早孕期诊断及其相关问题分析

早孕期诊断是早期诊断的一部分。将新方法应用于早孕期诊断时,应考虑其成本效益问题。早孕期咨询应注意孕妇的年龄特征、个体化诊断和社会伦理学问题,正确诠释诊断结果,让孕妇及其配偶共同参与诊断。     

Consultation to Improve a Special Educaton Teacher's Participation in Annual Review Multidisciplinary Team Meetings

Annual review multidisciplinary team meetings, in which special education student cases are reviewed and placement decisions made for the coming year, depend for their effectiveness on appropriate teacher assessment of student progress. This article reports on a consultation effort, internal to a multidisciplinary team, from which were developed two decision-making models which allowed a special education teacher to assess problem areas in her typical preparation for meetings and to devise more systematic preparation procdures. Changes resulting from the consultation are discussed. General issues posing difficulties for multidisciplinary team staffing of students in classes for the emotionally disturbed are also described.     

Reliability and validity of the Japanese language version of Pro‐Change's decisional balance measure for effective stress management1

This study aimed to develop the Japanese language version of Pro‐Change's decisional balance measure for effective stress management (PDSM). Effective stress management refers to activities that are practiced, for at least 20 min per day, to reduce a person's perceived stress. Six hundred and sixty‐five female and 456 male Japanese university and college students participated in this study, which consists of two surveys. Through exploratory and confirmatory factor analyses, the Japanese language version of the PDSM was developed, which contains 12 items and consists of two factors, the Pros and the Cons. The levels of internal consistency are acceptable (Pros = 0.78 and Cons = 0.64). The scores for the Pros and the Cons subscores were not affected by social desirability (Pros = ?0.04 and Cons = ?0.12). We confirmed the construct validity of the Japanese language version of PDSM with theoretically predicted relationships between the decisional balance and the stage of change for effective stress management. The Japanese language version of the PDSM with construct validity and reliability was developed.     

Using a Self-Management Intervention to Increase Compliance in Children With ASD

This two-study series examined the effectiveness of self-management in increase compliance with parental requests. Three boys diagnosed with Autism Spectrum Disorder and their parents participated. The intervention involved self-monitoring combined with parent-delivered reinforcement. A multiple baseline design was used. The intervention was successful in increasing rates of compliance and reducing problem behavior in training and generalization settings with each participant. Social validity was high and treatment integrity data indicated that the intervention could be readily implemented by parents. Study 2 also provided evidence of a strong treatment effect for the self-management beyond a small effect for effective instructional delivery.     

Expanding on cross-price elasticity: Understanding tobacco product demand and substitution from the cross-price purchase task

We examine whether cigarettes serve as substitutes for electronic nicotine delivery systems (ENDS) among ENDS users and demonstrate methodological extensions of data from a cross-price purchase task to inform policies and interventions. During a clinical laboratory study, n = 19 exclusive ENDS users and n = 17 dual cigarette/ENDS users completed a cross-price purchase task with cigarettes available at a fixed price while prices of own-brand ENDS increased. We estimated cross-price elasticity using linear models to examine substitutability. We defined five additional outcomes: nonzero cross-price intensity (purchasing cigarettes if ENDS were free), constant null demand (not purchasing cigarettes at any ENDS price), cross-product crossover point (first price where participants purchased more cigarettes than ENDS), dual-demand score (percentage of prices where both products were purchased), and dual-use break point (minimum relative price to force complete substitution). The cross-price elasticity results indicated that cigarettes could serve as substitutes for ENDS among ENDS users on average, but this average effect masked substantial heterogeneity in profiles of demand (here, a measure of the drug's reinforcement potential). Policies and regulations that increase ENDS prices appear unlikely to steer most exclusive ENDS users toward cigarette use, as most would not purchase cigarettes at any ENDS price, but they could prompt some dual users to substitute cigarettes completely while others remain dual users. This heterogeneity in consumer responses suggests additional indices of cross-product demand are useful to characterize the anticipated and unanticipated effects of tobacco price policies more fully.     

Equivalent and effective strains during severe plastic deformation (SPD)

ABSTRACT

This paper considers the characteristics of severe plastic deformation (SPD) to estimate its efficacy and to compare different processing techniques. In contrast to effective strains by von Mises and Hencky, the rotation component of the strain rate is included in the analysis as a mode of deformation, which ranges from simple shear to pure shear. Distortions of material elements during a uniform plane plastic flow are calculated using a kinematic approach. For the fixed deformation mode, the current state is defined by the accumulated shears that are identical to the von Mises effective shear strains. In specific cases of pure shear and simple shear, the accumulated shears match the specific distortions of round or square elements prescribed by Hencky or von Mises approach, respectively. The mode of deformation is important to the structural effects of SPD. In general, two separated characteristics, accumulated shear and the coefficient of deformation mode, are necessary to describe strains during SPD.