nausea, depression, anxiety, feeling of a lack of well-being and distress), ESAS-Physical, ESAS-Psychological, and ESAS-Total were found among DCPR cases than DCPR non-cases. In conclusion, a high prevalence of DCPR diagnoses was found in WKTs, including those who resulted to be ICD-10 non-cases. The joint use of DCPR and other screening tools (e.g., ESAS) should be evaluated in future research as part of a correct psychosocial assessment of WKTs.
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Zhang, Quanwei, Dazhong Li, Yue Fei, Jiakang Zhang, Yu Chen, and Fei Tong. "RDCPF: A Redundancy-Based Duty-Cycling Pipelined-Forwarding MAC for Linear Sensor Networks." Sensors 20, no. 19 (2020): 5608. http://dx.doi.org/10.3390/s20195608.
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Existing duty-cycling and pipelined-forwarding (DCPF) protocols applied in battery-powered wireless sensor networks can significantly alleviate the sleep latency issue and save the energy of networks. However, when a DCPF protocol applies to a linear sensor network (LSN), it lacks the ability to handle the bottleneck issue called the energy-hole problem, which is mainly manifested due to the excessive energy consumption of nodes near the sink node. Without overcoming this issue, the lifespan of the network could be greatly reduced. To that end, this paper proposes a method of deploying redundant nodes in LSN, and a corresponding enhanced DCPF protocol called redundancy-based DCPF (RDCPF) to support the new topology of LSN. In RDCPF, the distribution of energy consumption of the whole network becomes much more even. RDCPF also brings improvements to the network in terms of network survival time, packet delivery latency, and energy efficiency, which have been shown through the extensive simulations in comparison with existing DCPF protocols.
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Yi, Lin, Tang Yuchen, Zhang Wentao, Guo Ruipeng, and Wu Wei. "A DC Estimation Method to Improve the Accuracy of DC Power Flow." Journal of Physics: Conference Series 2474, no. 1 (2023): 012058. http://dx.doi.org/10.1088/1742-6596/2474/1/012058.
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Abstract The DC power flow(DCPF) method greatly simplifies the process of power flow calculation compared with the AC power flow(ACPF) method. However, when the DCPF method is applied in the larger power system, its calculation deviation will be larger due to a mass of total active power loss of the system. It will be difficult to meet the requirements of the actual applications in the grid. By using ACPF as the measured values, a DC state estimation method is proposed here to correct the parameter of the DCPF model. The case study in the actual grid proves that this method can significantly relieve the calculating deviation of the DCPF method. Meanwhile, the method can effectively improve the calculation speed and better meet the accuracy requirements of practical grid applications.
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Prophater, Lorna, Boeun Kim, Basia Belza, Sarah Cameron, and Sam Fazio. "Dementia Care Coaching: A Pilot to Evaluate Acceptability and Feasibility in Care Communities." Innovation in Aging 5, Supplement_1 (2021): 847. http://dx.doi.org/10.1093/geroni/igab046.3098.
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Abstract The Alzheimer’s Association (AA) Dementia Care Practice Recommendations (DCPR) outline ten recommendations to achieve quality care with a person-centered focus. The AA has developed tools to assist care communities (CC) to evaluate their status within the recommendations by working with a trained coach to maximize adoption and implementation of these recommendations. The purpose of this pilot was to evaluate the acceptability and feasibility of pairing trained DCPR coaches with CC teams to implement the DCPR tools. Seven CCs were recruited and four received the DCPR overview and self-assessment. Of the four CC, one withdrew and did not receive the intervention. The remaining three were located in a suburban area, nonprofit, and with memory care units. Data was collected from November 2019 through March 2020. Nine CC staff participated with a mean age 35.8 years and had worked for 11.8 years. Baseline mean scores on the Organizational Readiness to Implementing Change (ORIC) scale were 4.6 for the commitment domain and 4.4 for the efficacy domain. Mean scores on the Nursing Home Employee Satisfaction Survey were high. Sixty-nine percent of CC participants were satisfied with their jobs (greater than 4). Findings from mid-project interviews with the coaches revealed difficulty with scheduling appointments, significant efforts needed to get the “right” people at the table and need for the DCPR tools to be more user-friendly. No post-intervention results were collected due to closing of the CCs to visitors due to COVID. The DCPR tools shows promise and are being evaluated in additional CCs.
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Phan, Van Chuan, Van Minh Truong, Thanh Trung Bui, Thi Phuc Nguyen, and Dieu Quynh Tran Ngọc. "Application of correlation pattern recognition technique for neutron– gamma discrimination in the EJ-301 liquid scintillation detector." Nuclear Science and Technology 8, no. 2 (2021): 19–26. http://dx.doi.org/10.53747/jnst.v8i2.87.
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The ability to distinguish between neutrons and gamma-rays is important in the fast -neutron detection, especially when using the scintillation detector. A dual correlation pattern recognition (DCPR) method that was based on the correlation pattern recognition technique has been developed for classification of neutron/gamma events from a scintillation detector. In this study, an EJ-301 liquid scintillation (EJ301) detector was used to detect neutrons and gamma-rays from the 60Co and 252Cf sources; the EJ301 detector's pulses were digitized by a digital oscilloscope and its pulse-shape discriminant (PSD) parameters were calculated by the correlation pattern recognition(CPR) method with the reference neutron and gamma-ray pulses. The digital charge integration (DCI) method was also used as a reference-method for comparison with DCPR method. The figure-ofmerit (FOM) values which were calculated in the 50 ÷ 1100 keV electron equivalent (keVee) region showed that the DCPR method outperformed the DCI method. The FOMs of 50, 420 and 1000 keVee thresholds of DCPR method are 0.82 , 2.2 and 1.62, which are 1.55, 1.77, and 1.1 times greater than the DCI method, respectively.
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Fava, G. A., J. Guidi, P. Porcelli, et al. "A cluster analysis-derived classification of psychological distress and illness behavior in the medically ill." Psychological Medicine 42, no. 2 (2011): 401–7. http://dx.doi.org/10.1017/s0033291711001231.
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BackgroundThe classification of psychological distress and illness behavior in the setting of medical disease is still controversial. Current psychiatric nosology does not seem to cover the spectrum of disturbances. The aim of this investigation was to assess whether the joint use of DSM-IV categories and the Diagnostic Criteria for Psychosomatic Research (DCPR), that provide identification of syndromes related to somatization, abnormal illness behavior, irritable mood, type A behavior, demoralization and alexithymia, could yield subtyping of psychosocial variables in the medically ill.MethodA cross-sectional assessment using both DSM-IV and the DCPR was conducted in eight medical centers in the Italian Health System. Data were submitted to cluster analysis. Participants were consecutive medical out-patients and in-patients for whom a psychiatric consultation was requested. A total of 1700 subjects met eligibility criteria and 1560 agreed to participate.ResultsThree clusters were identified: non-specific psychological distress, irritability and affective disturbances with somatization.ConclusionsTwo-step cluster analysis revealed clusters that were found to occur across clinical settings. The findings indicate the need of expanding clinical assessment in the medically ill to include the various manifestations of somatization, illness behavior and subclinical distress encompassed by the DCPR.
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Zhang, Xiao Ying, Ning Ding, and Chen Li. "Applications of Homotopy Algorithm for Solving Optimal Power Flow of Power System." Applied Mechanics and Materials 494-495 (February 2014): 1627–30. http://dx.doi.org/10.4028/www.scientific.net/amm.494-495.1627.
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This paper introduces an homotopy algorithm which has convergence stability to solve the alternating current optimal power flow problem. The complicated Alternating Current Power Flow (ACPF) can simplify as simple Direct Current Power Flow (DCPF). The homotopy participation factor is introduced into the linear DCPF to make DCPF convert back into ACPF gradually to realize Alternating Current Power Flow Homotopy method (ACPFH). The homotopy curves are generated to solve a series of nonlinear problems.The traditional method can not solve the unstable points,because the calculate process always turn up Jacobian matrix.But the Homotopy method can calculate all results. It is a superiority for Homotopy,and then can explore power system problem more entirety.This novel algorithm is different from Newton - Raphson method, because it isnt sensitive to the initial point selection and has the global convergence.The homotopy algorithm is applied to IEEE - 3, 9, 14, 30, 36, 57, 118 node testing systems for power flow optional calculation, the simulation results show that the novel algorithm can solve power flow problem better and its calculating speed is much faster than the traditional algorithm, it can calculate the optimal value more direct.
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Rao, Yunbo, Menghan Zhang, Zhanglin Cheng, Junmin Xue, Jiansu Pu, and Zairong Wang. "Semantic Point Cloud Segmentation Using Fast Deep Neural Network and DCRF." Sensors 21, no. 8 (2021): 2731. http://dx.doi.org/10.3390/s21082731.
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Accurate segmentation of entity categories is the critical step for 3D scene understanding. This paper presents a fast deep neural network model with Dense Conditional Random Field (DCRF) as a post-processing method, which can perform accurate semantic segmentation for 3D point cloud scene. On this basis, a compact but flexible framework is introduced for performing segmentation to the semantics of point clouds concurrently, contribute to more precise segmentation. Moreover, based on semantics labels, a novel DCRF model is elaborated to refine the result of segmentation. Besides, without any sacrifice to accuracy, we apply optimization to the original data of the point cloud, allowing the network to handle fewer data. In the experiment, our proposed method is conducted comprehensively through four evaluation indicators, proving the superiority of our method.
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A. Basińska, Małgorzata, and Agnieszka Woźniewicz. "Diagnostic Criteria for Psychosomatic Research – revised version by Giovanni A. Fava and his research team." Psychiatria i Psychologia Kliniczna 21, no. 2 (2021): 121–27. http://dx.doi.org/10.15557/pipk.2021.0013.
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Diagnostic Criteria for Psychosomatic Research (DCPR), developed by a team of Italian and American researchers at the end of the 20th century, was elaborated and then revised based on observations and studies conducted by clinicians. In this paper, we present their current version known as DCPR-R. This classification system departs from the functional/organic dichotomy of disorders. The new criteria allow for the assessment of the role of multiple emotional/behavioural dimensions and responses in the functioning of an affected person. The revised version has four diagnostic modules, i.e., stress, illness behaviour, psychological manifestation, and personality. The authors introduced an additional factor to describe life experiences that contribute to stress (allostatic overload). Illness behaviours include health anxiety, disease phobia, hypochondriasis, thanatophobia, illness denial, persistent somatisation, conversion, and anniversary reaction. Irritable mood, somatic symptoms secondary to a psychiatric disorder and demoralisation are psychological manifestations. Type A behaviour pattern and alexithymia are considered personalityrelated factors. The authors of DCPR-R proposed a certain number of criteria to be met in order to diagnose each of these syndromes. The system makes it possible to clearly determine the presence of a given syndrome, but it does not allow to assess its severity. Psychosomatic syndromes play an important role in the development and/or course of somatic diseases. Inclusion of these syndromes in clinical diagnosis has made it possible to expand the spectrum of information about patient’s functioning, and, once they are diagnosed, offer appropriate psychological assistance, which will translate into an improvement in the quality of life.
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Tecuta, Lucia, Giovanni Andrea Fava, and Elena Tomba. "An innovative approach for the assessment of mood disturbances in patients with eating disorders." CNS Spectrums 25, no. 1 (2019): 71–78. http://dx.doi.org/10.1017/s1092852919000798.
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Objective.Assessment of mood in eating disorders (EDs) has important clinical implications, but the current standard psychiatric classification (DSM-5) has limitations. The aim of the current study is to broaden the evaluation of depressive symptomatology by providing a comprehensive and innovative assessment approach in EDs through instruments that capture clinical phenomena of demoralization, subclinical distress, and psychological well-being.Methods.Seventy-nine patients who met diagnostic criteria for EDs of the Diagnostic and Statistical Manual of Mental Disorders – Fifth edition (DSM-5) were evaluated for depressive symptoms through Paykel’s Clinical Interview for Depression, the Structured Clinical Interview for DSM-5 for major depressive episode and persistent depressive disorder, and the Diagnostic Criteria for Psychosomatic Research (DCPR) interview for demoralization. Further, self-report inventories encompassing psychological well-being and distress were used.Results.Guilt, abnormal reactivity to social environment, and depressed mood were the most common depressive symptoms in the sample. DSM-defined depressive disorders were found in 55.7% of patients. The DCPR-demoralization criteria identified an additional 20.3% of the sample that would have been undetected with DSM criteria. Both DSM and DCPR diagnostic categories were associated with compromised psychological well-being and distress. Demoralization, unlike depression, was not associated with the severity of ED symptomatology.Conclusion.The findings indicate that a standard psychiatric approach, DSM-5-based, captures only a narrow part of the spectrum of mood disturbances affecting patients with EDs. A broadened clinimetric assessment unravels the presence of demoralization and yields clinical distinctions that may entail prognostic and therapeutic differences among patients who would be otherwise simply labeled as depressed.
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Porcelli, Piero, and Chiara Rafanelli. "Criteria for Psychosomatic Research (DCPR) in the Medical Setting." Current Psychiatry Reports 12, no. 3 (2010): 246–54. http://dx.doi.org/10.1007/s11920-010-0104-z.
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Drossner, M., and T. Aversano. "Effect of perfusate rheology on the diastolic coronary pressure-flow relationship." American Journal of Physiology-Heart and Circulatory Physiology 259, no. 2 (1990): H603—H609. http://dx.doi.org/10.1152/ajpheart.1990.259.2.h603.
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The hypothesis that rheological properties of the coronary perfusate account for the curvilinearity and high zero-flow pressure (Pf = 0) of the diastolic coronary-pressure flow relationship (DCPFR) was tested by measuring these relationships using coronary perfusates of varying rheological character. In 16 open-chest, heart-blocked dogs the left circumflex coronary artery was cannulated and perfused using an extra-corporeal circuit, and autoregulation was abolished with intracoronary adenosine. DCPFRs were constructed from data obtained at multiple steady-state levels of coronary pressure during long diastoles while left ventricular diastolic pressure was held constant. Although isovolumic hemodilution reduced hematocrit from 46 +/- 3% to 32 +/- 3% and increased coronary conductance, it neither abolished the curvilinearity nor changed Pf = 0, which remained significantly higher than left ventricular diastolic pressure. In 10 additional animals, DCPFRs obtained during blood perfusion were compared with those obtained using crystalloid perfusate. Crystalloid perfusion increased coronary conductance and failed to abolish curvilinearity. However, with crystalloid perfusate, Pf = 0 was reduced to a value essentially equal to left ventricular diastolic pressure. We conclude that while the rheological properties of coronary perfusates do not fully account for the curvilinearity of the DCPFR, they do importantly influence coronary conductance and Pf = 0.
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Battaglia, Yuri, Luigi Zerbinati, Giulia Piazza, et al. "Screening Performance of Edmonton Symptom Assessment System in Kidney Transplant Recipients." Journal of Clinical Medicine 9, no. 4 (2020): 995. http://dx.doi.org/10.3390/jcm9040995.
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An average prevalence of 35% for psychiatric comorbidity has been reported in kidney transplant recipients (KTRs) and an even higher prevalence of other psychosocial syndromes, as defined by the Diagnostic Criteria for Psychosomatic Research (DCPR), has also been found in this population. Consequently, an easy, simple, rapid psychiatric tool is needed to measure physical and psychological symptoms of distress in KTRs. Recently, the Edmonton Symptom Assessment System (ESAS), a pragmatic patient-centred symptom assessment tool, was validated in a single cohort of KTRs. The aims of this study were: to test the screening performances of ESAS for the International Classification of Diseases-10th Revision (ICD-10) psychiatric diagnoses in KTRs; to investigate the optimal cut-off points for ESAS physical, psychological and global subscales in detecting ICD-10 psychiatric diagnoses; and to compare ESAS scores among KTR with ICD-10 diagnosis and DCPR diagnosis. 134 KTRs were evaluated and administered the MINI International Neuropsychiatric Interview 6.0 and the DCPR Interview. The ESAS and Canadian Problem Checklist (CPC) were given as self-report instruments to be filled in and were used to examine the severity of physical and psychological symptoms and daily-life problems. The physical distress sub-score (ESAS-PHYS), psychological distress sub-score (ESAS-PSY) and global distress score (ESAS-TOT) were obtained by summing up scores of six physical symptoms, four psychological symptoms and all single ESAS symptoms, respectively. Routine biochemistry, immunosuppressive agents, socio-demographic and clinical data were collected. Receiving Operating Characteristic (ROC) analysis was used to examine the ability of the ESAS emotional distress (DT) item, ESAS-TOT, ESAS-PSY and ESAS-PHYS, to detect psychiatric cases defined by using MINI6.0. The area under the ROC curve for ESAS-TOT, ESAS-PHYS, ESAS-PSY and DT item were 0.85, 0.73, 0.89, and 0.77, respectively. The DT item, ESAS-TOT and ESAS-PSY optimal cut-off points were ≥4 (sensitivity 0.74, specificity 0.73), ≥20 (sensitivity 0.85, specificity 0.74) and ≥12 (sensitivity 0.85, specificity 0.80), respectively. No valid ESAS-PHYS cut-off was found (sensitivity <0.7, specificity <0.7). Thirty-nine (84.8%) KTRs with ICD-10 diagnosis did exceed both ESAS-TOT and ESAS-PSY cut-offs. Higher scores on the ESAS symptoms (except shortness of breath and lack of appetite) and on the CPC problems were found for ICD-10 cases and DCRP cases than for ICD-10 no-cases and DCPR no-cases. This study shows that ESAS had an optimal screening performance (84.8%) to identify ICD-10 psychiatric diagnosis, evaluated with MINI; furthermore, ESAS-TOT and ESAS-PSY cut-off points could provide a guide for clinical symptom management in KTRs.
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Nanni, M. G., C. Da Ronch, S. Massarentia, M. Hartera, and L. Grassi. "DCPR and ICD-diagnoses among an elderly population: Ment_Dis65+ study." Journal of Psychosomatic Research 109 (June 2018): 121–22. http://dx.doi.org/10.1016/j.jpsychores.2018.03.108.
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Battaglia, Yuri, Luigi Zerbinati, Martino Belvederi Murri, et al. "Exploring the Level of Post Traumatic Growth in Kidney Transplant Recipients via Network Analysis." Journal of Clinical Medicine 10, no. 20 (2021): 4747. http://dx.doi.org/10.3390/jcm10204747.
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Although kidney transplant can lead to psychiatric disorders, psychosocial syndromes and demoralization, a positive post-traumatic growth (PTG) can occur in kidney transplant recipients (KTRs). However, the PTG-Inventory (PTGI), a reliable tool to measure PTG is scarcely used to explore the effect of this stressful event in KTRs. Thus, the purpose of our study was to assess the level of PTG and its correlation with demoralization, physical and emotional symptoms or problems via network analysis in KTRs. Additionally, we aimed at exploring the association of PTG with psychiatric diagnoses, Diagnostic Criteria for Psychosomatic Research (DCPR) conditions, and medical variables. A total of 134 KTRs were tested using MINI International Neuropsychiatric Interview 6.0 (MINI 6.0), DCPR interview, PTGI, Edmonton Symptom Assessment System (ESAS), Canadian Problem Checklist (CPC) and Demoralization scale (DS-IT). PTGI was used to investigate the positive psychological experience of patients after KT. It consists of 21 items divided in five factors. Routine biochemistry, immunosuppressive agents, socio-demographic and clinical data were collected. A symptom network analysis was conducted among PTGI, ESAS and DS-IT. Mean score of PTGI total of sample was 52.81 ± 19.81 with higher scores in women (58.53 ± 21.57) than in men (50.04 ± 18.39) (p < 0.05). PTGI-Relating to Others (16.50 ± 7.99) sub-score was markedly higher than other PTGI factor sub-scores. KTRs with DCPR-alexithymia or International Classification of Diseases, tenth revision (ICD-10) anxiety disorders diagnosis had lower PTGI total score and higher PTGI-Personal Strength sub-score, respectively (p < 0.05). The network analysis identified two communities: PTGI and ESAS with DS-IT. DS-IT Disheartenment, DS-IT Hopelessness and PTGI Relating to Others were the most central items in the network. After 1000 bootstrap procedures, the Exploratory graph analysis revealed the presence of a median of two communities in the network in 97.5% of the bootstrap iterations. A more extensive use of PTGI should be encouraged to identify and enhance the positive psychological changes after KT.
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Tian, Sukun, Miaohui Wang, Ning Dai, et al. "DCPR-GAN: Dental Crown Prosthesis Restoration Using Two-Stage Generative Adversarial Networks." IEEE Journal of Biomedical and Health Informatics 26, no. 1 (2022): 151–60. http://dx.doi.org/10.1109/jbhi.2021.3119394.
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Fava, G. A., A. Piolanti, J. Gervasi, J. Guidi, and N. Sonino. "Diagnostic Criteria for Psychosomatic Research (DCPR) and DSM-5 in primary care." Journal of Psychosomatic Research 109 (June 2018): 102–3. http://dx.doi.org/10.1016/j.jpsychores.2018.03.056.
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Cui, Xuelian, Jianxin Cao, Chiara Rafanelli, Boheng Zhu, and Sara Gostoli. "Efficacy of group biofeedback treatment on hyperemesis gravidarum with psychosomatic symptoms diagnosed with the revised version of Diagnostic Criteria for Psychosomatic Research (DCPR-R): study protocol for a randomised controlled trial." BMJ Open 12, no. 3 (2022): e051295. http://dx.doi.org/10.1136/bmjopen-2021-051295.
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IntroductionHyperemesis gravidarum (HG) is a condition characterised by dehydration, electrolyte imbalance, lack of nutrition and at least 5% loss in body weight, occurring in the first half of pregnancy. The aim of this trial is to examine the efficacy of group biofeedback treatment on patients with HG with psychosomatic symptoms, which will be evaluated through the revised version of Diagnostic Criteria for Psychosomatic Research (DCPR-R).Methods and analysisIn this single-blinded randomised controlled clinical trial, 68 patients with HG diagnosed with at least one psychosomatic syndrome according to DCPR-R and aged 18–40 years, will be recruited in a Chinese Maternal and Child Health Hospital. The sample will be randomised (1:1) into two arms: experimental group, which will undergo group biofeedback treatment, psycho-education and treatment as usual (TAU); and control group, which will undergo psycho-education and TAU only. The primary outcomes will be reduction of the frequency of psychosomatic syndromes, severity of nausea/vomiting, quality of life and heart rate variability. The secondary outcomes will include days of hospitalisation, repeated hospitalisation and laboratory investigations.Ethics and disseminationThis study has received ethical approval from the Nanjing Medical University (No. 2019/491, granted 22 February 2019). All participants will be required to provide written informed consent. Study outcomes will be disseminated through peer-reviewed publications and academic conferences, and used to confirm a tailored biofeedback intervention for patients with HG with psychosomatic symptoms.Trial registration numberChinese Clinical Trial Registry (ChiCTR2000028754).
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Hagopian, Laura E., Alison N. Campbell, James A. Golen, Arnold L. Rheingold, and Chip Nataro. "Synthesis and electrochemistry of late transition metal complexes containing 1,1′-bis(dicyclohexylphosphino)ferrocene (dcpf). The X-ray structure of [PdCl2(dcpf)] and Buchwald–Hartwig catalysis using [PdCl2(bisphosphinometallocene)] precursors." Journal of Organometallic Chemistry 691, no. 23 (2006): 4890–900. http://dx.doi.org/10.1016/j.jorganchem.2006.08.030.
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Altamura, Mario, Giovanna D’Andrea, Eleonora Angelini, et al. "Psychosomatic syndromes are associated with IL-6 pro-inflammatory cytokine in heart failure patients." PLOS ONE 17, no. 3 (2022): e0265282. http://dx.doi.org/10.1371/journal.pone.0265282.
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Psychosomatic syndromes have emerged as an important source of comorbidity in cardiac patients and have been associated with increased risk for adverse outcomes in patients with heart failure (HF). Understanding of the mechanisms underlying this connection is limited, however immune activity represents a possible pathway. While there have been numerous studies connecting immune activity to psychosomatic psychopathology, there is a lack of research on patients with HF. We examined forty-one consecutive outpatients affected by HF. We assessed psychosomatic psychopathology using the Diagnostic Criteria for Psychosomatic Research (DCPR) and the Patient Health Questionnaire-15 (PHQ-15). The Psychosocial Index (PSI) was used for assessing stress and psychosocial dimensions. Depression was evaluated with Beck Depression Inventory-II (BDI-II). Circulating levels of proinflammatory cytokines IL-6 and TNF-alpha were ascertained. Univariate and multivariable regression models were used to test for associations between inflammatory cytokines and psychosomatic psychopathology (i.e., DCPR syndromes, PHQ-15) and psychological dimensions (i.e., BDI-II, PSI). A significant positive correlation was found between IL-6 levels and psychosomatic psychopathology even when controlling for any confounding variables (i.e., Body-mass index (BMI), New York Heart Association (NYHA) class, smoking habits, alcohol consumption, statin use, aspirin use, beta blockers use, age, and gender). In contrast, the associations between TNF-alpha levels were non-significant. These findings can contribute to research in support of a psychoneuroimmune connection between psychosomatic psychopathology and HF. Findings also suggest the possibility that elevated IL-6 levels are more relevant for the pathogenesis of psychosomatic syndromes than for depression in patients with HF.
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Feng, Yu, Weiting Xu, Wei Zhang, Wenjing Wang, Tong Liu, and Xiang Zhou. "LncRNA DCRF regulates cardiomyocyte autophagy by targeting miR-551b-5p in diabetic cardiomyopathy." Theranostics 9, no. 15 (2019): 4558–66. http://dx.doi.org/10.7150/thno.31052.
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Mangelli, Lara, Federica Semprini, Laura Sirri, Giovanni A. Fava, and Nicoletta Sonino. "Use of the Diagnostic Criteria for Psychosomatic Research (DCPR) in a Community Sample." Psychosomatics 47, no. 2 (2006): 143–46. http://dx.doi.org/10.1176/appi.psy.47.2.143.
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GÜRBÜZ, Mahmut, Bahadır GENİŞ, Mahmut Onur KARAYTUĞ, and Behçet COŞAR. "Bir psikiyatri kliniğinde Psikosomatik Araştırmalar için Tanı Ölçütleri (DCPR) ve D tipi kişiliğin değerlendirilmesi." Cukurova Medical Journal 46, no. 2 (2021): 443–51. http://dx.doi.org/10.17826/cumj.840219.
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Kenduiywo, B. K., D. Bargiel, and U. Soergel. "CROP TYPE MAPPING FROM A SEQUENCE OF TERRASAR-X IMAGES WITH DYNAMIC CONDITIONAL RANDOM FIELDS." ISPRS Annals of Photogrammetry, Remote Sensing and Spatial Information Sciences III-7 (June 7, 2016): 59–66. http://dx.doi.org/10.5194/isprsannals-iii-7-59-2016.
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Crop phenology is dynamic as it changes with times of the year. Such biophysical processes also look spectrally different to remote sensing satellites. Some crops may depict similar spectral properties if their phenology coincide, but differ later when their phenology diverge. Thus, conventional approaches that select only images from phenological stages where crops are distinguishable for classification, have low discrimination. In contrast, stacking images within a cropping season limits discrimination to a single feature space that can suffer from overlapping classes. Since crop backscatter varies with time, it can aid discrimination. Therefore, our main objective is to develop a crop sequence classification method using multitemporal TerraSAR-X images. We adopt first order markov assumption in undirected temporal graph sequence. This property is exploited to implement Dynamic Conditional Random Fields (DCRFs). Our DCRFs model has a repeated structure of temporally connected Conditional Random Fields (CRFs). Each node in the sequence is connected to its predecessor via conditional probability matrix. The matrix is computed using posterior class probabilities from association potential. This way, there is a mutual temporal exchange of phenological information observed in TerraSAR-X images. When compared to independent epoch classification, the designed DCRF model improved crop discrimination at each epoch in the sequence. However, government, insurers, agricultural market traders and other stakeholders are interested in the quantity of a certain crop in a season. Therefore, we further develop a DCRF ensemble classifier. The ensemble produces an optimal crop map by maximizing over posterior class probabilities selected from the sequence based on maximum F1-score and weighted by correctness. Our ensemble technique is compared to standard approach of stacking all images as bands for classification using Maximum Likelihood Classifier (MLC) and standard CRFs. It outperforms MLC and CRFs by 7.70% and 6.42% in overall accuracy, respectively.
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Kenduiywo, B. K., D. Bargiel, and U. Soergel. "CROP TYPE MAPPING FROM A SEQUENCE OF TERRASAR-X IMAGES WITH DYNAMIC CONDITIONAL RANDOM FIELDS." ISPRS Annals of Photogrammetry, Remote Sensing and Spatial Information Sciences III-7 (June 7, 2016): 59–66. http://dx.doi.org/10.5194/isprs-annals-iii-7-59-2016.
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Crop phenology is dynamic as it changes with times of the year. Such biophysical processes also look spectrally different to remote sensing satellites. Some crops may depict similar spectral properties if their phenology coincide, but differ later when their phenology diverge. Thus, conventional approaches that select only images from phenological stages where crops are distinguishable for classification, have low discrimination. In contrast, stacking images within a cropping season limits discrimination to a single feature space that can suffer from overlapping classes. Since crop backscatter varies with time, it can aid discrimination. Therefore, our main objective is to develop a crop sequence classification method using multitemporal TerraSAR-X images. We adopt first order markov assumption in undirected temporal graph sequence. This property is exploited to implement Dynamic Conditional Random Fields (DCRFs). Our DCRFs model has a repeated structure of temporally connected Conditional Random Fields (CRFs). Each node in the sequence is connected to its predecessor via conditional probability matrix. The matrix is computed using posterior class probabilities from association potential. This way, there is a mutual temporal exchange of phenological information observed in TerraSAR-X images. When compared to independent epoch classification, the designed DCRF model improved crop discrimination at each epoch in the sequence. However, government, insurers, agricultural market traders and other stakeholders are interested in the quantity of a certain crop in a season. Therefore, we further develop a DCRF ensemble classifier. The ensemble produces an optimal crop map by maximizing over posterior class probabilities selected from the sequence based on maximum F1-score and weighted by correctness. Our ensemble technique is compared to standard approach of stacking all images as bands for classification using Maximum Likelihood Classifier (MLC) and standard CRFs. It outperforms MLC and CRFs by 7.70% and 6.42% in overall accuracy, respectively.
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Lin, Shunjiang, Guansheng Fan, Yuan Lu, Mingbo Liu, Yi Lu, and Qifeng Li. "A Mixed-Integer Convex Programming Algorithm for Security-Constrained Unit Commitment of Power System with 110-kV Network and Pumped-Storage Hydro Units." Energies 12, no. 19 (2019): 3646. http://dx.doi.org/10.3390/en12193646.
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The secure operation of 110-kV networks should be considered in the optimal generation dispatch of regional power grids in large central cities. However, since 110-kV lines do not satisfy the premise of R << X in the direct current power flow (DCPF) model, the DCPF, which is mostly applied in the security-constrained unit commitment (SCUC) problem of high-voltage power grids, is no longer suitable for describing the active power flow of regional power grids in large central cities. Hence, the quadratic active power flow (QAPF) model considering the resistance of lines is proposed to describe the network security constraints, and an SCUC model for power system with 110-kV network and pumped-storage hydro (PSH) units is established. The analytical expressions of the spinning reserve (SR) capacity of PSH units are given considering different operational modes, and the SR capacity of PSH units is included in the constraint of the SR capacity requirement of the system. The QAPF is a set of quadratic equality constraints, making the SCUC model a mixed-integer nonlinear non-convex programming (MINNP) model. To reduce the computational complexity of solving the model when applied in actual large-scale regional networks, the QAPF model is relaxed by its convex hull, and the SCUC model is transformed into a mixed-integer convex programming (MICP) model, which can be solved to obtain the global optimal solution efficiently and reliably by the mature commercial solver GUROBI (24.3.3, GAMS Development Corporation, Guangzhou, China). Test results on the IEEE-9 bus system, the PEGASE 89 bus system and the Shenzhen city power grid including the 110-kV network demonstrate that the relaxed QAPF model has good calculation accuracy and efficiency, and it is suitable for solving the SCUC problem in large-scale regional networks.
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Altamura, Mario, Piero Porcelli, Angela Balzotti, Claudio R. M. Massaro, and Antonello Bellomo. "Influence of DCPR Syndromes in the Psychosocial Functioning of Patients with Major Depressive and Bipolar Disorders." Psychotherapy and Psychosomatics 84, no. 6 (2015): 387–88. http://dx.doi.org/10.1159/000437148.
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Battaglia, Yuri, Luigi Zerbinati, Giulia Piazza, et al. "The Use of Demoralization Scale in Italian Kidney Transplant Recipients." Journal of Clinical Medicine 9, no. 7 (2020): 2119. http://dx.doi.org/10.3390/jcm9072119.
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Demoralization is a commonly observed syndrome in medically ill patients. The risk of demoralization may increase in patients after a kidney transplant (KTRs) because of the stressful nature of renal transplantation, psychosocial challenges, and adjustment needs. No study is available on demoralization amongst KTRs. The purpose of our study was to evaluate the validity of the Italian version of the Demoralization Scale (DS-IT) and the prevalence of demoralization in KTRs. Also, we aimed at exploring the association of the DS-IT with International Classification of Diseases (ICD) psychiatric diagnoses, post-traumatic growth (PTG), psychological and physical symptoms, and daily-life problems. A total of 134 KTRs were administered the MINI International Neuropsychiatric Interview 6.0. and the Diagnostic Criteria for Psychosomatic Research–Demoralization (DCPR/D) Interview. The DS-IT, the Edmonton Symptom Assessment System (ESAS), the Canadian Problem Checklist (CPC), were used to measure demoralization, physical and psychological symptoms, and daily-life problems; also, positive psychological experience of kidney transplantation was assessed with the PTG Inventory. Routine biochemistry and sociodemographic data were collected. Exploratory factor analysis demonstrated a four-dimensional factor structure of the DS-IT, explaining 55% of the variance (loss of meaning and purpose, disheartenment, dysphoria, and sense of failure). DS-IT Cronbach alpha coefficients indicated good or acceptable level of internal consistency. The area under the Receiving Operating Characteristics (ROC) curve for DS-IT (against the DCPR/D interview as a gold standard) was 0.92. The DS-IT optimal cut-off points were ≥20 (sensitivity 0.87, specificity 0.82). By examining the level of demoralization, 14.2%, 46.3%, 24.6%, and 14.6% of our sample were classified as having no, low, moderate, and high demoralization, respectively, with differences according to the ICD psychiatric diagnoses (p < 0.001). DS-IT Total and subscales scores were positively correlated with scores of ESAS symptoms and CPC score. A correlation between DS-IT loss of meaning and purpose subscale and PTGI appreciation of life subscale (p < 0.05) was found. This study shows, for the first time, a satisfactory level of reliability of the DS-IT and a high prevalence of severe demoralization in KTRs.
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Guidi, Jenny, Antonio Piolanti, Carmen Berrocal, Sara Gostoli, and Danilo Carrozzino. "Incremental Validity Of The Diagnostic Criteria For Psychosomatic Research – Revised (DCPR-R) To Clinical Assessment In Primary Care." Psychiatry Research 291 (September 2020): 113233. http://dx.doi.org/10.1016/j.psychres.2020.113233.
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Rudokvas, Anton, and Marina Nokhrina. "The Contract for Services under the Civil Code of Russia and under the Draft Common Frame of Reference (DCRF)." osteuropa recht 60, no. 2 (2014): 198–206. http://dx.doi.org/10.5771/0030-6444-2014-2-198.
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Ettlin, Thierry, and Udo Kischka. "Psychosomatische Rehabilitation: eine Übersicht." Therapeutische Umschau 76, no. 8 (2019): 460–64. http://dx.doi.org/10.1024/0040-5930/a001115.
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Zusammenfassung. Psychosomatische Medizin ist auf der Vorstellung basiert, dass körperliche Erkrankungen von einer Interaktion biologischer, psychologischer und sozialer Faktoren verursacht werden können. Die psychosomatischen Symptome können sich in verschiedenen Organsystemen manifestieren: dem Nervensystem, muskuloskelettalen System, kardiovaskulären System, Atmungssystem, Verdauungssystem, und der Haut. Im Jahr 1995 wurde ein Klassifikationssystem psychosomatischer Symptome vorgestellt, das eine systematische Kategorisierung psychosomatischer Störungen ermöglichen soll (Diagnostic Criteria for Psychosomatic Research, DCPR). Auf Basis der Vorstellung, dass psychosomatischen Erkrankungen körperliche, psychologische und soziale Faktoren zugrunde liegen, wird die Rehabilitation von interdisziplinären Teams durchgeführt. Die medikamentösen und psychotherapeutischen Therapien werden mit Therapien kombiniert, die entspannend wirken und Therapien, die kontrollierte Aktivierung beinhalten (z. B. Physiotherapie, Physiotherapie im Wasser, Medizinische Trainingstherapie, Ergotherapie). Psychosomatische Rehabilitation findet häufig zuerst in einem stationären Rahmen statt und vollzieht sich in mehreren Stufen: Erfassung des Problems (Anamnese und Untersuchungen) (1); Konzeptualisierung des Problems (2); Planung der Rehabilitationsziele (3); Interdisziplinäre Rehabilitationsmassnahmen (4); Überprüfung des Rehaerfolges (5); Vorbereitung der Klinikentlassung (6). Nach der Klinikentlassung wird die Rehabilitation ambulant weitergeführt, um Rückfälle zu vermeiden. Die klinische Effizienz stationärer psychosomatischer Rehabilitation wurde in mehreren Studien nachgewiesen.
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Salim Jasim Al-Taie, Mohammed. "Optical Properties of Photonic Crystal Fibers with Fluid Cores." Sultan Qaboos University Journal for Science [SQUJS] 27, no. 2 (2022): 119–24. http://dx.doi.org/10.53539/squjs.vol27iss2pp119-124.
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The objective of this research is to compare pulses travelling through different photonic crystal fiber cores (DPCFC) using both finite element method (FEM) /split step Fourier method (SSFM). A unique DCPCF design with exceptionally high non-linearity has been introduced to achieve ultra-high pulse amplitude. Via a generalized non-linear equation, we evaluate the refractive index ratio and dispersion, for each type which is used, as well as output amplitude for different cores in different photonic crystal fiber core by utilizing the solution for the nonlinear Schrodinger equation (NLSE). Lastly, the findings are compared to different photonic crystal fiber design parameters. This paper provides a photonic crystal fiber design consisting of multiple liquid cores and theoretically solved non-linear equations. It was discovered in this design that the refractive index of propylene glycol (C3H8O2) is greater than ethylene glycol’s (C2H6O2), and that both are far greater than silica's refractive index (SiO2). Propylene (C3H8O2) has a lower dispersion than ethylene glycol (C2H6O2) and silica (SiO2). The output amplitudes of (C3H8O2) and (C2H6O2) were then shown to be substantially bigger than the output amplitudes of (SiO2) with respect to distance and time. This emphasizes the need for using certain liquids as cores in holey fibers, dependent upon their use.
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Kirillov, Ivan. "Evaluation Criteria for Psychosomatic Practice." Global Psychotherapist 3, no. 2 (2023): 57–69. http://dx.doi.org/10.52982/lkj199.
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To diagnose and treat somatic disorders while considering psychosocial factors, medical and psychological practices require a comprehensive and operationalized list of criteria. The Evaluation Criteria for Psychosomatic Practice (ECPP) has been developed to address this need. It builds upon the updated version of the Diagnostic Criteria for Psychosomatic Research (DCPR) by incorporating significant psychodynamic factors and restructuring its framework to better cater to the practical demands of clinical assessment, diagnosis, treatment planning, and outcome monitoring. It offers four axes for clinical evaluation that can be used together or separately, depending on the needs of diagnostic process, treatment, informing the patient, or research: psychosomatic symptoms and complaints, risk factors related to personality structure, triggers, and secondary risk factors. By utilizing the ECPP’s four axes, clinicians can gain a deeper understanding of how psychosocial factors impact the clinical picture and dynamics of somatic disorders and then effectively communicate this knowledge to patients, improving compliance and collaboration in treatment. Additionally, the ECPP’s framework allows for a balance of psychological, physical, and social treatment interventions that can be tailored to the specific needs of the patient, ultimately leading to better treatment outcomes.
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Rief, Winfried, and Michael Sharpe. "The DCPR: Harbinger (but not prototype) of better approaches in psychosomatic medicine. An answer to the comments of Porcelli and Mangelli." Journal of Psychosomatic Research 58, no. 2 (2005): 213. http://dx.doi.org/10.1016/j.jpsychores.2004.10.003.
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Myles, Liam, and Emanuele Merlo. "Alexithymia and physical outcomes in psychosomatic subjects: a cross-sectional study." Journal of Mind and Medical Sciences 8, no. 1 (2021): 86–93. http://dx.doi.org/10.22543/7674.81.p8693.
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Backgrounds. Alexithymia is a relevant phenomenon, occurring transversally to healthy subjects and individuals affected by several conditions. Its role is considerable, according to current state of the art several conditions emerged as influenced, maintained and worsened by alexithymic structures and figures. The present study was aimed at highlighting the existing relations, the differences and the directions assumed by alexithymic factors and health status in patients affected by psychosomatic conditions. Methods. The sample consisted of 150 participants, 42 males (28.0%) and 108 females (72.0%), aged 26 to 78 years old with a mean of 42.24 years old (SD = 12.39). Subjects were previously assessed through DCPR-SI, in order to identify psychosomatic issues. The study evaluated measures related to alexithymia (Tas-20) and health status (SF-36), and considered demographic characteristics such as age, gender, and education. Results and Conclusions. The analyses demonstrated a number of significant relationships between alexithymia, psychological outcomes, and physical outcomes, including psychosomatic disorders. In addition, sex differences were found in gastrointestinal outcomes, as well as outcomes related to energy/fatigue and physical functioning. The study of alexithymia may provide a fruitful approach in understanding various issues related to pathology and general health. Further studies are needed to expand the understanding of alexithymia to other groups and health-related outcomes.
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Nahass., M. M. El, A. M. A. El Barry., and E. E. Abdel Hady. "The Determination of the Coloring Centers through Casting (C-DCPF )5% - (PMMA) Film and New Optical Comparative Studying With its E-isomer." International Journal of Advanced Research 5, no. 1 (2017): 838–48. http://dx.doi.org/10.21474/ijar01/2823.
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Chaudhary, Karan, Manoj Trivedi, Dhanraj T. Masram, and Nigam P. Rath. "Transition-metal complexes of group 12 with 1,1′-bis(phosphanyl)ferrocene ligands." Acta Crystallographica Section C Structural Chemistry 77, no. 5 (2021): 240–48. http://dx.doi.org/10.1107/s2053229621004162.
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The syntheses of four new cadmium and zinc complexes with 1,1′-bis(phosphanyl)ferrocene ligands and their phosphine chalcogenide derivatives are reported. The complexes were characterized by elemental analyses and IR, 1H NMR, 31P NMR and electronic absorption spectroscopy. The crystal structures of dichlorido[1-diphenylphosphinoyl-1′-(di-tert-butylphosphanyl)ferrocene-κ2 O,P]cadmium(II), [CdCl2{(C17H14OP)(C13H22P)Fe}] or CdCl2(κ2 P,O-dppOdtbpf) (1), bis[μ-(tert-butyl)(1′-diphenylphosphinoylferrocen-1-yl)phosphinato-κ3 O,O′:O′′]bis[chloridozinc(II)], [Zn2{(C9H13O2P)(C17H14OP)Fe}2Cl2] or [ZnOCl{κ2 O,O′-Ph2POFcPO2(t-Bu)}]2 (2), 1,1′-bis(di-tert-butylthiophosphinoyl)ferrocene, [Fe(C13H22PS)2] or dtbpfS2 (3), and [1,1′-bis(dicyclohexylphosphanyl)ferrocene-κ2 P,P′][chlorido/cyanido(0.25/1.75)]zinc(II), [Zn(CN)1.75Cl0.25{(C17H26P)2Fe}] or Zn(CN)2(κ2-dcpf) (4), were determined crystallographically. Compound 1 has tetrahedral geometry in which the CdII centre is coordinated by one dppOdtbpf ligand in a κ2-manner and by two Cl atoms, while compound 2 displays a centrosymmetric dimeric unit in which two oxide atoms bridge the two Zn atoms to generate an eight-membered ring. Compound 3 revealed a sandwich structure with both phosphane groups sulfurized. In compound 4, the ZnII atom adopts a tetrahedral geometry by coordinating to the 1,1′-bis(dicyclohexylphosphanyl)ferrocene ligand in a κ2-manner and to two cyanide ligands.
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Jaffe, Eli, Oren Blueshtein, Ido Rosenblat, and Daniel Z. Fainsod. "Comparison of Efficacy in Dispatch-Directed CPR (DCPR) for Out-of-Hospital Cardiac Arrest, Depending on Professional Levels of Dispatchers in Multiple Centers in Israel." Prehospital and Disaster Medicine 32, S1 (2017): S163—S164. http://dx.doi.org/10.1017/s1049023x17004411.
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Porcelli, Piero, Massimo De Carne, and Gioacchino Leandro. "Distinct associations of DSM-5 Somatic Symptom Disorder, the Diagnostic Criteria for Psychosomatic Research-Revised (DCPR-R) and symptom severity in patients with irritable bowel syndrome." General Hospital Psychiatry 64 (May 2020): 56–62. http://dx.doi.org/10.1016/j.genhosppsych.2020.03.004.
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Pityk, O., M. Pityk, and I. Kuzhda. "Psychological mechanisms of the formation of non-psychotic mental disorders in patients with hyperthyroidism." European Psychiatry 33, S1 (2016): S151. http://dx.doi.org/10.1016/j.eurpsy.2016.01.273.
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The application of a comprehensive, integrative, systemic approach to the examination of patients with abnormal thyroid gland has to lie in the basis of planning strategies and tactics of medical programs such patients. On this point of view we consider that non- psychotic mental disorders are developing on the basis of both organic and adaptation levels. Population researches showed that the majority of patients with endocrinological pathology suffer from one of the three DCPR syndromes: irritant mood, demoralization thrown in (desperation), persistant somatization. The task of our work was to investigate mechanisms of psychological defense in patients with hyperthyroidism with non-psychotic mental disorders. One hundred and twenty-five patients were examined. Non-psychotic mental disorders with different syndromologic structure were found in 76% of patients (study group), among which anxious-asthenic (38.95%), anxiety and depression (23.16%) were dominant. The method of Robert Plutchik for assessment of the mechanisms of defense was used. In asthenic syndrome we found excessive functioning of negation and regression, inadequate functioning of intellectualization. In patients with astheno-anxious syndrome inadequate functioning of negation, intellectualization, compensation, and excessive repression contributed to the formation of the sensations of anxiety. Excessive compensation, projection, reactive formation generally affected the structure of the asteno-depressive syndrome. The lack of displacing of reactive formation, repression and excessive intellectualization in a complex influenced to the structuring of anxious-depressive syndrome. In hypochondrical syndrome projection, regression and negation were the basis of the formation of clinical picture. Thus, meaningful relationships between intrapsychic level of functioning and syndromological structure of non-psychotic disorders were installed.Disclosure of interestThe authors have not supplied their declaration of competing interest.
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Pityk, O. M. "Optimizing the Correction of Depressive Disorders in Patients with Primary Hypothyroidism." European Psychiatry 66, S1 (2023): S398. http://dx.doi.org/10.1192/j.eurpsy.2023.858.
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IntroductionPopulation recent studies have shown that most patients with endocrine pathology suffer from at least one of the three DCPR syndromes: irritable mood, demoralization (despair), persistent somatization. The thyroid gland is a unique organ among the glands of internal secretion, in the pathology of which non-psychotic mental disorders are extremely common. Therefore, the use of a complex, integrative, systemic approach in the examination of patients with thyroid pathology should be the basis of planning the strategy and tactics of the treatment program for such patients.ObjectivesWe examined 132 patients with primary hypothyroidism.MethodsWe used psychopathological method and an adapted methodology for assessing typologies of psychological defence. It was the method of Robert Plutchik adapted by L.I.Wasserman, O.F.Eryshev, E.B.Klubova for assessment of the next mechanisms of defense: negation, projection, regression, displacement, repression, intellectualization, reactive formation, compensation.ResultsIn 108 patients, who made up 81.12% of the total number of investigated, various forms of non-psychotic mental disorders were detected, among which 23 patients (12.04%) had an anxiety-depressive syndrome, and astheno-depressive syndrome (32.41%).It was established that excessive compensation, projection, reactive formation formed a tendency to increased self-control, to analysis and introspection, self-justification, isolation, which in general influenced the structure of the astheno-depressive syndrome. Insufficient reactive formation, displacement, and excessive intellectualization in a complex contributed to the formation of subjective feelings of anxiety and fear in patients, led to the avoidance of problematic situations, unnatural slowness with behavioral manifestations of anxiety, therefore influenced the structuring of anxiety and depressive disorders at the same time. Thus, significant connections have been established between the intrapsychic level of functioning and the formation of astheno-depressive and anxiety-depressive disorders, which should be used in the planning of psychotherapeutic and psychocorrective measures.ConclusionsThis approach ensures that endocrinologists and general practitioners master the simplest skills for providing psychocorrective care to patients with depressive disorders. It includes the application of elements of rational psychotherapy, in order to form a sense of control over their own condition and the ability to master negative influences, which contributes to stabilization their general condition and improvement of the quality of life. So medical care to such patients should focus on early diagnosis and correction of nonpsychotic mental disorders. Both medications and psychological influences should be used in the treatment of such patients.Disclosure of InterestNone Declared
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Gostoli, Sara, Maria Montecchiarini, Alessia Urgese, et al. "The clinical utility of a comprehensive psychosomatic assessment in the program for colorectal cancer prevention: a cross-sectional study." Scientific Reports 11, no. 1 (2021). http://dx.doi.org/10.1038/s41598-021-95171-8.
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AbstractFew studies have investigated psychosocial characteristics and lifestyle behaviors of participants at programs for secondary prevention of colorectal cancer (CRC). This study aimed, through a comprehensive psychosomatic assessment based on clinimetric principles, to evaluate psychosocial characteristics and lifestyle behaviors in participants at CRC secondary prevention program, and to investigate the associations between these variables and endoscopic outcomes. In this cross-sectional study, the first 150 consecutive asymptomatic participants at the CRC prevention program who resulted positive to fecal occult blood test (FOBT) and were thus referred to colonoscopy, underwent a psychosomatic assessment including psychiatric diagnoses (DSM-5), psychosomatic syndromes (DCPR-R), psychological distress, psychological well-being and lifestyle behaviors. Whereas only 5.3% of the sample showed at least one DSM-5 diagnosis, 51.3% showed at least one DCPR syndrome, such as allostatic overload, alexithymia, Type A behavior, and demoralization. Patients affected by psychosomatic syndromes presented with significantly higher psychological distress, lower psychological well-being and unhealthy lifestyle behaviors, such as tobacco smoking and unhealthy diet, in comparison with patients without DCPR syndromes. Among endoscopic outcomes, the presence of adenomas was significantly associated with DCPR irritable mood. In a clinical context of secondary prevention addressing asymptomatic patients with positive FOBT, a comprehensive psychosomatic assessment may provide relevant clinical information for those patients who present certain psychosomatic syndromes associated with high psychological distress, impaired psychological well-being, unhealthy lifestyle behaviors and colorectal precancerous lesions. The results of the present study indicate a road to the practice of “preventive” medicine at CRC screening program.
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Li, Yujie, Jiaxing Sun, and Yun Li. "Weakly-Supervised Semantic Segmentation Network With Iterative dCRF." IEEE Transactions on Intelligent Transportation Systems, 2022, 1–8. http://dx.doi.org/10.1109/tits.2022.3141107.
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Battaglia, Yuri, Luigi Zerbinati, Michele Provenzano, et al. "MO946THE LEVEL OF POST-TRAUMATIC GROWTH IN KIDNEY TRANSPLANT RECIPIENTS WITH LONG TERM DURATION OF GRAFT." Nephrology Dialysis Transplantation 36, Supplement_1 (2021). http://dx.doi.org/10.1093/ndt/gfab110.0025.
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Abstract Background and Aims Kidney transplant (KT)can cause a psychological trauma due to changes in self-perception, in interpersonal relationships, and in the philosophy of life. However, the exposure to this traumatic event might lead to not only stress disorders but also positive growth. Primary aim of study was to evaluate the prevalence of post-traumatic growth (PTG)in KTRs. Secondary aim was to explore any association between PTG and psychiatric, psychosocial and medical variables, specifically psychiatric diagnoses, demoralization, as well as physical and general problems or symptoms. Method KTRs followed up in a single nephrology Unit, were evaluated. Each patient was individually administered MINI International Neuropsychiatric Interview 6.0. and DCPR interview to evaluate ICD-10 psychiatric diagnoses and DCPR diagnoses. PTG Inventory (PTGI), ESAS-revised, CPC, and DS-IT were given as self-report instruments to be filled in. PTGI was used to investigate positive psychological experience of patients after KT on a 0 to 5-point Likert scale(0=I did not experience this change as a result of my KT;5=I experienced this change to a very great degree as a result of my KT).It consists of 21 items divided in five factors: New Possibilities(NP),Relating to Others(RO),Personal Strength(PS),Spiritual Change(SC),and Appreciation of Life(AL).ESAS-revised, DS-IT and CPC were used to examine the severity of physical and psychological symptoms on a 0 to 10 scale; to measure the severity of demoralization on a 0 to 4 scale and to evaluate the physical and general problems in a yes/no(0–1)format, respectively. Results Data pertaining to 134 out of 143 consecutive outpatients were collected. Clinical characteristics of sample and ranking order of ICD and DCPR diagnoses are shown in Tab.1.Mean score of PTGI total of sample was 52.02 (±20.69).SC(4.26±2.94)experience was markedly lower than RO(16.26±8.18),NP(11.25±5.56),PS(10.91±5.33)and AL(9.77±3.72).PS changes were higher in KTRs with adaption ICD diagnosis(p&lt;0.001);while no SC change was found in KTRs with an ICD diagnosis of mood disorders(p&lt;0.01).DCPR diagnosis of alexithymia and Irritability were associated with low RO score(13.74±6.51 and 13.97±6.95,respectively)(p &lt;0.05).AL subscale was positively correlated with ESAS anxiety symptom and ESAS psychological distress sub-score(p&lt;0.05); and negatively with DS-lT loss of meaning and purpose subscale(p&lt;0.05).Women(57.2±23.07)had higher scores of PTGI than men (49.5±19.04)(p &lt;0.05).No significant correlation was found between CPC problems, blood chemistry and socio-demographic characteristics, including months after transplant. Conclusion This study shows that KTRs had moderate-to-high levels of PTG which did not change after KT overtime. Also, lower RO score was associated with DCPR diagnosis of alexithymia, highlighting the potential ability of PTGI to identify KTRs who need psychological support. Further multicentre studies should be conducted to investigate the positive psychological changes after KT.
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Yılar, Kader, Latif Sağlam, Osman Coşkun, Ahmet Ertaş, and Özcan Gayretli. "Analysis of the nutrient foramen in human dry ulnae of Turkish population: An anatomical study and current literature review." European Journal of Therapeutics, April 5, 2023. http://dx.doi.org/10.58600/eurjther.20232902-348.y.
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Objective: The nutrient artery which enters through the nutrient foramen (NF) provides blood circulation and nutrition in long bones. This supply is essential during the growing period, the early phases of ossification, and in some surgical procedures. This study aimed to investigate NF in adult human ulnas in the Turkish population. Methods: For this study, 155 (70 right and 85 left) Turkish dry adult human ulnas were used. The presence, number, and patency of NF were recorded as well as its topography and direction. The vertical distance between the most proximal point of the olecranon and the proximal edge of the NF (DONF), and the longitudinal distance between the most ventral point of the coronoid process on the sagittal plane and the proximal edge of the NF (DCpNF) was calculated. Additionally, the foraminal index (FI) was assessed. Results: Single and double NFs were in 139 ulnas (89.67%), and 3 ulnas (1.94%), respectively. NFs were not observed in 13 ulnas (8.39%). The majority of NFs (93.12%) were situated on the anterior surface of the ulna. The direction of all NFs was towards the elbow. The mean DONF and DCpNF were 9.48 ± 1.57 cm, and 6.68 ± 1.44 cm, respectively. The FI was 37.45% in ulnas with a single NF, while it was 41.46% in ulnas with a double NF. Conclusion: Our study has presented additional information such as the FI of ulnas with 2 NFs, and the distance between the coronoid process and NF in the Turkish population.
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Rao, Yunbo, Yilin Wang, Fanman Meng, Jiansu Pu, Jihong Sun, and Qifei Wang. "A SYMMETRIC FULLY CONVOLUTIONAL RESIDUAL NETWORK WITH DCRF FOR ACCURATE TOOTH SEGMENTATION." IEEE Access, 2020, 1. http://dx.doi.org/10.1109/access.2020.2994592.
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Patierno, Chiara, Giovanni A. Fava, and Danilo Carrozzino. "Illness Denial in Medical Disorders: A Systematic Review." Psychotherapy and Psychosomatics, July 10, 2023, 1–16. http://dx.doi.org/10.1159/000531260.
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Introduction: Illness denial pertains to medical patients who do not acknowledge the presence or severity of their disease or the need of treatment. Objective: This systematic review was performed to clarify the clinical role and manifestations of illness denial, its impact on health attitudes and behavior, as well as on short- and long-term outcomes in patients with medical disorders. Methods: The systematic search according to the Preferred Reporting Items for Systematic Review and Meta-Analysis (PRISMA) guidelines was conducted on PubMed, Scopus, and Web of Science. Results: The initial search yielded a total of 14,098 articles; 176 studies met the criteria for inclusion. Illness denial appeared to be a relatively common condition affecting a wide spectrum of health attitudes and behavior. In some cases, it may help a person cope with various stages of illness and treatment. In other situations, it may determine delay in seeking treatment, impaired adherence, and reduced self-management, leading to adverse outcomes. The Diagnostic Criteria for Psychosomatic Research (DCPR) were found to set a useful severity threshold for the condition. An important clinical distinction can also be made based on the DCPR for illness denial, which require the assessment of whether the patient has been provided with an adequate appraisal of the medical situation. Conclusions: This systematic review indicates that patients with medical disorders experience and express illness denial in many forms and with varying degrees of severity. The findings suggest the need for a multidimensional assessment and provide challenging insights into the management of medical disorders.
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Zhang, Dong‐Liang, Cheng‐Long Deng, Bin Xie, et al. "O‐ Alkyldithiophosphate Nickel Complexes with dcpf Ligand as Efficient Electrocatalysts for Hydrogen Evolution." Applied Organometallic Chemistry 34, no. 1 (2019). http://dx.doi.org/10.1002/aoc.5261.
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Zerbinati, Luigi, Franco Guerzoni, Nicola Napoli, et al. "Psychosocial determinants of healthcare use costs in kidney transplant recipients." Frontiers in Public Health 11 (June 2, 2023). http://dx.doi.org/10.3389/fpubh.2023.1158387.
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IntroductionPsychosocial factors frequently occur in kidney transplant recipients (KTRs), leading to behavioral alterations and reduced therapeutic adherence. However, the burden of psychosocial disorders on costs for KTRs is unknown. The aim of the study is to identify predictors of healthcare costs due to hospital admissions and emergency department access in KTRs.MethodsThis is a longitudinal observational study conducted on KTRs aged &gt;18 years, excluding patients with an insufficient level of autonomy and cognitive disorder. KTRs underwent psychosocial assessment via two interviews, namely the Mini-International Neuropsychiatric Interview 6.0 (MINI 6.0) and the Diagnostic Criteria for Psychosomatic Research Interview (DCPR) and via the Edmonton Symptom Assessment System Revised (ESAS-R) scale, a self-administrated questionnaire. Sociodemographic data and healthcare costs for hospital admissions and emergency department access were collected in the 2016–2021 period. Psychosocial determinants were as follows: (1) ESAS-R psychological and physical score; (2) symptomatic clusters determined by DCPR (illness behavior cluster, somatization cluster, and personological cluster); and (3) ICD diagnosis of adjustment disorder, anxiety disorder, and mood disorder. A multivariate regression model was used to test the association between psychosocial determinants and total healthcare costs.ResultsA total of 134 KTRs were enrolled, of whom 90 (67%) were men with a mean age of 56 years. A preliminary analysis of healthcare costs highlighted that higher healthcare costs are correlated with worse outcomes and death (p &lt; 0.001). Somatization clusters (p = 0.020) and mood disorder (p &lt; 0.001) were positively associated with costs due to total healthcare costs.ConclusionsThis study showed somatization and mood disorders could predict costs for hospital admissions and emergency department access and be possible risk factors for poor outcomes, including death, in KTRs.