Death and organ procurement: public beliefs and attitudes

Although "brain death" and the dead donor rule--i.e., patients must not be killed by organ retrieval--have been clinically and legally accepted in the U.S. as prerequisites to organ removal, there is little data about public attitudes and beliefs concerning these matters. To examine the public attitudes and beliefs about the determination of death and its relationship to organ transplantation, 1351 Ohio residents >18 years were randomly selected and surveyed using random digit dialing (RDD) sample frames. The RDD telephone survey was conducted using computer-assisted telephone interviews. The survey instrument was developed from information provided by 12 focus groups and a pilot study of the questionnaire. Three scenarios based on hypothetical patients were presented: "brain dead," in a coma, or in a persistent vegetative state (PVS). Respondents provided personal assessments of whether the patient in each scenario was dead and their willingness to donate that patient's organs in these circumstances. More than 98 percent of respondents had heard of the term "brain death," but only one-third (33.7%) believed that someone who was "brain dead" was legally dead. The majority of respondents (86.2%) identified the "brain dead" patient in the first scenario as dead, 57.2 percent identified the patient in a coma as dead (Scenario 2), and 34.1 percent identified the patient in a PVS as dead (Scenario 3). Nearly one-third (33.5%) were willing to donate the organs of patients they classified as alive for at least one scenario, in seeming violation of the dead donor rule. Most respondents were not willing to violate the dead donor rule, although a substantial minority was. However, the majority of respondents were unaware, misinformed, or held beliefs there were not congruent with current definitions of "brain death." This study highlights the need for more public dialogue and education about "brain death" and organ donation.     

Abolishing the word-length effect

The authors report 2 experiments that compare the recall of long and short words in pure and mixed lists. In pure lists, long words were much more poorly remembered than short words. In mixed lists, this word-length effect was abolished and both the long and short words were recalled as well as short words in pure lists. These findings contradict current models that seek to explain the word-length effect in terms of item-based effects such as difficulty in assembling items, or in terms of list-based accounts of rehearsal speed. An alternative explanation, drawing on ideas of item complexity and item distinctiveness, is proposed.     

Performance variability is related to change in cognition: evidence from the Victoria Longitudinal Study

Performance variability across repeated task administrations may be an important indicator of age-related cognitive functioning. In the present investigation, the authors examined whether age differences and change in inconsistency were related to 6-year (3 occasion) cognitive change. Inconsistency scores were computed from 4 reaction time tasks performed by 446 older adults (54-89 years). Replicating previous cross-sectional results, greater inconsistency was observed for older participants even after controlling for differences in response speed. New longitudinal results demonstrated (a) associations between inconsistency at baseline measurement and 6-year change in cognitive performance; (b) longitudinal change in inconsistency; and (c) intraindividual covariation between 6-year change in inconsistency and 6-year change in level of cognitive function. These findings support the view that performance variability serves as a marker of cognitive aging.     

Structural Organization of Practice: Effects of Practicing Under Different Informational Constraints on the Acquisition of One-Handed Catching Skill

The question addressed in this study was the effects of the manipulation of the informational constraints of practice conditions on the acquisition of one-handed catching skill. Three groups of poor catchers (8 participants per group) practiced in either a normal-light, ball-only, or interspersed ball-only and normal-light condition (N = 450 trials). All groups exhibited a significant improvement in the number of catches and catching score and a reduction in the number of misses by the end of practice. The structural organization of the practice conditions had a significant effect on catching performance. Practicing in the interspersed condition had a positive residual effect on subjects' performance in normal light. Similarly, there was a positive residual effect of practicing in the ball-only and the interspersed conditions on subjects' normal-light, posttest performance. The findings are interpreted as support for the argument that practicing under varying informational constraints can benefit skill acquisition by directing the subjects' search toward relevant sources of information.