Assessment of the Use and Feasibility of Video to Supplement the Genetic Counseling Process: A Cancer Genetic Counseling Perspective

Cancer genetic counselors use a variety of teaching modalities for patient education. This survey of cancer genetic counselors assessed their use of educational videos and their recommendations for content of future videos. Thirty percent of respondents use videos for patient education. Cited benefits included reinforcement of information for clients and increased counselor efficiency. Of the 70% who do not use videos, predominant barriers included the perceived lack of an appropriate video, lack of space and/or equipment, and concern that videos are impersonal. Most respondents desired a video that is representative of the genetic counseling session, but emphasized the importance of using broad information. Content considered critical included the pros and cons of genetic testing, associated psychosocial implications, and genetic discrimination. The results of this exploratory study provide data relevant for the development of a cancer genetics video for patient education, and suggestions are made based on aspects of information processing and communication theories.     

Differential mastication kinematics of the rabbit in response to food and water: Implications for conditioned movement

Analysis of naturalistic chewing patterns may provide insight into mapping the neural substrates of jaw movement control systems, including their adaptive modification during the classically conditioned jaw movement (CJM) paradigm. Here, New Zealand White rabbits were administered food and water stimuli orally to evaluate the influence of stimulus consistency on masticatory pattern. Chewing patterns were recorded via video camera and movements were analyzed by computerized image analysis. The mandibular kinematics, specifically the extent of dorsal/ventral, medial/lateral, and rostral/caudal movement, were significantly larger in food-evoked than water-evoked chewing. Water-evoked chewing frequency, however, was significantly higher than that of food-evoked movements. In light of known cortical mastication modulatory centers, our findings implicate different neural substrates for the responses to food and water stimuli in the rabbit. A detailed delineation of jaw movement patterns and circuitry is essential to characterize the neural substrates of CJM.     

Once hurt,twice hurtful: how perceived regard regulates daily marital interactions

A daily diary study examined how chronic perceptions of a partner's regard affect how intimates interpret and respond to daily relationship stresses. Spouses each completed a diary for 21 days. Multilevel analyses revealed that people who felt less positively regarded read more into stressful events than did people who felt highly regarded, feeling more hurt on days after acute threats, such as those posed by a moody or ill-behaved partner. Intimates who felt less valued responded to feeling hurt by behaving badly toward their partner on subsequent days. In contrast, intimates who felt more valued responded to feeling hurt by drawing closer to their partner. Ironically, chronically activated needs for belongingness might lead people who are trying to find acceptance to undermine their marriage.     

Circadian time perception

The variability of anticipating a meal was investigated. Sprague-Dawley rats earned food by inspecting a food source during a 3-hr interval. Food was not available at other times. In Experiment 1, the meal started 3 or 7 hr after light offset in a 12-hr light-dark cycle. Experiment 2 was conducted in constant darkness with 14-, 22-, 22.5-, 24-, 25.5-, 26-, or 34-hr intermeal intervals. Inspections increased before the meal. Rats timed intervals in the circadian range (22-26 hr) with lower variability than that for intervals outside this range (3-14 and 34 hr). Higher precision in timing selected intervals violates the scalar property. Proximity to a circadian oscillator improves timing precision. Variability may be used to identify oscillators with noncircadian periods.     

Influence of recollection and plausibility on age-related deficits in associative memory

Age-related declines in associative memory are proposed to result from deficits in older adults' ability to recollect the past. The present experiment investigated the ability of older adults to compensate for deficits in recollecting the past by using plausibility. Participants studied a list of word pairs that shared category or rhyme relations. To measure the processes used during the recognition memory test, participants provided self-reported explanations for their memory judgements. Older adults relied primarily on plausibility, and the younger adults relied on both plausibility and recollection. Older adults experienced both positive and negative consequences as a result of using a knowledge-based strategy to compensate for their decreased ability to recollect the past. Specifically, they were just as capable as younger adults at recognising previously studied items and correctly rejecting distractors that were inconsistent with the rule provided at study. However, they falsely recognised distractors that were consistent with that rule more often than younger adults.     

No More Away: Techno-Attachments and the Relational Future

This paper speculates about the impact of techno-connectedness on our children, ourselves, our grandchildren. Triggered by recollections from Victorian novels that describe European summers “away” from home, a concern about loss of opportunity, the “space” for self-discovery in this young generation will be explored in a relational context. Brought about by pervasive dependence upon computer technology, is self-experience fragmented and attachment changed by the ubiquitous technological presence and is the more isolated, reflective experience being eroded?     

Youth with Oppositional Defiant Disorder at Entry into Home-Based Treatment,Foster Care,and Residential Treatment

We explored and compared rates of youth diagnosed with oppositional defiant disorder (ODD) at entry into three broad program types, home-based care, foster care, and residential care. We also explored factors other than an ODD diagnosis that could be associated with program placement, and compared the presence of these factors in youth with and without an ODD diagnosis. Analyses were conducted using data from an ongoing, private-agency led, outcome measurement project. Programs were grouped into low (home-based), moderate (foster), or high (residential) categories, based upon levels of supervision and structure provided. A sample of 9,564 youth admitted into care between years 2005 and 2007 was used. Results suggested the following rates of ODD: 14.2 % overall; 7.9 % for low level programs; 5.3 % for moderate level programs; 21.1 % for high level programs. Rates were significantly different by program level (p ≤ 0.001). Sixty of 65 additional risk factors were also significantly associated with placement by level of program. No risk factors were unique to youth with ODD. Of the significant factors for youth with ODD, 4 were particularly strong: Classification as a child in need of services (CHINS), history of neglect, verbal aggression, and truancy. Youth classified as CHINS and with substantiated or suspected neglect were more likely placed into a moderate level program. Youth with verbal aggression or truancy were more likely placed into a high level program. Results suggested many factors are considered at program entry. Given the potential for poor prognosis and social costs of ODD, results support an individualized approach to placement determinations, with increased attention to symptoms of ODD and associated features at program entry.