Health care utilization by low-income clients of a community clinic: an archival study

An archival study was done of 500 medical records from a community clinic serving a low income predominantly Hispanic area of Los Angeles. The data collected included demographic characteristics and presented symptoms or reasons for visit, as well as diagnosis and treatment. The greatest number of patient visits were made for family planning services. A large porportion of the patients who received initial family planning services failed to return to the clinic for follow ups or additional supplies. A total of 208 pregnancy tests were performed in 151 of the 500 cases sampled. Of these, 152 were positive. The most frequently stated reason for requesting pediatric services was for physical exams, accounting for 30% of the visits. It should be noted that the discontinuity of care and insufficient utilization of preventive care seen in these results deserve serious attention by medical clinic administrators. The rate of patients who do not return for family planning after the initial visit is worrisome. A greater effort to attract women to family planning services at the time they request pregnancy verification could reduce the need for abortion of unwanted pregnancy. The data also indicate that changes in the wording of certain questions commonly asked of clients may be needed. This study allowed service providers to obtain important information about their performance, their needs, and the future direction that their services might take. This type of analysis is relatively low in cost and can yield important benefits, espicially if done on a periodical base in a search for policy implications.     

Components of Stroop-like interference in picture naming

The semantic interference effect observed in Stroop tasks and picture-word interference tasks might be due to the previous confounding of semantic similarity with task relevance (in the Stroop task) and with perceptual similarity (in the picture-word interference task). A picture-word variant of the Stroop task was devised in which the factors of task relevance and perceptual similarity were controlled. The distractor conditions allowed for the examination of four types of context effects. The results show that the overall Stroop-like interference effect can be decomposed into interference effects due to (1) a semantic relation between distractor and target, (2) the semantic relevance of the distractor word in the task at hand, (3) the presence of the distractor word in the response set, and (4) the mere presence of a word. Implications of these findings for the locus or loci of Stroop and picture-word interference effects are discussed. It is concluded that distractor words in Stroop-like naming tasks interfere mainly in the process of name retrieval.     

How Information Availability Interacts with Visual Attention during Judgment and Decision Tasks

Decisions in front of a supermarket shelf probably involve a mix of visually available information and associated memories—and interactions between those two. Several cognitive processes, such as decision making, search, and various judgments, are therefore likely to co‐occur, and each process will influence visual attention. We conducted two eye‐tracking experiments capturing parts of these features by having participants make either judgments or decisions concerning products that had been previously encoded. Half the time, participants made their choices with full information about the available products and half the time with crucial task‐relevant information removed. By comparing participants' use of visual attention during decisions and search‐based and memory‐based judgments, we can better understand how visual attention is differently employed between tasks and how it depends on the visual environment. We found that participants' visual attention during decisions is sensitive to evaluations already made during encoding and strongly characterized by preferential looking to the options later to be chosen. When the task environment is rich enough, participants engage in advanced integrative visual behavior and improve their decision quality. In contrast, visual attention during judgments made on the same products reflects a search‐like behavior when all information is available and a more focused type of visual behavior when information is removed. Our findings contribute not only to the literature on how visual attention is used during decision making but also to methodological questions concerning how to measure and identify task‐specific features of visual attention in ecologically valid ways. Copyright © 2015 John Wiley & Sons, Ltd.     

Krankheitsbewältigung und Psychotherapie bei körperlichen und chronischen Erkrankungen

Ohne Zusammenfassung     

Human-directed behaviour in goats is not affected by short-term positive handling

In addition to domestication, interactions with humans or task-specific training during ontogeny have been proposed to play a key role in explaining differences in human–animal communication across species. In livestock, even short-term positive interactions with caretakers or other reference persons can influence human–animal interaction at different levels and over different periods of time. In this study, we investigated human-directed behaviour in the ‘unsolvable task’ paradigm in two groups of domestic goats (Capra aegagrus hircus). One group was positively handled and habituated to a plastic box by the experimenter to retrieve a food reward, while the other group only received standard husbandry care and was habituated to the box without human assistance. In the unsolvable task, the lid was fixed to the box, with the reward inaccessible to the subjects. The goats were confronted with the unsolvable task three times. We observed no difference between the two groups regarding gaze and contact alternations with the experimenter when confronted with the task they cannot solve by themselves. The goats did not differ in their expression rates of both gaze and contact alternations over three repetitions of the unsolvable task; however, they showed earlier gaze and contact alternations in later trials. The results do not support the hypothesis that short-term positive handling or task-specific training by humans facilitates human-directed behaviour in goats. In contrast, standard husbandry care might be sufficient to establish humans as reference persons for farm animals in challenging situations.