Quality ratings of a hospital foodservice department by inpatients and postdischarge patients

OBJECTIVES: To examine quality of food and nutrition services using the ratings of inpatients and patients who had been discharged (postdischarge patients). DESIGN: Questionnaires were used to collect perceptions of inpatients and postdischarge patients on the quality of food and nutrition services. A 5-point scale allowed subjects to rate quality from very poor to very good. SUBJECTS: Questionnaires were completed by 252 inpatients and 437 postdischarge patients of a midwestern teaching hospital. STATISTICAL ANALYSIS: Analysis of variance was used to assess differences in quality ratings on the basis of demographic variables. Stepwise regression was used to determine variables that best predicted overall satisfaction. Paired t tests were conducted to compare matched inpatient and postdischarge ratings. RESULTS: Ratings of food and nutrition services indicated that patients were satisfied; few differences were found in ratings on the basis of patient demographics. Food quality was the best predictor of overall satisfaction for both inpatients and postdischarge patients. As patient expectations were increasingly met or exceeded, patient ratings of quality increased. The majority of patients in the matched sample gave the same ratings on the inpatient and postdischarge questionnaires. APPLICATIONS: Foodservice managers who desire to improve patient satisfaction should focus attention on meeting or exceeding patient expectations for food quality.     

Trimellitic anhydride Toxicity. A cause of acute multisystem failure

A person exposed to trimellitic anhydride (TMA) an epoxy resin widely used in industry, experienced respiratory failure, anemia, and gastrointestinal bleeding. A lung biopsy specimen demonstrated intra-alveolar hemorrhage and damage to alveolar lining cells. The patient and six co-workers were examined. Results indicated the presence of hemolytic antibodies directed against TMA-haptenized erythrocytes, IgG, IgA, and IgM antibodies directed against TMA-erythrocyte complexes, and antibodies against TMA-human serum albumin. Antibody levels in the patient were greater than in the co-workers. The elevated antibody levels demonstrate the antigenic potential of TMA. However, the cause of the pulmonary and hematologic damage remains uncertain and may represent either immunologic or direct toxic effects of TMA. In patients with multisystem failure of this nature, occupational hazards should be added to the differential diagnosis.     

Patterns of sustained attention in infancy shape the developmental trajectory of social behavior from toddlerhood through adolescence.

The current study examined the relations between individual differences in sustained attention in infancy, the temperamental trait behavioral inhibition in childhood, and social behavior in adolescence. The authors assessed 9-month-old infants using an interrupted-stimulus attention paradigm. Behavioral inhibition was subsequently assessed in the laboratory at 14 months, 24 months, 4 years, and 7 years. At age 14 years, adolescents acted out social scenarios in the presence of an unfamiliar peer as observers rated levels of social discomfort. Relative to infants with high levels of sustained attention, infants with low levels of sustained attention showed increasing behavioral inhibition throughout early childhood. Sustained attention also moderated the relation between childhood behavioral inhibition and adolescent social discomfort, such that initial levels of inhibition at 14 months predicted later adolescent social difficulties only for participants with low levels of sustained attention in infancy. These findings suggest that early individual differences in attention shape how children respond to their social environments, potentially via attention's gate-keeping role in framing a child's environment for processing. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Does emotion processing require attention? The effects of fear conditioning and perceptual load.

This study examined the impact of perceptual load on the processing of unattended threat-relevant faces. Participants performed a central letter-classification task while ignoring irrelevant face distractors, which appeared above or below the central task. The face distractors were graded for affective salience by means of aversive fear conditioning, with a conditioned angry face (CS+), an unconditioned angry face (CS?), and a neutral control face. The letter-classification task was presented under conditions of both low and high perceptual load. Results showed that fear conditioned (i.e., CS+) angry face distractors interfered with task performance more than CS? angry or neutral face distractors but that this interference was completely eliminated by high perceptual load. These findings demonstrate that aversively conditioned face distractors capture attention only under conditions of low perceptual load. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The Emerging Field of Semantic Scientific Knowledge Integration

Interest in and requirements for the next generation of information technology for science are expanding. e-Science has become a growing subject of discussion covering topics such as grid computing for science as well as knowledge-enhanced scientific data retrieval. The demand for deep integration of scientific data and knowledge within and among disciplines is also growing, as larger and broader science questions are becoming more common. Concurrent with the growing demand for next generation information technology for science is a commensurate growth in semantic technologies. We seek to explore the general space of semantic e-Science while focusing on the support and potential for deep data and knowledge integration.     

Recommender Systems Research: A Connection-Centric Survey

Recommender systems attempt to reduce information overload and retain customers by selecting a subset of items from a universal set based on user preferences. While research in recommender systems grew out of information retrieval and filtering, the topic has steadily advanced into a legitimate and challenging research area of its own. Recommender systems have traditionally been studied from a content-based filtering vs. collaborative design perspective. Recommendations, however, are not delivered within a vacuum, but rather cast within an informal community of users and social context. Therefore, ultimately all recommender systems make connections among people and thus should be surveyed from such a perspective. This viewpoint is under-emphasized in the recommender systems literature. We therefore take a connection-oriented perspective toward recommender systems research. We posit that recommendation has an inherently social element and is ultimately intended to connect people either directly as a result of explicit user modeling or indirectly through the discovery of relationships implicit in extant data. Thus, recommender systems are characterized by how they model users to bring people together: explicitly or implicitly. Finally, user modeling and the connection-centric viewpoint raise broadening and social issues—such as evaluation, targeting, and privacy and trust—which we also briefly address.