Auditory–visual responsiveness in full-term and preterm infants.

Compared older preterm and full-term infants in their response to objects in a dynamic multimodal context. In Study I, 67 12-wk-old full-term infants and 29 preterm infants (mean age 90 days) served as Ss. After familiarization with a silent moving object, full-term Ss recognized the object when it was stationary. When sound accompanied the moving object during familiarization, full-term Ss showed increased attention to the object but no subsequent recognition of that object. Neither high- nor low-risk preterms, at a comparable conceptional age, recognized the objects under any condition, but the low-risk preterms did show greater attention to the moving objects with sound. In Study II, 43 preterm Ss were tested approximately 6 mo after their estimated term date. The performance of the low-risk preterms was the same as that of full-terms; that is, through differential responding, they demonstrated association of an object and sound. In contrast, the high-risk preterms showed no differential looking. Thus both low- and high-risk preterms showed less differential responding than did normal full-terms at 3 mo, but at 6 mo only the high-risk preterms were different from the full-terms. Results suggest that the high-risk preterms are at a disadvantage for learning about the dynamic and multimodal aspects of their environment. (13 ref) (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Retail alcohol monopolies, underage drinking, and youth impaired driving deaths

OBJECTIVE: To explore associations of state retail alcohol monopolies with underage drinking and alcohol-impaired driving deaths. DATA: Surveys on youth who drank alcohol and binge-drank recently and their beverage choices; census of motor vehicle fatalities by driver blood alcohol level. METHODS: Regressions estimated associations of monopolies with under-21 drinking, binge drinking, alcohol-impaired driving deaths, and odds a driver under 21 who died was alcohol-positive. RESULTS: About 93.8% of those ages 12-20 who consumed alcohol in the past month drank some wine or spirits. In states with a retail monopoly over spirits or wine and spirits, an average of 14.5% fewer high school students reported drinking alcohol in the past 30 days and 16.7% fewer reported binge drinking in the past 30 days than high school students in non-monopoly states. Monopolies over both wine and spirits were associated with larger consumption reductions than monopolies over spirits only. Lower consumption rates in monopoly states, in turn, were associated with a 9.3% lower alcohol-impaired driving death rate under age 21 in monopoly states versus non-monopoly states. Alcohol monopolies may prevent 45 impaired driving deaths annually. CONCLUSIONS: Continuing existing retail alcohol monopolies should help control underage drinking and associated harms.     

Infant visual attention: Relation to birth status and developmental outcome during the first 5 years.

This study examined the relation of infant attention and memory to later cognition in two groups of low socioeconomic status (SES) subjects: 45 full-terms and 46 high-risk preterms (rs?=?.37–.65). A sum of dichotomized novelty scores was less strongly related to outcome, indicating that variation in the actual magnitude of the novelty score is important. Ability to sustain attention during familiarization also related to outcome: Infants who took longer to reach a looking criterion had lower MDI/IQ scores. By contrast, the 7-month Bayley MDI was significantly related to later MDI/IQ only in preterms and then mostly at younger ages. Novelty scores related to later MDI/IQ independently of 7-month MDI, SES, maternal education, and medical risk. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Taking the national guideline for care of acute myocardial infarction to the bedside: developing the guideline applied in practice (GAP) initiative in Southeast Michigan.

BACKGROUND: The Guideline Applied in Practice (GAP) program was developed in 2000 to improve the quality of care by improving adherence to clinical practice guidelines. For the first GAP project, the American College of Cardiology (ACC) partnered with the Southeast Michigan Quality Forum Cardiovascular Subgroup and the Michigan Peer Review Organization (MPRO) to develop interventions that might facilitate the use of the ACC/AHA Acute Myocardial Infarction (AMI) guideline in the practice setting. Ten Michigan hospitals participated in implementing the project, which began in March 2000. DESIGNING THE PROJECT: The project developed a multifaceted intervention aimed at key players in the care delivery triangle: the physician, nurse, and patient. Intervention components included a project kick-off presentation and dinner, creation and implementation of a customized tool kit, identification and assignment of local nurse and physician opinion leaders, grand rounds site visits, and measurement before and after the intervention. IMPLEMENTING THE PROJECT: The GAP project experience suggests that hospitals are enthusiastic about partnering with ACC to improve quality of care; partners can work together to develop a program for guideline implementation; rapid-cycle implementation is possible with the GAP model; guidelines and quality indicators for AMI are well accepted; and hospitals can adapt the national guideline for care into usable tools focused on physicians, nurses, and patients. DISCUSSION: Important structure and process changes--both of which are required for successful QI efforts--have been demonstrated in this project. Ultimately, the failure or success of this initiative will depend on an indication that the demonstrated improvement in the quality indicators is sustained over time.     

加拿大风景园林的起源与发展

加拿大园林设计师的工作在国内外都产生了重要的影响.通过加拿大风景园林行业的产生、行业组织的发展、市政园林部门的形成过程、专业教育的形成与发展以及当前的行业动态,阐述了加拿大风景园林行业起源与发展的历程.     

The Matthew Effect of the Annual Reviews series and the flow of scientific communication through the World Wide Web

Authors of the well-regarded Annual Reviews series incorporate URLs to in the text, figures, tables, and reference sections of their articles. Despite the lack of peer review, the number of pointers to scientific information on the World Wide Web in the biomedical and physical science reviews increased five fold between 1997 and 2001. However, only 34% and 76% of the URLs from 1997 and 2001, respectively, remain viable in 2003. This is disconcerting as the stability of the highly cited Annual Reviewsseries is integral to the flow of scientific information. In fact, the citation rate for the URL containing Annual Reviewsarticles was found to be less than half that observed for all the review articles analyzed. Taken together these data suggest that the viability of web information may influence the citation rate of authors who have previously basked in the halo of R. K. Merton's Matthew Effect. This revised version was published online in June 2006 with corrections to the Cover Date.     

Supporting community-based learning: case study of a geographical community organization designing its website

Community computing supports human - computer interaction among neighbours in geographical or place-based community organizations. Using a case study of such an organization, we investigate the process of designing their website. Our long-term participatory design approach, integrating developmental informal learning, allowed us to understand how this community organization adopts, evaluates, and sustains website technology. Based on our case study analysis, we present three design heuristics for developing community-based technology: align and afford new possibilities for participation, dynamically manage organizational knowledge and learning, and enhance social capital within community organizations and with the broader community.