Improving fairness in coverage decisions: performance expectations for quality improvement

Patients and physicians often perceive the current health care system to be unfair, in part because of the ways in which coverage decisions appear to be made. To address this problem the Ethical Force Program, a collaborative effort to create quality improvement tools for ethics in health care, has developed five content areas specifying ethical criteria for fair health care benefits design and administration. Each content area includes concrete recommendations and measurable expectations for performance improvement, which can be used by those organizations involved in the design and administration of health benefits packages, such as purchasers, health plans, benefits consultants, and practitioner groups.     

Universal sex differences in the desire for sexual variety: tests from 52 nations, 6 continents,and 13 islands

Evolutionary psychologists have hypothesized that men and women possess both long-term and short-term mating strategies, with men's short-term strategy differentially rooted in the desire for sexual variety. In this article, findings from a cross-cultural survey of 16,288 people across 10 major world regions (including North America, South America, Western Europe, Eastern Europe, Southern Europe, Middle East, Africa, Oceania, South/Southeast Asia, and East Asia) demonstrate that sex differences in the desire for sexual variety are culturally universal throughout these world regions. Sex differences were evident regardless of whether mean, median, distributional, or categorical indexes of sexual differentiation were evaluated. Sex differences were evident regardless of the measures used to evaluate them. Among contemporary theories of human mating, pluralistic approaches that hypothesize sex differences in the evolved design of short-term mating provide the most compelling account of these robust empirical findings.     

The Space of Argumentation: Urban Design, Civic Discourse, and the Dream of the Good City

In this paper, I explore connections between two disciplines not typically linked: argumentation theory and urban design. I first trace historical ties between the art of reasoned discourse and the idea of civic virtue. I next analyze discourse norms implicit in three theories of urban design: Jane Jacobs' The Death and Life of Great American Cities (1961), Christopher Alexander's A Pattern Language: Towns, Buildings, Construction (1977), and Peter Katz's The New Urbanism: Toward an Architecture of Community (1994). I then propose a set of settlement issues of potential interest to both urban designers and argumentation theorists: size, density, heterogeneity, publicity, security, and identity. I conclude by suggesting that the good city be seen as both a spatial and a discursive entity. From such a perspective, good public discourse is dependent, at least in part, on good public space; and good public space is defined, at least in part, as a context conducive to good public discourse.     

Early mother-infant interaction during breast- and bottle-feeding

Thirty-two primiparous mothers with their neonates, 20 breast-fed and 12 bottle-fed, were videotaped during feeding longitudinally (at 3, 10 days, 1 and 3 months) in order to investigate whether patterns of mother-infant interaction observed during breast- and bottle-feeding differ also for behavior not directly related to sucking. Infant state, sucking behavior, mother behavior and mother-infant interaction were analyzed by both sequential and non sequential analysis. Results suggest that the method of feedings affects mother-infant interaction observed during and just after feeding also for some behavior not directly related to sucking. The percentage of mutual touch, tactile stimulation and mother's gaze to infant was significantly more elevated during breast-feeding. Independently of the feeding mode, significant sequential dependencies between infant state of alertness and auditory stimulation, and auditory stimulation and mutual gaze were found.     

Sentence comprehension and production in children with cochlear implants: Errorless procedures and equivalence-based instruction

Research supports equivalence-based instruction (EBI) and matrix training for increased listening and speaking skills in children with cochlear implants (CI). We incorporated errorless procedures to optimize the EBI and evaluated the effects on the auditory comprehension and verbal responding at-sentences level in six CI children who were readers and showed inaccurate tacting. Subject-verb-object sentences were arranged in two matrices; diagonal combinations were trained and evaluated non-diagonal combinations. EBI included stimulus fading and exclusion to directly teach the dictated sentence-picture matching; written-sentences construction upon dictation also was taught. Probes assessed the derived stimulus-stimulus and stimulus-response relations. All participants learned the auditory-visual discriminations and the exclusion resulted in fewer errors than on a stimulus fading procedure. Five participants formed equivalence classes and increased verbal responding to equivalent stimuli, especially pictures tacting. They also showed recombinative generalization for both matrices. Professionals can incorporate errorless procedures to EBI for improving sentence comprehension, tacting, and productivity in CI children.     

Goal setting in acquisition of a volleyball skill late in motor learning

To examine the effects of different types of goal setting on motor skill acquisition during advanced stages of learning. 44 female volleyball players were tested in four experimental training groups with generic goals, specific long-term goals, specific short-term goals, and as a control group. This study's pretest, training, and retention test phases used performance of a volleyball dig/forearm pass oriented to a target. Analyses yielded no significant differences among groups, although performance increased from pre- to retention test.     

Human bilateral deficit during a dynamic multi-joint leg press movement

Bilateral deficit has been used to describe the phenomenon of a reduction in performance during synchronous bilateral movements when compared to the sum of identical unilateral movements. The study of bilateral deficit in humans under isometric, and to a lesser extent, dynamic conditions has shown bilateral decreases in force and muscle activation, and delayed reaction time. Results are equivocal, however, and biomechanical analyses of dynamic conditions, i.e., movements, are lacking. Our purpose was to determine, through an analysis of kinematic, kinetic, and electromyographic (EMG) data, whether or not bilateral deficit was present during a dynamic multi-joint movement under conditions where the external load was relatively equal for unilateral and bilateral efforts. Five male participants performed repeated unilateral and bilateral maximal horizontal leg press jumps under 100% (1BW) and 200% (2BW) relative body weight loads. Significant bilateral deficits in resultant ground reaction impulse of 27.7% and 13.0% were present in 1BW and 2BW, respectively. Maximum joint power at the hip exhibited significant deficits in both 1BW and 2BW of 35.6% and 25.1%, respectively. In both 1BW and 2BW conditions, ankle (15.5% and 11.5%), knee (10.9% and 5.7%), and hip (38.5% and 30.4%) work was significantly affected. Statistically significant EMG bilateral deficits were found in every muscle in both conditions except for rectus femoris during the 2BW trials. Bilateral deficit values ranged from 9.1% to 20.9% for 1BW, while deficits between 6.1% and 20.7% were found in 2BW. These results indicate that during dynamic leg press, bilateral deficit does exist, but that individual muscle activation levels and joint kinetics are not equally affected.     

Community psychology: should there be a European perspective?

In this era of globalisation community psychologists have to examine how globalisation patterns interact with local cultural norms, to find tools to promote a sense of community that fits a particular context. We cannot therefore acritically adopt for many European contexts, community psychology concepts and intervention strategies geared to USA values. The paper argues for the need to develop a European perspective in Community Psychology, built more on the European tradition of political concern for promoting social capital, besides an individual's freedom and autonomy. The paper attempts to identity some of the main differences that have emerged in the last decades between USA and European approaches to community psychology. It also describes two empowering tools, which integrate traditional and post modern views of science: community profiling and multidimensional organisational analysis, that have been used by European community psychologists to rebuild social capital in organisations and local communities. Copyright © 2001 John Wiley & Sons, Ltd.     

Reinstatement of episodic-like memory in rats by neurokinin-1 receptor antagonism

We previously showed that a systemic administration of the selective non-peptide neurokinin-1-receptor (NK-1-R) antagonist SR140333 increases hippocampal acetylcholine levels and facilitates long term memory. In the present study, we investigated whether systemic SR140333 has beneficial effects on episodic-like memory for unique experiences. Rats received either no injection, a vehicle injection or SR140333 at doses of 1, 3 and 9 mg/kg (i.p.) prior to the acquisition of an object memory for what, where and when. In line with previous results, untreated rats showed episodic-like memory, while vehicle-injected rats were impaired. A low dose of 1mg/kg SR140333 reinstated episodic-like memory. This result might be related to the effects of SR140333 on hippocampal cholinergic transmission and/or on the stress-response elicited by the injection procedure. Higher doses of SR140333 (3 and 9 mg/kg) induced psychomotor effects, including stereotypic behaviors and arched posture. Since NK-1-R antagonists have anxiolytic and promestic properties and induce hippocampal acetylcholine release at lower doses, they might be effective in the alleviation of the cognitive deficits and increased anxiety seen in early stages of Alzheimer's disease.     

The role of cultural and spiritual expressions in affirming a sense of self,place, and purpose among young urban,Indigenous Australians

This article sets out to discuss the impact that urban living has had on the lives of young Indigenous people. It will seek to discover some of the problems that occur when there is a meeting of two cultures, in this case the Indigenous culture of Australian Aboriginal people and the mainstream culture that has been derived largely from west European traditions which, in turn, was born out of Western Christian perspectives. As well, it will explore the challenges faced by minority groups who live in pluralist contexts when they attempt to hand on their ways to their young people, in particular, the difficulties faced by urban Indigenous Australians who try to ensure that their young people will develop knowledge about their cultural and spiritual heritage. Finally it will examine how the rights of young Indigenous people need to be protected so that they can continue to develop their particular identity and at the same time take their place with pride and integrity in the pluralist social context that defines Australia today.

Many Australians understand that Aboriginal people have a special respect for nature. The identity we have with the land is sacred and unique. Many people are beginning to understand this more. Also there are many Australians who appreciate that Aboriginal people have a very strong sense of community. All persons matter. All of us belong and there are many more Australians who understand that we are people who celebrate together.

What I want you to know about is another special quality of my people. I believe it is most important. It is our most unique gift. It is perhaps the greatest gift we can give to our fellow Australians. In our language it is the quality called dadirri. It is inner, deep listening and quiet, still awareness.

Dadirri recognizes the deep spring inside us. We call on it and it calls to us. This is the gift that Australia is thirsting for. It is something like what you call ‘contemplation’. (Ungunmerr, 2003 Ungunmerr, Miriam‐Rose. 2003. “Dadirri—The spring within”. In Dadirri: the spring within—the spiritual art of the Aboriginal people from Australia’s Daly River region, Edited by: Farrelly, E. vii–ix. Darwin, NT, , Australia: Terry Knight and Associates.  [Google Scholar])