Ultrasound appearance of decidualized non-ovarian endometriotic lesions during pregnancy and after delivery

OBJECTIVE

To evaluate the changes in the ultrasound characteristics of decidualized non-ovarian endometriotic lesions that occur during pregnancy and after delivery.

METHODS

This was a prospective observational cohort study carried out at a single tertiary center between December 2018 and October 2021. Pregnant women with endometriosis underwent a standardized transvaginal ultrasound examination with color Doppler imaging once in every trimester and after delivery. Non-ovarian endometriotic lesions were measured and evaluated by subjective semiquantitative assessment of blood flow. Lesions with moderate-to-marked blood flow were considered decidualized. The size and vascularization of decidualized and non-decidualized lesions were compared between the gravid state and after delivery. Only patients with non-ovarian endometriotic lesion(s) who underwent postpartum examination were included in the final analysis.

RESULTS

Overall, 26 pregnant women with a surgical or sonographic diagnosis of endometriosis made prior to conception were invited to participate in the study, of whom 24 were recruited. Of those, 13 women with non-ovarian endometriosis who attended the postpartum examination were included. In 7/13 (54%) cases, the lesion(s) were decidualized. In 4/7 (57%) women with decidualized lesion(s), the size of the largest lesion increased during pregnancy, while in 3/7 (43%), the size was unchanged. The size of non-decidualized lesions did not change during pregnancy. On postpartum examination, only seven lesions were observed, of which three were formerly decidualized and four were formerly non-decidualized. Lesions that were detected after delivery appeared as typical endometriotic nodules and were smaller compared with during pregnancy. The difference in maximum diameter between the gravid and postpartum states was statistically significant in decidualized lesions (P < 0.01), but not in non-decidualized lesions (P = 0.09). The reduction in mean diameter was greater in decidualized compared with non-decidualized lesions (P = 0.03).

CONCLUSIONS

Decidualization was observed in 54% of women with non-ovarian endometriotic lesion(s) and resolved after delivery. Our findings suggest that the sonographic features of decidualization, which might mimic malignancy, are pregnancy-related and that expectant management and careful monitoring should be applied in these cases. Clinicians should be aware of the changes observed during pregnancy to avoid misdiagnosing decidualized lesions as malignancy and performing unnecessary surgery. © 2023 The Authors. Ultrasound in Obstetrics & Gynecology published by John Wiley & Sons Ltd on behalf of International Society of Ultrasound in Obstetrics and Gynecology.

Anticipated affect predicts moral praise and character judgments

In four preregistered studies (total N = 5,067), we investigated whether people use their own anticipated affective responses to a situation to make judgments about the praiseworthiness of helping and the moral character of helpers. We found that helpers in more affectively arousing scenarios were seen as more morally motivated, received greater praise, and were seen as having more positive moral character, even when controlling for the perceived benefits of helping. Describing helpers as unemotional reduced the effect of observers' anticipated affect on character judgments. These results suggest that when making praise and character judgments, people not only consider the consequences of a helper's actions but also the emotions they experience when engaging in them-and that they use their own anticipated emotional experience to do this. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Mitigating consequence insensitivity for genetically engineered crops

Many opponents of genetically engineered (GE) food say that it ought to be prohibited regardless of the risks and benefits (Scott et al., 2016). If many people are truly unwilling to consider risks and benefits in evaluating GE technology, this poses serious problems for scientists and policymakers. In a large demographically-representative German sample (N = 3,025), we investigate consequence-insensitive beliefs about GE crops among GE supporters and opponents, as well as whether these beliefs can be mitigated. We find that a large majority of opponents and a substantial minority of supporters are consequence-insensitive: They say that risks and benefits are irrelevant to their views. At the same time, the responses of consequence-insensitive participants to subsequent belief probes show substantial flexibility. Participants often gave responses inconsistent with the unconditional prohibition or permission of GE crops. These results suggest that professed consequence insensitivity should be taken as an expression of a strong moral belief rather than as literal endorsement of policy. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Is it good to feel bad about littering? Conflict between moral beliefs and behaviors for everyday transgressions

People sometimes do things that they think are morally wrong. We investigate how actors' perceptions of the morality of their own behaviors affects observer evaluations. In Study 1 (n = 302), we presented participants with six different descriptions of actors who routinely engaged in a morally questionable behavior and varied whether the actors thought the behavior was morally wrong. Actors who believed their behavior was wrong were seen as having better moral character, but their behavior was rated as more wrong. In Study 2 (n = 391) we investigated whether perceptions of actor metadesires were responsible for the effects of actor beliefs on character judgments. We used the same stimuli and measures as in Study 1 but added a measure of the actor's perceived desires to engage in the behaviors. As predicted, the effect of actors' moral beliefs on judgments of their moral character was mediated by perceived metadesires. In Study 3 (n = 1092) we replicated these findings in a between-participants design and further found that the effect of actor beliefs on act and character judgments was moderated by participant beliefs about the general acceptability of the behavior.

Arbitrary fairness in reward and punishments

People have a strong preference for fairness. For many, fairness means equal reward and punishments for equal efforts and offences. However, this belief does not specify the units in which equality should be expressed. We show that people generally fail to take the interchangeability of units into account when judging and assigning fair punishments and reward. Therefore, judgments about and distributions of resources are strongly influenced by arbitrary decisions about which unit to express them in. For example, if points represent different monetary values for different recipients, people attempt to distribute money equally if money is salient but attempt to distribute points equally if points are salient. Because beliefs about fairness are a fundamental principle in many domains, the implications of these findings are broad. Essentially any distribution of outcomes can be made to appear more or less fair by changing the units these outcomes are expressed in. (PsycInfo Database Record (c) 2023 APA, all rights reserved).

Re-examining the spread of moralized rhetoric from political elites: Effects of valence and ideology

We examine the robustness of previous research finding increased diffusion of Twitter messages ("tweets") containing moral rhetoric. We use a distributed language model to examine the moral language used by U.S. political elites in two corpora of tweets: one from 2016 presidential candidates Hillary Clinton and Donald Trump, and one from U.S. Members of Congress. Consistent with previous research, we find greater diffusion for tweets containing moral rhetoric, but this is qualified by moral language valence and elite ideology. For both presidential candidates and Members of Congress, negative moral language is associated with increased message diffusion. Positive moral language is not associated with diffusion for presidential candidates and is negatively associated with diffusion for Members of Congress. In both data sets, the relationship between negative moral language and message diffusion is stronger for liberals than conservatives. (PsycInfo Database Record (c) 2022 APA, all rights reserved).

Disgust sensitivity relates to attitudes toward gay men and lesbian women across 31 nations

Previous work has reported a relation between pathogen-avoidance motivations and prejudice toward various social groups, including gay men and lesbian women. It is currently unknown whether this association is present across cultures, or specific to North America. Analyses of survey data from adult heterosexuals ( N = 11,200) from 31 countries showed a small relation between pathogen disgust sensitivity (an individual-difference measure of pathogen-avoidance motivations) and measures of antigay attitudes. Analyses also showed that pathogen disgust sensitivity relates not only to antipathy toward gay men and lesbians, but also to negativity toward other groups, in particular those associated with violations of traditional sexual norms (e.g., prostitutes). These results suggest that the association between pathogen-avoidance motivations and antigay attitudes is relatively stable across cultures and is a manifestation of a more general relation between pathogen-avoidance motivations and prejudice towards groups associated with sexual norm violations.

Do Registered Reports Make Scientific Findings More Believable to the Public?

Registered reports are an important initiative to improve the methodological rigor and transparency of scientific studies. One possible benefit of registered reports is that they may increase public acceptance of controversial research findings. We test this question by providing participants in a large US-based sample (n = 1,500) with descriptions of the key features of registered reports and the standard peer-review process, and then eliciting credibility judgments for various scientific results. We do not find evidence that participants view findings from registered reports as more credible than findings conducted under a standard (non-registered) report. This was true for both plausible and implausible study findings. Our results help clarify public attitudes and beliefs about scientific findings in light of recent methodological developments.

Worse is bad: Divergent inferences from logically equivalent comparisons

Comparisons can often be framed in different but equivalent ways. For example, "A is better than B," can also be expressed as "B is worse than A." In 7 studies (and 4 further studies in the Supplemental Materials available in the OSF) we find that logically equivalent comparison frames have divergent effects on judgments and choices for the items being compared as well as other members of the set from which those items were drawn. These effects are asymmetric, affecting inferior items more strongly than superior ones. We propose a "comparison framing" account that draws on theory in linguistics on the markedness of adjectives (Cruse, 1976; Lehrer, 1985) to explain these results. We show that this account fits the data better than 2 previous accounts of attribute framing: automatic valenced associations (Levin et al., 1998) and leakage of information (McKenzie & Nelson, 2003). (PsycInfo Database Record (c) 2021 APA, all rights reserved).

Moral-Language Use by U.S. Political Elites

We used a distributed-language model to examine the moral language employed by U.S. political elites. In Study 1, we analyzed 687,360 Twitter messages (tweets) posted by accounts belonging to Democratic and Republican members of Congress from 2016 to 2018. In Study 2, we analyzed 2,630,688 speeches given on the floor of the House and Senate from 1981 to 2017. We found that partisan differences in moral-language use shifted over time as the parties gained or lost political power. Overall, lower political power was associated with greater use of moral language for both Democrats and Republicans. On Twitter, Democrats used more moral language in the period after Donald Trump won the 2016 presidential election. In Congressional transcripts, both Democrats and Republicans used more of most kinds of moral language when they were in the minority.

A matter of taste: Gustatory sensitivity predicts political ideology

Previous research has shown that political attitudes are highly heritable, but the proximal physiological mechanisms that shape ideology remain largely unknown. Based on work suggesting possible ideological differences in genes related to low-level sensory processing, we predicted that taste (i.e., gustatory) sensitivity would be associated with political ideology. In 4 studies (combined N = 1,639) we test this hypothesis and find robust support for this association. In Studies 1-3, we find that sensitivity to the chemicals PROP and PTC-2 well established measures of taste sensitivity-are associated with greater political conservatism. In Study 4, we find that fungiform papilla density, a proxy for taste bud density, also predicts greater conservatism, and that this association is partially statistically mediated by disgust sensitivity. This work suggests that low-level physiological differences in sensory processing may shape an individual's political attitudes. (PsycInfo Database Record (c) 2020 APA, all rights reserved).

Subjective status and perceived legitimacy across countries

The relationships between subjective status and perceived legitimacy are important for understanding the extent to which people with low status are complicit in their oppression. We use novel data from 66 samples and 30 countries (N = 12,788) and find that people with higher status see the social system as more legitimate than those with lower status, but there is variation across people and countries. The association between subjective status and perceived legitimacy was never negative at any levels of eight moderator variables, although the positive association was sometimes reduced. Although not always consistent with hypotheses, group identification, self-esteem, and beliefs in social mobility were all associated with perceived legitimacy among people who have low subjective status. These findings enrich our understanding of the relationship between social status and legitimacy.

Understanding the process of moralization: How eating meat becomes a moral issue

A large literature demonstrates that moral convictions guide many of our thoughts, behaviors, and social interactions. Yet, we know little about how these moral convictions come to exist. In the present research we explore moralization-the process by which something that was morally neutral takes on moral properties-examining what factors facilitate and deter it. In 3 longitudinal studies participants were presented with morally evocative stimuli about why eating meat should be viewed as a moral issue. Study 1 tracked students over a semester as they took a university course that highlighted the suffering animals endure because of human meat consumption. In Studies 2 and 3 participants took part in a mini-course we developed which presented evocative videos aimed at inducing moralization. In all 3 studies, we assessed participants' beliefs, attitudes, emotions, and cognitions at multiple time points to track moral changes and potential factors responsible for such changes. A variety of factors, both cognitive and affective, predicted participants' moralization or lack thereof. Model testing further pointed to two primary conduits of moralization: the experience of moral emotions (e.g., disgust, guilt) felt when contemplating the issue, and moral piggybacking (connecting the issue at hand with one's existing fundamental moral principles). Moreover, we found individual differences, such as how much one holds their morality as central to their identity, also predicted the moralization process. We discuss the broad theoretical and applied implications of our results. (PsycINFO Database Record (c) 2019 APA, all rights reserved).

Extreme opponents of genetically modified foods know the least but think they know the most

There is widespread agreement among scientists that genetically modified foods are safe to consume^1,2 and have the potential to provide substantial benefits to humankind³. However, many people still harbour concerns about them or oppose their use^4,5. In a nationally representative sample of US adults, we find that as extremity of opposition to and concern about genetically modified foods increases, objective knowledge about science and genetics decreases, but perceived understanding of genetically modified foods increases. Extreme opponents know the least, but think they know the most. Moreover, the relationship between self-assessed and objective knowledge shifts from positive to negative at high levels of opposition. Similar results were obtained in a parallel study with representative samples from the United States, France and Germany, and in a study testing attitudes about a medical application of genetic engineering technology (gene therapy). This pattern did not emerge, however, for attitudes and beliefs about climate change.

Many Labs 2: Investigating Variation in Replicability Across Samples and Settings

We conducted preregistered replications of 28 classic and contemporary published findings, with protocols that were peer reviewed in advance, to examine variation in effect magnitudes across samples and settings. Each protocol was administered to approximately half of 125 samples that comprised 15,305 participants from 36 countries and territories. Using the conventional criterion of statistical significance ( p < .05), we found that 15 (54%) of the replications provided evidence of a statistically significant effect in the same direction as the original finding. With a strict significance criterion ( p < .0001), 14 (50%) of the replications still provided such evidence, a reflection of the extremely high-powered design. Seven (25%) of the replications yielded effect sizes larger than the original ones, and 21 (75%) yielded effect sizes smaller than the original ones. The median comparable Cohen’s ds were 0.60 for the original findings and 0.15 for the replications. The effect sizes were small (< 0.20) in 16 of the replications (57%), and 9 effects (32%) were in the direction opposite the direction of the original effect. Across settings, the Q statistic indicated significant heterogeneity in 11 (39%) of the replication effects, and most of those were among the findings with the largest overall effect sizes; only 1 effect that was near zero in the aggregate showed significant heterogeneity according to this measure. Only 1 effect had a tau value greater than .20, an indication of moderate heterogeneity. Eight others had tau values near or slightly above .10, an indication of slight heterogeneity. Moderation tests indicated that very little heterogeneity was attributable to the order in which the tasks were performed or whether the tasks were administered in lab versus online. Exploratory comparisons revealed little heterogeneity between Western, educated, industrialized, rich, and democratic (WEIRD) cultures and less WEIRD cultures (i.e., cultures with relatively high and low WEIRDness scores, respectively). Cumulatively, variability in the observed effect sizes was attributable more to the effect being studied than to the sample or setting in which it was studied.

Datasets from a research project examining the role of politics in social psychological research

We present four datasets from a project examining the role of politics in social psychological research. These include thousands of independent raters who coded scientific abstracts for political relevance and for whether conservatives or liberals were treated as targets of explanation and characterized in a negative light. Further included are predictions about the empirical results by scientists participating in a forecasting survey, and coded publication outcomes for unpublished research projects varying in political overtones. Future researchers can leverage this corpus to test further hypotheses regarding political values and scientific research, perceptions of political bias, publication histories, and forecasting accuracy.

An Overview of Attitudes Toward Genetically Engineered Food

Genetically engineered food has had its DNA, RNA, or proteins manipulated by intentional human intervention. We provide an overview of the importance and regulation of genetically engineered food and lay attitudes toward it. We first discuss the pronaturalness context in the United States and Europe that preceded the appearance of genetically engineered food. We then review the definition, prevalence, and regulation of this type of food. Genetically engineered food is widespread in some countries, but there is great controversy worldwide among individuals, governments, and other institutions about the advisability of growing and consuming it. In general, life scientists have a much more positive view of genetically engineered food than laypeople. We examine the bases of lay opposition to genetically engineered food and the evidence for how attitudes change. Laypeople tend to see genetically engineered food as dangerous and offering few benefits. We suggest that much of the lay opposition is morally based. One possibility is that, in some contexts, people view nature and naturalness as sacred and genetically engineered food as a violation of naturalness. We also suggest that for many people these perceptions of naturalness and attitudes toward genetically engineered food follow the sympathetic magical law of contagion, in which even minimal contact between a natural food and an unnatural entity, either a scientist or a piece of foreign DNA, pollutes or contaminates the natural entity and renders it unacceptable or even immoral to consume.

Social and economic ideologies differentially predict prejudice across the political spectrum, but social issues are most divisive

Liberals and conservatives both express prejudice toward ideologically dissimilar others (Brandt et al., 2014). Previous work on ideological prejudice did not take advantage of evidence showing that ideology is multidimensional, with social and economic ideologies representing related but separable belief systems. In 5 studies (total N = 4912), we test 3 competing hypotheses of a multidimensional account of ideological prejudice. The dimension-specific symmetry hypothesis predicts that social and economic ideologies differentially predict prejudice against targets who are perceived to vary on the social and economic political dimensions, respectively. The social primacy hypothesis predicts that such ideological worldview conflict is experienced more strongly along the social than economic dimension. The social-specific asymmetry hypothesis predicts that social conservatives will be more prejudiced than social liberals, with no specific hypotheses for the economic dimension. Using multiple target groups, multiple prejudice measures (e.g., global evaluations, behavior), and multiple social and economic ideology measures (self-placement, issue positions), we found relatively consistent support for the dimension-specific symmetry and social primacy hypotheses, and no support for the social-specific asymmetry hypothesis. These results suggest that worldview conflict and negative intergroup attitudes and behaviors are dimension-specific, but that the social dimension appears to inspire more political conflict than the economic dimension. (PsycINFO Database Record

Data from a pre-publication independent replication initiative examining ten moral judgement effects

We present the data from a crowdsourced project seeking to replicate findings in independent laboratories before (rather than after) they are published. In this Pre-Publication Independent Replication (PPIR) initiative, 25 research groups attempted to replicate 10 moral judgment effects from a single laboratory's research pipeline of unpublished findings. The 10 effects were investigated using online/lab surveys containing psychological manipulations (vignettes) followed by questionnaires. Results revealed a mix of reliable, unreliable, and culturally moderated findings. Unlike any previous replication project, this dataset includes the data from not only the replications but also from the original studies, creating a unique corpus that researchers can use to better understand reproducibility and irreproducibility in science.

Evidence for Absolute Moral Opposition to Genetically Modified Food in the United States

Public opposition to genetic modification (GM) technology in the food domain is widespread (Frewer et al., 2013). In a survey of U.S. residents representative of the population on gender, age, and income, 64% opposed GM, and 71% of GM opponents (45% of the entire sample) were “absolutely” opposed—that is, they agreed that GM should be prohibited no matter the risks and benefits. “Absolutist” opponents were more disgust sensitive in general and more disgusted by the consumption of genetically modified food than were non-absolutist opponents or supporters. Furthermore, disgust predicted support for legal restrictions on genetically modified foods, even after controlling for explicit risk–benefit assessments. This research suggests that many opponents are evidence insensitive and will not be influenced by arguments about risks and benefits.

Can a Naturally Occurring Pathogen Threat Change Social Attitudes? Evaluations of Gay Men and Lesbians During the 2014 Ebola Epidemic

Previous evidence linking disease threat and social attitudes suggests that a highly salient society-wide pathogen threat should lead to more negative attitudes toward gay men and lesbians. Using a sample of 248,922 Americans recruited via the Project Implicit website, we tested whether implicit attitudes toward gay men and lesbians shifted as a result of the 2014 Ebola virus outbreak. Regression discontinuity analyses, but not t-tests, showed evidence of a small shift in implicit (but not explicit) attitudes at the height of public concern over Ebola. These results could be interpreted as providing partial support for the effects of naturally occurring pathogen threats on social attitudes. Alternatively, given the large size of our sample, the mixed evidence and small effects may reflect a boundary condition for the operation of the behavioral immune system.

Right-wing authoritarianism predicts prejudice equally toward "gay men and lesbians" and "homosexuals"

Two recent experiments found evidence for what we term the social category label (SCL) effect-that the relationship between right-wing authoritarianism (RWA) and prejudice against gay men and lesbians can be reduced or even eliminated when the target group is labeled "gay men and lesbians" rather than "homosexuals" (Rios, 2013). Although this appears a promising approach to reduce self-reported sexual prejudice, with both theoretical implications for the meaning of RWA itself and practical implications for question wording for assessing these attitudes, there are several reasons to further examine these findings, including (a) inconsistencies with extant evidence, (b) small sample sizes in the original 2 experiments, and (c) concerns with the RWA measures used in the 2 experiments. We tested the SCL hypothesis with a nationally representative sample (Study 1) and close and conceptual replications of Rios' (2013) 2 studies (Studies 2-5) using multiple measures of RWA and prejudice. Across 23 tests of the SCL hypothesis, we obtained 1 statistically significant and 1 marginally significant effect consistent with the hypothesis, 2 significant effects opposite the hypothesis, and 19 nonsignificant effects. A meta-analysis of evidence reported here and in Rios (2013) indicates that RWA strongly predicts antigay prejudice, with no significant variation by label. This confirms the typically robust association between RWA and antigay prejudice and confirms that the SCL effect is not robust. We discuss potential limitations of these studies, theoretical, methodological, and practical implications for our failures to replicate the original SCL studies, and future directions for examining social category label effects. (PsycINFO Database Record

Explanatory Judgment, Moral Offense and Value-Free Science

A popular view in philosophy of science contends that scientific reasoning is objective to the extent that the appraisal of scientific hypotheses is not influenced by moral, political, economic, or social values, but only by the available evidence. A large body of results in the psychology of motivated-reasoning has put pressure on the empirical adequacy of this view. The present study extends this body of results by providing direct evidence that the moral offensiveness of a scientific hypothesis biases explanatory judgment along several dimensions, even when prior credence in the hypothesis is controlled for. Furthermore, it is shown that this bias is insensitive to an economic incentive to be accurate in the evaluation of the evidence. These results contribute to call into question the attainability of the ideal of a value-free science.

Political Diversity in Social and Personality Psychology

A lack of political diversity in psychology is said to lead to a number of pernicious outcomes, including biased research and active discrimination against conservatives. We surveyed a large number (combined N = 800) of social and personality psychologists and discovered several interesting facts. First, although only 6% described themselves as conservative "overall," there was more diversity of political opinion on economic issues and foreign policy. Second, respondents significantly underestimated the proportion of conservatives among their colleagues. Third, conservatives fear negative consequences of revealing their political beliefs to their colleagues. Finally, they are right to do so: In decisions ranging from paper reviews to hiring, many social and personality psychologists said that they would discriminate against openly conservative colleagues. The more liberal respondents were, the more they said they would discriminate.

Emotion and moral judgment

Research in psychology and cognitive science has consistently demonstrated the importance of emotion in a wide range of everyday judgments, including moral judgment. Most current accounts of moral judgment hold that emotion plays an important role, but the nature and extent of this role are still debated. We outline three increasingly strong claims about the role of emotion in moral judgment and assess the evidence for each. According to the first and least controversial claim, emotions follow from moral judgments, such that witnessing immorality can lead to negative emotions and witnessing moral virtue can lead to positive ones. According to the second claim, emotions amplify moral judgments, for instance, by making immoral acts seem even more immoral. Finally, on the last claim, emotions can actually moralize nonmoral behaviors-that is, they give nonmoral acts a moral status. Although this claim seems to be the most intriguing one theoretically, empirical support for it is still very limited. In this review, we discuss research findings that are in line with each of these views, we highlight recurring themes across these three categories of evidence, and we identify some open questions and areas for future research. WIREs Cogn Sci 2013, 4:169-178. doi: 10.1002/wcs.1216 For further resources related to this article, please visit the WIREs website.

How Quick Decisions Illuminate Moral Character

It has been suggested that people attend to others’ actions in the service of forming impressions of their underlying dispositions. If so, it follows that in considering others’ morally relevant actions, social perceivers should be responsive to accompanying cues that help illuminate actors’ underlying moral character. This article examines one relevant cue that can characterize any decision process: the speed with which the decision is made. Two experiments show that actors who make an immoral decision quickly (vs. slowly) are evaluated more negatively. In contrast, actors who arrive at a moral decision quickly (vs. slowly) receive particularly positive moral character evaluations. Quick decisions carry this signal value because they are assumed to reflect certainty in the decision (Experiments 1 and 2), which in turn signals that more unambiguous motives drove the behavior (Experiment 2), which in turn explains the more polarized moral character evaluations. Implications for moral psychology and the law are discussed.

Benefiting from misfortune: when harmless actions are judged to be morally blameworthy

Dominant theories of moral blame require an individual to have caused or intended harm. However, the current four studies demonstrate cases where no harm is caused or intended, yet individuals are nonetheless deemed worthy of blame. Specifically, individuals are judged to be blameworthy when they engage in actions that enable them to benefit from another's misfortune (e.g., betting that a company's stock will decline or that a natural disaster will occur). Evidence is presented suggesting that perceptions of the actor's wicked desires are responsible for this phenomenon. It is argued that these results are consistent with a growing literature demonstrating that moral judgments are often the product of evaluations of character in addition to evaluations of acts.

Disgust Sensitivity, Political Conservatism, and Voting

In two large samples (combined N = 31,045), we found a positive relationship between disgust sensitivity and political conservatism. This relationship held when controlling for a number of demographic variables as well as the “Big Five” personality traits. Disgust sensitivity was also associated with more conservative voting in the 2008 U.S. presidential election. In Study 2, we replicated the disgust sensitivity–conservatism relationship in an international sample of respondents from 121 different countries. Across both samples, contamination disgust, which reflects a heightened concern with interpersonally transmitted disease and pathogens, was most strongly associated with conservatism.

On Disgust and Moral Judgment

Despite the wealth of recent work implicating disgust as an emotion central to human morality, the nature of the causal relationship between disgust and moral judgment remains unclear. We distinguish between three related claims regarding this relationship, and argue that the most interesting claim (that disgust is a moralizing emotion) is the one with the least empirical support.

Angry (or Disgusted), but Adjusting? The Effect of Specific Emotions on Adjustment From Self-Generated Anchors

Many numerical judgments are made by adjusting from a salient anchor value. This research examines the effect of high-certainty emotions—emotions associated with feelings of confidence about what is happening, what will happen, and how to respond—on the adjustment process. The authors examined whether such emotions would induce people to engage in adjustment more confidently and thoroughly, leading to greater adjustment. In two studies, the authors found that people feeling anger (Study 1) and disgust (Study 2)—emotions associated with appraisals of certainty—adjusted more from self-generated anchors than did people feeling fear (Study 1) and sadness (Study 2)—emotions associated with appraisals of uncertainty. Study 2 found that this effect does not occur for experimenter-provided anchors, from which adjustment tends to be less consistently observed.

Magnetic resonance-guided focused ultrasound (MRgFUS) compared with abdominal hysterectomy for treatment of uterine leiomyomas

OBJECTIVES

To compare women undergoing magnetic resonance-guided focused ultrasound (MRgFUS) to a group of contemporaneously recruited women undergoing total abdominal hysterectomy. Patient demographics, safety parameters, quality of life outcomes and disability measures are reported.

METHODS

One hundred and nine women were recruited in seven centers for MRgFUS treatment and 83 women who underwent abdominal hysterectomy were recruited in seven separate centers to provide contemporaneous assessment of safety. The adverse-event profile and disability parameters were prospectively assessed. Patients were also screened at baseline and at 1, 3 and 6 months using the SF-36 health survey questionnaire.

RESULTS

There were no life-threatening adverse events in either group. Overall, the number of significant clinical complications and adverse events was lower in women in the MRgFUS group compared to women undergoing hysterectomy. MRgFUS was associated with significantly faster recovery, including resumption of usual activities. At 6 months of follow-up, there were four (4%) treatment failures in the MRgFUS arm. Regarding SF-36 subscale scores, at 6 months there was improvement in all SF-36 subscales for both treatment groups. However, most of the SF-36 subscale scores were significantly better at this stage in the hysterectomy group than in the MRgFUS group. Women undergoing MRgFUS had steady improvement in all parameters throughout the 6-month follow-up period, despite the fact that they continued to have myomatous uteri and menstruation, which at baseline had given them significant symptomatology.

CONCLUSIONS

The results of this study show that MRgFUS treatment of uterine leiomyomas leads to clinical improvement with fewer significant clinical complications and adverse events compared to hysterectomy at 6 months' follow-up.

Magnetic resonance guided focused ultrasound surgery. Ablation of soft tissue at bone-muscle interface in a porcine model

BACKGROUND

Pain management treatments of patients with bone metastases have either efficacy problems or significant side effects. Percutaneous radiofrequency ablation has recently proved to be of palliative value. Magnetic resonance guided focused ultrasound surgery (MRgFUS) uses focused ultrasonic energy to non-invasively create a heat-coagulated lesion deep within the body in a controlled, accurate manner. The surgeon can monitor and control energy deposition in real time. This technology represents a potential treatment modality in oncological surgery. We investigated the ability of two MRgFUS methods to accurately and safely target and ablate soft tissue at its interface with bone.

MATERIALS AND METHODS

Heat-ablated lesions were created by MRgFUS at the bone-muscle interface of 15 pigs. Two different methods of energy delivery were used. Temperature rise at the target adjacent to bone was monitored by real time MR thermal images. Results were evaluated by MRI (magnetic resonance imaging), nuclear scanning and by histopathological evaluation.

RESULTS

Soft tissue lesion sizes by both methods were in the range of 1-2 cm in diameter. Targeting the focus 'behind' the bone, achieved the same result with a single sonication only. Follow up MRI and histopathological examination of all lesions showed focal damage at its interface with bone and localized damage to the outer cortex on the side closer to the targeted tissue. There was no damage to non-targeted tissue.

CONCLUSION

MRgFUS by both energy deposition methods can be used to produce controlled well-localized damage to soft tissue in close proximity to bone, with minimal collateral damage.

MRgFUS for pain relief as palliative treatment in recurrent cervical carcinoma: a case report

INTRODUCTION

Focused ultrasound under real-time MR guidance and control (MRgFUS) can be used for the thermal ablation of tissue. Currently this technique is used clinically for the noninvasive treatment of uterine leiomyomas and is in clinical evaluation for breast cancer, adenomyosis and other indications. MRgFUS is being tested for pain relief in patients suffering from bone metastases. This is the first case to report on MRgFUS for pain relief in patients suffering from recurrent cervical carcinoma.

CASE REPORT

A 29-year-old patient with recurrent squamous cell carcinoma of cervix following radical hysterectomy, chemotherapy and radiation was treated by MRgFUS due to pelvic mass unresponsive to conventional treatment that caused intractable pain. Following two treatments the patient experienced a marked reduction in pain and increase in Karnovsky Performance Status (KPS) from 50% to 80%.

DISCUSSION

Palliative treatment of pain with noninvasive MRgFUS in cases of recurrent cervical carcinoma may be a safe and efficient alternative to other invasive techniques.