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An environmental scan (ES) is an efficient mixed-methods approach to collect and interpret relevant data for strategic planning and project design. To date, the ES has not been used nor evaluated in the clinical cancer genetics setting. We created and implemented an ES to inform the design of a quality improvement (QI) project to increase the rates of adherence to national guidelines for cancer genetic counseling and genetic testing at three unique oncology care settings (OCS). The ES collected qualitative and quantitative data from reviews of internal processes, past QI efforts, the literature, and each OCS. The ES used a data collection form and semi-structured interviews to aid in data collection. The ES was completed within 6 months, and sufficient data were captured to identify opportunities and threats to the QI project’s success, as well as potential barriers to, and facilitators of guideline-based cancer genetics services at each OCS. Previously unreported barriers were identified, including inefficient genetic counseling appointment scheduling processes and the inability to track referrals, genetics appointments, and genetic test results within electronic medical record systems. The ES was a valuable process for QI project planning at three OCS and may be used to evaluate genetics services in other settings.  相似文献   
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Past research has found that preschool children's ability to learn educational content from interactive media may be hindered by needing to learn how to use a new interactive device. However, little research has examined the instructional supports parents provide while their children use interactive media. Forty‐six preschool children and their parents participated in a 30‐min interaction with a novel interactive device. Children were assessed before and after the interaction on knowledge of letters and numbers and device skills. Children improved from pre‐ to posttest on device skills, but not content knowledge. In general, parents used a wide range of strategies during the interaction. Specific parental support for using the device did not result in increased device skills; however, parents who focused their support on content had children who performed better on content assessments. The findings are discussed in terms of the effectiveness of different parent support strategies for children's use of interactive devices and learning of educational content during the preschool years. Copyright © 2015 John Wiley & Sons, Ltd.  相似文献   
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Although it is common for interpreters of Aristotle's De Anima to treat the soul as a specially related set of powers of capacities, I argue against this view on the grounds that the plausible options for reconciling the claim that the soul is a set of powers with Aristotle's repeated claim that the soul is an actuality cannot be unsuccessful. Moreover, I argue that there are good reasons to be wary of attributing to Aristotle the view that the soul is a set of powers because this claim conflicts with several of his metaphysical commitments, most importantly his claims about form and substance. I argue that although there are passages in the De Anima in which Aristotle discusses the soul in terms of its powers or capacities, these discussions do not establish that the soul is a set of capacities.  相似文献   
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Inattentional blindness studies have shown that an unexpected object may go unnoticed if it does not share the property specified in the task instructions. Our aim was to demonstrate that observers develop an attentional set for a property not specified in the task instructions if it allows easier performance of the primary task. Three experiments were conducted using a dynamic selective-looking paradigm. Stimuli comprised four black squares and four white diamonds, so that shape and colour varied together. Task instructions specified shape but observers developed an attentional set for colour, because we made the black–white discrimination easier than the square–diamond discrimination. None of the observers instructed to count bounces by squares reported an unexpected white square, whereas two-thirds of observers instructed to count bounces by diamonds did report the white square. When attentional set departs from task instructions, you may fail to see what you were told to look for.  相似文献   
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Roediger and McDermott (1995) rejuvenated interest in Deese’s (1959) paradigm for producing reliable intrusions and false alarms. Using this paradigm in three experiments, we demonstrated that visual study presentation dramatically reduces the rate of false memories. Only auditory study presentation resulted in equal production of studied and critical items. Correct recall and recognition were unaffected. The suggestion that visual presentation provides a means for discriminating between false and true memories was supported by Experiment 3: Pleasantness rating of study items significantly reduced the creation of false memories regardless of modality.  相似文献   
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Episodic memories are of specific events and experiences associated with particular times and places. Whereas memory for the temporal aspects of past events has been a focus of research attention, memory for the location in which events were experienced has been less fully investigated. The limited developmental research suggests that preschool-age children, in particular, may have difficulty remembering the location in which they experienced specific events. In 2 experiments, 4-year-old children engaged in 4 unique activities in 4 unique locations in and around a laboratory suite. In Experiment 1, the children had high levels of recall of the activities, the locations, and the conjunctions of activities and locations, implying that they had formed memory representations that featured activities bound in locations. In Experiment 2, we tested whether 1 element of the bound representation—the location of an activity—served as a reliable cue to recall of the other element—the activity itself. The test was positive, providing further evidence that 4-year-old children form mnemonic conjunctions of activities and locations. The results imply that important elements of episodic memory are available to young children.  相似文献   
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