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"Lee, J"
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Management of post-COVID-19 olfactory dysfunction
Purpose of Review
Olfactory dysfunction is a frequent complication of SARS-CoV-2 infection. This review presents the current literature regarding the management of post-COVID-19 olfactory dysfunction (PCOD).
Recent Findings
A systematic review of the literature using the PubMed/MEDLINE, EMBASE, and Cochrane databases for the following keywords, “Covid-19,” “SARS-CoV-2,” “anosmia,” “olfactory,” “treatment,” and “management” was performed. While most cases of post-COVID-19 olfactory dysfunction resolve spontaneously within 2 weeks of symptom onset, patients with symptoms that persist past 2 weeks require medical management. The intervention with the greatest degree of supporting evidence is olfactory training, wherein patients are repeatedly exposed to potent olfactory stimuli. To date, no large-scale randomized clinical trials exist that examine the efficacy of pharmacologic therapies for PCOD. Limited clinical trials and prospective controlled trials suggest intranasal corticosteroids and oral corticosteroids may alleviate symptoms.
Summary
Olfactory training should be initiated as soon as possible for patients with PCOD. Patients may benefit from a limited intranasal or oral corticosteroid course. Further research on effective pharmacologic therapies for PCOD is required to manage the growing number of patients with this condition.
Journal Article
The hero
This title examines the role and theme of the hero archetype in Harry Potter and the Sorcerer's Stone, To Kill a Mockingbird, 12 Years a Slave, The Scarlet Letter, and Little Women. It features four analysis papers that consider the hero theme, each using different critical lenses, writing techniques, or aspects of the theme.
BOOK
Shifts in Asthma Evaluation and Management During COVID-19
Purpose of Review
The comprehensive management of asthma has historically relied on in-person visits to obtain a detailed history, thorough physical exam, and diagnostic and monitoring tools such as pulmonary function testing. The COVID-19 pandemic has posed numerous challenges to adequately utilizing these strategies. Despite these limitations, telemedicine has provided an important means to deliver asthma care. In this review, we discuss how these challenges have created paradigm shifts in not only the clinical aspects of asthma management, but also in patient attitudes and physician–patient relationships.
Recent Findings
Different strategies have been suggested to address asthma during COVID-19. Telemedicine has taken on an important role during the pandemic. The emphasis on asthma questionnaire use, education regarding lapsed asthma control, and as-needed oral corticosteroid courses have proven to be important instruments in the remote management of asthma. Overall, asthma exacerbations have decreased during this time. This is thought to be due to a variety of factors such as decreased exposure to common triggers.
Summary
Although the COVID-19 pandemic significantly limited an allergist’s ability to provide conventional comprehensive asthma management, we also found that patient outcomes have actually improved. In addition to the decreased exposure to asthma triggers, this may also be an effect of increased patient ownership of their asthma, and subsequent improved therapeutic alliance.
Journal Article
Beyond playing 20 questions with nature: Integrative experiment design in the social and behavioral sciences
The dominant paradigm of experiments in the social and behavioral sciences views an experiment as a test of a theory, where the theory is assumed to generalize beyond the experiment's specific conditions. According to this view, which Alan Newell once characterized as “playing twenty questions with nature,” theory is advanced one experiment at a time, and the integration of disparate findings is assumed to happen via the scientific publishing process. In this article, we argue that the process of integration is at best inefficient, and at worst it does not, in fact, occur. We further show that the challenge of integration cannot be adequately addressed by recently proposed reforms that focus on the reliability and replicability of individual findings, nor simply by conducting more or larger experiments. Rather, the problem arises from the imprecise nature of social and behavioral theories and, consequently, a lack of commensurability across experiments conducted under different conditions. Therefore, researchers must fundamentally rethink how they design experiments and how the experiments relate to theory. We specifically describe an alternative framework, integrative experiment design, which intrinsically promotes commensurability and continuous integration of knowledge. In this paradigm, researchers explicitly map the design space of possible experiments associated with a given research question, embracing many potentially relevant theories rather than focusing on just one. Researchers then iteratively generate theories and test them with experiments explicitly sampled from the design space, allowing results to be integrated across experiments. Given recent methodological and technological developments, we conclude that this approach is feasible and would generate more-reliable, more-cumulative empirical and theoretical knowledge than the current paradigm – and with far greater efficiency.
Journal Article
An Empirical Test of the Concept of the Adaptively Intelligent Attitude
This study provides an empirical test of a previously proposed assertion that intelligence as adaptation has an attitudinal as well as an ability component. The ability component deals with what the basic knowledge and skills are that underlie intelligence, and how much of each one an individual has. The attitudinal component deals with how an individual chooses to deploy the abilities they have. In other words, to what use are the abilities put? It is argued that it is impossible fully to separate the measurement of the ability component from the attitudinal one. In a diverse population, even taking an intelligence test will show itself to involve an attitude toward the test, which may enhance or detract from performance, as when one sees the test as irrelevant or harmful to one’s life, or as a sociocultural misfit to one’s life experience. To succeed, people need not only to have abilities, but attitudes that put those abilities to effective use to accomplish individuals’ life goals. In the study, we found that intelligent attitudes are related, but non-identical, to germane constructs, such as wisdom, the need for cognition, creativity, and openness to experience. Scores on the attitudinal measure were not related to scores on tests of fluid intelligence and academic abilities/achievement. Thus, the range of attitudes regarding how to deploy intelligence can vary over ability levels.
Journal Article
Psychometric Properties of the Persian Version of Sickness Impact Profile‐30 (SIP‐30) in Community‐Dwelling Older Adults
Purpose: Accurate measurement tools are essential for evaluating the health‐related quality of life in older adults. We aimed to translate and evaluate the psychometric properties of the Sickness Impact Profile‐30 (SIP‐30) in community‐dwelling older adults. Materials and Methods: One hundred and fifty older adults participated in this study. To evaluate construct validity, its correlation with General Health Questionnaire‐28, Geriatric Depression Scale‐15, Hospital Anxiety and Depression Scale, Modified Health Assessment Questionnaire, Numeric Pain Rating Scale, and Fullerton Advanced Balance Scale was assessed. Reliability features were also investigated. Results: The results of construct validity analysis demonstrated a moderate to high ( r = 0.61–0.84) correlation between the total score of SIP‐30 and GHQ‐28, GDS‐15, HADS, MHAQ, and NPRS. There was a moderate inverse ( r = −0.67) correlation between the total score of the SIP‐30 and the FAB Scale. Test–retest reliability (ICC > 0.83) and internal consistency ( α = 0.94) of the Persian SIP‐30 were high. Conclusions: The results indicated that the Persian SIP‐30 is a reliable and valid measure to assess health‐related quality of life in community‐dwelling older adults.
Journal Article
The EVENDOL Pain Scale Validation for Acute Non‐Procedural Neonatal Pain in Term Neonates: Reliability and Validity in Maternity Wards
The assessment of acute non‐procedural pain in term neonates in maternity wards is challenging due to the difficulty in selecting an appropriate scale and the time‐consuming nature of the process. This can lead to inadequate neonatal pain management. To validate the EValuation ENfant DOuLeur (EVENDOL) pain scale for acute non‐procedural pain in term neonates in maternity units by comparing it with the Echelle Douleur et Inconfort du Nouveau‐né (EDIN) used as a reference. We hypothesized that EVENDOL would be equivalent to EDIN in assessing acute non‐procedural neonatal pain, with better appearance. Prospective multicentric non‐interventional open study. Term neonates over 37 weeks' gestation in the delivery room and postnatal care units, with or without acute non‐procedural pain, before and after analgesia. Cronbach's α coefficient, intraclass correlation (ICC), and correlation between EVENDOL and EDIN scores, documented by the researchers and the caregivers at rest and mobilization, before and after oral paracetamol, were measured. Ninety‐one neonates were included: 48 (51%) had pain and 43 (47%) had no pain. Before analgesia, the Cronbach coefficient was above 0.80, the ICC (25th–75th interquartile ranges [IQ]) were 0.84 (0.77–0.89) and 0.90 (0.85–0.93) at rest and mobilization, respectively. Seventeen patients received oral acetaminophen and were re‐assessed. Psychometric values remained good after analgesia (Cronbach coefficient above 0.80, ICC [IQ]: 0.65 [0.26–0.85] and 0.76 [0.45–0.91]) at rest and mobilization, respectively. The feasibility and ease of use were better for EVENDOL for researchers and caregivers. EVENDOL is suitable for the assessment of acute non‐procedural neonatal pain for term neonates in the maternity wards. Trial Registration: ClinicalTrials.gov identifier: NCT02819076, registered in June 2016 as EVENDOL scale validation for at term newborn
Journal Article
I Choose to Opt-Out of Answering: Individual Differences in Giving Up Behaviour on Cognitive Tests
Under the Meta-reasoning model, the process of giving up when a solution may not be feasible reflects an adaptive metacognitive strategy, where individuals opt-out of responding to mitigate error and resource costs. However, research is still needed to determine whether individuals systematically vary in this behaviour and if so, which variables it meaningfully relates with. The current study (N = 176) is the first to examine factorial stability in giving up tendencies and its relationships with on-task confidence, cognitive ability, decision-making predispositions, and academic performance. To measure giving up tendencies, participants completed three cognitive tests which allowed for opting out, thereby capturing giving up frequency within each test and its consistency across tests. Participants also completed five other cognitive tasks embedded with confidence ratings, and a decision-making styles questionnaire. Confirmatory factor analyses were conducted on all giving up, confidence, and accuracy variables, with a three-factor solution having the best fit (containing a giving up factor, confidence factor, and cognitive ability factor). Supporting the proposed adaptive nature of giving up tendencies, the giving up factor correlated positively with cognitive ability, rational decision making, and academic performance. This research establishes factorial stability in giving up tendencies and provides a foundation for further investigation into its role within Meta-reasoning theory.
Journal Article
“Show Me What You Got”: The Nomological Network of the Ability to Pose Facial Emotion Expressions
Just as receptive emotional abilities, productive emotional abilities are essential for social communication. Although individual differences in receptive emotional abilities, such as perceiving and recognizing emotions, are well-investigated, individual differences in productive emotional abilities, such as the ability to express emotions in the face, are largely neglected. Consequently, little is known about how emotion expression abilities fit in a nomological network of related abilities and typical behavior. We developed a multitask battery for measuring the ability to pose emotional expressions scored with facial expression recognition software. With three multivariate studies (n1 = 237; n2 = 141; n3 = 123), we test competing measurement models of emotion posing and relate this construct with other socio-emotional traits and cognitive abilities. We replicate the measurement model that includes a general factor of emotion posing, a nested task-specific factor, and emotion-specific factors. The emotion-posing ability factor is moderately to strongly related to receptive socio-emotional abilities, weakly related to general cognitive abilities, and weakly related to extraversion. This is strong evidence that emotion posing is a cognitive interpersonal ability. This new understanding of abilities in emotion communication opens a gateway for studying individual differences in social interaction.
Journal Article