Predictors of healthcare resource use in fibromyalgia

This work identifies which psychosocial, clinical and perceived health status factors predict health-resource use in Fibromyalgia (FM), considering the patients' assistance level. Participants were 315 FM patients from Primary Care (PC: n=101) and Rheumatology Services (RS: n=214). Stepwise regression analysis showed that self-efficacy variables were significant predictors of medication intake in PC, and, along with Illness-focused coping, of the health service use. In RS, perceived health status was the best predictor of medication intake. In any case, Pain intensity significantly predicted the use of health resources. These data offer a new perspective for intervention in these patients, taking into account the level of assistance.     

Flexible resource allocation for the detection of changing visual features

Failure to detect change under circumstances where visual input is interrupted or attention is distracted is indicative of the capacity limits of visual short-term memory. The current study attempts to probe the nature of these limits. In experiment 1, the appearance of single Gabor patches was altered across colour, size, or speed, and set size was manipulated by means of a visual cue. In experiment 2, performance for detecting single and multiple changes to Gabor patches was compared under the constraint that the inherent detectability of each individual change was the same. Experiment 1 yielded a particular set size (4) and a particular level of change magnitude at which performance was equivalent across change type. On the basis of these parameter values, experiment 2 revealed that the detectability of two features changing within one object was the same as the detectability of a single feature changing across two objects, and that this level of detectability could be predicted by a simple model of probability summation. Together, these results suggest that performance is determined by the magnitude of featural changes independently of the way they are distributed across objects. We suggest they are adequately explained by a flexible-resource-allocation model rather than a slot-allocation model.     

Modulation of the attentional blink by differential resource allocation.

When one masked target (T2) follows another (T1) in close temporal proximity, identification accuracy of the second target is reduced for a period referred to as the attentional blink. Analysis of the attentional blink literature suggests that increasing the difficulty of T1 processing increases the magnitude of the blink. In a previous study that eliminated several untoward features of the typical attentional blink design (e.g., task switching, location switching, and stream contribution), we found no effect on blink magnitude when three levels of T1 difficulty (manipulated in a data-limited manner) were randomly intermixed. Here, when we repeated the previous study using a blocked manipulation of T1 difficulty, which is characteristic of the literature, a significant positive relation between T1 difficulty and blink magnitude was found. Resource allocation put in place to encode T1 in advance of a dual-target trial thus seems to be the critical factor in mediating this relation.     

注意范围分布对视觉工作记忆巩固过程的影响

以往研究发现个体能够同时巩固一定数量的项目信息进入视觉工作记忆系统。本研究将考察视觉工作记忆的巩固容量是否会受到分配到记忆项目上的注意资源量的影响。实验1在同时序列掩蔽范式的基础上, 用控制记忆项目呈现区域的大小的方法操纵被试的注意范围, 从而达到操纵分配到单个项目上的注意资源量的目的。研究结果显示, 被试的记忆成绩随着注意范围的扩大显著降低, 但在并行和序列呈现条件之间不存在显著差异; 实验2则证实实验1中对注意资源量分配的控制不会影响对项目的知觉编码效率。本研究结果表明, 分配在记忆项目上的注意资源量能够影响记忆巩固的效率, 但不会影响巩固容量。     

A proposal for a new system of credit allocation in science

This essay discusses some of the problems with current authorship practices and puts forward a proposal for a new system of credit allocation: in published works, scientists should more clearly define the responsibilities and contributions of members of research teams and should distinguish between different roles, such as author, statistican, technician, grant writer, data collector, and so forth. Dr. Resnik is an Associate Professor of Philosophy and Director of the Center for the Advancement of Ethics, University of Wyoming. Information is available on website: http://www.uwyo.edu/bu/acct/cae.htm     

Effects of interactional justice on egocentric bias in resource allocation decisions

Three studies demonstrated that interactional justice was able to attenuate egocentric bias, i.e., the tendency to regard a larger share for oneself as fair. Study 1, an experimental study of negotiation, showed that fair interpersonal treatment led to a smaller egocentric bias, quicker settlements, and fewer stalemates. Study 2 showed that fair treatment was related to a smaller egocentric bias in a real-life context. University students were more willing to accept a higher tuition fee and less willing to cut the salary of their teachers if the interpersonal treatment received from the teachers was more positive. Study 3 showed experimentally that in support of fairness heuristic theory, when the fair interpersonal treatment received could be attributed externally, its attenuating effect on the egocentric bias disappeared.     

Resource demands of object tracking and differential allocation of the resource

The attentional processes for tracking moving objects may be largely hemisphere-specific. Indeed, in our first two experiments the maximum object speed (speed limit) for tracking targets in one visual hemifield (left or right) was not significantly affected by a requirement to track additional targets in the other hemifield. When the additional targets instead occupied the same hemifield as the original targets, the speed limit was reduced. At slow target speeds, however, adding a second target to the same hemifield had little effect. At high target speeds, the cost of adding a same-hemifield second target was approximately as large as would occur if observers could only track one of the targets. This shows that performance with a fast-moving target is very sensitive to the amount of resource allocated. In a third experiment, we investigated whether the resources for tracking can be distributed unequally between two targets. The speed limit for a given target was higher if the second target was slow rather than fast, suggesting that more resource was allocated to the faster of the two targets. This finding was statistically significant only for targets presented in the same hemifield, consistent with the theory of independent resources in the two hemifields. Some limited evidence was also found for resource sharing across hemifields, suggesting that attentional tracking resources may not be entirely hemifield-specific. Together, these experiments indicate that the largely hemisphere-specific tracking resource can be differentially allocated to faster targets.     

Ezekiel Emanuel,Andrew Steinmetz,and Harald Schmidt (eds): Rationing and resource allocation in healthcare: essential readings

Theoretical Medicine and Bioethics -     

Psychological correlates of the French sound system

Six samples of CCVC phoneme sequences were devised to represent linguistically specifiable distances from existing French words, distance being measured in terms of number of substitutions needed to make an existing French word. Fifty-four native speakers of French rated the sound sequences for their subjective proximity to French, using ungraded rating scales. Results showed a general correspondence between the linguistic and psychological measurements, although certain phoneme sequences did not follow the predicted order. These were examined to see if their displacement could be attributed to the number of different French words reached through substitutions.     

The difficulty of applying the fundamental right to care for all within the French healthcare system: a major ethical and political challenge

The incidence of the reform is beginning to make itself felt and reveal a profound modification of the behaviour of health professionals in hospitals as well as of the financial structure of hospitals.     

The development of selective attention: holistic perception versus resource allocation

In two experiments, a speeded sorting task was administered to children. In each sorting, the child was instructed to sort a deck of cards according to values on one dimension while the values of a second irrelevant dimension were held constant, were correlated, or were varied orthogonally. Experiment 1 evaluated developmental changes in perceived structure as compared with such changes in the control of attention. Different groups of kindergarten, 2d-, and 5th-grade children performed the task with spatially integrated vs spatially separated dimensions. The results indicate that with spatially integrated dimensions there is a trend from holistic to featural perception and an increase in attentional control with increasing age. Spatially separate dimensions are perceived dimensionally at all ages, but show a trend in attentional development. In Experiment 2, the spatially integrated dimensions of Experiment 1 were made separable by portraying different targets within a configuration in different colors. The theoretical implications of the results are discussed.     

Patterns of resource allocation are reliable among younger and older readers

Younger and older adults read short expository passages across 2 times of measurement for subsequent comprehension or recall. Regression analysis was used to decompose word-by-word reading times into resources allocated to word- and textbase-level processes. Readers were more sensitive to these demands when reading for recall than when reading for comprehension. Patterns of resource allocation showed good test-retest reliabilities and were predictive of memory performance. Within age group, resource allocation parameters were not systematically correlated with other individual-difference measures, suggesting that strategies of on-line resource allocation may be a unique source of individual differences in determining comprehension of and memory for text. Age differences in allocation patterns appeared to reflect general slowing among the older adults. Because older adults showed equivalent memory performance to that of younger readers, the reading time data may represent the on-line resource allocation needed for comparable outcomes among older and younger readers.     

Managing time: the effects of personal goal setting on resource allocation strategy and task performance.

One key to understanding motivated behavior is examining the behavior of individuals as they work on multiple tasks under a time constraint. This article is an exploration of the influence of self-set goals on subsequent resource allocation to different tasks. Participants were given a variety of tasks from which they were to choose how to allocate their time and effort. Results indicated that the use of self-set goals structured the work pattern, with less switching between tasks relative to the work pattern of a group of participants who did not set goals. In addition, those who set goals reported less task-related cognitive interference, indicating that they were not as distracted while they worked. Participants who did not set goals, however, performed at a higher level on some of the tasks. It is suggested that self-set goals may often be chosen at an easily attainable level, creating a structured and focused work environment but not necessarily eliciting the motivational properties typically associated with goal setting.