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251.
On the basis of social learning theory it can be hypothesized that information acquired through model observation can provide as rich a basis for a cognitive representation as that acquired by means of the usual KR procedure. A source of external information similar to that of model observation is videotape feedback (VTFB). Therefore, it was the purpose of this study to test the potency of these two sources of information with KR. The design was a 4 (groups) × 10 (blocks) factorial ANOVA with repeated measures on the last factor. Both immediate transfer and 48-hr retention effects were assessed. The immediate transfer analysis indicated a significant main effect for group. This effect appeared to be due to the poor performance of the VTFB group. The same effect approached significance after the 48-hr retention. Subsequent variance analysis indicated significant differences between transfer and retention within all conditions except modeling.  相似文献   
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254.
In their recent paper, Brandon Rickabaugh and Derek McAllister object to Paul Moser’s rejection of natural theology on the grounds that Moser is committed to a principle, Seek, which commits Moser to another principle, Access. Access in turn can be rationally motivated for at least some nonbelievers only by the arguments of natural theology. So Moser is in fact committed to the epistemic usefulness of natural theology. In this paper, we show that Seek by itself does not commit one to Access, and that even if Moser is committed to Access, he is not thereby committed to the epistemic usefulness of natural theology for all nonbelievers. While we find this argument offered by Rickabaugh and McAllister lacking, we do not deny their conclusion that natural theology is epistemically useful to all nonbelievers.  相似文献   
255.
Test results for genetic conditions, such as Lynch Syndrome (LS), have traditionally been returned by genetic counselors or other providers who can explain results implications and provide psychosocial support. Returning genetic results through an Electronic Health Record’s patient portal may increase the efficiency of returning results and could activate patient follow-up; however, stakeholder input is necessary to determine acceptability and appropriate implementation for LS. Twenty interviews were conducted with clinicians from six specialties involved in LS screening that represent a range of settings. Data were analyzed using directed content analysis and thematic analysis across content categories. Participants felt that patient portals could supplement personal calls, but the potential sensitive nature of LS screening results indicated the need for caution. Others felt that LS results could be returned through portals if there were clear explanations of the result, reputable additional information available within the portal, urging follow up confirmatory testing, and a referral to a genetics specialist. Patient portals were seen as helpful for prompting patient follow-up and providing resources to notify at-risk family members. There is potential for patient portals to return LS screening and other genetic results, however we raise several issues to resolve before implementation is warranted.  相似文献   
256.
This paper deals with the end of life issue. It advocates for putting the legislation about end of life a part from bioethics laws and addresses some legal problems.  相似文献   
257.
It has been reported in Western research on intimate partner violence (IPV) that there are similar rates between males and females (Filbert, 2010). The objective of this study was to compare male and female prisoners from Singapore on rates of IPV as well as the Johnson (2006) types of IPV. Women (n = 75) self-reported higher rates of physical IPV perpetration in the past year (64.0%) than (n = 75) did men (46.1%). Women reported similar rates of IPV for themselves and their partners in the past year (64.0%), while men reported slightly more physical IPV for themselves (46.1%) than they did for their female partners (41.3%). In line with Johnson (2006), rates of intimate terrorism were calculated between 5% and 7% for themselves and their partners, with little variation due to gender. Violent resistance (VR) was calculated at between 2.1% and 7%, with more female than male VR reported for women. Much higher rates of situational couple violence was calculated for both males and females, ranging from 53.3% to 66.7% in the past year, while mutual violent control was significantly lower, ranging from between 14.8% to 20.0%, with data being discussed in relation to patriarchal and family violence perspectives. We concluded that the rates of IPV between males and females were very similar as were the types of IPV. Further research with other cultures should be encouraged for comparison with Western samples.  相似文献   
258.
This pilot study explored predictors of adherence to exercise during and after neoadjuvant chemoradiotherapy (NACRT) in rectal cancer patients. Eighteen rectal cancer patients were prescribed three supervised aerobic exercise sessions/week during NACRT followed by ≥150 min/week of unsupervised aerobic exercise after NACRT. Although not statistically significant, adherence to supervised exercise during NACRT was meaningfully better for patients who were women (d = .82; P = .12), younger (d = ?.62; P = .30), married (d = .62; P = .42), with better mental health (r = .32; P = .21), fewer diarrhea symptoms (r = .48; P = .052), and higher anticipated enjoyment (r = .31; P = .23), support (r = .32; P = .22), and motivation (r = .31; P = .23). After NACRT, adherence was significantly better for patients who reported worse mental health (r = ?.56; P = .046) and meaningfully better for patients who were women (d = .54; P = .38), better educated (d = .77; P = .22), had no comorbidities (d = ?.63; P = .17), and exercised at baseline (d = 1.05; P = .12). Demographics, tumor side effects, and motivational variables may predict adherence to exercise during and after NACRT.  相似文献   
259.
ABSTRACT

?Background: This article provides a review and commentary on social transition of gender-expansive prepubertal youth, analyzing risks, and benefits based on a synthesis of research and clinical observation, highlighting controversies, and setting forth recommendations, including the importance of continued clinical research.

Methods: This article involved: (1) a review and critique of the WPATH Standards of Care 7th edition guidelines on social transition; (2) a review and synthesis of empirical research on social transition in prepubertal children; (3) a discussion of clinical practice observations; (4) a discussion of continuing controversies and complexities involving early social transition; (5) a discussion of risks and benefits of social transition; and (6) conclusions and recommendations based upon the above.

Results: Results suggest that at this point research is limited and that some of the earliest research on young gender-expansive youth is methodologically questionable and has not been replicated. Newer research suggests that socially transitioned prepubertal children are often well adjusted, a finding consistent with clinical practice observations. Analysis of both emerging research and clinical reports reveal evidence of a stable transgender identity surfacing in early childhood.

Discussion: The authors make recommendations to support social transitions in prepubertal gender-expansive children, when appropriate, as a facilitator of gender health, defined as a child's opportunity to live in the gender that feels most authentic, acknowledging that there are limitations to our knowledge, and ongoing research is essential.  相似文献   
260.
Tasks that require less physical effort are generally preferred over more physically demanding alternatives. Similarly, tasks that require less mental effort are generally preferred over more mentally demanding alternatives. But what happens when one must choose between tasks that entail different kinds of effort, one mainly physical (e.g., carrying buckets) and the other mainly mental (e.g., counting)? We asked participants to choose between a bucket-carrying task and a counting task. Our participants were less likely to choose the bucket task when it required a long reach rather than a short reach, and our participants were also less likely to choose the bucket task the smaller the final count value. We tested the hypothesis that subjective task durations provided a common currency for comparing the difficulties of the two kinds of tasks. We found that this hypothesis provided a better account of the task choice data than did an account that relied on objective task durations. Our study opens the door to a new problem in the study of attention, perception, and psychophysics—judging the difficulty of different kinds of tasks. The approach we took to this problem, which relies on two-alternative forced choice along with modeling the basis for the choice, may prove useful in future investigations.  相似文献   
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