Procuring organs from a non-heart-beating cadaver: commentary on a case report

Procurement of organs from non-heart-beating cadaver donors raises concerns. Standards for optimal patient care during withdrawal of life-sustaining therapy are evolving and continue to be debated and studied. Consensus on specific procedures and methods has not been attained, however, and protocols for the procurement of organs from patients following the withdrawal of life-sustaining therapies may compromise the evolving standards and harm the patient and the attendant family. In addition, there is little evidence to suggest that such protocols will significantly increase the number of organs procured. "Non-heart-beating cadaver" protocols that do not give comprehensive attention to optimal patient/family care at the time of withdrawal of life-sustaining therapy ought not to be endorsed.     

An advocacy intervention program for women with abusive partners: Six-month follow-up

Presented the 6-month follow-up findings of an experimental intervention designed to provide postshelter advocacy services to women with abusive partners. The intervention involved randomly assigning half the research participants to receive the free services of an advocate, 4 to 6 hours per week, for the first 10 weeks postshelter. One hundred forty-one battered women were interviewed about their experiences immediately upon their exit from a domestic violence shelter: 95% of the sample were interviewed 10 weeks thereafter (postintervention), and 93% were successfully tracked and interviewed 6 months later. At the 6-month follow-up, participants in both groups reported increased social support, increased quality of life, less depression, less emotional attachment to their assailants, and an increased sense of personal power. Although women in both groups reported some decrease in physical abuse over time, there were no statistically significant differences between those with and those without advocates, and abuse continued to be a problem for many women. Those who were still involved with their assailants continued to experience higher levels of abuse and had been more economically dependent upon the men prior to entering the shelter. Women who had worked with advocates continued to report being more satisfied with their overall quality of life than did the women in the control group. The authors thank the Editor and anonymous reviewers for their helpful comments. Thanks also to all present and past staff of the Community Advocacy Project, who helped in data collection and analyses. This work was supported by National Institute of Mental Health Grant 1R01 MH 44849.     

Robust conditioned flavor preferences with a sensory preconditioning procedure

During sensory preconditioning, rats were given two distinct flavors (saccharin and coffee) in sequence with 0, 9, or 27 sec between the two flavors. A control group received the flavors unpaired. In subsequent training, the second flavor preceded sucrose by 5 min. Later, the subjects that had had 0- or 9-sec delays between the two flavors showed a significant preference for the flavor not directly reinforced, whereas those that had had a 27-sec delay showed only a marginally significant preference. Although taste aversions have been produced using these methods, this is the first demonstration of conditioned preferences for flavors not directly associated with the reinforcers. These results offer an alternative way to study flavor-flavor learning.     

Deficits in visual learning produced by posterior temporal lesions in cats

Eight cats with lesions in the posterior temporal (PT) cortex, seven cats with lesions in the basolateral amygdala (BLA), and eight intact controls were observed on eight tests of visual discrimination learning and of spontaneous responses to salient visual stimuli. The effects of the two lesions were somewhat dissociable. The PT lesions were accompanied by a severe deficit in pattern discrimination learning but no loss in visual tracking or orientation to the silhouette of a threatening cat. The BLA lesions produced a milder and less consistent loss in pattern discrimination but serious defects in tracking and reponse to the cat silhouette. Both operated groups performed well on the visual cliff. The deficit from PT lesions appeared independent of damage to the geniculocortical system. The parallel of symptoms from PT lesions in cats and inferotemporal lesions in monkeys is discussed.     

Tests of symmetry in three-way contingency tables

Three-dimensional contingency tables are analyzed, with one variable (e.g., sex) as a factor, and with a natural relation between the other variables (e.g. left and right eye vision). Models of special interest, like symmetry and proportional symmetry between the related variables, and homogeneity across the factor levels, are investigated. Maximum likelihood estimators of parameters and partitions of chi-square goodness-of-fit statistics are explicitly presented; the independence of certain models is noted, and an example is discussed.     

Long-term smoking intervention at the worksite: effects of quit-smoking groups and an "enriched milieu" on smoking cessation in adult white-collar employees

Maximizing the potential of worksites for smoking intervention remains elusive. We hypothesized that long-term effectiveness of group intervention would be enhanced when offered within an "enriched milieu" (full program) compared with relative isolation (group only). The data failed to support the hypothesis. Although sustained abstinence rates were higher at full-program sites (50%) than at group-only sites (44%), the difference did not achieve statistical significance. Initial (35% vs. 47%) and 12-month (18% vs. 22%) quit rates at full-program and group-only sites also failed to demonstrate the "benefit" of the "enriched milieu."     

Making and correcting errors during sentence comprehension: Eye movements in the analysis of structurally ambiguous sentences

Eye movements were recorded as subjects read sentences containing temporary structural ambiguities. In accord with the garden-path theory of sentence comprehension, shorter reading times were found for sentences conforming to certain independently motivated parsing strategies (late closure and minimal attachment) than for comparable sentences which violate these strategies. Further, longer fixation durations were associated with the very first fixation in the region of the sentence which disambiguated the sentence, suggesting that the human sentence-parsing mechanism operates in a rather systematic fashion, immediately computing the structural consequences of fixated material for the analysis of preceding material. The pattern of regressive eye movements did not conform to the view that the parsing mechanism automatically returns to the beginning of the sentence to revise an incorrect analysis of linguistic material nor did it support the view that the parsing mechanism systematically backtracks through the sentence until the source of the erroneous analysis is located. Rather, the pattern of regressions indicated that the parsing mechanism typically engages in selective reanalysis, exploiting whatever information it has available about the type of error it has committed to guide its reanalysis attempts. Finally, it is emphasized that an understanding of the parser's revision procedures is essential to an explanation of why certain linguistic structures cannot be successfully parsed by humans.