Cognitions associated with initial medical consultations concerning recurrent breathing difficulties: A community-based study

Abstract

A two-stage community survey identified 568 respondents reporting recurrent breathing difficulties over a one-year period. Subsequent interviews allowed comparison of (i) 21 respondents who had never consulted a doctor about frequent wheezing (i.e., on more than 30 days) or serious breathing difficulties (i.e., disrupting everyday activities) over the past year with (ii) a randomly selected group of 22 who had seen their doctor concerning breathing difficulties in the past year. These groups were found to be similar with respect to demographic and lung function measures. An extended health belief model framework including causal attributions for breathing difficulties and consulting self-efficacy was used to explore cognitions which might distinguish between the two groups. Logistic regression suggested that lower perceived relative severity of symptoms (in relation to other problems). attribution of wheezing to smoking and lower self-efficacy in relation to explaining breathing difficulties to a doctor distinguished between those who did and did not consult. Health education implications. including initiatives to encourage medical help-seeking amongst those with recurrent, frequent or serious breathing difficulties are discussed.     

Creative Thinking in Adolescents with Attention Deficit Hyperactivity Disorder (ADHD)

A widened attentional focus, that is typically associated with ADHD, has been postulated to be accompanied by enhanced creative ability. However, creativity has been only limitedly examined in ADHD. Performance across several creativity measures were investigated in three groups: adolescents with ADHD, those with conduct disorder, and a healthy control sample. The ADHD group exhibited selective cognitive advantages and disadvantages by demonstrating an enhanced ability in overcoming the constraining influence of examples, but a reduced capacity to generate a functional invention during an imagery task. These findings are interpreted with reference to inhibitory control mechanisms and the contextual modulation of creative cognition.     

Aristotle on God as Principle of Genesis

Aristotle holds that there must be multiple forms of human being and those forms constitute a genos, this paper argues. Aristotle advances his claim by arguing that the strength of a polis rests on the existence of a spectrum of useful essential differences among its citizens. The paper rejects the notion that eîdos is a homonym, and argues that it signifies `form,' not `species.' Its theses are based on analysis of passages in the Ethics, Metaphysics, Politics and other works. The argument of the paper is compatible with `individual' or `particular' forms. The paper also proposes a solution to the issue of `natural slavery.'     

Computer‐based systems and organizational decision making: An architecture to support organizational innovation

Decision Support Systems (DSS) have been developed to support the computational, judgmental, and negotiation decisions typically encountered by organizational decision makers. Software for generating ideas has also become available. However, these systems typically operate on the individual or small group level, not on the broader organizational level. Also, their focus is usually on the decision‐making process while neglecting the product. This article first develops a framework relating decision types to current DSS. It then proposes an architecture for integrating these component systems to support innovation at an organizational level and to support assessment of the creative product as well as the process.     

Psychological correlates of university students' academic performance: a systematic review and meta-analysis

A review of 13 years of research into antecedents of university students' grade point average (GPA) scores generated the following: a comprehensive, conceptual map of known correlates of tertiary GPA; assessment of the magnitude of average, weighted correlations with GPA; and tests of multivariate models of GPA correlates within and across research domains. A systematic search of PsycINFO and Web of Knowledge databases between 1997 and 2010 identified 7,167 English-language articles yielding 241 data sets, which reported on 50 conceptually distinct correlates of GPA, including 3 demographic factors and 5 traditional measures of cognitive capacity or prior academic performance. In addition, 42 non-intellective constructs were identified from 5 conceptually overlapping but distinct research domains: (a) personality traits, (b) motivational factors, (c) self-regulatory learning strategies, (d) students' approaches to learning, and (e) psychosocial contextual influences. We retrieved 1,105 independent correlations and analyzed data using hypothesis-driven, random-effects meta-analyses. Significant average, weighted correlations were found for 41 of 50 measures. Univariate analyses revealed that demographic and psychosocial contextual factors generated, at best, small correlations with GPA. Medium-sized correlations were observed for high school GPA, SAT, ACT, and A level scores. Three non-intellective constructs also showed medium-sized correlations with GPA: academic self-efficacy, grade goal, and effort regulation. A large correlation was observed for performance self-efficacy, which was the strongest correlate (of 50 measures) followed by high school GPA, ACT, and grade goal. Implications for future research, student assessment, and intervention design are discussed.     

The Quality Implementation Framework: A Synthesis of Critical Steps in the Implementation Process

Implementation science is growing in importance among funders, researchers, and practitioners as an approach to bridging the gap between science and practice. We addressed three goals to contribute to the understanding of the complex and dynamic nature of implementation. Our first goal was to provide a conceptual overview of the process of implementation by synthesizing information from 25 implementation frameworks. The synthesis extends prior work by focusing on specific actions (i.e., the “how to”) that can be employed to foster high quality implementation. The synthesis identified 14 critical steps that were used to construct the Quality Implementation Framework (QIF). These steps comprise four QIF phases: Initial Considerations Regarding the Host Setting, Creating a Structure for Implementation, Ongoing Structure Once Implementation Begins, and Improving Future Applications. Our second goal was to summarize research support for each of the 14 QIF steps and to offer suggestions to direct future research efforts. Our third goal was to outline practical implications of our findings for improving future implementation efforts in the world of practice. The QIF's critical steps can serve as a useful blueprint for future research and practice. Applying the collective guidance synthesized by the QIF to the Interactive Systems Framework for Dissemination and Implementation (ISF) emphasizes that accountability for quality implementation does not rest with the practitioner Delivery System alone. Instead, all three ISF systems are mutually accountable for quality implementation. Special Issue: Advances in Bridging Research and Practice Using the Interactive System Framework for Dissemination and Implementation; Guest Editors: Abraham Wandersman, Paul Flaspohler, Catherine A. Lesesne, Richard Puddy; Action Editor: Emilie Phillips Smith     

2D:4D in men is related to aggressive dominance but not to sociable dominance

It has been shown that a smaller ratio between the length of the second and fourth digit (2D:4D) is an indicator of the exposure to prenatal testosterone (T). This study measured the 2D:4D of men and assessed dominance as a personality trait to investigate indirectly if the exposure to prenatal T is related to a dominant personality later in life. Results showed that men had a more aggressive dominant personality when having a more masculine (lower) 2D:4D, while there was no relationship between sociable dominance and 2D:4D. Findings from this study indicate that it is important to distinguish different forms of dominance since other studies failed to find relationships between dominance and 2D:4D.     

Medusa’s Gaze Reflected: A Darwinian Dilemma for Anti-Realist Theories of Value

Street has argued that the meta-ethical realist is faced with a dilemma. Either evolutionary forces have had a distorting influenced on our ability to track moral properties or evolutionary forces influenced our beliefs in the direction of tracking moral properties. Street argues that if the realist accepts the first horn of the dilemma, the realist must accept implausible skepticism regarding moral beliefs. If the realist accepts the second horn of the dilemma, the realist owes an explanation of the fitness producing nature of moral beliefs. As Street establishes the dialectic, the anti-realist’s explanation is better. I will argue that Street’s first horn is question begging then I will grasp the second horn of the dilemma and argue that only the realist can explain the role of moral beliefs in our evolutionary history. My argument will take the form of a dilemma. For our evaluative judgments to be fitness conducive, they must be responsive to the right sort of external world properties. The non-reductive realist can provide such a set of properties. On the first horn of the dilemma, the anti-realist cannot. The realist, unlike the anti-realist, can explain why our evaluative judgments are fitness conducive. The realist has won the explanatory battle. On the second horn of the dilemma, the anti-realist can provide a set of non-normative external world properties that our evaluative attitudes are responsive to. In doing so, the anti-realist has provided the heretofore-missing component of the reductive realist’s project. Again, the realist has won.