[Noninvasive mechanical ventilation in patients with stable severe COPD]. / Die nichtinvasive Beatmung bei Patienten mit stabiler, schwergradiger chronisch-obstruktiver Bronchitis und Lungenemphysem (COPD).

Noninvasive positive pressure ventilation in patients with stable chronic obstructive pulmonary disease. The role of non-invasive positive pressure ventilation (NIPPV) is well documented in patients with restrictive thoracic diseases like kyphoscoliosis, tuberculosis sequelae or neuromuscular disease. There is also a good evidence for the use of NIPPV in acute respiratory failure in patients with an exacerbation of COPD. The application of NIPPV in patients with chronic respiratory failure is growing, but there is less evidence than in restrictive disorders. NIPPV can unload the respiratory muscles in patients with chronic hypercapnic COPD and so alleviates fatigue of the respiratory pump, but improvement in the maximal inspiratory pressure (Pi (max)) is small or even absent. An improvement of sleep quality has also postulated, there was an increase in total sleep time and sleep effectiveness when using higher inspiratory pressure. An increase of the walking distance was shown in short term studies, only. In most studies, there was an increase in quality of life as a main topic. Mortality was unchanged in the two long-term randomised controlled studies. Current data suggest a possible role of NIPPV in patients with severe hypercapnia. A high effective inspiratory pressure and a ventilator mode with a significant reduction in the work of breathing should be choosen. NIPPV should be started in hospital, a close reassessment must be performed. Patients who accepted NIPPV in the first weeks had a good compliance for long-term use.

The effect on expected job success of the connotative meanings of names and nicknames.

The authors conducted this study among U.S. students to determine whether expectations of job success are related to the degree of match between the masculinity or femininity of men's or women's names and the stereotypic masculinity or femininity of planned occupations. Results confirmed the predictions: The greater the match among (a) the gender of names, (b) the participants' ratings of the masculinity or femininity of those names, and (c) the masculinity or femininity of planned occupations, the greater the expected likelihood of job success.

The person who outperforms me is a genius: maintaining perceived competence in upward social comparison.

People have many ways of protecting themselves against unfavorable social comparisons. Sometimes, however, the unfavorableness of a comparison is too unambiguous to deny. In such circumstances, people may indirectly protect their self-images by exaggerating the ability of those who outperform them. Aggrandizing the outperformer is conceived to be a construal mechanism that permits inferior performers to deflect the self-esteem threat of being outperformed while maintaining believability. The tendency to exaggerate an outperformer's ability was demonstrated in a context in which subjects learned they had been outperformed by a confederate on a perceptual intelligence test. Subjects' and observers' ratings of the confederate's intelligence showed that subjects consistently rated the confederate more favorably than did observers. Using a similar methodology in which subjects outperformed confederates, another study showed that subjects exaggerated the ability of the people they outperformed. The conditions in which these effects are most likely to be obtained are discussed.