Eyeball position in Graves orbitopathy and its significance for eyelid surgery

OBJECTIVES: This study was designed to identify and compare the attitudes of patients and health care professionals towards advance directives. Advance directives promote recognition of the patient's autonomy, letting the individual exercise a certain measure of control over life-sustaining care and treatment in the eventuality of becoming incompetent. DESIGN: Attitudes to advance directives were evaluated using a 44-item self-reported questionnaire. It yields an overall score as well as five factor scores: autonomy, beneficence, justice, external norms, and the affective dimension. SETTING: Health care institutions in the province of Québec, Canada. Survey sample: The sampling consisted of 921 subjects: 123 patients, 167 physicians, 340 nurses and 291 administrators of health care institutions. RESULTS: Although the general attitude of each population was favourable to the expression of autonomy, multivariate analysis of variance (MANOVA) indicated that physicians attached less importance to this subscale than did other populations (p < .001). Above all, they favoured legal external norms and beneficence. Physicians and administrators also attached less importance to the affective dimension than did patients and nurses. Specifically, physicians' attitudes towards advance directives were shown to be less positive than patients' attitudes. CONCLUSION: More attention should be given to the importance of adequately informing patients about advance directives because they may not represent an adequate means for patients to assert their autonomy.     

Disability and the law: Attitudes of police, lawyers, and mental health professionals.

A literature review on the attitudes of police officers, lawyers, and mental health professionals toward the disabled indicates that police officers' attitudes are related to the extent of their formal education and the amount of information they have about relating to persons with various types of disabilities. Lawyers who have disabled clients tend to be more knowledgeable and to have more positive attitudes than lawyers without such clients, but it is not easy to turn lawyers into advocates for disabled clients. Mental health professionals, who may be called on to provide advice to police officers or lawyers or to testify in court cases, have some negative aspects that may impair their helpfulness, but their attitudes are more positive than those of less educated persons. Data also indicate that the attitudes of psychologists are less negative than those of psychiatrists. It is concluded that rehabilitation psychologists need to undertake studies of the attitudes of these groups and to set up programs designed to change the attitudes of members of these professions. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Same- and cross-gender attitudes toward persons with physical disabilities.

Used the Disability Factor Scale-General (DFS-G) of J. Siller et al (1967) to measure 147 male and 139 female 11th-graders' attitudes toward persons with physical disabilities. A subgroup of Ss responded to a specially prepared version of the DFS-G that referred to males with disabilities, while a 2nd subgroup responded to a 2nd version of the questionnaire that referred to females with disabilities. A multivariate analysis of variance (MANOVA) was performed, with scores on the 6 attitude scales of the DFS-G as the dependent variables. The 2 independent variables were Ss' gender and the sex of the person with the disability. Attitudes toward females with disabilities were less positive than attitudes toward males with disabilities. These less positive attitudes were expressed more by boys than by girls. Findings support the theoretical assumption that being disabled and female represents a double minority status. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Changing attitudes about the employability of the deaf and hard of hearing

Hearing students viewed a videotape featuring positive deaf and hard of hearing role models in a variety of employment settings. Attitudes about the employability of these individuals were measured in a pretest posttest control group design. Attitudes after viewing the role model videotape were significantly more positive than those reported prior to viewing the videotape. Respondents were able to generalize their positive attitudes beyond the limited number of occupations featured in the tape to other occupations. Further, the attitude change was of an enduring nature, with posttest two results indicating no significant attitude change from posttest one attitudes. The findings of the present study indicate that video-tape can be an effective means of introducing positive deaf and hard of hearing role models in both educational and employment settings.     

Performance characteristics of a new synthetic APTT reagent

The question of whether the use of a teaching strategy employing simulation influences attitudes toward disabled persons over time was addressed in this quasi-experimental intervention study. The experimental group participated in "Sensitivity Day" which incorporated a simulation activity. A total of 77 undergraduate baccalaureate nursing students completed the Attitudes Toward Disabled Persons scale four times: presimulation, immediate postsimulation, six week delayed postsimulation and six month delayed postsimulation. In general, the nursing students had relatively positive scores on the Attitudes Toward Disabled Persons scale in each testing period. The best indicator of postsimulation attitude scores was the presimulation attitude score. Personal and prior nursing experience had no statistical effects on attitude. Improvement that was significant at p = .07 level was noted in the experimental group at the six weeks delayed postsimulation when compared with the presimulation attitude scores. This study supplies data that is useful in constructing learning activities and contributes to the body of knowledge about simulation and attitudes toward persons with disabilities.     

Mental illness stigma as a mediator of differences in Caucasian and South Asian college students' attitudes toward psychological counseling.

Previous research has established that Asian Americans use mental health services less frequently and hold poorer attitudes toward psychological counseling than Caucasians. The authors directly tested whether stigmatizing beliefs regarding mental illness might explain such differential attitudes toward counseling in a South Asian and Caucasian student sample. Using mediation analyses, the authors examined 2 aspects of stigma posited to affect help-seeking attitudes: personal stigmatizing views and perceptions of the public's stigmatizing views directed toward persons with mental illness. First, the authors found that Caucasian (n = 74) college students revealed more positive attitudes toward counseling than did South Asian (n = 54) students. Second, in terms of mediation, increased personal stigma, but not perceived stigma, expressed by South Asians partially mediated and accounted for 32% of the observed difference in attitudes toward counseling services. These findings support a long-standing conjecture in the literature regarding the increased significance of stigma processes on disparities in majority-minority help-seeking attitudes. They also suggest that efforts to reduce disparities in attitudes toward counseling for South Asian students specifically should incorporate interventions to reduce the increased stigma expressed by this community, particularly related to a desire for social distance from persons with a mental illness. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Improving undergraduate nursing research education: the effectiveness of collecting and analyzing oral histories

Nine oral histories of retired RNs (age range from 60 to 77) were collected by trained senior nursing students in their nursing research class. Attitudes toward nursing research of the 18 undergraduate baccalaureate nursing students participating in the collection and analysis of oral histories were compared with 20 students who did not participate. Both groups of students completed a pretest and posttest Attitudes Toward Nursing Research Questionnaire. The participating students had significantly positive changes in their attitudes toward nursing research. The nonparticipating group did not. While reminiscing about their careers, the retired RNs related historical events that influenced their nursing practice. Three themes emerged: World War II, technology, and intensive care units. Through an open-ended, written questionnaire following the interview, the nurses expressed positive benefits of participation. The collection and analysis of oral histories was an effective experiential learning strategy with positive outcomes for the students and the retired nurses who were interviewed.     

Student and faculty collaboration in a clinic for the medically underserved

BACKGROUND AND OBJECTIVES: Growing numbers of uninsured and underinsured individuals in the United States have resulted in increased needs for health care for medically underserved populations. Educational strategies are needed that provide opportunities for students to develop the attitudes, knowledge, and skills necessary for providing quality health care for underserved patients. METHODS: Medical students, residents, and faculty of the University of Wisconsin-Madison Medical School worked together to establish extracurricular opportunities for first- and second-year students to participate in medical clinics serving the poor and homeless. The process for the development and operation of a volunteer clinic is described. RESULTS: In the last 2 years, 163 medical students, 27 residents, and 21 faculty have provided care to more than 1,000 patients. Patients, students, residents, and faculty reported high satisfaction with the experience. CONCLUSIONS: Medical students, residents, and faculty working in collaboration can provide increased access to care for the medically underserved. Engaging in community-oriented primary health care early in their medical education provided positive learning opportunities for medical students, especially those interested in generalist careers.     

The effect of occupational therapy education on students' perceived attitudes toward persons with disabilities

OBJECTIVES: The effect of occupational therapy education on students' perceived attitudes toward persons with disabilities was studied. METHOD: The perceived attitudes of 144 occupational therapy students toward persons with disabilities were measured before (retrospective pretest) and after (posttest) the students attended formal professional education at the University of Alberta. RESULTS: Posttest scores were significantly higher than the retrospective pretest scores, indicating that students' attitudes became more positive after they commenced formal professional education. The posttest scores of students at various levels of education, however, did not show any significant difference. CONCLUSION: On the basis of these observations, a positive but nonlinear relationship between occupational therapy education and attitudes toward persons with disabilities was postulated.     

Correlates of sex role stereotyping among mental health professionals.

85 male and 40 female psychologists (mean age 47.9 yrs) and psychiatrists (mean age 54.8 yrs) were administered the Attitudes Toward Women Scale and the short form of the Bem Sex-Role Inventory to assess the effects of sex, sex role attitudes, professional affiliation, and therapeutic orientation on sex-role attitudes and sex-role stereotyping. In general, Ss demonstrated relatively liberal sex role attitudes. However, more liberal attitudes were endorsed by psychologists than by psychiatrists and, within disciplines, by younger Ss and those with fewer years of experience. Regarding sex role stereotyping, Ss with less liberal sex role attitudes exhibited stereotyping to a significantly greater extent than did those with more liberal attitudes. Female Ss endorsed as great a double standard of mental health as did males. (26 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Attitude and structural barriers detected in primary care physicians towards treating patients with HIV/AIDS infection

OBJECTIVES: To identify attitudes, knowledge and self-perceived risks among doctors in the Este-Oriente District of Sevilla concerning HIV/AIDS infection; to detect attitude problems and structural barriers affecting doctors' predisposition towards patients with HIV/AIDS infection. DESIGN: A cross sectional study using a self-administered questionnaire. SETTING: Este-Oriente Primary Care district, Sevilla. PARTICIPANTS: Permanent and provisional doctors and paediatricians working in the district during the survey. MEASUREMENTS AND RESULTS: Reply rate was 86% (n = 111). Most doctors (85%) had treated one or more patients with HIV. 91% thought they had to treat these persons. However, 21% would not work with them, if they had the choice. CONCLUSIONS: Attitudes of doctors and paediatricians in the Este-Oriente district of Sevilla towards HIV/AIDS patients can be qualified as positive. Most doctors need to extend their knowledge of this disease. The perception of risk of contagion is high and higher than the real risk. Important attitude and structural barriers to care provision were detected: intervention strategies were proposed by the doctors and paediatricians of this district.     

Dental health attitudes among dentate black and white adults

OBJECTIVES: Blacks and poor persons share a greater burden of oral disease and are less likely to seek dental care on a regular basis. The role of dental attitudes and knowledge of services on this circumstance is unclear. The authors quantified group differences in dental attitudes and knowledge of services and related them to regularity of dental care use. METHODS: As part of the baseline phase of The Florida Dental Care Study, a longitudinal study of oral health, 873 respondents who had at least one tooth and who were 45 years or older participated for an interview and a clinical dental examination. Dental care use, seven dental attitudinal constructs, and knowledge of dental services were queried. RESULTS: Forty-five percent of respondents reported going to a dentist only when they have a problem, and 17% of respondents had not seen a dentist in more than 5 years. Ten percent of respondents reported that they had at least one permanent tooth removed by someone other than a dentist (typically, the respondent himself). Blacks and poor persons had more negative attitudes toward dental care and dental health and were less knowledgeable of dental services. Multivariate analyses suggested that dental attitudes were important to understanding the use of dental care services for this diverse group of adults, and that race and poverty contributed independently to dental care use even with dental attitudes taken into account. CONCLUSIONS: Dental attitudes contribute to race and poverty differences in dental care use among adults. The persistence of race and poverty effects with attitudes taken into account suggests that additional explanatory factors contribute as well. These differences may contribute to more prevalent and severe oral health decrements among the same adults who also are more likely to suffer from other health decrements.     

APC mutations in familial adenomatous polyposis families in the Northwest of England

This paper addresses a model for teaching the theory and practice of primary health care to nursing students at a South African university. The legal background for the inclusion of primary health care in undergraduate programmes is explained, as is the practical solution for clinical placements in a rural setting. An explanation is also provided for the development of clinical resources within the clinical field, and the paper concludes with a summary of the students' experience, thus showing how positive attitudes towards primary health care were fostered.     

Adolescents' attitude towards carrier testing for cystic fibrosis and its relative stability over time

Attitudes towards cystic fibrosis (CF) carrier testing, benefits of and barriers to having such a test were assessed within a randomly selected group of high school students in Flanders, after they had received sufficient basic information about the nature and the mode of inheritance of CF. Attitudes towards carrier testing for CF were not negative, but the majority preferred to wait to have a test. This result changed little after 6 months. A hypothetical testing offer from the Medical School Health Service elicited positive answers from nearly two thirds, suggesting that such an offer may function as a cue to action. Nevertheless, the appropriateness of such an offer may be questioned, considering the disadvantages of testing adolescents. Concern about a negative impact of the carrier status on self-image was reported by 10% of the students. These findings suggest that education about genetics is not only a prerequisite for allowing more informed decisions about CF carrier testing, but also for avoiding negative psychosocial effects of such a test.     

Parental bonding and mental health in adolescence

Attachment between parent and child plays a crucial role in the healthy development of the child. Accordingly disturbances in parental bonding will be linked with the development of mental disorders later in life. The present study examines the relationship between parental bonding and mental health in healthy adolescents. Participants were 847 Israeli high school students who completed the Parental Bonding Instrument (PBI), the Brief Symptom Inventory (BSI), the General Well-Being (GWB), the Perceived Social Support (PSS), and the Social Desirability scale (SDS). In general, Israeli adolescents reported more parental care and less control than did Australian adolescents and adults. Female subjects reported more maternal care than did males. Subjects who reported high care and low control (optimal bonding) reported less distress, better general well-being and better social support that did all other groups. In contrast, those who reported low care and high control (affectionless control bonding) had the highest BSI scores and the lowest GWB and PSS scores. These results are in line with Bowlby's theory of attachment. They also show that specific configuration of parental bonding are linked with distress and isolation in adolescents.     

Multicultural and ethnic attitudes in Canada: An overview of the 1991 National Survey.

Assessed attitudes toward aspects of multiculturalism (Multicultural Ideology, Perceived Consequences of Multiculturalism, and Multicultural Program Attitudes) and toward ethnic and immigrant groups, as well as Tolerance and Canadianism with 3,325 Ss. Attitudes toward multiculturalism were moderately positive, and tolerance moderately high; there was also a relatively high sense of attachment and commitment to Canada. Immigrant and ethnic groups of European origin were more positively evaluated than those of non-European origin. Variations in these attitudes by region of residence and ethnic origin revealed significant differences, as Ss of French origin living in Quebec tended to be less supportive than Ss of British and other origins living outside Quebec. Despite some signs of ethnocentrism, there are good prospects for achieving a diverse and tolerant society in Canada. (French abstract) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A solution to the problem of jail suicide

In American studies in the sixties and seventies caregivers, including physicians, showed a negative attitude towards the elderly. There are indications that such a negative attitude affects the quality of care and the communication with the elderly. Based on predominantly American literature this article reviews research on medical students' knowledge about and attitudes towards older people as well as the impact of geriatric training on the image of older patients and physician-patient communication. In medical students who did not receive a geriatric training, attitudes improved in the eighties and nineties up till a slightly positive level but general gerontological knowledge displayed as many shortcomings as in former days. A few studies show that instructional modules in geriatrics do not have an impact on the attitude towards the elderly. Several studies show that contact with aged persons has a positive influence. Rather than geriatric residency or work in a nursing home, contact with healthy elderly has favourable effects. Attitude improvement based on interactions with older people is maintained during medical education. A program in gerontology as well as geriatric instructional modules can lead to knowledge improvement. Since significantly positive correlations between knowledge and attitude are sometimes demonstrated, increasing gerontological knowledge may lead to more positive attitudes.     

The person-positivity bias.

A "person-positivity bias" is proposed such that attitude objects are evaluated more favorably the more they resemble individual humans. Because perceived similarity should increase liking, individuals should attract more favorable evaluations than should less personal attitude objects, such as inanimate objects or even aggregated or grouped versions of the same persons. Findings from 11 studies with undergraduate Ss support this view. Individuals were overwhelmingly evaluated favorably. Personal versions of a given attitude object were evaluated more favorably than impersonal versions of it. Individual persons, as wholes, were evaluated more favorably than were their specific attributes. Individuals were evaluated more favorably than were the same individuals in aggregates or groups. Attitudes toward groups were cognitively compartmentalized from attitudes toward individual group members. Perceivers tended to underestimate the positivity of their own and others' attitudes toward individual persons. (38 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Definitive surgical treatment for cholelithiasis in selected patients with liver cirrhosis

Attitudes of 40 interns towards rational drug use (RDU) were assessed, using a standardized Likert type scale. The assessment was repeated after 4 months to evaluate the effect of usual working conditions of the hospital. After this period, the attitudes had slided towards negative side (p < 0.01). At this point, an intervention in the form of a workshop was provided for half the group while other half served as control. A repeat assessment after another period of 4 months revealed that the attitudes of test group returned towards positive side (p < 0.01) while control group maintained its negative attitudes.     

Differential attitudes of international students toward seeking professional psychological help.

175 students representing 75 countries completed the Attitudes Toward Seeking Professional Help scale. Of the variance in total attitude, 23% was predicted from the variables age, sex, continent, educational level, time in US, and prior contact with mental health treatment. Prior contact and continent were the most important determinants, with Western (European?+?Latin) attitudes significantly more positive than non-Western (Asian?+?African). Three factors emerged: Confidence/Appropriateness, Stigma/Privacy, and Coping Alone. Prior contact subgroups were discriminated using the dimensions. The most highly significant factor was Confidence/Appropriateness, which suggests that Ss inexperienced with professional help perceived it as a nontrustworthy, inappropriate means for solving personal difficulties. Ss least concerned with the social stigma and invasion of privacy associated with treatment (the Stigma/Privacy dimension) were those who had received help in native countries. (15 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)