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When children are confronted with an emotional problem, affective flexibility mobilizes their cognitive and emotional resources to optimally address it. We investigated the contribution of executive functions to cognitive and affective flexibility in preschoolers. We assessed affective flexibility in 67 preschoolers (30 girls; M[subscript months] = 61.77, SD = 11.08 months) using an innovative measure -- the Emotional Flexible Item Selection Task (EM-FIST), plus cool measures of executive functions (working memory, inhibition and cognitive flexibility), anxiety symptoms and intelligence. Findings revealed that affective flexibility improves during the preschool years. While individual differences in age and proactive inhibition predicted cognitive flexibility, a different constellation of predictors (maternal education, proactive inhibition, working memory and age) were significant for affective flexibility. Cognitive flexibility didn't contribute to affective flexibility beyond the predictors mentioned above. Anxiety exerted a negative effect on affective flexibility in a high anxious subgroup of preschoolers, but only when processing negative, relative to happy faces, supporting the Attentional Control Theory which predicts valence-related executive impairments.

When children are confronted with an emotional problem, affective flexibility mobilizes their cognitive and emotional resources to optimally address it. We investigated the contribution of executive functions to cognitive and affective flexibility in preschoolers. We assessed affective flexibility in 67 preschoolers (30 girls; Mmonths = 61.77, SD = 11.08 months) using an innovative measure – the Emotional Flexible Item Selection Task (EM-FIST), plus cool measures of executive functions (working memory, inhibition and cognitive flexibility), anxiety symptoms and intelligence. Findings revealed that affective flexibility improves during the preschool years. While individual differences in age and proactive inhibition predicted cognitive flexibility, a different constellation of predictors (maternal education, proactive inhibition, working memory and age) were significant for affective flexibility. Cognitive flexibility didn't contribute to affective flexibility beyond the predictors mentioned above. Anxiety exerted a negative effect on affective flexibility in a high anxious subgroup of preschoolers, but only when processing negative, relative to happy faces, supporting the Attentional Control Theory which predicts valence-related executive impairments. [ABSTRACT FROM AUTHOR]

Background: Cardiovascular complications of COVID-19 are important aspects of the disease's pathogenesis and prognosis. Evidence on the prognostic role of troponin and myocardial injury in Latin American hospitalized COVID-19 patients is still scarce., Objectives: To evaluate myocardial injury as independent predictor of in-hospital mortality and invasive mechanical ventilation support in hospitalized patients, from the Brazilian COVID-19 Registry., Methods: This cohort study is a substudy of the Brazilian COVID-19 Registry, conducted in 31 Brazilian hospitals of 17 cities, March-September 2020. Primary outcomes included in-hospital mortality and invasive mechanical ventilation support. Models for the primary outcomes were estimated by Poisson regression with robust variance, with statistical significance of p<0.05., Results: Of 2,925 patients (median age of 60 years [48-71], 57.1% men), 27.3% presented myocardial injury. The proportion of patients with comorbidities was higher among patients with cardiac injury (median 2 [1-2] vs. 1 [0-2]). Patients with myocardial injury had higher median levels of brain natriuretic peptide, lactate dehydrogenase, creatine phosphokinase, N-terminal pro-brain natriuretic peptide, and C-reactive protein than patients without myocardial injury. As independent predictors, C-reactive protein and platelet counts were related to the risk of death, and neutrophils and platelet counts were related to the risk of invasive mechanical ventilation support. Patients with high troponin levels presented a higher risk of death (RR 2.03, 95% CI 1.60-2.58) and invasive mechanical ventilation support (RR 1.87, 95% CI 1.57-2.23), when compared to those with normal troponin levels., Conclusion: Cardiac injury was an independent predictor of in-hospital mortality and the need for invasive mechanical ventilation support in hospitalized COVID-19 patients.