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Display rules for anger, sadness, and pain: it depends on who is watching.

This study examined factors that may influence children's decisions to control or express their emotions including type of emotion (anger, sadness, physical pain), type of audience (mother, father, peer, alone), age, and sex. Children's reported use of display rules, reasons for their decisions, and reported method of expression were examined. Subjects were 32 boys and 32 girls in each of the first (M = 7.25 years old), third (M = 9.33 years old), and fifth grades (M = 11.75 years old). Regardless of the type of emotion experienced, children reported controlling their expression of emotion significantly more in the presence of peers than when they were with either their mother or father or when they were alone. Younger children reported expressing sadness and anger significantly more often than did older children, and girls were more likely than boys to report expressing sadness and pain. Children's primary reason for controlling their emotional expressions was the expectation of a negative interpersonal interaction following disclosure.

Anger↗

Influences of parental drug use, personality, and child rearing on the toddler's anger and negativity.

How parental personality and drug use and the parent-child relationship are related to a toddler's anger and negativity was investigated. The sample consisted of 62 female and 53 male 2-year-old children and their parents. The results supported a mediational model. The father's drug use and parental personality attributes were linked to the child's anger and negativity indirectly, through the parent-child relationship. The findings indicated that maternal personality and child-rearing practices had a greater effect on the child than the paternal characteristics or the father-child relationship did. The results also suggested that the effect of one parent on the child was altered by the relationship the child had with the other parent. Implications for prevention and treatment are discussed.

Anger↗

Anger, aggression, and violence in love triangles.

Motives for anger and aggression in love triangles are discussed and then examined using homicide data and survey data from college students. We find that love triangles are a more important motive when females commit homicide than when males commit homicide. Females usually kill their lover while males usually kill their rival. Male attacks on male rivals reflect identity concerns, according to the college student data. Anger at both the partner and rival also depends on the assignment of blame. The aggrieved party may attack the partner or rival in order to gain retribution or deter future episodes.

Adult↗

A three-generation study: intergenerational continuities and discontinuities and their impact on the toddler's anger.

One hundred fifteen 2-year-old toddlers, one of the parents of each toddler, and the corresponding grandmother of each toddler were studied to determine the influence of the grandmother and the parent on the toddler's behavior. Findings indicated that the grandmother's parenting skills have an effect on the grandchild's anger via two pathways. More specifically, the grandmother's child-rearing techniques are mediated by the parent's personality traits, which, in turn, are associated with the parent's child-rearing practices and, ultimately, the grandchild's anger. The second pathway through which the grandmother's child-rearing is related to the grandchild's behavior involves the parent's imitation of the grandmother's parenting skills, which, in turn, are correlated with the toddler's behavior.

Anger↗

Deadtime correcton in high count rate quantitative dynamic studies with computer-assisted Anger-cameras.

The use of tracers with high radioactivity in rapid dynamic quantitative studies (such as radioisotope angiocardiography), performed by the Anger-camera and data-processor, makes it possible to obtain a high counting ratemfor correct interpretation of the results of the analysis of activity/time curves in regions of interest, the authors determined, under different working conditions, the deadtimes of two Anger-cameras (Pho-gamma HP and Radicamera II), both connected to a data-processing system (Med-II). The problems inherent in this determination are analyzed and discussed. A computer program for curve correction was written and some examples of applications of it are presented, including an experiment to test the accuracy of the correction.

Angiocardiography↗

Behavioral vs beta-blocker therapy in patients with primary hypertension: effects on blood pressure, left ventricular function and mass, and the pressor surge of social stress anger.

We compared the relative effects of relaxation therapy, conventional hygienic techniques, and a beta-receptor blocker, atenolol, on control of arterial pressure, left ventricular mass, and diastolic function in patients with mild primary hypertension. Furthermore, we related these effects to baseline neural tone and its changes and assessed the efficacy of relaxation or the pressor surge of "social stress" anger. In group I left ventricular mass index was related to both systolic and diastolic blood pressure (r = 0.46; p less than 0.05). Plasma norepinephrine was related to age (r = 0.33; p less than 0.01). Slope was inversely related to both plasma norepinephrine (r = -0.29; p less than 0.05) and age (r = -0.31; p less than 0.05). Relaxation therapy reduced both supine systolic and diastolic blood pressures, 4.5% and 7.6%, respectively, but did not affect plasma norepinephrine. Hygienic informational therapy reduced plasma norepinephrine by 18%, (p less than 0.05) and did not change blood pressure. Blood pressure responders to nondrug therapy (i.e., diastolic blood pressure reduction of 7% or more) had a 7% reduction of left ventricular mass index (p less than 0.02). On the other hand, atenolol reduced systolic and diastolic blood pressure by 10% and 15%, respectively, (p less than 0.01) and improved left ventricular function by 17% (p less than 0.05) without a significant change in left ventricular mass index. Finally, relaxation therapy but not hygienic therapy reduced systolic blood pressures 4% and 6%, respectively (p less than 0.01), both before and during social stress anger.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult↗

[Epidemiological study of tuberculosis in the area of Angers, France, as studied by 3 PCR-based fingerprinting methods].

The new genotyping methods efficiently complement classical epidemiological investigation in order to attempt a global approach to TB control. In the present work, we have studied the genomic diversity of Mycobacterium tuberculosis isolated during the year 1998 within the district of Angers, France (260,000 inhabitants distributed in 29 districts), in order to identify recent transmission events and any related risk factors. The methods used included "spacer oligonucleotide typing" or spoligotyping, "variable number of DNA tandem repeats" or VNTR, and "double repetitive element PCR" or DRE-PCR. The resulting spoligotyping and VNTR results were also feeded to international databases and compared with >10,000 isolates for spoligotyping and 500 isolates for VNTR, representative of about 60 countries. The results obtained underlined that most of the TB cases in our setting probably reflected reactivation cases, as clustered cases indicative of potential events of recent transmission were rare. Furthermore, interrogation of international databases showed that most of the isolates from the Angers region belonged to major conserved families of TB isolates representative of Europe, with only rare cases of Asian origin, or those previously reported in specific epidemies reported from elsewhere.

DNA Fingerprinting↗

'Treatise on the Spinal Marrow and its Diseases' (Anatomy, functions and general considerations on its diseases) by Ollivier d' Angers CP (1796-1845).

STUDY DESIGN: Collecting and analyzing all possible documents by internet, and consulting medical libraries in different countries. OBJECTIVE: To focus on the work of Ollivier d'Angers who, in the beginning of the 19th century, spent most of his professional life studying the spinal cord, marrow (SM), or medulla spinalis, and publishing the first comprehensive treatise on the subject in 1824. SETTING: ParaDoc database, Swiss Paraplegic-Centre, 6207 Nottwil, Switzerland, in collaboration with Paul Dollfus, ISCoS/Paradoc, Mulhouse, France. RESULTS: Some of d'Angers's clinical descriptions, observations and also pathologic findings, described in the successive editions of his treatise, were very much in advance of his time. CONCLUSIONS: To our knowledge, this was the first comprehensive treatise, in 1824, at least in France. It gave a clear picture on the matter of the SM and in that period of medical history.

Bone Marrow Diseases↗

A count-rate model for PET scanners using pixelated Anger-logic detectors with different scintillators.

A high count-rate simulation (HCRSim) model has been developed so that all results are derived from fundamental physics principles. Originally developed to study the behaviour of continuous sodium iodide (NaI(Tl)) detectors, this model is now applied to PET scanners based on pixelated Anger-logic detectors using lanthanum bromide (LaBr(3)), gadolinium orthosilicate (GSO) and lutetium orthosilicate (LSO) scintillators. This simulation has been used to study the effect on scanner deadtime and pulse pileup at high activity levels due to the scintillator stopping power (mu), decay time (tau) and energy resolution. Simulations were performed for a uniform 20 cm diameter x 70 cm long cylinder (NEMA NU2-2001 standard) in a whole-body scanner with an 85 cm ring diameter and a 25 cm axial field-of-view. Our results for these whole-body scanners demonstrate the potential of a pixelated Anger-logic detector and the relationship of its performance with the scanner NEC rate. Faster signal decay and short coincidence timing window lead to a reduction in deadtime and randoms fraction in the LaBr(3) and LSO scanners compared to GSO. The excellent energy resolution of LaBr(3) leads to the lowest scatter fraction for all scanners and helps compensate for reduced sensitivity compared to the GSO and LSO scanners, leading to the highest NEC values at high activity concentrations. The LSO scanner has the highest sensitivity of all the scanner designs investigated here, therefore leading to the highest peak NEC value but at a lower activity concentration than that of LaBr(3).

Bromides↗

Comparison of N-isopropyl (I-123) p-iodoamphetamine brain scans using Anger camera scintigraphy and single-photon emission tomography.

N-isopropyl (I-123) p-iodoamphetamine (IMP), which is extracted by the brain in proportion to regional blood flow, has been shown to be useful with single-photon emission tomography (SPECT) in the assessment of pathologic states related to blood flow. Because emission tomographic equipment is not yet available at most hospitals, the authors compared IMP brain images obtained with an Anger camera with those obtained by SPECT to determine the usefulness of IMP scintigraphy. Thirty-nine pairs of studies were performed on 12 control patients, 14 patients with stroke, three patients with tumors, and a miscellaneous group of eight patients. Planar scintigraphy showed good correlation with SPECT in determining the presence or absence of abnormality in all patients except one with a very small brain stem infarction that was not detected by planar imaging. Anger images showed poor contrast resolution compared with SPECT images. It is thus expected that SPECT will result in better lesion detection when smaller lesions are studied. Planar scintigraphy is not capable of providing quantitative measurement of regional cerebral blood flow.

Amphetamines↗

[Cerebrospinal fluid flow dynamics in cerebral infarction--Numerical study with RI Anger camera (author's transl)].

Although the cerebral blood flow dynamics in cerebral infarction has already been studied by many investigators, the CSF flow dynamics in cerebral infarction has not been well discussed. The purpose of this paper is to investigate CSF flow dynamics in chronic cerebral infarction by RI cisternography and our new quantitative method. In 12 patients with cerebral infarction, the flow of CSF was estimated following intrathecal injection of 169Yb-DTPA or 111In-DTPA. In this study, in addition to the conventional cisternograms, quantitative evaluation of CSF flow was performed in 6 patients by our method. Our previous work included the quantitative CSF flow dynamics in 26 various cerebral disorders using RI Anger camera. This method consisted of following procedure: 30 minutes after RI injection, RI activity was studied continuously for 30 minutes, afterwards playing back the record to calculate the changes of RI activity in the optimal regions of interest. These operations were performed with Anger camera, accessory digital ratemeter and tape-recorder. The changes of RI activity which appeared to be linear is called flow rate in our study for convenience. In this report, the region of interest was selected at Sylvian cistern. 6 patients had abnormal cisternograms consisting of reflux of tracer into the ventricle and delayed migration of tracer to the basal cisterns and diminished flow of tracer in the affected hemisphers. In 5 patients whose cisternograms could not demonstrate the laterality of RI perfsion over the cerebral hemishere, a marked difference of flow rate between right and left Sylvian cisterns was found. These findings probably indicated the correlation between cerebral blood flow dynamics and CSF flow dynamics in cerebral infarction. Moreover, it was confirmed that our method could be of clinical use to evaluate CSF flow dynamics quantitatively. The possible mechanisms of CSF flow disturbance in the affected hemisphere following cerebral infarction was discussed.

Adult↗

[Cardiac pool scintigraphy using the solid-state Digirad 2020tc Imager--comparison with the conventional anger-type gamma camera using moving cardiac phantom].

UNLABELLED: Movable gamma camera, 2020tc Imager, was light miniaturized using Si photodiode as a semiconductor sensor instead of photomultiplier tubes. To validate performance of this new camera in cardiac pool scintigraphy, multigated equilibrium radionuclide ventriculography using the moving cardiac phantom was performed with 2020tc Imager and a conventional Agner-type gamma camera (PRISM 3000). METHOD: Both measured cardiac functional values were compared with the set-up ones for the phantom. Five-, 7.5-, and 10-minute-multigated data were acquired using both cameras under constant contractile condition. Constant 5-minute-multigated data acquisitions using 2020tc Imager were also carried out with varied contractile conditions. RESULTS: Measured ejection fraction (EF) derived from 2020tc Imager and an Anger-type camera were 68.5 +/- 0.6 and 70.3 +/- 1.4%, respectively. Both of these values were absolutely close to the set-up EF value of 70%. Both of end-diastolic volume and EF showed excellent correlation between set-up and measured values with the correlation coefficient of 0.97 and 0.99, respectively. CONCLUSION: This new movable camera could provide comparative cardiac functional values with an Anger-type camera and it can be useful to evaluate acute cardiac function in a coronary care unit.

Gamma Cameras↗

The effect of window fraction on the deadtime of Anger cameras: concise communication.

The deadtime characteristics of an Anger camera are analyzed using a model consisting of a paralyzable front end and nonparalyzable display circuits. This model differs from previous deadtime analyses in that it considers the change in the fraction of counts passed by the pulse height analyzer as a function of the true count rate. Deadtime curves are analyzed for a Pho/Gamma IV Anger camera using 10%, 20%, and 35% windows.

Mathematics↗

Cognitive-behavioral conceptualization and treatment of anger.

This article outlines several therapeutic issues in working with angry clients and provides a conceptual framework for understanding, assessing, and treating them. Cognitive-behavioral interventions addressing different elements of the problematic anger are then described. However, it was emphasized that careful attention must be paid to unique client characteristics, to their stage of readiness for change, and to the therapeutic relationship and alliance if therapeutic impasses are to be minimized and successful application of cognitive-behavioral strategies is to be maximized. These issues and strategies are clarified in the specifics of two difficult cases.

Adult↗

Evaluating the validity of anger regulation problems, interpersonal style, and disturbed mental state for predicting inpatient violence.

Research has been conducted to try to identify risk factors to help predict which patients will be violent during psychiatric hospitalization. Despite the relatively large amount of research conducted, it is difficult to draw any firm conclusions, as the studies vary considerably in study design, methods used, and choice of outcome measures. Studies also tend to focus on risk prediction, even though risk management is the primary aim of clinical practice in mental health services and few studies have focused on a theoretical basis for understanding violence. This study assessed the predictive validity of brief assessment scales in a sample of 94 forensic inpatients who had been inpatient for a median of 521 days, to test the hypotheses that anger regulation problems, interpersonal style, and disturbed mental state would be linked to increased violence risk in a forensic hospital during a hospital stay. The outcome variables for this study were physical violence against another and/or clear threats of physical violence. The results of this study provide support for the hypotheses, and this remained the case after controlling for age, gender, length of stay, and presence of major mental disorder. The findings should not only assist clinicians with assessment and management of risk but also support the reconceptualizing of risk prediction research to reflect the task of clinical risk management.

Adult↗

Pregnancy anxiety and comorbid depression and anger: effects on the fetus and neonate.

One hundred sixty-six women were classified as experiencing high or low anxiety during the second trimester of pregnancy. The high anxiety women also had high scores on depression and anger scales. In a follow-up across pregnancy, the fetuses of the high anxiety women were noted to be more active and to experience growth delays. The high anxiety mothers' high prenatal norepinephrine and low dopamine levels were followed by their neonates having low dopamine and serotonin levels. The high anxiety mothers' newborns also had greater relative right frontal EEG activation and lower vagal tone. Finally, the newborns of high anxiety mothers spent more time in deep sleep and less time in quiet and active alert states and showed more state changes and less optimal performance on the Brazelton Neonatal Behavior Assessment Scale (motor maturity, autonomic stability and withdrawal). These data highlight the need for prenatal intervention for elevated anxiety symptoms during pregnancy.

Anger↗

Links between body mass index, total body fat, cholesterol, high-density lipoprotein, and insulin sensitivity in patients with obesity related to depression, anger, and anxiety.

OBJECTIVE: Define links between psychosocial parameters and metabolic variables in obese females before and after a low-calorie diet. METHOD: Nine female obese patients (age 36.1 +/- 7.1 years, body mass index [BMI] > 30 kg/m2) were investigated before and after a 6-week low-calorie diet accompanied by behavior therapy. Blood lipids, insulin sensitivity (Bergman protocol), fat distribution (by dual-energy X-ray absorptiometry [DEXA]), as well as psychological parameters such as depression, anger, anxiety, symptom load, and well-being, were assessed before and after the dieting period. RESULTS: The females lost 9.6 +/- 2.8 kg (p < .0001) of body weight, their BMI was reduced by 3.5 +/- 0.3 kg/m2 (p < .0001), and insulin sensitivity increased from 3.0 +/- 1.8 to 4.3 +/- 1.5 mg/kg (p = .05). Their abdominal fat content decreased from 22.3 +/- 5.5 to 18.9 +/- 4.5 kg (p < .0001). In parallel, psychological parameters such as irritability (p < .05) and cognitive control (p < .0001) increased, whereas feelings of hunger (p < .05), externality (p < .05), interpersonal sensitivity (p < .01), paranoid ideation (p < .05), psychoticism (p < .01), and global severity index (p < .01) decreased. Prospectively, differences in body fat (percent) were correlated to nervousness (p < .05). Waist-to-hip ratio (WHR) differences were significantly correlated to sociability (p < .05) and inversely to emotional instability (p < .05), whereas emotional instability was inversely correlated to differences in insulin sensitivity (p < .01). DISCUSSION: Weight reduction may lead to better somatic risk factor control. Women with more nervousness and better sociability at the beginning of a diet period may lose more weight than others.

Adipose Tissue↗

Children's responding to live interadult conflict: the role of form of anger expression.

Children's responses to interadult arguments were examined as a function of three forms of disputes: covert, verbal, and physical. Four- to seven-year-olds' overt-behavioral responses to live enactments of arguments between a male and a female were videotaped and coded for behavioral distress and anger/aggression, and children were then interviewed. Although children exhibited overt-behavioral distress in response to all forms of disputes, physical arguments evoked the highest levels of distress. Some gender differences in responding were observed. In comparison to boys, girls exhibited more overt distress during the arguments, and wanted to stop physical arguments more frequently. The results extend findings based on the videotape methodology of the presentation of interadult arguments indicating that form of anger expression impacts children's emotional responding to interadult conflict.

Age Factors↗