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On the current psychotherapeutic situation for persons with pornography use disorder in Germany
(2023)
Background and aims: For the first time, the ICD-11 provides the diagnosis compulsive sexual behavior disorder (CSBD) that can be assigned for pornography use disorder (PUD). This study aimed to estimate the prevalence of PUD and associated consequences in Germany, to identify the psychotherapy demand among likely PUD (lPUD) cases and the treatment supply in different psychotherapeutic settings, to survey psychotherapists' level of expertise regarding PUD, and to identify predictors for psychotherapy demand.
Methods: Four studies were conducted: 1. Online study in the general population (n = 2070; m = 48.9%, f = 50.8%, d = 0.2%), 2. Survey among practicing psychotherapists (n = 983), 3. Survey of psychotherapists in psychotherapeutic outpatient clinics (n = 185), 4. Interviews with psychotherapeutic inpatient clinics (n = 28).
Results: The estimated prevalence of lPUD in the online study was 4.7% and men were 6.3 times more often affected than women. Compared to individuals without PUD, individuals with lPUD more often indicated negative consequences in performance-related areas. Among lPUD cases, 51.2% of men and 64.3% of women were interested in a specialized PUD treatment. Psychotherapists reported 1.2%–2.9% of lPUD cases among their patients. 43.2%–61.5% of psychotherapists stated to be poorly informed about PUD. Only 7% of psychotherapeutic inpatient clinics provided specific treatments to patients with PUD. While, among other factors, negative consequences attributed to lPUD were predictive for psychotherapy demand, weekly pornography consumption, subjective well-being, and religious attachment were not.
Discussion and conclusions: Although PUD occurs quite often in Germany, availability of mental health care services for PUD is poor. Specific PUD treatments are urgently needed.
Background: PINK1 deficiency causes the autosomal recessive PARK6 variant of Parkinson’s disease. PINK1 activates ubiquitin by phosphorylation and cooperates with the downstream ubiquitin ligase PARKIN, to exert quality control and control autophagic degradation of mitochondria and of misfolded proteins in all cell types.
Methods: Global transcriptome profiling of mouse brain and neuron cultures were assessed in protein-protein interaction diagrams and by pathway enrichment algorithms. Validation by quantitative reverse transcriptase polymerase chain reaction and immunoblots was performed, including human neuroblastoma cells and patient primary skin fibroblasts.
Results: In a first approach, we documented Pink1-deleted mice across the lifespan regarding brain mRNAs. The expression changes were always subtle, consistently affecting “intracellular membrane-bounded organelles”. Significant anomalies involved about 250 factors at age 6 weeks, 1300 at 6 months, and more than 3500 at age 18 months in the cerebellar tissue, including Srsf10, Ube3a, Mapk8, Creb3, and Nfkbia. Initially, mildly significant pathway enrichment for the spliceosome was apparent. Later, highly significant networks of ubiquitin-mediated proteolysis and endoplasmic reticulum protein processing occurred. Finally, an enrichment of neuroinflammation factors appeared, together with profiles of bacterial invasion and MAPK signaling changes—while mitophagy had minor significance. Immunohistochemistry showed pronounced cellular response of Iba1-positive microglia and GFAP-positive astrocytes; brain lipidomics observed increases of ceramides as neuroinflammatory signs at old age.
In a second approach, we assessed PINK1 deficiency in the presence of a stressor. Marked dysregulations of microbial defense factors Ifit3 and Rsad2 were consistently observed upon five analyses: (1) Pink1 −/− primary neurons in the first weeks after brain dissociation, (2) aged Pink1 −/− midbrain with transgenic A53T-alpha-synuclein overexpression, (3) human neuroblastoma cells with PINK1-knockdown and murine Pink1 −/− embryonal fibroblasts undergoing acute starvation, (4) triggering mitophagy in these cells with trifluoromethoxy carbonylcyanide phenylhydrazone (FCCP), and (5) subjecting them to pathogenic RNA-analogue poly(I:C). The stress regulation of MAVS, RSAD2, DDX58, IFIT3, IFIT1, and LRRK2 was PINK1 dependent. Dysregulation of some innate immunity genes was also found in skin fibroblast cells from PARK6 patients.
Conclusions: Thus, an individual biomarker with expression correlating to progression was not identified. Instead, more advanced disease stages involved additional pathways. Hence, our results identify PINK1 deficiency as an early modulator of innate immunity in neurons, which precedes late stages of neuroinflammation during alpha-synuclein spreading.
We report a measurement of the observed cross sections of e+ e− → J/ψX based on 3.21 fb − 1 of data accumulated at energies from 3.645 to 3.891 GeV with the BESIII detector operated at the BEPCII collider. In analysis of the cross sections, we measured the decay branching fractions of B(ψ(3686) → J/ψX) = (64.4 ± 0.6 ± 1.6)% and B(ψ(3770) → J/ψX) = (0.5 ± 0.2 ± 0.1)% for the first time. The energy-dependent line shape of these cross sections cannot be well described by two Breit-Wigner (BW) amplitudes of the expected decays ψ (3686) → J/ψX and ψ(3770) → J/ψX. Instead, it can be better described with one more BW amplitude of the decay R(3760)→ J/ψX. Under this assumption, we extracted the R (3760) mass M R (3760 ) = 3766.2 ± 3.8 ± 0.4 MeV/c2, total width Γ tot R ( 3760 ) = 22.2 ± 5.9 ± 1.4 MeV, and product of leptonic width and decay branching fraction
ΓeeR(3760) B[R(3760) → J/ψX] = (79.4 ± 85.5 ± 11.7) eV. The significance of the R(3760) is 5.3σ. The first uncertainties of these measured quantities are from fits to the cross sections and second systematic.
Aim: NADPH oxidases are important sources of reactive oxygen species (ROS). Several Nox homologues are present together in the vascular system but whether they exhibit crosstalk at the activity level is unknown. To address this, vessel function of knockout mice for the cytosolic Nox organizer proteins p47phox, NoxO1 and a p47phox-NoxO1-double knockout were studied under normal condition and during streptozotocin-induced diabetes.
Results: In the mouse aorta, mRNA expression for NoxO1 was predominant in smooth muscle and endothelial cells, whereas p47phox was markedly expressed in adventitial cells comprising leukocytes and tissue resident macrophages. Knockout of either NoxO1 or p47phox resulted in lower basal blood pressure. Deletion of any of the two subunits also prevented diabetes-induced vascular dysfunction. mRNA expression analysis by MACE (Massive Analysis of cDNA ends) identified substantial gene expression differences between the mouse lines and in response to diabetes. Deletion of p47phox induced inflammatory activation with increased markers of myeloid cells and cytokine and chemokine induction. In contrast, deletion of NoxO1 resulted in an attenuated interferon gamma signature and reduced expression of genes related to antigen presentation. This aspect was also reflected by a reduced number of circulating lymphocytes in NoxO1-/- mice.
Innovation and conclusion: ROS production stimulated by NoxO1 and p47phox limit endothelium-dependent relaxation and maintain blood pressure in mice. However, NoxO1 and p47phox cannot substitute each other despite their similar effect on vascular function. Deletion of NoxO1 induced an anti-inflammatory phenotype, whereas p47phox deletion rather elicited a hyper-inflammatory response.
Autism spectrum disorder and schizophrenia share a substantial number of etiologic and phenotypic characteristics. Still, no direct comparison of both disorders has been performed to identify differences and commonalities in brain structure. In this voxel based morphometry study, 34 patients with autism spectrum disorder, 21 patients with schizophrenia and 26 typically developed control subjects were included to identify global and regional brain volume alterations. No global gray matter or white matter differences were found between groups. In regional data, patients with autism spectrum disorder compared to typically developed control subjects showed smaller gray matter volume in the amygdala, insula, and anterior medial prefrontal cortex. Compared to patients with schizophrenia, patients with autism spectrum disorder displayed smaller gray matter volume in the left insula. Disorder specific positive correlations were found between mentalizing ability and left amygdala volume in autism spectrum disorder, and hallucinatory behavior and insula volume in schizophrenia. Results suggest the involvement of social brain areas in both disorders. Further studies are needed to replicate these findings and to quantify the amount of distinct and overlapping neural correlates in autism spectrum disorder and schizophrenia.
Within a relativistic mean-field theory (RMFT) experimental data on the single-particle spectra of lambda hypernuclei are well reproduced. It is shown that the coupling constants cannot be fixed unambiguously from the single-particle spectra. The stability and structure of multi-lambda hypernuclei is explored on the basis of the RMFT using the coupling constants as determined from the observed single lambda hypernuclear levels. It is predicted that multistrange nuclei exhibit an enhanced interaction radius, which further increases in the case of finite temperatures. We suggest that multi-lambda hypernuclei could be produced in high-energy heavy ions and observed in secondary noncharge-changing reactions. The equation of state of lambda matter and the possibility of pure lambda droplets are also discussed.
A method is proposed by which the eigenstates and the eigenvalues of the S matrix, i.e., the eigenchannels, can be directly computed from the nuclear problem, for example, from the shell model. The calculation of all cross sections, viz., partial and total cross sections, is then exceedingly simple. The characteristics of the eigenchannels are described and the relation with other reaction theories is briefly discussed.
The rotation-vibration model and the hydrodynamic dipole-oscillation model are unified. A coupling between the dipole oscillations and the quadrupole vibrations is introduced in the adiabatic approximation. The dipole oscillations act as a "driving force" for the quadrupole vibrations and stabilize the intrinsic nucleus in a nonaxially symmetric equilibrium shape. The higher dipole resonance splits into two peaks separated by about 1.5-2 MeV. On top of the several giant resonances occur bands due to rotations and vibrations of the intrinsic nucleus. The dipole operator is established in terms of the collective coordinates and the γ-absorption cross section is derived. For the most important 1- levels the relative dipole excitation is estimated. It is found that some of the dipole strength of the higher giant resonance states is shared with those states in which one surface vibration quantum is excited in addition to the giant resonance.
The theory of Raman scattering is extended to include electric-quadrupole radiation. The results obtained are used to compute the elastic and Raman scattering cross sections of heavy deformed nuclei. The dipole and quadrupole resonances are described by a previously developed theory which includes surface vibrations and rotations. The computed cross sections are compared with experimental data for all those nuclei where both absorption and scattering cross sections are available. Some discrepances still exist in certain details; however, the over-all agreement between theory and experiment is very good.
The modes and frequencies of the giant quadrupole resonance of heavy deformed nuclei have been calculated. The quadrupole operator is computed and the absorption cross section is derived. The quadrupole sum rule is discussed, and the relevant oscillator strengths have been evaluated for various orientations of the nucleus. The giant quadrupole resonances have energies between 20 and 25 MeV. The total absorption cross section is about 20% of the giant dipole absorption cross section. Of particular interest is the occurrence of the quadrupole mode which is sensitive to the nuclear radius in a direction of approximately θ=(1/4)π from the symmetry axis. This may give information on the details of the nuclear shape.
A method is developed for the calculation of resonant nuclear states which preserves as many features of the shell model as possible. It is an extension of the R-matrix theory. The necessary formulas are derived and a detailed description of the computational procedure is given. The method is valid up to the two-particle emission threshold. With the assumption of consecutive decay of the nucleus, the two-particle emission process can also be described. The treatment is antisymmetrized in all particles.
In heavy nuclei the damping of the giant resonance is due to thermalization of the energy rather than to direct emission of particles; the latter process is strongly inhibited by the angular-momentum barrier. The thermalization proceeds via inelastic collisions leading from the particle-hole state to two-particle-two-hole states. In heavy nuclei, several hundred such states are available at the energy of the giant dipole resonance. The rather large width of the giant resonance arises from the addition of many small partial widths of channels leading to the different two-particle-two-hole states. Both the density of the two-particle-two-hole states and the mean value of the interaction matrix elements between the particle-hole and two-particle-two-hole states are evaluated in a simplified square-well shell model. In a given nucleus the energy dependence of the widths is determined mainly by the density of states; the A dependence is determined mainly by the size of the matrix elements. For A ~ 200, we find 0.5 <= Γ <=2.5 MeV. The uncertainty in this value comes mostly from the uncertainty in the strength of the interaction. Representing the energy dependence of the width by a power law we find for the exponent the value ~ 1.8.
The unified model and the collective giant-dipole-resonance model are unified. The resulting energy spectrum and the transition probabilities are derived. A new approximate selection rule involving the symmetry of the γ vibrations is established. It is verified that the main observable features in the photon-absorption cross section are not influenced by the odd particle, despite the considerably richer spectrum of states as compared to even-even nuclei.
Time dependent dirac equation with relativistic mean field dynamics applied to heavy ion scattering
(1986)
We treat the relativistic propagation of nucleons coupled to scalar- and vector-meson fields in a mean-field approximation. The time-dependent Dirac and mean-meson-field equations are solved numerically in three dimensions. Collisions of 16O(300, 600, and 1200 MeV/nucleon) + 16O are studied for various impact parameters. The results are compared to other recent theoretical approaches. The calculations predict spallation, large transverse-momentum transfer, and positive-angle sidewards flow, in qualitative agreement with the data in this energy regime.
The total particle-particle SJ matrix of O16 for spin J=1- and excitation energies between 15 and 27 MeV has been calculated in the eigenchannel reaction theory for several parameters of the Saxon-Woods potential and the two-body force. The many-body problem has been treated in the 1-particle-1-hole approximation. The photon channels have been included by perturbation theory. Surprisingly, the most important structure of the experimental cross sections is reproduced quite well in this simple approximation.
In a collective treatment the energies of the giant resonances are given by the boundary conditions at the nuclear surface, which is subject to vibration in spherical nuclei. The general form of the coupling between these two collective motions is given by angular-momentum and parity conservation. The coupling constants are completely determined within the hydrodynamical model. In the present treatment the influence of the surface vibrations on the total photon-absorption cross section is calculated. It turns out that in most of the spherical nuclei this interaction leads to a pronounced structure in the cross section. The agreement with the experiments in medium-heavy nuclei is striking; many of the experimental characteristics are reproduced by the present calculations. In some nuclei, however, there seem to be indications of single-particle excitations which are not yet contained in this work.
A first testing ground for QED in the combined presence of a strong Coulomb field and a strong magnetic field is provided by the precise measurement of the hyperfine structure splitting of hydrogenlike 209Bi. We present a complete calculation of the one-loop self-energy correction to the first-order hyperfine interaction for various nuclear charges. In the low-Z regime we almost perfectly agree with the Z alpha expansion, but for medium and high Z there is a substantial deviation.