AIDS PREVENTION: IMPROVING NURSES' COMPLIANCE WITH GLOVE WEARING THROUGH PERFORMANCE FEEDBACK

A performance feedback procedure was used to increase glove wearing by nurses in a hospital emergency room in situations in which contact with body fluids was highly likely. Infection-control nurses provided biweekly performance feedback to staff nurses on an individual private basis to inform them of the percentage of contact opportunities in which they wore gloves. Observations made prior to (baseline) and during feedback in a multiple baseline design across 4 subjects indicated that substantial increases in glove wearing in target situations occurred after implementation of the feedback program and that increases occurred across most of the specific situations in which glove wearing was advised. Percentage increases in glove wearing ranged from 22% to 49% across subjects. The results are discussed in terms of prevention of acquired immune deficiency syndrome (AIDS) by use of universal precautions.     

Immunity,thought insertion,and the first-person concept

Philosophical Studies - In this paper I aim to illuminate the significance of thought insertion for debates about the first-person concept. My starting point is the often-voiced contention that...     

The President’s New Freedom Commission: Capitalizing on Opportunities to Advance School-Based Mental Health Services

The report from President George W. Bush’s New Freedom Commission on Mental Health (NFC), Achieving the Promise: Transforming Mental Health Care in America(2003), proposes goals and recommendations for improving mental health services. This report has significant implications for the delivery of mental health services through the schools. A focused discussion of the potential opportunities and challenges of implementing NFC recommendations related to school-based mental health is presented. Strategies for addressing five key areas at the intersection of school mental health and the Commission’s recommendations include: stigma reduction, suicide prevention, expansion and improvement of school mental health, and screening and treatment of co-occurring mental health and substance abuse disorders.     

Chronically increased Gsalpha signaling disrupts associative and spatial learning

The cAMP/PKA pathway plays a critical role in learning and memory systems in animals ranging from mice to Drosophila to Aplysia. Studies of olfactory learning in Drosophila suggest that altered expression of either positive or negative regulators of the cAMP/PKA signaling pathway beyond a certain optimum range may be deleterious. Here we provide genetic evidence of the behavioral and physiological effects of increased signaling through the cAMP/PKA pathway in mice. We have generated transgenic mice in which the expression of a constitutively active form of Gsalpha (Gsalpha* Q227L), the G protein that stimulates adenylyl cyclase activity, is driven in neurons within the forebrain by the promoter from the CaMKIIalpha gene. Despite significantly increased adenylyl cyclase activity, Gsalpha* transgenic mice exhibit PKA-dependent decreases in levels of cAMP due to a compensatory up-regulation in phosphodiesterase activity. Interestingly, Gsalpha* transgenic mice also exhibit enhanced basal synaptic transmission. Consistent with a role for the cAMP/PKA pathway in learning and memory, Gsalpha* transgenic mice show impairments in spatial learning in the Morris water maze and in contextual and cued fear conditioning tasks. The learning deficits observed in these transgenic mice suggest that associative and spatial learning requires regulated Gsalpha protein signaling, much as does olfactory learning in Drosophila.     

Factors related to reductions in alcohol consumption among college students: The role of religious involvement

College students most at risk for engaging in binge drinking are members of Greek organizations and athletic teams (Grenier, Borskey, & Folse, 1998; Wechsler, Dowdall, Davenport, & Castillo, 1995). Membership in religious organizations may moderate binge drinking (O'Hare, 1990). One hundred thirty-nine college students completed the Core Alcohol and Drug Survey (Presley, Meilman, & Lyerla, 1994), the Group Identification Scale (Hinkle, Taylor, Fox-Cardamone, & Crook, 1989), and the ‘Age-Universal’ I-E - 12 (Maltby, 1999). The results indicate that gender is related to average number of drinks per week. Membership in low alcohol consumption organizations was related to decreases in the frequency of alcohol usage within the previous year, which indicates that decreasing alcohol consumption may be more effective by promoting low alcohol consumption organizations.     

On the processing of regular and irregular forms of verbs and nouns: evidence from neuropsychology

Following acquired brain damage, a native English speaking patient (AW) encountered problems accessing phonology in speech production, while her ability to access word meaning appeared to be intact. In a series of tasks, AW was presented either with a verb, and was asked to produce its past tense or past participle (walk --> "walked"), or with a noun, and was asked to produce its plural (glove --> "gloves"). A stark dissociation was found: while AW responded accurately with regular forms of verbs (walked) and nouns (gloves), performance was significantly less accurate with irregular forms (found; children). The appearance of a selective deficit for irregular forms in conditions of impaired lexical access is in line with dual-mechanism accounts, which proposes that irregular forms are specified in the lexicon whereas regular forms are computed via rule-based mechanisms. In contrast, AW's data are problematic for connectionist accounts that do not posit separate mechanisms for processing regular and irregular forms, including the connectionist model recently proposed by Joanisse and Seidenberg (Proceedings of the National Academy of Sciences USA 96 (1999) 7592) which successfully simulated a variety of earlier neuropsychological findings. Analyses of AW's responses shed light on further details of the representation and processing of regular and irregular inflected forms.