In group contexts, moral judgments are used as social influence tactics to regulate the behavior of group members. We argue that communicating moral disapproval with the aim of adapting group... Show moreIn group contexts, moral judgments are used as social influence tactics to regulate the behavior of group members. We argue that communicating moral disapproval with the aim of adapting group members’ behavior might backfire because it elicits (negative) threat rather than (positive) challenge. In two experiments, we examined the motivational consequences of negative morality (vs. competence) evaluations in group contexts. Participants worked on a group task while cardiovascular indices of challenge and threat motivational states were measured following the biopsychosocial model (Blascovich & Tomaka, 1996). In Experiment 1, participants recalled their own prior behavior evaluated as immoral or incompetent; in Experiment 2, participants were exposed to an ingroup member’s prior behavior evaluated as immoral or incompetent. As predicted, in both experiments, reminders of immorality induced a state of threat rather than challenge in a novel group context. These results suggest that moral disapproval intended to motivate group members to adapt their behavior might actually be counterproductive. Show less
BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not... Show moreBackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers. MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts. ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio >= 50%, gestational age at birth >= 37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually. ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this. Show less
BackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not... Show moreBackgroundInfants with a congenital diaphragmatic hernia (CDH) and expected mild pulmonary hypoplasia have an estimated survival rate of 90%. Current guidelines for delivery room management do not consider the individual patient's disease severity, but an individualized approach with spontaneous breathing instead of routine mechanical ventilation could be beneficial for the mildest cases. We developed a resuscitation algorithm for this individualized approach serving two purposes: improving the success rate by structuring the approach and providing a guideline for other centers. MethodsAn initial algorithm was discussed with all local stakeholders. Afterwards, the resulting algorithm was refined using input from international experts. ResultsEligible CDH infants: left-sided defect, observed to expected lung-to-head ratio >= 50%, gestational age at birth >= 37.0 weeks, and no major associated structural or genetic abnormalities. To facilitate fetal-to-neonatal transition, we propose to start stabilization with non-invasive respiratory support and to adjust this individually. ConclusionsInfants with mild CDH might benefit from an individualized approach for neonatal resuscitation. Herein, we present an algorithm that could serve as guidance for centers implementing this. Show less
Meerstein-Kessel, L.; Lee, R. van der; Stone, W.; Lanke, K.; Baker, D.A.; Alano, P.; ... ; Huynen, M.A. 2018
