The Value of a Genetic Counselor: Improving Identification of Cancer Genetic Counseling Patients with Chart Review

Advances in genetics are changing cancer care and requiring institutions to maximize the unique skills of genetics professionals. The identification of genetic syndromes is vital for prevention and management of families with high cancer risks. Despite this, high risk individuals who qualify are often not referred. Genetic counselors could review oncology charts to improve identification. A genetics assessment tool developed by NCI Community Cancer Centers Program was used to perform self-assessment of the genetics program. A weekly report of all new oncology patients was provided to a genetic counselor for chart review. In 2010, 58 % of all eligible patients (n?=?152) were offered a genetics evaluation. In 2011 this improved to 70 % (n?=?167), which was a statistically significant difference, X ²(1)?=?5.13, p?=?0.02. By cancer site, ovarian cancer referrals also showed statistically significant improvement, X ²(1)?=?6.36, p?=?0.01. Breast and colon referrals were improved but not significant. Over 10 months, 129 patients were identified through the chart review program. Three were confirmed to have a genetic mutation for a hereditary cancer syndrome. An average week included review of 73 charts for 10 medical oncologists, 4 radiation oncologists, and 4 pediatric oncologists which generated 60–80 min of work for the genetic counselor. This program improved patient identification and quality, and allowed physicians to become more aware of opportunities for genetic counseling and more patients to receive genetic counseling and testing.     

Mothers speak differently to infants at‐risk for dyslexia

Dyslexia is a neurodevelopmental disorder manifested in deficits in reading and spelling skills that is consistently associated with difficulties in phonological processing. Dyslexia is genetically transmitted, but its manifestation in a particular individual is thought to depend on the interaction of epigenetic and environmental factors. We adopt a novel interactional perspective on early linguistic environment and dyslexia by simultaneously studying two pre‐existing factors, one maternal and one infant, that may contribute to these interactions; and two behaviours, one maternal and one infant, to index the effect of these factors. The maternal factor is whether mothers are themselves dyslexic or not (with/without dyslexia) and the infant factor is whether infants are at‐/not‐at family risk for dyslexia (due to their mother or father being dyslexic). The maternal behaviour is mothers’ infant‐directed speech (IDS), which typically involves vowel hyperarticulation, thought to benefit speech perception and language acquisition. The infant behaviour is auditory perception measured by infant sensitivity to amplitude envelope rise time, which has been found to be reduced in dyslexic children. Here, at‐risk infants showed significantly poorer acoustic sensitivity than not‐at‐risk infants and mothers only hyperarticulated vowels to infants who were not at‐risk for dyslexia. Mothers’ own dyslexia status had no effect on IDS quality. Parental speech input is thus affected by infant risk status, with likely consequences for later linguistic development.     

Single session email consultation for parents: an evaluation of its effect on empowerment

This study evaluated the effect of single session email consultation (SSEC) on empowerment of parents. Practitioners in a control group (n = 19) received no training and practitioners in an experimental group (n = 21) were trained to use empowerment-oriented techniques in online consultation. Parental empowerment was measured (n = 96) through a questionnaire based on the Family Empowerment Scale before and after receiving advice from a trained or a non-trained practitioner. Parents showed a significant increase in the subscale of self-confidence (Cohen's d = 0.33). Study findings lend support to the feasibility of SSEC as a brief intervention to improve self-confidence of parents. A training for practitioners did not influence the outcomes.     

Visual processing of stimulus compounds in newborn infants

An experiment is described in which newborn infants' processing of stimulus compounds was investigated. After familiarization to two alternately presented stimuli which differed in colour and orientation, the newborns showed significant preferences for a stimulus which had a novel colour/orientation combination: the novel stimulus was produced by recombining features of the stimuli used for familiarization. This finding argues against the view that infants initially process separate components, or parts, of visual stimuli and are only able to attend to the correlations between them after about 3 months of age. Rather, the ability to process and remember stimulus compounds is present at birth.     

Book Notes

Abstract

Identification of Book Reviewers for this Number. William H. Cole is Professor and Chairman of the Department of Biology in Clark Chris.

Anfänge der Reifezeit. By William Stern. Leipzig, Quelle & Meyer. 1925, pp. 125.

Mental Hygiene as Taught by Jesus. By Alexander B. MacLeod. New York, The Macmillan Company. 1925, pp. 138.

The Nature of Intelligence and the Principles of Cognition. By Charles E. Spearman. London, Macmillan and Co., Ltd. 1923, pp. viii+358.

Genetic Studies of Genius. By Lewis M. Terman et Al. California, Stanford University Press. 1925, pp. xv+648.

Principles of Psychotherapy. By Dr. Pierre Janet. New York, The Macmillan Company. 1924, pp. viii+322.

Chimpanzee Intelligence and its Vocal Expressions. by Robert M. Yerkes and Blanche W. Learned. Baltimore, Williams & Wilkins Company. 1925, pp. 157.

Neurological Foundations of Animal Behavior. By C. Judson Herrick. New York, Henry Holt and Company. 1924, pp. xii+334.

Physiological Foundations of Behavior. By Charles M. Child. New York, Henry Holt and Company. 1924, pp. v+330.

The Field of Psychology. By Madison Bentley. New York, D. Appleton and Company, 1925. pp. xvi+545.

Experience and Nature. By John Dewey. Chicago, Open Court Publishing Company. 1925, pp. xi+443.

Abnormal Psychology and Education. By Frank Watts. New York, D. Appleton and Company. 1924, pp. xiv+220.

Psychology for Child Training. By Arland D. Weeks. New York, D. Appleton and Company. 1925, pp. xi+312.

Animals Looking Into the Future. By William A. Kepner. New York, The Macmillan Company. 1925, 197 pp.     

A Review of “At the Edges of Vision: A Phenomenological Aesthetics of Contemporary Spectatorship”

ABSTRACT

Although studies in a variety of settings suggest that participant reactions to the research context can threaten the validity and generalizability of study findings, there have been almost no investigations of participant reactivity in museums. In this experimental study, the authors compared the behaviors and learning outcomes of visitors at two versions of an interactive mathematics exhibit who had either been actively recruited by a data collector or passively recruited using posted signage. They assessed the amount of time visitors spent at the exhibit, the number of mathematical exhibit behaviors they engaged in, and the level at which they described the mathematical relationships in the exhibit after the interaction. The results indicate that actively recruiting visitors was associated with increased engagement times and the number of mathematical exhibit behaviors, and that recruitment method moderated the relation between exhibit version and learning outcomes. These findings emphasize the importance of carefully considering recruitment decisions in museum research and evaluation.     

Response retrieval in a go/no-go priming-of-popout task

Priming of popout is the finding that singleton search is faster when features of a target and of nontargets are repeated across trials than when the features switch. Theoretical accounts suggest that intertrial repetition influences perceptual and attentional selection processes, episodic retrieval processes, or both. The present study combined a popout search task with a go/no-go task. In Experiment 1, the nontarget distractors in each display carried the go/no-go feature, and in Experiment 2, the texture of all items carried the go/no-go feature. Results showed that the go/no-go task moderated the intertrial repetition effects. In Experiment 1, the target color elicited retrieval of the preceding distractor color and associated no-go response, resulting in larger interference effects. In Experiment 2, the target color elicited retrieval of the preceding target color and no-go response, resulting in reduced facilitation effects. Additional results from both experiments showed that the colors in a search display also influenced target selection on the following trial. Taken together, the results of both experiments suggest that intertrial repetition influences both early selection and postselection retrieval processes.     

Relationship between working memory capacity and contingent involuntary orienting

Individual differences in working memory capacity are related to the ability to control attention; where less working memory capacity is associated with less attentional control. A well-known demonstration of attentional control is contingent involuntary orienting (Folk, Remington, & Johnston, 1992), which is the finding that visuospatial attention is captured by a salient peripheral cue, but only if the cue is featurally similar to the target of search and not if the cue is featurally dissimilar. This control of attention and ability to resist shifting attention towards an irrelevant visual cue is believed to be moderated by attentional settings for target-specific features. This study establishes that working memory capacity is related to contingent involuntary orienting of attention. Lower working memory capacity was associated with larger stimulus-driven cueing effects at short cue-to-target onset asynchronies, than at longer asynchronies, suggesting working memory capacity was associated with the ability to control covert orienting of attention at early processing stages.