Could gonadal and adrenal androgen deficiencies contribute to the depressive symptoms in men with systolic heart failure?

Background: Testosterone (TT) and dehydroepiandrosterone sulphate (DHEAS) are neurosteroids and their deficiencies constitute the hormone risk factors promoting the development of depression in elderly otherwise healthy men. We investigated the link between hypogonadism and depression in accordance with age and concomitant diseases in men with systolic HF using the novel scale previously dedicated for elderly population.

Methods: We analysed the prevalence of depression and severity of depressive symptoms in population of 226 men with systolic HF (40–80 years) compared to 379 healthy peers. The severity of depression was assessed using the Polish long version of Geriatric Depression Scale (GDS).

Results: In men aged 40–59 years the severity of depressive symptoms was greater in NYHA classes III–IV compared to NYHA classes I–II and reference group. In men aged 60–80 years depressive symptoms were more severe in NYHA class III-IV compared to controls (all p?≤?0.001). In multivariate logistic regression model in men aged 40–59 years advanced NYHA class was associated with higher prevalence of mild depression (OR?=?2.14, 95%CI: 1.07–4.29) and chronic obstructive pulmonary disease (COPD) with higher prevalence of severe depression (OR?=?69.1, 95%CI: 2.11–2264.3). In men aged 60–80 years advanced NYHA class and TT deficiency were related to higher prevalence of mild depression (respectively: OR?=?2.9, 95%CI: 1.3–6.4; OR?=?3.6, 95%CI: 1.2–10.63).

Conclusion: TT deficiency, COPD and advanced NYHA class were associated with higher prevalence of depression in men with systolic HF.     

Alles ist gut

All is good — wisdom’s use in managementIn crisis periods the demand for orientation knowledge grows. Everybody is looking for the answers to the fundamental questions of life. For over 2000 years philosophy has such a knowledge: wisdom. But what is wisdom and what is its use for the management? On this question the essay with Kant gives the answer: Wisdom is the way of self-knowledge. And self-knowledge is the very source of each vision, without which there is no successful entrepreneurship.     

Führung — der unterschätzte Beruf

Leadership — an underestimated profession. From a greenhorn of leadership to a qualified manager The author presents an empirical inquiery, basing on interviews with 10 recently appointed managers. She demontrates, that managers hardly ever are prepared for her job in advance. This may lead to several problems, up to a demotivation of all persons envolved. The author proposes a procedure of personal development with three elements: seminars to impart knowledge, employment of internal mentors and of external coaches.     

Is Poker a Game of Skill or Chance? A Quasi-Experimental Study

Due to intensive marketing and the rapid growth of online gambling, poker currently enjoys great popularity among large sections of the population. Although poker is legally a game of chance in most countries, some (particularly operators of private poker web sites) argue that it should be regarded as a game of skill or sport because the outcome of the game primarily depends on individual aptitude and skill. The available findings indicate that skill plays a meaningful role; however, serious methodological weaknesses and the absence of reliable information regarding the relative importance of chance and skill considerably limit the validity of extant research. Adopting a quasi-experimental approach, the present study examined the extent to which the influence of poker playing skill was more important than card distribution. Three average players and three experts sat down at a six-player table and played 60 computer-based hands of the poker variant “Texas Hold’em” for money. In each hand, one of the average players and one expert received (a) better-than-average cards (winner’s box), (b) average cards (neutral box) and (c) worse-than-average cards (loser’s box). The standardized manipulation of the card distribution controlled the factor of chance to determine differences in performance between the average and expert groups. Overall, 150 individuals participated in a “fixed-limit” game variant, and 150 individuals participated in a “no-limit” game variant. ANOVA results showed that experts did not outperform average players in terms of final cash balance. Rather, card distribution was the decisive factor for successful poker playing. However, expert players were better able to minimize losses when confronted with disadvantageous conditions (i.e., worse-than-average cards). No significant differences were observed between the game variants. Furthermore, supplementary analyses confirm differential game-related actions dependent on the card distribution, player status, and game variant. In conclusion, the study findings indicate that poker should be regarded as a game of chance, at least under certain basic conditions, and suggest new directions for further research.     

Understanding the Relationship Between Egalitarianism and Affective Bias: Avenues to Reducing Prejudice Among Adolescents

In an era during which affirmative action in education is in jeopardy, it is important to understand how the ideologies of high-status ethnic group members maintain (or reduce) social inequality. We examine the extent to which the relationship between egalitarianism and prejudice among European American and Asian American adolescents can be explained by outgroup orientation (i.e., how much one values interacting with members of other ethnic groups) and strength of identification with one's ethnic group. Using structural equation modeling, we tested whether these two variables mediate the relationship between egalitarianism and intergroup prejudice. Results revealed that outgroup orientation was a mediator, but ethnic identity was not. Implications for mutual acculturation theory, prejudice-reduction programs, and affirmative action in education are discussed.     

Managing Nuclear Waste from Power Plants

National strategies to manage nuclear waste from commercial nuclear power plants are analyzed and compared. The current strategy is to try to operate a repository at Yucca Mountain, Nevada, to dispose of high-level nuclear waste underground. The main alternatives involve temporary above-ground storage at a centralized facility or next to nuclear power plants. If either of these is pursued now, the analysis assumes that a repository will be built in 2100 for waste not subsequently put to use. The analysis treats various uncertainties: whether a repository at Yucca Mountain would be licensed, possible theft and misuse of the waste, innovations in repository design and waste management, the potential availability of a cancer cure by 2100, and possible future uses of nuclear waste. The objectives used to compare alternatives include concerns for health and safety, environmental and socioeconomic impacts, and direct economic costs, as well as equity concerns (geographical, intergenerational, and procedural), indirect economic costs to electricity ratepayers, federal government responsibility to manage nuclear waste, and implications of theft and misuse of nuclear waste. The analysis shows that currently building an underground repository at Yucca Mountain is inferior to other available strategies by the equivalent of $10,000 million to $50,000 million. This strongly suggests that this policy should be reconsidered. A more detailed analysis using the framework presented would help to define a new national policy to manage nuclear waste.     

Randbemerkungen zum Ambiente des Kongresses

Ohne Zusammenfassung     

12‐Month‐Old Infants' Perception of Attention Direction in Static Video Images

Twelve‐month‐old infants' ability to perceive gaze direction in static video images was investigated. The images showed a woman who performed attention‐directing actions by looking or pointing toward 1 of 4 objects positioned in front of her (2 on each side). When the model just pointed at the objects, she looked straight ahead, and when she just looked, her hands were hidden below the tabletop. An eye movement system (TOBII) was used to register the gaze of the participants. We found that the infants clearly discriminated the gaze directions to the objects. There was no tendency to mix up the 2 object positions, located 10° apart, on the same side of the model. The infants spent more time looking at the attended objects than the unattended ones and they shifted gaze more often from the face of the model to the attended object than to the unattended objects. Pointing did not significantly increase the infants' tendency to move gaze to the attended object, irrespective of whether the pointing gesture was accompanied by looking or not. In all conditions the infants spent most of the time looking at the model's face. This tendency was especially noticeable in the pointing‐only condition and the condition where the model just looked straight ahead.