Syntactic context and lexical access

Recent studies demonstrating that multiple meanings of an ambiguous word are initially accessed even when only one reading is syntactically appropriate with the preceding context can be criticized on at least two grounds. First, many of the syntactic contexts used were not truly restrictive, and, secondly, subjects may not have had time to integrate the context before processing the ambiguous word. In the present study, subjects listened to a sentence ending in an ambiguous word and then made a lexical decision to a target related to either the appropriate or inappropriate reading. Contexts were completely restrictive, and a pause was introduced between the context and the ambiguous word. Multiple access still obtained, providing further support for the claim that lexical access is not guided by syntactic context.     

Developing an efficient clinical information system for a comprehensive psychiatric institute: I. Principles,design, and organization

The principles, design considerations, and components of a clinical information system intended to support and enhance the patient care, educational, and research missions of a comprehensive psychiatric institute are presented. Major characteristics of the system are its emphases on efficiency, simplicity, and intensive user involvement throughout the development of the system.     

Prevention of nonadherence to nonsteroidal anti-inflammatory medications for newly diagnosed patients with juvenile rheumatoid arthritis.

Adherence to medications for chronic pediatric diseases decreases overtime. This randomized controlled trial evaluated a clinic-based, nurse-administered educational and behavioral intervention to prevent the anticipated drop in adherence to nonsteroidal medications among newly diagnosed patients with juvenile rheumatoid arthritis. Thirty-four participants completed the study (mean age = 8.44 years, SD = 3.96), including 19 in the experimental group and 15 in the standard-treatment (education) control group. There were significant group and Group x Time effects for adherence (assessed with an electronic monitor over a 13-month period) favoring the experimental group. In contrast, the groups did not differ significantly in disease activity or functional limitations. Factors that may have prevented detection of differences in these health parameters are dicussed.