The role of conscious awareness in human Pavlovian conditioning was examined in 2 experiments using masked fear-relevant (snakes and spiders; Experiments 1 and 2) and fear-irrelevant (flowers and mushrooms; Experiment 1) pictures as conditioned stimuli, a mild electric shock as the unconditioned stimulus, and skin conductance responses as the primary dependent variable. The conditioned stimuli were presented briefly (30 ms) and were effectively masked by an immediately following masking stimulus. Experiment 1 demonstrated nonconscious conditioning to fear-relevant but not to fear-irrelevant stimuli. Even though the participants could not recognize the stimuli in Experiment 2, they differentiated between masked stimuli predicting and not predicting shocks in expectancy ratings. However, expectancy ratings were not related to the conditioned autonomic response.
Our objectives were to evaluate kidney transplantation survival benefit in people aged ≥70 who were receiving renal replacement therapy (RRT) and to identify their risk factors for posttransplant mortality. This study included all patients in the national French Renal Epidemiology and Information Network registry who started RRT between 2002 and 2013 at age ≥70. Mortality risk was compared between patients with transplants; on the waiting list; and on dialysis matched for age, gender, comorbidities, and time on dialysis. Of the 41 716 elderly patients starting RRT, 1219 (2.9%) were on the waiting list and 877 (2.1%) underwent transplantation during the follow-up. Until month 3, transplant patients had a risk of death triple that of the wait-listed group. Although the risk was halved at month 9, the perioperative risk was still not offset by month 36. Compared with matched dialysis patients (n = 2183), transplant patients were not at significantly increased perioperative risk and had a lower mortality risk starting at month 3. Risk factors for posttransplant mortality were diabetes, cardiovascular comorbidities, and dialysis duration >2 years. Among older dialysis patients, 20% had neither cardiovascular comorbidity nor diabetes. Systematic early assessment of the eligibility of elderly patients for kidney transplantation is recommended to expand registration to patients with poor survival on dialysis and no cardiovascular comorbidity.
We explored differences regarding several psychosocial constructs (e.g. coping with pain) between immigrant (n = 140) and Swedish (n = 446) patients seeking treatment for pain at health and physiotherapy centres. A cross-sectional study design was used. The findings showed that, compared with Swedes, immigrants more often relied on benefits for their support and were more concerned with their financial situation. They also had longer periods of sick-leave. In addition, immigrants felt more disabled, reported more job strain and relied more on passive coping strategies for pain. Finally, they were more emotionally distressed, as they showed more symptoms of burnout, anxiety, depression and post-traumatic stress reactions, and lower self-confidence. Multivariate analyses performed separately for immigrant and Swedish patients showed differential patterns of associations between sociodemographic variables, financial strain, emotional distress, perceived disability, passive coping and job strain. We conclude that immigrant patients live under more strained psychosocial conditions and experience a deeper impact of pain than do their Swedish counterparts.
Abstract:Background:Violence is a major public health problem. Both clinical and population based studies shows that violence against men and women has physical and psychological health consequences. However, elsewhere and in Sweden little is known of the effect of individual socioeconomic position (SEP) on the relation between violence and health outcomes.Objective:This study aimed to assess the effect of individual SEP on the relation between violence and three health outcomes (general health, pain and anxiety) among women in Stockholm County. Methods:The study used data from the Stockholm Public Health Survey, a cross-sectional survey carried out in 2006 for the Stockholm County Council by Statistic Sweden. 34 704 respondents answered the survey, the response rate was sixth one percent. Analyses were carried out using descriptive statistics and logistic regression analysis in SPSS v.17.0. Results: Individual SEP increased the odds of reporting poor health outcomes among victimized women in Stockholm County. Regarding self-reported health women in low-SEP who reported victimization in the past twelve months had odds of 2,36 (95% CI 1.48-3.77) for the age group 18-29 years and 3.78 (95% CI 2.53-5.64) for the age group 30-44 years compared with women in high-SEP and non-victim. For pain the odds was 2,41 (95% CI 1,56-3,73) for the age group 18-29 years and 2,98 (95% CI 1,99-4,46) for women aged 30-44 years. Regarding anxiety the age group 18-29 years had odds of 2,53 (95% CI 1,58-4,03) and for the age group 30-44 years had odds of 3,87 (95% CI 2,55-5,87). Conclusion:Results showed that individual SEP (measured by occupation) matters to the relationship between violence and health outcomes such as general self-reported health, pain and anxiety. Women in lower SEP and experienced victimization in the past twelve months had increased odds of reporting poorer self-rated health, pain and anxiety compared to those in higher SEP with no experience of victimization. However, further exploration of the relationship between poverty, individual SEP is needed using other Swedish population samples.
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