249). Conversion to open was notably higher in the Ligasure group (P = .034), but the intraoperative complications were comparable in both groups (P = .357). Conclusion. The use of vessel sealing devices for splenic pedicle control has comparable surgical outcomes compared with the use of endoscopic staplers for LS, but with higher rate of conversion to open surgery.Body dysmorphic disorder (BDD) is a relatively common psychiatric condition of which the prevalence has not been fully investigated in the non-clinical population, and in particular among men having sex with men (MSM). PF-04691502 ic50 MSM have proven to be more inclined to develop body dissatisfaction and body image disorders compared to non-MSM. Our study investigates the prevalence of BDD and the prevalence and co-occurrence of muscle dysmorphia (MD) and penile dysmorphic disorder (PDD) in a sample of 261 Italian MSM recruited online. From our data, gathered through self-report measures, the prevalence of BDD, MD, and PDD in our populations was 5.4%, 8.8%, and 4.2%, respectively. Compared to their elders, younger adults (ages 18-34) appear to be at higher risk of BDD and especially of MD. Non-significant differences have been observed for the prevalence of PDD depending on the age range. Our study shows that the risk of body image disorders among MSM is quite common, especially among young adults, and higher than what is found among heterosexual men.Group therapy is a widely utilized and empirically supported treatment for victims of child sexual abuse (CSA). An important aspect of trauma-focused groups for CSA is the composition and presentation of a trauma narrative as part of a gradual exposure process. One challenge in the creation of a trauma narrative in group is the contagious avoidance that may be present if group members are reluctant to engage in the development of a trauma narrative. Creative group therapeutic interventions can assist in mitigating avoidance, a hallmark of posttraumatic stress disorder (PTSD), by reducing resistance to constructing and processing the trauma narrative in CSA group treatment. Additionally, creative expressive arts interventions are a developmentally tailored approach to trauma narratives for young children with limited language as well as for traumatized youth who do not have words accessible to describe their CSA. This manuscript presents a wide array of creative therapeutic activities that can be utilized for creation and processing of the trauma narrative and facilitating cohesion and coping in group therapy for CSA. Using these expressive arts techniques can support youth in preparing for the trauma narrative and providing a space to process their CSA.Many functional resonance imaging (fMRI) studies have reported sex differences during long-term memory. The present fMRI investigation aimed to identify whether sex differences exist during high- versus low-confidence accurate spatial memories. During the study phase, abstract shapes were presented to the left or right of fixation. During the test phase, each shape was presented at fixation and participants made an old-“left” or old-“right” judgment followed by an “unsure” or “sure” response. The conjunction of female high- versus low-confidence spatial memory and male high- versus low-confidence spatial memory identified common activity in visual processing regions and parietal cortex, which suggests amplification of activity in some of the regions commonly associated with long-term memory yields high confidence. The contrast of female high- versus low-confidence spatial memory and male high- versus low-confidence spatial memory did not produce any significant activity. However, the reverse contrast produced greater male than female activity in the lateral prefrontal cortex, parietal cortex, sensorimotor cortex, and visual processing regions. An independent region-of-interest (ROI) analysis (ROIs were identified by contrasting hits versus misses) produced complementary results in the lateral prefrontal cortex. Greater lateral prefrontal cortex activity suggests a higher degree of subjective confidence in males than females, greater parietal cortex and visual processing activity suggests more vivid visualization in males than females, and greater activity in sensorimotor cortex indicates that males have a more reactive processing style than females. More broadly, the present and previous functional sex differences argue against the practice of collapsing across sex in cognitive neuroscience studies.A logistic type stochastic control model for cost-effective single-species population management subject to an ambiguous jump intensity is presented based on the modern multiplier-robust formulation. The Hamilton-Jacobi-Bellman-Isaacs (HJBI) equation for finding the optimal control is then derived. Mathematical analysis of the HJBI equation from the viewpoint of viscosity solutions is carried out with an emphasis on the non-linear and non-local term, which is a key term arising due to the jump ambiguity. We show that this term can be efficiently handled in the framework of viscosity solutions by utilizing its monotonicity property. A numerical scheme to discretize the HJBI equation is presented as well. Our model is finally applied to management of algae population in river environment. Optimal management policies ranging from the short-term to long-term viewpoints are numerically investigated.Purpose Adopting an ecological perspective, the study explored the context-strengths of three successful school-based TDEs in rugby league. Method Utilizing a mixed methods approach, incorporating validated psychometric questionnaires (N = 118) and semi-structured interviews, various stakeholder perspectives (N = 30; i.e., current/past students and coaches) were triangulated and corroborated to identify TDE ecological strengths. Results Compared to benchmark TDE data, and supplemented by descriptions of TDE features and processes, results confirmed strong coherence to “effective” factors in TDE literature. Collective “ecological strengths” included quantitative findings of a highly supportive culture, shared “person” and “athlete” desired outcomes, and a long-term focus; and qualitative features of high behavioral expectations, strong values of hard work, and the promotion of personal ownership in athlete development. Opportunities to enhance TDE effectiveness were also identified, with psychological skill development (e.