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In high mountain environments, mountaineers regularly face decisions that put the physical integrity of all group members at risk, particularly in avalanche-prone terrain. These decisions, where consequences and probabilities are known, is called decision-making under risk. While knowledge and skills form the foundation of avalanche safety training, age and expertise may not be the only predictive factors. This study explored the influence of emotional intelligence (EI), vagally mediated heart rate variability (vmHRV) and inhibitory control on decision-making, in addition to age and expertise. Seventy male mountaineers (15-60 years) completed i) the Cambridge Gambling Task, a decision-making task that measured risk adjustment (RA) and risk management (RM), ii) an expertise questionnaire combining certification level and perceived expertise, iii) the Profile of Emotional Competence questionnaire, and iv) the Stop-Signal task assessing inhibitory control. We measured vmHRV at rest during 5 min. Hierarchical multiple regression analyses first tested Age and Expertise as baseline predictors, then evaluated the added predictive value of EI, vmHRV, and Inhibitory Control through model comparisons and effect size assessments. While no effects were found on RA, RM analysis revealed that EI and vmHRV improved prediction by 11.8 % compared to age and expertise alone. Global emotional competencies and heart-brain vagal interactions proved crucial in mountaineers' decision-making under risk, unlike inhibitory control. These findings suggest that emotional competencies play a role in risk management decisions in controlled settings, which may have implications for mountaineers' training programs, and highlight the potential of physiological markers as additional indicators of decision-making tendencies under risk.
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http://dx.doi.org/10.1016/j.psychsport.2025.102974 | DOI Listing |
J Med Internet Res
September 2025
Centre Hospitalier Rives de Seine, Courbevoie, France.
Background: Every year in France, 40% of people aged ≥80 years are hospitalized, with an average length of hospital stay of 25 days and a readmission rate of 14% to 30% within the month following discharge. This situation is putting pressure on the health care system, encouraging the reinforcement of home care to reduce avoidable hospitalization. The EPOCA remote patient monitoring (RPM) system is a medical and social telehealth solution specialized in RPM, teleconsultation, tele-expertise, and care coordination in emergency medicine and geriatrics.
View Article and Find Full Text PDFPediatr Radiol
September 2025
Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, 45229, United States.
Magnetic resonance imaging (MRI) has become an essential tool in the evaluation of pediatric liver disease. However, the unique physiological, anatomical, and behavioral characteristics of pediatric patients present distinct challenges that necessitate tailored imaging strategies. These guidelines, developed by members of the Society for Pediatric Radiology (SPR) Magnetic Resonance and Abdominal Imaging Committees, provide comprehensive recommendations for performing high-quality liver MRI in children.
View Article and Find Full Text PDFMinerva Anestesiol
September 2025
Department of Medical Sciences and Public Health, University of Cagliari, Monserrato, Cagliari, Italy.
Background: Neuropathic pain significantly impacts the quality of life. This study explores neuropathic pain management practices among members of the Italian Association for the Study of Pain (AISD).
Methods: During the 46 National Congress, 240 physicians affiliated with AISD were surveyed.
Cureus
August 2025
Department of Orthopaedic Surgery, King George's Medical University, Lucknow, IND.
Introduction Proximal femoral fractures are a major cause of disability, particularly in aging populations, with an increasing incidence. Although osteosynthesis remains the first-line treatment, failures are common due to various complications. Total hip arthroplasty (THA) is the preferred salvage procedure in such cases, despite its technical challenges.
View Article and Find Full Text PDFNat Aging
September 2025
Aging Biomarker Consortium (ABC), Beijing, China.
The global surge in the population of people 60 years and older, including that in China, challenges healthcare systems with rising age-related diseases. To address this demographic change, the Aging Biomarker Consortium (ABC) has launched the X-Age Project to develop a comprehensive aging evaluation system tailored to the Chinese population. Our goal is to identify robust biomarkers and construct composite aging clocks that capture biological age, defined as an individual's physiological and molecular state, across diverse Chinese cohorts.
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