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Computerized Version (computerized + version)
Selected AbstractsThe mental health of female sex workersACTA PSYCHIATRICA SCANDINAVICA, Issue 2 2010W. Rössler Rössler W, Koch U, Lauber C, Hass A-K, Altwegg M, Ajdacic-Gross V, Landolt K. The mental health of female sex workers. Objective:, There is limited information available about the mental health of female sex workers. Therefore, we aimed to make a comprehensive assessment of the mental status of female sex workers over different outdoors and indoors work settings and nationalities. Method:, As the prerequisites of a probability sampling were not given, a quota-sampling strategy was the best possible alternative. Sex workers were contacted at different locations in the city of Zurich. They were interviewed with a computerized version of the World Health Organization Composite International Diagnostic Interview. Additional information was assessed in a structured face-to-face interview. Results:, The 193 interviewed female sex workers displayed high rates of mental disorders. These mental disorders were related to violence and the subjectively perceived burden of sex work. Conclusion:, Sex work is a major public health problem. It has many faces, but ill mental health of sex workers is primarily related to different forms of violence. [source] Eye remember you two: gaze direction modulates face recognition in a developmental studyDEVELOPMENTAL SCIENCE, Issue 5 2006Alastair D. Smith The effects of gaze direction on memory for faces were studied in children from three different age groups (6,7, 8,9, and 10,11 years old) using a computerized version of a task devised by Hood, Macrae, Cole-Davies and Dias (2003). Participants were presented with a sequence of faces in an encoding phase, and were then required to judge which faces they had previously encountered in a surprise two-alternative forced-choice recognition test. In one condition, stimulus eye gaze was either direct or deviated at the viewing phase, and eyes were closed at the test phase. In another condition, stimulus eyes were closed at the viewing phase, with either direct or deviated gaze at the test phase. Modulation of gaze direction affected hit rates, with participants demonstrating greater accuracy for direct gaze targets compared to deviated gaze targets in both conditions. Reaction times (RT) to correctly recognized stimuli were faster for direct gaze stimuli at the viewing phase, but not at the test phase. The age group of participants differentially affected these measures: there was a greater hit rate advantage for direct gaze stimuli in older children, although RTs were less affected by age. These findings suggest that while the facilitation of face recognition by gaze direction is robust across encoding and recognition stages, the efficiency of the process is affected by the stage at which gaze is modulated. [source] Early weaning and alcohol disorders in offspring: biological effect, mediating factors or residual confounding?ADDICTION, Issue 8 2009Rosa Alati ABSTRACT Aims This study explores associations between early weaning and alcohol use disorders in youth and mechanisms by which these associations may operate. Design We used data from the Mater University Study of Pregnancy and its outcomes, an Australian birth cohort study based in Brisbane. Setting and participants: This study is based on a subsample of 2370 participants for whom complete data were available at age 21 years. Length and method of breastfeeding were assessed at 6 months. Measurements Alcohol use disorders were assessed at age 21 using the life-time version of the Composite International Diagnostic Interview,computerized version (CIDI-Auto). We adjusted for maternal age, marital status, education, alcohol, tobacco use, anxiety, depression and maternal attitudes towards the baby. Attention Deficit and Hyperactivity Disorders (ADHD) and Intellect Quotient (IQ) were measured with the Child Behaviour Checklist (5 years) and the Ravens SM (14 years), respectively. Findings Those who had been weaned within 2 weeks of being born and breastfed at regular intervals were at increased risk of meeting criteria for alcohol use disorders at age 21 [odds ratio (OR) 1.71, 95% confidence interval (CI):1.07, 2.72]. Conclusion This study confirms a small but robust association between early weaning and increased risk of alcohol use disorders. [source] Evaluating the validities of different DSM-IV-based conceptual constructs of tobacco dependence,ADDICTION, Issue 7 2008Peter S. Hendricks ABSTRACT Aim To compare the concurrent and predictive validities of two subsets of DSM-IV criteria for nicotine dependence (tolerance and withdrawal; withdrawal; difficulty controlling use; and use despite harm) to the concurrent and predictive validity of the full DSM-IV criteria. Design Analysis of baseline and outcome data from three randomized clinical trials of cigarette smoking treatment. Setting San Francisco, California. Participants Two samples of cigarette smokers (n = 810 and 322), differing with regard to baseline characteristics and treatment received, derived from three randomized clinical trials. Measurements DSM-IV nicotine dependence criteria were measured at baseline with a computerized version of the Diagnostic Interview Schedule for DSM-IV (DIS-IV). Additional baseline measures included the Fagerström Test of Nicotine Dependence (FTND), number of cigarettes smoked per day, breath carbon monoxide (CO) level, the Minnesota Nicotine Withdrawal Scale (MNWS), the Michigan Nicotine Reinforcement Questionnaire (M-NRQ) and the Profile of Mood States (POMS). Seven-day point-prevalence abstinence was assessed at week 12. Findings Full DSM-IV criteria displayed greater concurrent validity than either of the two subsets of criteria. However, DSM-IV symptoms accounted for only a nominal amount of the variance in baseline smoking-related characteristics and were unrelated to smoking abstinence at week 12. Cigarettes smoked per day was the only significant predictor of abstinence at week 12. Conclusions Although the findings do not provide a compelling alternative to the full set of DSM-IV nicotine dependence criteria, its poor psychometric properties and low predictive power limit its clinical and research utility. [source] Attention as a cueing function during kindergarten children's dimensional change task performanceINFANT AND CHILD DEVELOPMENT, Issue 5 2009Jeffrey T. Coldren Abstract The purpose of this experiment is to test whether shift flexibility in kindergarten children is a joint function of rule-usage and inhibition of attention. Sixty-six children were given either a distraction or facilitation condition in a computerized version of the dimensional change card sort task. In the distraction condition, the background of the post-shift matching stimulus was inconsistent with the relevant matching dimension. In the facilitation condition, the background of the post-shift matching stimulus was consistent with the relevant matching dimension. Results revealed that children made few errors in the standard version of the shift task, thereby supporting Cognitive complexity and control theory's contention that 5-year-old children shift easily across dimensions due to their use of higher-order setting rules to solve contradictions. The proportion of errors increased however in the distraction condition suggesting that attention to the background interfered with children's ability to shift between dimensions. Therefore, these data provide evidence that refocusing attention to dimensions along with rule-use processes affect shift flexibility and argue for the inclusion of both factors into theoretical accounts of shift performance. Copyright © 2009 John Wiley & Sons, Ltd. [source] A Customizable Instrument for Measuring the Mechanical Properties of Thin Biomedical MembranesMACROMOLECULAR MATERIALS & ENGINEERING, Issue 10 2005Gracián Trivińo Abstract Summary: A customized instrument has been developed as part of multidisciplinary research work relating to the development of a biodegradable vascular scaffold. This instrument aims to measure the mechanical properties of elastic and viscoelastic thin membranes with tissue engineering applications. Uniform and omni-directional pressure is applied on the whole membrane which is uniformly clamped and submerged into a liquid medium. The mechanical testing described in this study is focused on the stress-strain curves of polycaprolactone (PCL) films after different treatments. The influence of Dulbecco's modified Eagle's culture medium, L929 fibroblast culture, NaOH treatment and film thickness on the mechanical properties of PCL films was evaluated after different times. These studies show that the PCL degradation process is influenced by immersion in the culture medium, inducing an increment in the slope of the pressure-dilation curve which is indicative of an increase in the polymer stiffness. On the other hand, long NaOH treatments make PCL films have more flexible behavior. A computerized version of the instrument: (1) Electrical compressor; (2) Filter; (3) Voltage-pressure converter; (5) Pressure sensor; (6) Differential pressure sensor; (7,8) Main and auxiliary pipettes; (9) Printed circuit board; (10) Personal computer. [source] Implementing touch-screen technology to enhance recognition of distressPSYCHO-ONCOLOGY, Issue 8 2009K. Clark Abstract Objective: The University of California, San Diego, Moores Cancer Center implemented a systematic approach for patients to communicate with their health-care team in real-time regarding psychosocial problem-related distress using touch-screen technology. The purpose of this report is to describe our experience in implementing touch-screen problem-related distress screening as the standard of care for all outpatients in a health-care setting. Although early identification of distress has recently gained wide attention, the practical issues of implementing psychosocial screening with and without the use of technology have not been fully addressed or investigated. Methods: ,The How Can We Help You and Your Family?' screening instrument was used to identify and address patient problem-related distress for clinical services, program development, research and education. Using a HIPPA-compliant approach, the touch-screen technology also helped to identify patients interested in clinical trials and additional support services. Results: We found that the biggest barrier to implementing this technology was the attitude of the front desk staff (i.e. schedulers, clerks, administrative staff) who felt that the touch-screen would be burdensome. Our experience suggested that it was essential to actively involve these personnel from the beginning of the planning process. As specifically acknowledged in the recent 2007 Institute of Medicine report (Cancer Care for the Whole Patient: Meeting Psychosocial Health Needs. The National Academies Press: Washington, DC, 2007), use of this computerized version of the screening instrument was able to bridge the gap between the detection of problem-related distress and referrals for assessment or treatment. Conclusion: We found that it is feasible to implement a computerized problem-related distress screening program in a comprehensive cancer center. Copyright © 2008 John Wiley & Sons, Ltd. [source] Interrater Agreement between Nurses for the Pediatric Canadian Triage and Acuity Scale in a Tertiary Care CenterACADEMIC EMERGENCY MEDICINE, Issue 12 2008FRCPC, Jocelyn Gravel MD Abstract Objectives:, The objective was to measure the interrater agreement between nurses assigning triage levels to children visiting a pediatric emergency departments (EDs) assisted by a computerized version of the Pediatric Canadian Triage and Acuity Scale (PedCTAS). Methods:, This was a prospective cohort study evaluating children triaged from Level 2 (emergent) to Level 5 (nonurgent). A convenience sample of patients triaged during 38 shifts from April to September 2007 in a tertiary care pediatric ED was evaluated. All patients were initially triaged by regular triage nurses using a computerized version of the PedCTAS. Research nurses performed a second evaluation blinded to the first evaluation using the same triage tool. These research nurses were regular ED nurses performing extra hours for research purposes exclusively. The primary outcome measure was the interrater agreement between the two nurses as measured by the linear weighted kappa score. Secondary outcomes included the proportion of patient for which nurses did not apply the triage level suggested by Staturg (override) and agreement for these overrides. Results:, A total of 499 patients were recruited. The overall interrater agreement was moderate (linear weighted kappa score of 0.55 [95% confidence interval {CI} = 0.48 to 0.61] and quadratic weighted kappa score of 0.61 [95% CI = 0.42 to 0.80]). There was a discrepancy of more than one level in only 10 patients (2% of the study population). Overrides occurred in 23.2 and 21.8% for regular and research triage nurses, respectively. These overrides were equally distributed between increase and decrease in triage level. Conclusions:, Nurses using Staturg, which is a computerized version of the PedCTAS, demonstrated moderate interrater agreement for assignment of triage level to children presenting to a pediatric ED. [source] | |||||||||||||