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Objectives: The contested categorical personality disorder (PD) criteria are not well suited to inform PD diagnoses in older adults. Yet, the classification of PDs is undergoing a critical transition phase with a paradigm shift to a dimensional approach for diagnosing PDs. No special attention was given to the expression of PDs in older age when the dimensional ICD‐11 model was developed. Given that PDs are highly prevalent in older adults, there is an urgent need to examine if ICD‐11 related instruments are able to adequately assess for PDs in older adults. Methods: The age‐neutrality of ICD‐11 measures was examined in a sample of 208 Dutch community‐dwelling adults (N = 208, M age = 54.96, SD = 21.65), matched on sex into 104 younger (age range 18–64) and 104 older (age range 65–93) adults. An instrument is considered not to be age‐neutral if a collective large level of differential item functioning (DIF) exists in a group of items of an instrument (i.e., 25% or more with DIF). We therefore set out to detect possible DIF in the following ICD‐11 self‐report measures: the Standardized Assessment of Severity of Personality Disorder (SASPD), the Personality Inventory for ICD‐11 (PiCD), and the Borderline Pattern Scale (BPS). Results: DIF analyses using a non‐parametric odds ratio approach demonstrated that SASPD, PiCD, and BPS were age‐neutral with less than 25% of items showing DIF. Yet, impact of DIF at scale level, examined by way of differential test functioning (DTF), indicated a DTF effect on the SASPD total score. Conclusions: These results of age‐neutrality of the PiCD and BPS are promising for measuring ICD‐11 traits and the borderline pattern. Yet, the age‐neutral measurement of PD severity requires further research. With a rapidly aging population, its accurate assessment across the entire adult life span, including older age, is a prerequisite for an adequate detection of PDs. Key points: Personality disorders (PDs) in older adults are prevalent, therefore accurate assessment instruments are needed.The classification and assessment of PDs is shifting toward a dimensional approach, given the critiques on categorical approaches.The current study demonstrates that the dimensional ICD‐11 model of PDs and related assessment instruments allow for accurate assessment of maladaptive traits and the borderline pattern in older adults by corroborating the age‐neutrality of the PiCD and borderline pattern scale instruments.Accurate assessment of PD severity across the adult life span requires further research. [ABSTRACT FROM AUTHOR]

Aim. This paper presents results of a study on the Polish adaptation of the Personality Inventory for ICD-11 (PiCD), which was developed to measure pathological traits under a new, dimensional model of personality disorders proposed in ICD-11. Method. The study involved a non-clinical sample of N = 597 adults (51.4% female; Mage = 30.24 years, SD = 12.07 years). For convergent and divergent validity, Personality Inventory for DSM-5 (PID-5) and Big Five Inventory-2 (BFI-2) were used. Results. The results showed the Polish adaptation of the PiCD to be reliable and valid. Cronbach's alpha coefficient for PiCD scale scores ranged from 0.77 to 0.87 (Ma = 0.82). The four-factor structure of PiCD items with the three unipolar factors, "Negative Affectivity", "Detachment", and "Dissociality", and one bipolar "Anankastia" vs. "Disinhibition" factor was conformed. All PiCD traits are related to PID-5 pathological traits and BFI-2 normal traits in an expected way both in correlational and factor analyses. Conclusions. Obtained data demonstrate satisfactory internal consistency, factorial validity, and convergent-discriminant validity of the Polish adaptation of PiCD in a non-clinical sample. [ABSTRACT FROM AUTHOR]

Intelligent or smart completion wells vary from conventional wells. They have downhole flow control devices like Inflow Control Devices (ICD) and Interval Control Valves (ICV) to enhance reservoir management and control, optimizing hydrocarbon output and recovery. However, to explain their adoption and increase their economic return, a high level of justification is necessary. Smart horizontal wells also necessitate optimizing the number of valves, nozzles, and compartment length. A three-dimensional geological model of the As reservoir in AG oil field was used to see the influence of these factors on cumulative oil production and NPV. After creating the dynamic model for the As reservoir using the program Petrel (2017.4), we improve the robustness of forecasting production from smart wells using reservoir simulation. High-level details in the rock and fluid flow properties are required in the horizontal well region to capture the flow dynamics accurately. Thus, the study offers an enhanced method for predicting the performance of intelligent or smart wells in reservoir modeling. This model was history matched for a period of 20 years for three horizontal wells by using program Petrel (2017.4) and ECLIPS (2011). After successful validation of model on a field scale and well level, performance prediction was carried out to see the effect of (number of valves, number of nozzle and compartment length) using PICD/AFCV completion. Optimizing well performance entails lowering water-cut. From an economic viewpoint, the goal is to maximize NPV or profit, depending on the situation, from PICD wells, which compared to other wells. [ABSTRACT FROM AUTHOR]

The International Classification of Diseases-11th Edition (ICD-11) includes a dimensional trait model of personality disorder. The Personality Inventory for ICD-11 (PiCD) was the first self-report measure developed for its assessment. The present study examines the validity of an informant-report version of the PiCD, the Informant-Personality Inventory for ICD-11 (the IPiC), and is the first study to test self–other agreement, ratings from close others, and the criterion validity of both the IPiC and the PiCD for several popular and well-validated measures of life functioning: Life and romantic relationship satisfaction, social support, physical and mental health, depressive symptoms, insomnia symptoms, and cognitive decline. The present study is also the first to examine the IPiC and PiCD in a sample of older adults in the community. Results suggest that the IPiC and the PiCD show moderate self–other agreement, are associated significantly with several important life functioning areas, and have structural validity even at the item level. Further replication and validation are necessary for these instruments, but the IPiC and the PiCD have shown strong validation evidence to date, now including evidence of consensual and criterion validity, in addition to structural validity. Public Significance Statement: This study provides convergent, criterion, and structural validity for the self-report and informant-report Personality Inventories for ICD-11. It further shows that the ICD-11 personality traits are associated with important life variables. [ABSTRACT FROM AUTHOR]

The International Classification of Diseases–11th revision (ICD-11) classification of personality disorders is the official diagnostic system that is used all over the world, and it has recently been renewed. However, as yet very few data are available on its performance. This study examines the Personality Inventory for ICD-11 (PiCD), which assesses the personality domains of the system, and the Standardized Assessment of Severity of Personality Disorder (SASPD), which determines severity. The Spanish versions of the questionnaires were administered to a community (n = 2,522) and a clinical sample (n = 797). Internal consistency was adequate in the PiCD (α =.75 to.84) but less so in the SASPD (α =.64 and.73). Factor analyses suggested a unidimensional or bidimensional structure for severity, while revealing that the personality trait qualifiers are organized into four factors: negative affectivity, detachment, dissociality, and a bipolar domain of disinhibition–anankastia. The mutual relationships between traits and severity were analyzed, as well as the ability of the whole system to identify clinical subjects. Although further improvements are required, the results generally support the use of the PiCD and the SASPD and help substantiate the new ICD-11 taxonomy that underlies them. [ABSTRACT FROM AUTHOR]

The Personality Inventory for ICD-11 (PiCD) was recently developed to assess the ICD-11 model of personality disorders. The purpose of this study was to examine the construct validity of the PiCD using the Minnesota Multiphasic Personality Inventory (MMPI)-2-Restructured Form (MMPI-2-RF) and the Computerized Adaptive Test of Personality Disorders Static Form (CAT-PD-SF). We administered these tests to 328 college students (150 males, 178 females). We found that the PiCD had adequate internal consistency reliability. Correlations between scores from the PiCD scales and the criterion measures generally indicated adequate discriminant validity. Along the same lines, convergent validity was adequate for the PiCD Negative Affective, Disinhibition, and Dissocial scales. However, the evidence was more mixed for the PiCD Detachment and Anankastic domains, which may be due to limitations with the content domains for these scales. Consistent with other research and theoretical expectations, a conjoint exploratory factor analysis utilizing the PiCD and MMPI-2-RF PSY-5 scales also indicated that anankastic and disinhibition may be more appropriately conceptualized as measuring opposite poles of one construct. Implications of these findings for the PiCD and the ICD-11 model are discussed. [ABSTRACT FROM AUTHOR]

Background: Albumin after large volume paracentesis (LVP) reduces paracentesis-induced circulatory dysfunction (PICD). The most efficacious dose of albumin for LVP is unclear. Objective: To evaluate the impact of implementing a standardized LVP order set on albumin utilization and patient outcomes. Methods: This is a retrospective review of patients with ascites due to cirrhosis who received a therapeutic paracentesis at a large, academic institution. Primary outcome was amount of albumin used prior to and after order set implementation. Albumin doses were standardized in the order set to 25 g (5-6 L removed), 50 g (7-10 L), and 75 g (>10 L). Patient outcomes were rates of hyponatremia, renal impairment, and hypotension. Results: There were 100 patients included in each arm of the final analysis. Patients prior to order set implementation received a higher amount of albumin per liter removed compared to those post-implementation (8.3 g/L vs 6.5 g/L, respectively; P <.01). There were no significant differences between groups in absolute changes in serum sodium (0 mEq/L vs −1 mEq/L, P =.64), serum creatinine (0.06 mg/dL vs 0.05 mg/dL, P =.94), or systolic blood pressure (−4 mm Hg vs −3 mm Hg, P =.96). There were no differences between groups in rates of hyponatremia (1.6% vs 6.6%, P =.21), renal impairment (11.3% vs 11.5%, P =.97), or hypotension (17.4% vs 17.6%, P =.97). Conclusions: Use of an order set to guide albumin dosing based on amount of ascitic fluid removed during LVP resulted in a significant reduction in the amount of albumin given with no difference in adverse effects. [ABSTRACT FROM AUTHOR]

The International Classification of Diseases-11th Edition (ICD-11) Classification of Personality Disorders provides the option of coding 5 trait domain qualifiers that contribute to the individual expression of personality dysfunction (i.e., Negative Affectivity, Detachment, Dissociality, Disinhibition, and Anankastia). Previous investigations of these trait domains are based on self-reported data, and so is much of the research literature from which the ICD-11 trait model has evolved. However, the ICD-11 itself involves judgments made by clinicians about their patients. Thus, it is important to examine whether the trait domains identified in self-report studies can also be obtained from clinician-reported data. A sample of 238 mental health patients were characterized by clinicians using an informant-report form of the Personality Inventory for ICD-11 (PiCD-IRF). As expected, exploratory factor analysis (EFA) indicated that clinician-reported ICD-11 trait domains could be captured by both 4- and 5-factor structures, of which the 5-factor solution seemed less conceptually sound relative to the 4-factor solution. The 4-factor model captured the unipolar domains of Negative Affectivity, Detachment, Dissociality, along with a bipolar domain of Disinhibition versus Anankastia, whereas the 5-factor model furthermore captured features of Disinhibition and Anankastia as 2 separate factors. The hierarchical structure from 1 to 5 factors partially resembled previously reported trait structures and models of psychopathology. These findings overall support the multimethod robustness of ICD-11 trait domain qualifiers and the potential for their valid ratings by mental health clinicians. The PiCD-IRF is provided in the online supplementary material - for clinical or research purposes. (PsycINFO Database Record (c) 2019 APA, all rights reserved). [ABSTRACT FROM AUTHOR]

Conservation interventions require evaluation to understand what factors predict success or failure. To date, there has been little systematic investigation of the effect of social and cultural context on conservation success, although a large body of literature argues it is important. We investigated whether local cultural context, particularly local institutions and the efforts of interventions to engage with this culture significantly influence conservation outcomes. We also tested the effects of community participation, conservation education, benefit provision, and market integration. We systematically reviewed the literature on community-based conservation and identified 68 interventions suitable for inclusion. We used a protocol to extract and code information and evaluated a range of measures of outcome success (attitudinal, behavioral, ecological, and economic). We also examined the association of each predictor with each outcome measure and the structure of predictor covariance. Local institutional context influenced intervention outcomes, and interventions that engaged with local institutions were more likely to succeed. Nevertheless, there was limited support for the role of community participation, conservation education, benefit provision, and market integration on intervention success. We recommend that conservation interventions seek to understand the societies they work with and tailor their activities accordingly. Systematic reviews are a valuable approach for assessing conservation evidence, although sensitive to the continuing lack of high-quality reporting on conservation interventions. [ABSTRACT FROM AUTHOR]

The wide bandgap and low photocatalytic efficiency are acknowledged as the main problems of the photocatalytic activities of TiO 2. Herein, an effective strategy combing defect engineering and heteroatom doping is developed to expand the region covering visible light response and construct the active surface. A plasma-induced carbon doping (PICD) method is adopted to achieve a binary core-shell structure containing outer defect-layer shell of oxygen vacancy and inside crystalline anatase TiO 2 core (~ 5 nm). The outstanding photocatalytic activity for visible-light-driven degradation of RhB and MO originates from narrowed bandgap (~ 2.30 eV) and improved photo-induced charge separation. Moreover, the excellent stability towards RhB degradation (100%) after 4 recycles exhibits the great potential applicability. RhB removal efficiency could reach to 100% even in the wide pH range from 3 to 11. Furthermore, the synergy effect by outside oxygen-vacancies layer and interstitial carbon doping enhanced the photoelectrochemical (PEC) performances significantly. This PICD technology can induce carbon doping and defect layer with active cites, which opens up a new way to design novel visible-light-responsive photocatalysis. [Display omitted] • A plasma-induced strategy combines in-situ carbon doping and defect engineering. • Wide UV–vis response range is from 200 nm to 800 nm. • A strong absorption and degradation under visible light irradiation of MO for OV-TiO 2 @C. • The mechanism of photodegradation RhB is investigated by In-situ DRIFTS measurement. • The improved PEC performances benefits from the synergy effect by continuous oxygen-vacancies layer and interstitial carbon doping. [ABSTRACT FROM AUTHOR]

Strict protectionism, resource extraction, protected-area community outreach, ecotourism, an integrated conservation and development program, comanagement schemes, and citizen-science initiatives are all being used to help conserve the remote Katavi-Rukwa ecosystem in western Tanzania. Biological and social research show that protectionism is successful in the conservation of large mammals but fails to capture diverse species communities; extractivism is appropriate for some resources but not for others; protected-area outreach can be effective for some communities; and devolved control over wildlife, in conjunction with ecotourism and citizen science, has considerable potential in the area. The long-term nature of the research provides the necessary time frame to evaluate outcomes of different conservation strategies, uncovers dynamics within communities that affect attitudes and responses to conservation initiatives, provides impartial recommendations because changing research personnel offers different viewpoints, and, probably most importantly, enhances trust among stakeholders. Currently, there are limited institutional mechanisms for ensuring the input of biological and social science in shaping conservation practice in Tanzania, and long-term research can help informally bridge the gap [ABSTRACT FROM AUTHOR]

Background: A percutaneous intravascular cardioverter-defibrillator (PICD) has been developed with a right ventricular (RV) single-coil lead and titanium electrodes in the superior vena cava (SVC)-brachiocephalic vein (BCV) region and the inferior vena cava (IVC)., Objective: To compare defibrillation thresholds (DFTs) of the PICD with those of a conventional ICD in humans., Methods: Ten patients with ischemic cardiomyopathy and ejection fraction ≤35% were randomized to initial testing with either PICD or conventional ICD. A standard dual-coil lead was positioned in the RV apex. If randomized to PICD, the device was placed into the vasculature such that 1 titanium electrode was positioned in the SVC-BCV region and the second in the IVC. For PICD DFTs, the RV coil of the conventional ICD lead was connected to the PICD mandrel [shock vector: RV (+) to SVC-BCV (-) + IVC (-)]. When testing the conventional ICD, a subcutaneous pocket was formed in the left pectoralis region and the ICD was connected to the lead system and positioned in the pocket [shock vector: RV (+) to SVC (-) + active can (-)]. Each device was removed before testing with the other. A step-down binary search protocol determined the DFT, with the initial shock being 9 J., Results: The mean PICD DFT was 7.6 ± 3.3 J, and the conventional ICD system demonstrated a mean DFT of 9.5 ± 4.7 J (N = 10; paired t test, P = .28)., Conclusion: The intravascular defibrillator has DFTs similar to those of commercially available ICDs., (Published by Heart Rhythm Society on behalf of Heart Rhythm Society.)