Women and AIDS

While the origin of the AIDS virus remains controversial, it is indisputable that AIDS is spreading worldwide. By June 1987, the World Health Organization estimated that 50 million Africans were infected with HIV and that the disease was epidemic in many parts of the continent. However, African governments chose to deny the threat of the disease. The AIDS crisis has diverted resources from other vital areas of disease prevention, health promotion, and research. Whereas AIDS is spread in developed nations by sexual promiscuity, by drug addicts sharing unclean hypodermic needles, and by homosexual behavior, in Africa cultural factors contribute to the transmission of AIDS. Female genital mutilation leads to extensive laceration of the female genitals upon initiation of sexual intercourse and/or to substitution of anal sex during the weeks and months before vaginal penetration can be achieved. In addition, the reuse of the same knives during the mutilation can spread HIV infection. Other factors that contribute to the spread of HIV in Africa include the patriarchal practice of polygamy, the subordinate position of women that makes them unable to insist on protection during intercourse, and a failure to screen blood used in transfusions. With all of these risk factors at play, women at the grassroots level must be equipped with the health education that is the only available tool to fight AIDS. Women's organizations can provide information and education to people at risk of acquiring HIV, counsel infected persons, ensure the safety of the blood supply, and work to overcome harmful traditional practices.     

Metaphysics of causation

Conclusion The world contains not only causes and effects, but also causal relations holding between causes and effects. Because causal relations enter into the structure of the world, their presence has various modal and probabilistic consequences. Causation and necessary and sufficient conditions do often go hand in hand. Causation, however, is a robust ingredient within the world itself, whereas modalities and probabilities supervene on the nature of the world as a whole, and on the resulting relations between one possible world and others. Some modalities, therefore, are essentially causal; but causation is not essentially modal.¹⁹     

Proof and truth in Lakatos's masterpiece

Proofs and Refutations is Lakatos's masterpiece. This article investigates some of its central themes, in particular: the nature of proofs ('Proofs do not prove, they improve'); the nature of definitions (real, not nominal); and the consequences of all this for ontology (platonism vs Popper's World Three).     

Risk perceptions and participation in colorectal cancer screening

Compared individuals at high versus average risk for colorectal cancer (CRC) with respect to factors they cited as affecting their risk of developing CRC. We also examined the relationship of these risk-factor perceptions to perceived susceptibility and participation in a CRC screening test. All individuals in the high-risk group were informed that, as a sibling of someone with CRC, they were more likely to get this cancer themselves. We found minimal differences among siblings with respect to perceived susceptibility. Further, although high-risk siblings were more likely to participate in screening, only 20.2% cited heredity as a risk-increasing factor, and, among these siblings, there was no relationship between screening participation and the citation of any specific risk factors, including heredity. These findings demonstrate the need for more research examining how high-risk individuals process risk-relevant information and the effect of this information on health behavior.     

Efficacy of behavioral management and patient education on vascular access cleansing compliance in hemodialysis patients

Compared four treatment conditions to test their ability to enhance compliance with vascular access cleansing (VAC) procedures in a group of 56 hemodialysis patients. The conditions were patient education, behavioral management with monetary incentive, patient education/behavioral management, and attention control. Behavioral observers rated VAC behavior at pretreatment, posttreatment 1-month follow-up, and 1-year follow-up. Knowledge of VAC procedures was also assessed via a questionnaire at pretreatment and posttreatment. Data were analyzed using repeated-measures multivariate analyses of variance. Results indicated that the patients in the education/behavioral, behavioral, and education groups gave significantly more correct answers on our VAC knowledge questionnaires at posttreatment than did patients in the attention control group. Further, patients in the education/behavioral and behavioral groups completed significantly more VAC steps at posttreatment and 1-month follow-up than did patients in the education group and in the attention control group. Differences were not maintained at 1-year follow-up, although more than 50% of the patients were lost to follow-up. Implications of the present findings for behavioral and educational interventions are discussed.     

Inquiry into intentional systems I: Issues in ecological physics

Summary The role of intention in guiding the behavior of goal-directed systems is a problem that continues to challenge behavioral science. While it is generally agreed that intentional systems must be consistent with the laws of physics, there are many obvious differences between inanimate, physical systems and sentient, intentional systems. This suggests that there must be constraints over and above those of physics that govern goal-directed behavior. In this paper it is suggested that generic properties of self-organizing mechanisms may play a central role in the origin and evolution of intentional constraints. The properties of self-organizing systems are first introduced in the context of simple physical systems and then extended to a complex (biological) system. Whereas behavior of an inanimate physical system is lawfully determined by force fields, behavior of an animate biological system is lawfully specified by information fields. Biological systems are distinguished from simple physical systems in terms of their ubiquitous use of information fields as special (biological and psychological, social, etc.) boundary conditions on classical laws. Unlike classical constraints (boundary conditions), informational constraints can vary with time and state of the system. Because of the nonstationarity of the boundary conditions, the dynamic of the system can follow a complex trajectory that is organized by a set of spatially and temporally distributed equilibrium points or regions. It is suggested that this equilibrium set and the laws that govern its transformation define a minimal requirement for an intentional system. One of the benefits of such an approach is that it suggests a realist account for the origin of semantic predicates, thereby providing a basis for the development of a theory of symbolic dynamics. Therefore, the principles of self-organization provide a comprehensive basis for investigating intentional systems by suggesting how it is that intentions arise, and by providing a lawful basis for intentional behavior that reveals how organisms become and remain lawfully informed in the pursuit of their goals.     

Saccadic reaction times of dyslexic and age-matched normal subjects

Saccadic reaction times (SRT) were measured in a simple task: subjects had to make saccades from a central fixation point to peripheral targets, which appeared randomly 4 deg to the left or to the right. In the first test the fixation point went off before the target appeared (gap trials); in the second test it remained on the screen (overlap trials). The distribution of SRTs for trained normal adults (N = 4), untrained normal adults (N = 11), untrained normal children (aged 9-11 years, N = 9), untrained normal teenagers (aged 15-17 years, N = 8), dyslexic children (aged 9-11 years, N = 15), and dyslexic teenagers (aged 15-17 years, N = 5) were compared, with special emphasis on the number of express saccades, ie saccades with extremely short reaction times (100-120 ms, under the present conditions). In normal adults with the gap paradigm, the distribution of reaction times typically exhibits two or three modes (express saccades, fast regular saccades, and very few slow regular saccades), whereas in the overlap paradigm only one or two modes (few fast regular saccades and many slow regular saccades) are obtained. On average, normal children produce more express saccades than naive normal adults. Dyslexic children produce more express saccades than the normal age-matched controls. Among the dyslexic children, four different types of abnormalities in their reaction times were encountered. The group of dyslexic teenagers was characterized by a larger number of express saccades at the expense of fast regular saccades in gap trials and by fewer express saccades and fewer fast regular saccades in overlap trials when compared to the age-matched control group. It is concluded that the abnormal patterns of saccadic reaction times reflect defects in the system of visual attention and/or in its control over the oculomotor system, rather than indicating a defect in the oculomotor system itself. In this context, symptoms of dyslexia appear as a combination of attentional deficits and irregular timing of saccadic eye movements.     

Sex differences in children's time use

A sample of children (410 on a school day and 347 on a non-school day) was examined to determine differences in time spent in household work, leisure activities, school, paid work, personal care, and sleep by males and females. Males spent more time in leisure activities and less time in household work and personal care than females. Differences in time allocation appeared to be in accordance with traditional male-female roles. These patterns were established at early ages.