Predictors of willingness to register as an organ donor among dutch adolescents

Abstract

In order to identify relevant determinants of organ donor registration among Dutch adolescents, a school-based cross-sectional survey was conducted among 145 high school students. Fifty-one percent of respondents indicated they were willing to register as organ donors and 80% reported a positive general attitude towards registration. Various misconceptions about the registration and donation procedure were identified. On average only moderate knowledge levels related to organ donation were found. In order of strongest association, negative outcome expectancies, past behaviour and experience, positive outcome expectancies, and social outcome expectancies proved to be significant predictors of willingness to register as organ donors. Self-efficacy was indirectly associated with willingness via outcome expectancies. Knowledge about organ donation was not significantly associated with willingness. The results suggest that in order to persuade adolescents to register as organ donors, refutational messages will have to be developed to counterargue the prevailing negative outcome expectancies related to organ donation and registration as an organ donor.     

Bindungsrelevante Situationen in der Psychotherapie

Background

The therapeutic relationship is a central factor for psychotherapy, which may be at least partially explained by attachment theory. However, research concerning the conditions under which attachment-related needs are activated in treatment followed by possibly dysfunctional coping strategies is rare.

Patients and methods

Semi-structured interviews on attachment-related situations in psychotherapies were conducted with 36 inpatients and then rated with regard to content.

Results

Triggers for attachment-related needs in therapies were interpersonal conflict and loss, beginning and end of therapy, symptom burden, specific interventions, addressing the therapeutic relationship and change of setting from outpatient to inpatient treatment. This was related to themes of desire for help and support, experience of rejection, self-disclosure and desire for understanding.

Conclusions

The attachment system is activated in therapies similar to other interpersonal situations. The results may help to become more sensitive to attachment-related situations and needs.     

Substitutes for leadership in anaesthesia teams and their impact on leadership effectiveness

In this study we aim to increase our understanding of leadership in anaesthesia teams by investigating the relationship between substitutes for leadership, leadership behaviour, and team performance in situations with varying levels of routine and standardization. The present study relied on video recordings of 12 anaesthesia teams in a simulated setting with the occurrence of a nonroutine event. Clinical team performance was measured by the speed of adequate team reaction to this event. The leadership behaviours observed were coded either as content oriented (e.g., information transmission) or structuring (e.g., assigning tasks). Results showed that leadership behaviour changed depending upon the level of routine of a situation, the degree of standardization, and, to some extent, on the experience of team members. Leadership tends to be positively related to team performance during nonroutine and low standardized situations but negatively related to team performance in routine and highly standardized situations. Furthermore, leadership is only slightly related to team member experience. This study improves our understanding of influences of substitutes for leadership on successful leadership behaviour in anaesthesia teams. The findings also lead to suggestions for both further research and the enhancement of team leadership in critical care.     

A Group of Sexually Abused Adolescents' Perceptions of their Future Life-Roles: An Exploratory Study

Sexual abuse of adolescents can have detrimental effects on their perceptions of their different future life-roles. We investigated such perceptions of students with a history of sexual abuse (n=163) as well as typically developing others (n=237). Participants completed the Life-role Inventory of the then called Human Sciences Research Council (Langley, 1990). Between-group comparisons were carried out. Adolescents with a history of sexual abuse reported negative perceptions of themselves fulfilling some of their roles in the future, being committed to these roles and attaching value to them, compared to typically developing others.     

Merging Inference and Conjecture by Information

The intuitive notion of a binary relation on information-bearers, comparingthem with respect to their closeness to the available information, is oftenconstrued in terms of comparing their symmetric difference with, orcompositional similarity to, the available information. This happens forinstance in some treatments of verisimilitude. We expound an abstractmathematical rendering of the relevant data-dependent relation in theframework of Boolean algebras. For every element t of a Boolean algebra B we construct the t-modulated Boolean algebra B_tin which the order relation represents `is at most as compatible with t as' or `is at best as similar to t as'. In the case of Lindenbaum-Tarskialgebras, t expresses the available information, and the compatibilityrelation turns out to be an entwinement of inferential and conjecturalrelations. It is just classical entailment when no information is available(i.e., when t is logically true) and becomes more boldly abductive themore information is available. The rich algebraic structures of a Boolean algebra –- including its Boolean group structures –- play a significant role in this combination of deduction and abduction and also induce cautious anddaring variants of the compatibility relation. Links with the literature onverisimilitude, abduction, and related topics are indicated.     

Fractional Design Wizard: A computer program for cost-effective experimental research design

The computer program Fractional Design Wizard creates fractional factorial designs that are cost-effective and especially useful for discarding irrelevant factors from a large number of possible candidates. The program is intended for researchers who are relativelynew to the field of fractional design and who want to acquaint themselves with the use of fractions for the reduction of large experimental designs. Fractional designs allow estimation of main effects, and sometimes two-way interactions, without one’s having to examine all treatment conditions. The program needs Microsoft Windows 95 or better and 32 MB of memory. In a step-by-step fashion, the user can specify the required properties of the fractional design. When there are more valid designs, the user can generate these successively If necessary the user can go back to diminish the requirements. The output can be copied, printed, and saved. The program generates all the information that is needed for the use and interpretation of fractional designs. A help file explains the use of the program and also the purpose, the analysis, and the interpretation of fractional designs. The program, which is written in Object Pascal, is available as freeware on www.fss.uu.nl/ms/hl/fracdes.htm.     

Allgemeine Sinnesphysiologie

Ohne Zusammenfassung     

Orthography shapes the perception of speech: The consistency effect in auditory word recognition

Inconsistency in the spelling-to-sound mapping hurts visual word perception and reading aloud (i.e., the traditional consistency effect). In the present experiment, we found a consistency effect in auditory word perception: Words with phonological rimes that could be spelled in multiple ways produced longer auditory lexical decision latencies and more errors than did words with rimes that could be spelled only one way. This finding adds strong support to the claim that orthography affects the perception of spoken words. This effect was predicted by a model that assumes a coupling between orthography and phonology that is functional in both visual and auditory word perception.     

SSRAT: The processing of rating scales for the determination of two-dimensional sociometric status

SSRAT is an MS-DOS computer program for two-dimensional sociometric status determination with rating scales. It classifies members of a population into five sociometric status groups, using 3-, 5-, 7-, or 9-point ratings in matrices of assessors and assessed. The processing of rating scales instead of nominations offers several advantages, including increased variability and reliability of the resulting scores. SSRAT is built on the null hypothesis of conditional random attribution of ratings, according to the particular probability distribution of an assessor. Output is available in the form of an ASCII SPSS data file for further statistical processing. Recent studies show that SSRAT, in comparison with nomination methods, (1) is superior in determining popular persons while it detects rejected persons as well, and (2) probably yields classifications that have a higher temporal stability.     

Foreground and background in dynamic spatial orientation

The dependency of visually induced self-motion sensation upon the density of moving contrasts as well as upon additional stationary contrasts in the foreground or background was investigated. Using two different optokinetic stimuli, a disk rotating in the frontoparallel plane, and the projection of horizontally moving stripes onto a cylindrical screen, it was found that: (1) visually induced self-motion depends upon the density of moving contrasts randomly distributed within the visual field and, with a single contrast area of 1/4 %, is saturated when about 30% of the visual field is moving; (2) additional stationary contrasts inhibit visually induced serf-motion, proportional to their density; and (3) the location in depth of the stationary contrasts has a significant effect upon this inhibition. Their effect is considerable when located in the background of the moving stimuli but weak when appearing in the foreground. It is concluded that dynamic visual spatial orientation relies mainly on information from the seen periphery, both retinal and depth.