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State University of New York at Stony Brook.
The influence of instructions and feedback from an experimenter on observational recordings of disruptive behavior was evaluated. Four subject-observers recorded four categories of disruptive behavior from videotapes of children in a classroom setting. Two sets of videotapes, labelled "baseline" and "treatment", were matched for rates of disruptive behavior in each category. The observers were told that two target behaviors were expected to decrease and the other two control behaviors were not expected to change during the treatment condition. During observational recording of treatment videotapes, the observers were given positive feedback when they reported decreases in the two target behaviors, and negative feedback when they reported either to change or increases in the two control behaviors. The target behaviors were recorded less frequently by observers, while recordings of control behaviors were unaffected during the treatment phase. These results suggest that contingent feedback to observers should be avoided as a possible source of bias in behavioral recordings.
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Department of Ophthalmology, Dalhousie University, Halifax, Nova Scotia, Canada, and * Optics and Visual Assessment Laboratory, Department of Ophthalmology, University of California, Davis, California, U. S. A.
This article summarizes some previous and ongoing research on the optimization of test strategies in automated perimetry for both the detection and the evaluation of glaucomatous visual field damage. A variety of methods, ranging from a large screening program to computer simulation, were employed to investigate the performance of different test strategies. We detail methods to optimize the number and distribution of test locations for visual field screening and show that effective screening programs can be designed with as few as 20 test locations. Computer-simulation experiments in threshold perimetry were done using empirical models for both the normal and glaucomatous visual field. We evaluated the test performance of the 30-2 program of the Humphrey Field Analyzer in estimating the thresholds in 50 normal and 50 glaucomatous visual fields. We also studied the interaction between various thresholding strategies and the number of test locations in the visual field to decide how clinical visual field information can be obtained most accurately and efficiently.
Optics and Visual Assessment Laboratory (OVAL), Department of Ophthalmology, University of California, Davis, Davis, California, U. S. A.
This article reviews the histopathologic and psychophysical evidence for selective losses to specific subpopulations of optic nerve fibers in glaucoma. Based on this evaluation, the degree to which these losses are selective is drawn into question, and a distinction is drawn between selective tests and selective losses. An alternative hypothesis for early detection of functional losses in glaucoma, the reduced redundancy hypothesis, is presented. This concept takes into account the redundancy or sampling characteristics of specific subpopulations of optic nerve fibers, as well as the relative amount of glaucomatous loss incurred by each optic nerve fiber subpopulation. An example is presented in which an undersampled subpopulation of optic nerve fibers with minimal redundancy is better able to reveal early losses, even though there are greater amounts of relative loss for other optic nerve fiber subpopulations. The design of psychophysical tests for early detection of functional losses in glaucoma should take into account both the relative amounts of loss for various subpopulations of optic nerve fibers and their inherent redundancy or sampling properties.
The Norwich Radiology Academy, Norwich, UK. Catherine.johnson@nnuh.nhs.uk
AIM: To determine whether there is evidence of a reduction in radiology research activity in the UK following the implementation of the European research ethics legislation, which came in to force in 2001 and has been widely criticised as an impediment to research. MATERIALS AND METHODS: A bibliometric analysis was performed by searching PubMed for all first-author publications from UK departments of "radiology" or "medical imaging" between 1995 and 2007. Results were sub-categorized into those papers published in the highest cited general radiology journals and by publication type: original research, reviews, and case reports. RESULTS: From 1995 to 2007 the total number of publications rose by 6.5% from 137 to 146 with the increase occurring in non-general radiology journals. Original articles fell from 18 in 1995 to 12 in 2003, but then rose to 24 by 2007 (33% rise). This dip was paralleled by a fall and then recovery in case report publications. The most dramatic change has been in the number of review articles, which has increased more than eightfold from seven in 1995 to 65 in 2007 to become the most common form of publication. CONCLUSION: The overall number of original scientific articles, published by first-author UK radiologists, has increased slightly over the last 12 years despite a temporary fall associated with the introduction of new research ethics legislation.
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, E. Lansing, MI 48824-1314, United States.
High-risk pregnancies are those in which the prevalence of maternal, fetal and/or perinatal morbidity or mortality is likely to be higher than that of the general obstetrical population. Some maternal characteristics associated with risk to maternal, fetal and/or perinatal health are readily identifiable prior to conception, such as advanced maternal age, brachycephalic breed, or a previous history of pregnancy loss. Others, such as gestational diabetes or a singleton litter, are recognized after conception. Early recognition of the problem (i.e. the risk), anticipation of the potential sequelae, and development of an aggressive management scheme are essential for a successful outcome of a high-risk pregnancy. A previous history of pregnancy loss is a high-risk factor for recurrence during subsequent pregnancies. Infection is a common cause. In some instances, recurrent pregnancy loss is associated with low serum concentrations of progesterone. Although the mechanism(s) by which this occurs is not fully understood, the situation has been called hypoluteoidism. Whatever the cause of the risks to pregnancy, the goals of managing high-risk pregnancies are to optimize maternal, fetal and perinatal health, so as to maintain maternal health throughout pregnancy and lactation and maximize the number of healthy pups surviving to weaning age.
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, E. Lansing, MI 48824-1314, United States.
Pregnancy management to optimize maternal and neonatal health begins with breeding management and the selection of normal, healthy brood stock in ideal body condition. After breeding, a commercial diet appropriate for reproduction and lactation should be fed. Typically these contain 29-32% protein of animal source, at least 18% fat, 20-30% carbohydrate, and essential vitamins, minerals and fatty acids. Pregnancy is confirmed approximately 25d after breeding. A "maternity ward" and whelping box should be provided. Steady increases in caloric intake and body weight are expected as pregnancy progresses. Weight loss should not occur. Throughout pregnancy, changes in the bitch's attitude, activity, appetite, body weight, and physical findings should be monitored by the owner. If appetite and body weight do not continue to increase, or if any signs of illness develop, maternal health should be assessed with a complete physical examination and a CBC, biochemical profile, and free-catch urinalysis. Fetal health should be assessed with ultrasonography. Maternal or fetal abnormalities will put the pregnancy at risk. Impending parturition and the progress of labor and delivery can be monitored by assessing rectal temperature, serum concentrations of progesterone, and/or uterine and fetal monitors. This article reviews the physiology of canine pregnancy and parturition, and typical schemes used to manage normal canine pregnancy to optimize maternal and puppy health.
Department of Small Animal Clinical Sciences, College of Veterinary Medicine, Michigan State University, E. Lansing, MI 48824-1314, United States.
Through a variety of mechanisms, pregnancy causes insulin resistance, which suppresses the intracellular transport of glucose and increases blood glucose concentrations. In the extreme, gestational diabetes (GDM) mellitus may develop. In addition to insulin resistance, pregnant bitches have decreased ability to produce glucose via gluconeogenesis, glycogenolysis and lipolysis, because the normal multi-factorial responses to hypoglycemia are blunted late in pregnancy. Simply fasting late-pregnant bitches is sufficient to cause blood glucose and insulin concentrations to decrease and ketones to increase. The purpose of this paper is to review the clinical implications of pregnancy-associated changes in glucose homeostasis in bitches.
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Facultad de Psicología, Universidad Autónoma de Madrid, Madrid, Spain. pablo.brinnol@uam.es
Contemporary research on interpersonal influence has shown that individuals scoring high in Need for Cognition (NC) are able to generate a large number of arguments in order to convince other people. However, research has also shown that such an effort does not necessarily lead them to be more persuasive or more efficient in their group performance. The present research analysed this state of affairs, replicating and extending previous research by showing that appropriate training in socio-emotional group dimensions can increase group performance for individuals high in NC. Potential underlying mechanisms for such an effect are discussed.
Département de psychologie, Laboratoire Centre de Recherche en Psychologie Cognition et Communication, Université Rennes II, France. stephane.laurens@uhb.fr
The authors analyzed a neglected phenomenon: self-conversion. Rather than concentrating on the influence exerted by a confederate on a naive participant, the authors studied how the confederate is himself or herself influenced by the position that he or she defends at the request of the experimenter. This experiment is particularly revealing with respect to a fundamental aspect of the psychology of the proselytizing of minority groups: In the process of convincing others, one also convinces oneself. Exerting influence on others thus leads to self-conversion, which allows the group to reinforce its beliefs and to stand up to conformity pressures.
Pharmaceuticals & Medical Devices Agency, Chiyoda-Ku, Tokyo, 100-0013, Japan.
This work was funded by the Turkish Ministry of Education. The views expressed in this publication are those of the author and not necessarily those of the Turkish Ministry of Education. The author would like to thank all schools, teachers, and students who participated in this study. Versions of this article were presented at XIVth Congress of Cross-Cultural Psychology, August 1998, Washington, DC; at the Annual Meeting of American Educational Research Association (AERA), April 2000, New Orleans, LA; and at the Annual Convention of the Council for Exceptional Children, British Columbia, Vancouver, Canada, April 2000Educational Support and Inclusion, Faculty of Education, University of Manchester, Oxford Road, Manchester, UK M13 9PL. filiz.polat@man.ac.uk
Deafness is more than a medical condition. Recent theories have emphasized the importance of environmental factors on the psychosocial development of deaf children. As part of a larger scale study, this article aims to investigate the impact of the following variables on deaf students' psychosocial adjustment in Turkey: student-related background and experiential characteristics, parent-related variables, school-related factors, and teacher-related variables. The sample of 1,097 deaf students enrolled in the elementary, secondary, and high schools was drawn from 34 schools in 24 cities on a national geographical spread. The multiple regression analysis revealed that degree of hearing loss, additional handicap, and age at onset of deafness were negatively related to psychosocial adjustment of deaf students. However, there was a positive relationship between psychosocial variables and some of the independent variables, such as use of hearing aids, speech intelligibility, academic achievement, parental hearing status, and communication methods used at school. The findings of the study do not support a "pathological" view of deafness, suggesting that it was not deafness per se but that some environmental factors were also influential on the psychosocial adjustment of deaf students.
PURPOSE: To interpret, within a sociological context, evidence of physician bias in the management and outcomes of coronary heart disease (CHD) treatment for African Americans vs Whites. DATA IDENTIFICATION: Articles addressing race and ethnic disparities in CHD, and gender as an additional risk factor, published since 1980, were searched and reviewed. Source material was identified using the electronic search engines for MEDLINE and Sociological STUDY SELECTION: Articles were included in the review of race or ethnic disparities in heart disease when they provided direct or indirect evidence of potential sources of physician bias and/or differential treatment for CHD. Three types of studies suggest the presence of physician bias, and include those demonstrating: 1) patterned disparities in treatments and interventions; 2) practitioner perceptual bias/stereotyping of patients; and 3) patient perceptions of bias in treatment. RESULTS: A growing body of research supports the presence of physician bias in differential treatment practices for CHD based on patient race/ethnicity, and sometimes patient gender and socioeconomic status, which manifests as additional risk factors in the quality of care, pharmacological therapy, and use of invasive procedures. Access to care and patient preferences/behaviors do not fully account for racial disparities in CHD treatment. CONCLUSION: Socioeconomics, individual racism, and institutional racism represent 3 predominant pathways to differential treatment for CHD that are mediated by the patient-provider relationship. Racial biases are shown to be a part of the social structure of medical practices at both the macro and micro levels. Individual healthcare providers can potentially reduce disparities in Black-White CHD treatment and outcomes by examining the patient-provider relationship for bias. Future studies will require addressing more direct ways of measuring, monitoring, and reducing subtle bias in the healthcare system.
Zeide School of Nursing, Bnei-Zion Medical Center, Haifa, Israel. iris1zo@012.net.il
This study attempted to analyze the variables that influence the academic integration of nursing students. The theoretical model presented by Leigler was adapted to the existing conditions in a school of nursing in northern Israel. The independent variables included the student's background; amount of support received in the course of studies; extent of outside family and social commitments; satisfaction with the school's facilities and services; and level of social integration. The dependent variable was the student's level of academic integration. The findings substantiated four central hypotheses, with the study model explaining approximately 45% of the variance in the dependent variable. Academic integration is influenced by a number of variables, the most prominent of which is the social integration of the student with colleagues and educational staff. Among the background variables, country of origin was found to be significant to both social and academic integration for two main groups in the sample: Israeli-born students (both Jewish and Arab) and immigrant students.
Dept. of Psychiatry & Neuropsychology, South Limburg Mental Health Research and TEACHING Network, EURON Maastricht University, 6200 MD Maastricht, The Netherlands.
BACKGROUND: If both positive and negative dimensions of schizophrenia independently influence need for care, a higher estimate of the comorbidity between these dimensions is expected in clinical samples than would be the case if non-clinical cases were investigated (i.e. Berkson's bias). The present paper investigates whether positive and negative dimensions independently contribute to mental health care use in a general population sample. METHOD: A prospective cohort study was conducted, in which 7076 individuals were interviewed with the Composite International Diagnostic Interview Schedule at baseline and 1 and 3 years later. Lifetime positive and negative psychotic experiences (PPE, NPE) were assessed at baseline. Mental health care use (MHC) was assessed at baseline, and prospectively 1 and 3 years later. RESULTS: The rating of MHC was strongly associated with NPE and PPE, both retrospectively and prospectively and the effects of both variables remained strong and significant in the analyses with both variables included. CONCLUSIONS: These results, therefore, suggest that the concept of schizophrenia, as a unitary entity with high comorbidity between positive and negative dimensions, is in part the result of Berkson's bias.
Department of Social Work and Psychology, National University of Singapore, Republic of Singapore. swksingh@nus.edu.sg
Previously, perceived competence of and attraction toward targets categorized by race showed in-group bias and no bias, respectively. Consequently, previous investigators regarded intergroup perception as a compromise between the norms of in-group bias and fair-mindedness. An alternative hypothesis for such findings is that attraction is not as relevant a dimension for intergroup discrimination as is competence. To test contrasting predictions of these hypotheses, the present authors asked participants from the majority and minority groups in Singapore (ns = 320) to evaluate either competence of or attraction toward one of the five targets. Consistent with the hypothesis that intergroup perception is a compromise, both dimensions yielded a uniform but weak in-group bias. The participants' equating of the in-group with one out-group further illustrated fair-mindedness. The authors discussed implications of the findings.
University of Amsterdam, The Netherlands. scheepersdt@fsw.leidenuniv.nl
In two studies, the authors examined the circumstances under which discrimination has an identity confirmation function or an instrumental function (instigating collective action). In Study 1, participants (N = 601) described a situation in which they had discriminated and then completed measures of functionality, group identification, and group threat. Both functions were predicted by group identification, whereas the instrumental function (but not identity confirmation) operated under group threat. In Study 2,"die-hard" soccer fans (N = 1,546) suggested soccer chants in reaction to either a group-reinforcing (own team scores) or group-threatening (other team scores) situation and rated the perceived functionality of the song. Although both of these conditions evoked discriminating songs, as predicted, these served a more identity-confirming function in the reinforcing situation but a more instrumental function (pepping up the team) in the threat situation. Results are discussed in terms of a contextual-functional model of intergroup discrimination.
Department of Psychology, Union College, Schenectady, NY 12308, USA. evansd@union.edu
Recent studies suggest that research participants show reduced distortion of their taboo attitudes and behaviors when they take part in Internet-based procedures from outside the laboratory. We explored whether such procedures would reduce distortion in the assessment of racial bias. In Study 1, White participants who completed the study in the laboratory evaluated Black targets more favorably than White targets. This unexpected "outgroup-favoring" pattern occurred in both pencil-and-paper and Internet versions of the study, showing that modality did not produce it; but when participants worked outside the laboratory via the Internet, this pattern disappeared. Study 2 replicated the above findings and further indicated that the reduced distortion in Internet-based studies was due to the removal of the experimenter rather than removing the participants from the laboratory environment. The implications of these findings for the study of controlled processes of prejudice and the nature of Internet-based social communication are discussed.
