The Cartwright Report ten years on: the obligations and rights of health consumers and providers

It is ten years since the Cartwright report was published, three years since the code of health and disability services consumers' rights was promulgated and two years since the code came into force which makes it due for review next year. This paper reviews the issues identified by Cartwright and the effect that her investigation into the "Unfortunate Experiment" has had on the provision of health services. Issues of clinical freedom, peer supervision and informed consent are discussed in relation to the Health and Disability Commissioner Act, the Privacy Act and concepts of partnership in health care. Some comments on the present state of the relationships between consumers and providers in the health system are included.     

Properties of whole saliva and dental plaque in relation to 40-month consumption of chewing gums containing xylitol, sorbitol of sucrose

The concern with nursing research in the future work of nurse graduates. Expectations from the viewpoint of the nurse researcher. Keeping in mind the concerns which occupy nurse researchers now and in the future, expectations are raised of the graduates of degree programmes in nursing science which are now also being established in the Federal Republic of Germany. This takes into account the structurally determined areas of self determined action in new fields of professional practice. Nurse graduates will be seen as "change agents" in their future areas of work and will have three essential aspects of involvement with nursing research: 1. they themselves will conduct research 2. they will receive, put into practice and transmit results of nursing research 3. they will initiate and commission nursing research projects. According to the broad topics of nursing research, requirements for nurses to act as professionals in their new working fields are formulated referring to the given structural conditions in Germany.     

Simulated environments with animated agents: effects on visual attention,emotion, performance,and perception

This research assessed how emotive animated agents in a simulation‐based training affect the performance outcomes and perceptions of the individuals interacting in real time with the training application. A total of 56 participants consented to complete the study. The material for this investigation included a nursing simulation in which participants interacted with three animated agents. The results of this investigation indicated that both experienced and novice participants focused more visual attention time on the body of the animated agent than the other defined areas of interest in the simulated environment. The results also indicated that novice participants conveyed more neutral facial expressions during the interaction with the animated agents than experience participants. The results of the simulation performance scores indicated that novice participants achieved higher simulation performance scores on the simulation task than experienced participants. Lastly, the results of the agent persona instrument showed that experienced and novice participants perceived the animated agents as facilitators of learning, credible, human‐like and engaging.     

Designing for attention with sound: challenges and extensions to ecological interface design

OBJECTIVE: We explore whether ecological interface design (EID) principles can be applied to the design of an auditory display for anesthesia monitoring. BACKGROUND: EID examples focus almost exclusively on visual displays. In the anesthesia work environment, however, auditory displays may provide better individual and team awareness of patient state. METHOD: Using a work domain analysis of physiological monitoring in anesthesia, we identify information to display. Using the skills, rules, and knowledge distinction we identify cognitive control needed. Using semantic mapping we map physiological variables and constraints to auditory dimensions. RESULTS: EID principles do not address when information should be displayed and to whom. An attentional mapping stage helps to specify answers to these questions so that a workable auditory display for anesthesia monitoring is achieved. CONCLUSION: EID principles of representing work domain functional structure and minimizing resource-demanding cognitive control are necessary but insufficient to specify requirements for an effective auditory display. Also needed are analyses of control tasks, strategies, and the social organization of work. Such analyses are an integral part of the broader cognitive work analysis framework from which EID emerged. APPLICATION: Actual or potential uses of this research include the design of displays that support continuous peripheral awareness in collaborative multimodal work environments.     

Quantification of heart fatty acid binding protein as a biomarker for drug-induced cardiac and musculoskeletal necroses

Heart fatty acid binding protein (Fabp3) is a cytosolic protein expressed primarily in heart, and to a lesser extent in skeletal muscle, brain, and kidney. During myocardial injury, the Fabp3 level in serum is elevated rapidly, making it an ideal early marker for myocardial infarction. In this study, an MS‐based selected reaction monitoring method (LC‐SRM) was developed for quantifying Fabp3 in rat serum. Fabp3 was enriched first through an immobilized antibody, and the protein was digested on beads directly. A marker peptide of Fabp3 was quantified using LC‐SRM with a stable isotope‐labeled peptide standard. For six quality control samples with Fabp3 ranging from 0.256 to 25 ng, the average recovery following the procedure was about 73%, and the precision (%CV) between replicates was less than 7%. The Fabp3 concentrations in rat serum peaked 1 h after isoproterenol treatment, and returned to baseline levels 24 h after the dose. Elevated Fabp3 levels were also detected in rats administered with a PPAR α/δ agonist, which has shown to cause skeletal muscle necrosis. Fabp3 can be used as a biomarker for both cardiac and skeletal necroses. The cross‐validation of the LC‐SRM method with an existing ELISA method is described.     

Quasi‐equilibrium conditions of urban gravel‐bed stream channels in southern Ontario,Canada

Urban gravel‐bed stream channels in southern Ontario, Canada identified to be in a state of quasi‐equilibrium have been studied over the past 15 years and compared against rural gravel bed stream channels of the same hydrophysiographic region. Bankfull width and depth versus bankfull discharge were not found to increase as a function of increasing urbanization as has been found in many other studies. The observed annual frequency of bankfull discharge was typically less than a 1‐year return period with many sites ranging between 2 and 18 bankfull events per year with higher intensity and shorter duration urban flood responses, which further identified significant limitations in using annual peak discharge methods for predicting morphological forming flows in urban watersheds. The cumulative volume of bankfull and larger flood events from the urban stream channels were very similar to the same annual event volumes in the rural comparison study reaches. Bed material supply was found to decrease with increasing urbanization and the reduction in bed material supply appears to be off‐set by the smaller bankfull channel width, depth and access to floodplains during large flood events. Field evidence may also suggest a even greater reduction in channel width trajectory, relative to the rural setting, with expansive floodplains to maintain quasi‐equilibrium conditions as bed material supply continues to decrease with increased anthropogenic activity. Copyright © 2010 John Wiley & Sons, Ltd.     

Sex typing and androgyny: further explorations of the expressive domain

Previous research by Bem has indicated that androgynous individuals of both sexes display "masculine" independence when under pressure to conform as well as "feminine" nurturance when interacting with a kitten. In contrast, sex-typed individuals were low in one or both of these behaviors. The two studies reported here were designed to replicate the low nurturance of the masculine male and to clarify the unexpected finding that feminine females were low in both independence and nurturance. In the first study subjects interacted with a human infant, and in the second study they listened to a lonely student. Taken together, the results of these two studies conceptually replicated the low nurturance of the masculine male and demonstrated that the low nurturance of the feminine female does not extend to her interaction with humans. Finally, evidence was presented in support of Spence, Helmreich, and Stapp's distinction between "androgynous" individuals, who are high in both masculinity and feminity, and "undifferentiated" individuals, who are low in both of these characteristics.     

Diversity improvement estimation from rain Radar databases using maximum likelihood estimation

This research examines route diversity as a fade mitigation technique in the presence of rain, for terrestrial microwave links. The improvement in availability due to diversity depends upon the complex spatio-temporal properties of rainfall. To produce a general model to predict the advantage due to route diversity it is necessary to be able to predict the correlation of rain attenuation on arbitrary pairs of microwave links. This is achieved by examination of a database of radar derived rain rate fields. Given a representative sample of rain field images, the joint rain attenuation statistics of arbitrary configurations of terrestrial links can be estimated. Existing rain field databases often yield very small numbers of high joint attenuation events. Consequently, estimates of the probability of joint high attenuation events derived from ratios of the number of occurrences can be highly inaccurate. This paper assumes that pairs of terrestrial microwave links have joint rain attenuation distributions that are bi-lognormally distributed. Four of the five distribution parameters can be estimated from ITU-R models. A maximum likelihood estimation (MLE) method is used to estimate the fifth parameter, i.e., the covariance or correlation. The predicted diversity statistics vary smoothly and yield plausible extrapolations into low probability situations.     

Individual Differences in Susceptibility to False Memory in the Deese-Roediger-McDermott Paradigm.

The authors addressed whether individual differences in the working memory capacity (WMC) of young adults influence susceptibility to false memories for nonpresented critical words in the Deese-Roediger-McDermott associative list paradigm. The results of 2 experiments indicated that individuals with greater WMC recalled fewer critical words than individuals with reduced WMC when participants were forewarned about the tendency of associative lists (e.g., bed, rest, . . .) to elicit illusory memories for critical words (e.g., sleep). In contrast, both high and low WMC participants used repeated study-test trials to reduce recall of critical words. These findings suggest that individual differences in WMC influence cognitive control and the ability to actively maintain task goals in the face of interfering information or habit. (PsycINFO Database Record (c) 2010 APA, all rights reserved)