Juggling roles and expectations: dilemmas faced by women talking to relatives about cancer and genetic testing

Health professionals do not inform their patients’ kin about BRCA1/2 test results or genetic testing without their written consent. Thus, the onus is on women attending genetic counselling to talk to relatives about the family history and their potential increased risk. This communication process within the family is largely unexplored and provides the focus of the present study. Fifteen healthy women attending a genetics clinic for predictive testing were interviewed prior to receiving their test result and again 6 months later. A grounded theory approach was used. Findings illustrate the dilemmas women faced in juggling social roles and expectations, which had an impact on communication within the family in the context of predictive genetic testing. Tensions between responsibilities towards themselves and others and their fulfilment of social roles had an impact on who women informed and on how they did so. These factors should be considered when assigning patients the role of information provider.     

Distortion analysis of magnetic excitation – a novel method for non-destructive evaluation of depth of surface-hardening in ferritic steels

The influence of ferritic steel samples with different case-depths on the distortion behaviour of magnetic excitation voltage has been investigated. The systematic changes in the height and position of the peak and the trough on the ((dV_E/dt) vs. V_T) profile (distortion analysis of the magnetic excitation, DAME profile) reflect the difference in the magnetization process and hence the effect of distortion of V_E in samples with different case-depths. This study shows the potential of this simple DAME method for evaluation of ferromagnetic steel components.     

Thirty Years Later: An Oncologist Reflects on Kubler-Ross's Work

As compared with conventional vaccine production systems, plant-made vaccines (PMVs) are said to enjoy a range of advantages including cost of production and ease of storage for distribution in developing countries. In this article, we introduce the science of PMV production, and address ethical issues associated with development and clinical testing of PMVs within three interrelated domains: PMVs as transgenic plants; PMVs as clinical research materials; and PMVs as agents of global health. We present three conclusions: first, while many of the ethical issues raised by PMVs are familiar, PMVs add a new dimension to old issues, and raise some novel issues for ethicists and policy-makers; secondly, it is premature to promise broad applicability of PMVs across the developing world without having demonstrated their feasibility; thirdly, in particular, proponents of PMVs as a solution to global health problems must, as a condition of the ethical conduct of their research, define the commercial feasibility of PMVs for distribution in the developing world.     

The Role of Demographics and Opportunities to Learn in Predicting Performance on a High-Stakes Test

Abstract

High-stakes testing has emerged as a central feature of the educational landscape in primary and secondary schools in the United States. Despite this prominence, there is a paucity of guidance available to practitioners on how they can best make predictions about student performance based on available test data. While achievement gaps based on demographics are widely known, less commonly analyzed are differences in opportunities to learn. Results from the first group of students in Massachusetts required to take a state-created exam in order to graduate from high school indicated that both demographics and courses taken were significant predictors of performance. Recommendations for analyzing test data and for promoting more comprehensive and culturally responsive assessment and curriculum practices are offered.     

The multidimensionality of test anxiety: A test of different models

Abstract

Confirmatory factor analysis was employed to test the multidimensional structure of test anxiety. Starting with the traditional two-factor model, it was of interest whether additional dimensions could still be represented by a single higher-order factor of test anxiety or whether the additional dimensions represented correlates of test anxiety. The Revised Test Anxiety (RTA) scale and the German Test Anxiety Inventory (TAI-G) were combined collecting data from a binational sample of 218 American and 218 German university students. Considering the statistical and theoretical aspects of model fit, they indicated that a model consisting of three primary factors (worry, emotionality, and lack of confidence) fit the data best. While distraction and self-efficacy may be regarded as correlates of test anxiety, lack of confidence was substantiated as a component of test anxiety. Implications for the conceptualization of the content domain and hence area of test anxiety were discussed.     

Exploring the determinants of dual goal facilitation in a rule discovery task

Wason's standard 2-4-6 task requires discovery of a single rule and leads to around 20% solutions, whereas the dual goal (DG) version requires discovery of two rules and elevates solutions to over 60%. We report an experiment that aimed to discriminate between competing accounts of DG facilitation by manipulating the degree of complementarity between the to-be-discovered rules. Results indicated that perfect rule complementarity is not essential for task success, thereby undermining a key tenet of the goal complementarity account of DG facilitation. The triple heterogeneity account received a good degree of support since more varied triple exploration was associated with facilitatory DG conditions, in line with this account's prediction that task success is associated with the creative search of the problem space. The contrast class account (an extension of Oaksford & Chater's, 1994, iterative counterfactual model) was also corroborated in that the generation of descending triples was demonstrated to be the dominant predictor of DG success. We focus our discussion on conceptual ideas relating to the way in which iterative counterfactual testing and contrast class identification may work together to provide a powerful basis for effective hypothesis testing.     

The third dimension: Value‐oriented contents in psychological contracts

We propose value-oriented content of psychological contracts as being distinct from transactional and relational content, which we affirm using confirmatory factor analysis for employee, as well as organizational obligations. In a sample of 171 German parish volunteers, value-oriented volunteer and relational organizational obligations are significantly and positively related to job satisfaction as well as to time spent volunteering. The distinctive role of value-oriented content is reinforced by the finding that its associated employee obligations were the only ones that were significantly and positively related to both outcomes. Thus, value-oriented obligations may foster favourable work relationships and may even have the potential to stabilize work relationships during crises if obligations regarding an organization's core values are fulfilled. Examining the generalizability of these findings to nonvolunteer samples in future research is recommended.     

Age-related differences in word-retrieval but not in meaning generation

ABSTRACT

This study examines age-associated changes in retrieval on a picture-naming task, phonemic and semantic fluency tasks, and the Homophone Meaning Generation Test (HMGT). The sample included 152 Hebrew-speaking adults, half young (mean age 22.75) and half old (mean age 76.05). Groups differed on the picture-naming task and on both verbal fluency tasks, but not on the HMGT. Age explained a greater share of the variance than did education level on these three tests, whereas the opposite pattern of results was seen on the HMGT. We suggest that age-related word finding difficulties are attenuated when performance allows for semantic rather than phonological access.     

Relevance-driven information search in “pseudodiagnostic” reasoning

When faced with two competing hypotheses, people sometimes prefer to look at multiple sources of information in support of one hypothesis rather than to establish the diagnostic value of a single piece of information for the two hypotheses. This is termed pseudodiagnostic reasoning and has often been understood to reflect, among other things, poor information search strategies. Past research suggests that diagnostic reasoning may be more easily fostered when participants seek data to help in the selection of one of two competing courses of action as opposed to situations where they seek data to help infer which of two competing hypotheses is true. In the experiment reported here, we provide the first empirical evidence demonstrating that manipulating the relevance of the feature for which participants initially receive information determines whether they will make a nominally diagnostic or pseudodiagnostic selection. The discussion of these findings focuses on implications for the ability to engage in diagnostic hypothesis testing.     

Identification and Testing of Modes in Beliefs

Characterizing diversity in beliefs is of paramount importance in empirical research on human behavior. In game theory, the focus is on the hypothesis formation. We present a data set with ideal properties for characterizing such diversity. The data consist of hypotheses on the empirical distribution of opponent choices. Using nonparametric techniques, we identify modes in the data corresponding to subpopulations of behavioral types and find the statistical significance of these modes in the underlying population distribution.