Systems change as an outcome and a process in the work of community collaboratives for health

The widespread development of comprehensive community initiatives that aim to improve community health is driven by the need to change the systems charged with delivering the services and creating the policies related to a variety of health outcomes. Georgia's Family Connection initiative is the nation's largest statewide network of community collaboratives for health, with collaboratives operating in 159 counties. Data on community context, collaborative processes, engagement in systems change, and changes in programs and activities implemented, gathered consistently at the collaborative level over 3 years, will be used to answer the following questions. How do community contexts and the structure and processes of collaboratives affect implementation of systems change? How do systems changes affect intermediate outcomes such as the type of programs offered in a community? Longitudinal change in systems change and program implementation is described and significant predictors of between‐collaborative variation in longitudinal change for each outcome are identified.     

Seeing Through Technology

In examining representations of cities, disease, and human biology, this paper reflects on what technologies reveal of the conditions to which they’re turned.

论孟子哲学及其贡献

孟子认为,仁义价值等是人的本性。价值是人的标志。它具有首先性、主体性。诚是善良的人性本体的现实化。可是性善说显然无法自圆其说。这便是人性悖论。义内说表明,陈述同样具有主体性。主体对对象的把握方式是推恩。推恩是一种感应方式。被感应的对象,有时候被称为神。     

On the emergence of modern humans

The emergence of modern humans with their extraordinary cognitive capacities is ascribed to a novel type of cognitive computational process (sustained non-routine multi-level operations) required for abstract projectuality, held to be the common denominator of the cognitive capacities specific to modern humans. A brain operation (latching) that allows this novel computational process is proposed as well as a physics-inspired mechanism that could explain its rather recent emergence without invoking unlikely genetic or structural changes.     

Perceptual complexity,rather than valence or arousal accounts for distracter-induced overproductions of temporal durations

For humans and other species, the ability to estimate the physical passage of time is of fundamental importance for perceptual, cognitive or motor functions. Despite this importance, any subjective estimation of temporal durations not only depends on the temporal dynamics of the to-be-timed stimulus or event, but also can be distorted by non-temporal perceptual, cognitive, and emotional effects. This study aimed to further explore critical stimulus characteristics modulating distracter-induced distortions in human time-reproduction. To this end, we investigated whether subjectively rated distracter dimensions of arousal and valence (related to levels of emotionality), or rather stimulus complexity, as a confounder, produce distortions in participants' reproduction of a previously trained target interval. Accuracy and precision of time-reproduction have been measured in distracter-trials, and compared to timing performance in baseline-trials without any distraction. Results showed temporal overproductions in a magnitude of less than distracter duration only for complex distracters. Most importantly, arousal level and valence of distracters were not accountable for temporal distortions. Within an internal clock framework, our pattern of results can best be interpreted in the context of attention-, rather than arousal-based mechanisms of timing.     

Correlation between maternal and infant cortisol varies by breastfeeding status

ObjectiveThe objective of this study was to examine associations of mother and infant salivary cortisol, measured three times over the course of a day, and assess whether these varied by breastfeeding status.MethodsWe conducted a cross-sectional study of 54 mothers and their infants aged 4–11 months. Mothers collected their own saliva and that of their infants upon awakening, 30 min after waking and at bedtime. Breastfeeding status was reported by mothers and cortisol level was measured in saliva in μg/dl using standard techniques. We used generalized linear models to evaluate relationships between maternal and infant cortisol levels, and assessed whether the relationship differed by breastfeeding status: formula only compared to partial and full breastfeeding, adjusting for infant sex, race, age, maternal education, and family income.ResultsThirty-four infants received formula only and 20 were either partially or fully breastfed. Breastfeeding was associated with higher household income, higher maternal education, and white race. Cortisol levels were higher among breastfed infants at all three time points. After adjustment, maternal cortisol levels were related with infant cortisol at bedtime only (regression estimate 0.06; 95% CI: 0.10, 1.1; p = 0.02). The adjusted association between bedtime maternal and infant cortisol was stronger among breastfeeding dyads than among formula-feeding dyads (regression estimate 1.0; 95% CI: 0.1, 2.0; p = 0.04 vs. 0.6; CI: −0.1, 1.3; p = 0.10). In addition, we assessed the influence of maternal education and household income in our adjusted model; income strengthened the observed association, whereas maternal education did not change the estimate.ConclusionsBreastfeeding mothers and infants had significant correlations for cortisol at bedtime, while formula-feeding dyads did not. These data suggest that several factors may contribute to cortisol synchrony observed in mother/infant dyads, including the transfer of cortisol in human milk, physical interaction such as skin-to-skin contact, and shared environment. In addition, our findings support household income as a possible contributor.     

When motor congruency modulates immediate memory for objects

In line with the embodied cognition view, some researchers have suggested that our capacity to retain information relies on the perceptual and motor systems used to interact with our environment (Barsalou, 1999; Glenberg, 1997). For instance, the language production architecture would be responsible for the retention of verbal materials such as a list of words (Acheson & MacDonald, 2009). However, evidence for the role of the motor system in object memory is still limited. In the present experiments, participants were asked to retain lists of objects in memory. During encoding, participants had to pantomime an action to grasp (Experiments 1A & 1B) or to use the objects (Experiment 2) that was either congruent or incongruent with the objects to be retained. The results showed that performing an incongruent action impaired memory performance compared to a congruent action. This suggests that motor affordances play a role during object retention. The results are discussed in light of the embodied cognition view.     

试析德国纳粹人体实验的道德逻辑

德国纳粹人体实验与德国现代伦理思想中的超人道德和种族主义思想密切相关。超人道德是纳粹人体实验的“意志-伦理”基础,种族主义则是纳粹人体实验的“科学—伦理”依据。     

Repair Avoidance: When Faithful Informational Exchanges Don't Matter That Much

Common-sense intuition suggests that, when people are engaged in informational exchanges, they communicate so as to be reasonably sure that they perform the exchanges faithfully. Over the years, we have found evidence suggesting that this intuition, which is woven into several influential theories of human communication, may be misleading. We first summarize this evidence and discuss its potential limitations. Then, we present a new study that addresses the potential limitations. A confederate instructed participants to “pick up the skask” from a tray containing six objects and move it to a specific location. Since skask is a non-word invented by us, participants had to ask for clarification to perform the instruction faithfully. In contradiction with the intuition that people pursue faithfulness when engaged in informational exchanges, 29 of the 48 participants we tested performed the instruction without asking for clarification. We identified a possible cause for this behavior, which occurred more frequently when avoiding the clarification was unlikely to result in an overt consequence (an error in the execution of the instruction that could be noticed by the confederate or the experimenter). Other factors such as individual differences and the specific interpersonal dynamics of the experimental settings, if they played a role at all, did it to an extent that is unlikely to be comparable to that of the role played by overt consequences. Considered together, our various assessments of the extent to which people engage in faithful informational exchanges converge on a simple conclusion: Communicating faithfully is a substantially demanding task, and people often fail at it. We discuss the implications of this conclusion and speculate on its relevance for understanding the evolutionary past of human communication.