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931.
932.
933.
Evaluating Genetic Counseling: Client Expectations,Psychological Adjustment and Satisfaction with Service 总被引:1,自引:0,他引:1
Periodic evaluations of genetic counseling services are useful for determining the effectiveness of counseling in meetings its psycho-educational aims, as well as identifying where improvements to the service may be made. This study aimed to evaluate the genetic counseling services provided by Genetic Services of Western Australia (GSWA) to determine the impact of counseling on client expectations, satisfaction with the service, and psychological adjustment, defined as wellbeing and perceived personal control (PPC). A total of 122 clients participated in a self-administered survey conducted pre- and post-counseling. Client expectations of the service as a means of providing information were met, and opportunities for counselors to meet client’s expectations of psychological support were identified. Furthermore, counseling was found to maintain and enhance psychological wellbeing of clients. The role of counseling in facilitating the development of PPC was a key contributor to a high sense of satisfaction in clients. 相似文献
934.
McConkie-Rosell A Finucane B Cronister A Abrams L Bennett RL Pettersen BJ 《Journal of genetic counseling》2005,14(4):249-270
These recommendations describe the minimum standard criteria for genetic counseling and testing of individuals and families
with fragile X syndrome, as well as carriers and potential carriers of a fragile X mutation. The original guidelines (published
in 2000) have been revised, replacing a stratified pre- and full mutation model of fragile X syndrome with one based on a
continuum of gene effects across the full spectrum of FMR1 CGG trinucleotide repeat expansion. This document reviews the molecular
genetics of fragile X syndrome, clinical phenotype (including the spectrum of premature ovarian failure and fragile X-associated
tremor-ataxia syndrome), indications for genetic testing and interpretation of results, risks of transmission, family planning
options, psychosocial issues, and references for professional and patient resources. These recommendations are the opinions
of a multicenter working group of genetic counselors with expertise in fragile X syndrome genetic counseling, and they are
based on clinical experience, review of pertinent English language articles, and reports of expert committees. These recommendations
should not be construed as dictating an exclusive course of management, nor does use of such recommendations guarantee a particular
outcome. The professional judgment of a health care provider, familiar with the facts and circumstances of a specific case,
will always supersede these recommendations. 相似文献
935.
Most studies of animal tool use require subjects to use one object to gain access to a food reward. In many real world situations, however, animals perform more than one action in sequence to achieve their goals. Of theoretical interest is whether animals have the cognitive capacity to recognize the relationship between consecutive action sequences in which there may be one overall goal and several subgoals. Here we ask if cotton-top tamarins, a species that in captivity uses tools to solve means-end problems, can go one step further and use a sequence of tools (means) to obtain food (end). We first trained subjects to use a pulling tool to obtain a food reward. After this initial training, subjects were presented with problems in which one tool had to be used in combination with a second in order to obtain food. Subjects showed great difficulty when two tools were required to obtain the food reward. Although subjects attended to the connection between the tool and food reward, they ignored the physical connection between the two tools. After training on a two-tool problem, we presented subjects with a series of transfer tests to explore if they would generalize to new types of connections between the tools. Subjects readily transferred to new connections. Our results therefore provide the first evidence to date that tamarins can learn to solve problems involving two tools, but that they do so only with sufficient training. 相似文献
936.
A number of measures have been used in epidemiological studies of children's exposure to community violence, yet the quality
of these instruments is not uniformly good. This paper undertakes a systematic review of the most commonly used (or most promising)
self-report or interview-administered instruments, with regard to their conceptual bases and psychometric properties. Based
on the review, recommendations are made for working with the current state of the science in order to move the field forward.
A key recommendation is for sounder conceptualization of work in the field and greater transparency in the reporting of research,
in order to facilitate the comparability of studies. 相似文献
937.
Närhi V Ahonen T Aro M Leppäsaari T Korhonen TT Tolvanen A Lyytinen H 《Brain and language》2005,92(1):45-57
We report two studies on rapid serial naming (RSN). Study 1 addressed the relations among RSN tasks comprising different stimuli. Separate components for RSN of alphanumeric and non-alphanumeric stimuli, as well as for tasks in which the stimuli alternated between categories were identified. In Study 2, phonological skills, processing speed, motor dexterity, and verbal fluency were found to explain RSN performance. The studies indicate: (1) that RSN tasks vary in their properties according to the stimuli used and according to the way the tasks are arranged, and (2) that RSN tasks are multi-componented. 相似文献
938.
Attention capacity and task difficulty in visual search 总被引:1,自引:0,他引:1
When a visual search task is very difficult (as when a small feature difference defines the target), even detection of a unique element may be substantially slowed by increases in display set size. This has been attributed to the influence of attentional capacity limits. We examined the influence of attentional capacity limits on three kinds of search task: difficult feature search (with a subtle featural difference), difficult conjunction search, and spatial-configuration search. In all 3 tasks, each trial contained sixteen items, divided into two eight-item sets. The two sets were presented either successively or simultaneously. Comparison of accuracy in successive versus simultaneous presentations revealed that attentional capacity limitations are present only in the case of spatial-configuration search. While the other two types of task were inefficient (as reflected in steep search slopes), no capacity limitations were evident. We conclude that the difficulty of a visual search task affects search efficiency but does not necessarily introduce attentional capacity limits. 相似文献
939.
940.
Weekly observations documented developmental changes in mother-infant face-to-face communication between birth and 3 months. Developmental trajectories for each dyad of the duration of infant facial expressions showed a change from the dominance of Simple Attention (without other emotion expressions) to active and emotionally positive forms of attention to the mother toward the end of the 2nd month. The results support an overlapping waves model, rather than a stage model, of developmental change. Sequential analysis found developmental changes from cycling between Gaze Elsewhere and Simple Attention to the Mother's Face in the early weeks to a complex sequence of transitions between Concentrated Attention, Smile, and Cooing Expression nested into sequences of positive communication during the 2nd and 3rd months. 相似文献