Postural control in children with and without neurofibromatosis type 1

Previous research has evaluated the motor proficiency of children with neurofibromatosis type 1 (NF1) and found delays on the balance subtest. However the balance subtest was found to have low sensitivity for identifying balance impairments. This study examines the differences in postural control between children with NF1 and peers with typical development using a force plate. A single limb stance test on a force plate was completed for all participants. The force plate variables, center of pressure maximum distance in the anterior/posterior direction (COPmax A/P) and center of pressure velocity (COPvel A/P) were compared between groups. The NF1 group’s performance was significantly poorer than the control group in both COPmax A/P (p = .01) and COPvel A/P (p = .01). When separated into specific age ranges, only the children in the NF1 group between 5 and 12 years of age demonstrated statistically significant differences in the COP variables. The COP variables for the 13- to 18-year-old group were not significantly different. These results indicate that young children with NF1 have poor postural control. However, postural control appears to improve with maturation.     

Frequency and pattern of voluntary pedalling is influenced after one week of heavy strength training

Changes in voluntary rhythmic leg movement characteristics of freely chosen cadence (reflecting movement frequency) and tangential pedal force profile (reflecting movement pattern) were investigated during 4 weeks of (i) heavy hip extension strength training (HET, n = 9), (ii) heavy hip flexion strength training (HFT, n = 9), and (iii) no intervention (CON, n = 9). Training consisted of three 5RM–10RM sets per session, with two sessions/week. Submaximal ergometer cycling was performed before the training period (pretest) and after every week of training (test A1, A2, A3, and posttest). Strength increased by on average 25% in HET and 33% in HFT. Freely chosen cadence was only changed in HET, occurring already after 1 week of training. Thus, percentage reductions of cadence in HET at test A1, A2, A3, and posttest, with respect to the pretest value, amounted for maximally on average 17%, or 14 rpm, and were larger than the corresponding changes in CON (p = .037). Percentage increases in minimum tangential pedal force in HET at test A1, A2, A3, and posttest, with respect to the pretest value, were larger than the corresponding changes in CON (p = .024). Heavy hip flexion strength training did not cause such alterations.     

Cognitive biases in aggressive drivers: Does illusion of control drive us off the road?

Anger has been shown to be a motivating factor in aggression and it is widely accepted that driving anger may lead to aggressive driving. However, the link between anger and aggressive driving is likely to be mediated by drivers’ pre-existing cognitive biases and the subsequent situational evaluations made. This study investigated the extent to which optimism bias, illusion of control beliefs and driver anger predict self-reported hostile driving behaviours. A total of 220 licensed drivers (106 men; 114 women) completed a self-report questionnaire measuring trait driving anger, optimism bias, illusion of control and driving behaviour. Structural Equation Modelling showed that trait driving anger and illusion of control beliefs account for 37% of the variance in hostile driving behaviour scores. Optimism biases were unrelated to hostile driving behaviours. Thus, driving anger propensities and feelings of control over the situation, but not a general tendency to underestimate the likelihood of adverse outcomes, predict aggressive driving.     

Left-hemisphere activation is associated with enhanced vocal pitch error detection in musicians with absolute pitch

The ability to process auditory feedback for vocal pitch control is crucial during speaking and singing. Previous studies have suggested that musicians with absolute pitch (AP) develop specialized left-hemisphere mechanisms for pitch processing. The present study adopted an auditory feedback pitch perturbation paradigm combined with ERP recordings to test the hypothesis whether the neural mechanisms of the left-hemisphere enhance vocal pitch error detection and control in AP musicians compared with relative pitch (RP) musicians and non-musicians (NM). Results showed a stronger N1 response to pitch-shifted voice feedback in the right-hemisphere for both AP and RP musicians compared with the NM group. However, the left-hemisphere P2 component activation was greater in AP and RP musicians compared with NMs and also for the AP compared with RP musicians. The NM group was slower in generating compensatory vocal reactions to feedback pitch perturbation compared with musicians, and they failed to re-adjust their vocal pitch after the feedback perturbation was removed. These findings suggest that in the earlier stages of cortical neural processing, the right hemisphere is more active in musicians for detecting pitch changes in voice feedback. In the later stages, the left-hemisphere is more active during the processing of auditory feedback for vocal motor control and seems to involve specialized mechanisms that facilitate pitch processing in the AP compared with RP musicians. These findings indicate that the left hemisphere mechanisms of AP ability are associated with improved auditory feedback pitch processing during vocal pitch control in tasks such as speaking or singing.     

Societal Threat to Safety,Compensatory Control,and Right‐Wing Authoritarianism

We analyzed directly and indirectly the relationships between societal threat to safety, perceived control, and the increase in right‐wing authoritarianism (RWA) in two studies. In Study 1 (national sample of the Italian population, N = 1,169), we performed a longitudinal analysis structured into three waves (January 2003, September 2004, and January 2005). A moderated regression analysis showed that RWA increased from 2003 to 2005 as a function of perceived societal threat to safety more among low‐ than among high RWA scorers. In experimental Study 2 (Italian university students, N = 131) a moderated mediation model showed loss of perceived control to mediate the relation between societal threat to safety and the increase in RWA, but among low authoritarians only. Limitations, implications, and possible developments of this research are discussed.     

Emerging effortful control in infancy and toddlerhood and maternal support: A child driven or parent driven model?

This study examined the association between children's temperamental characteristics of rudimentary effortful control (EC) and mothers’ supportive reactions to their children's negative emotions in infancy and toddler period. One hundred and fifty eight (78 girls) Taiwanese children's EC was assessed at 12 and 24 months with mothers’ report on the very short-form scales of Infant Behavior Questionnaire (IBQ) and Early Childhood Behavior Questionnaire (ECBQ) respectively. The mothers also completed questionnaires to assess their comforting behaviors at 12 months and both comforting and cognitive assistance to their children's expression of negative emotions when the child was 24 months old. A structural model was used to examine within- and across-time relations between children's EC and the maternal support. The results showed continuity of EC related temperament from infancy to toddlerhood and the 12-month rudimentary EC positively predicted mothers’ comforting and cognitive assistance at 24 months, suggesting that mothers modulate their use of support in accordance with their prior knowledge of their children's regulatory capacities. The results indicated an influence of infants’ temperament on adult behaviors, supporting potential evocative child effects on mothers’ emotion coaching behaviors.     

Impulsivity mediates the association between borderline personality pathology and body mass index

Borderline personality disorder (BPD) is associated with obesity, a major risk factor for a number of chronic illnesses (e.g., cardiovascular disease). We examined whether impulsivity and affective instability mediate the association between BPD pathology and body mass index (BMI). Participants were a community sample of adults ages 55–64 and their informants. The Structured Interview for DSM-IV Personality measured BPD symptoms and the Revised NEO Personality Inventory measured self- and informant-report impulsivity and affective instability. Mediation analyses demonstrated that only higher self-report impulsivity significantly mediated the association between greater BPD pathology and higher BMI. A subsequent model revealed that higher scores on the impulsiveness (lack of inhibitory control) and deliberation (planning) facets of impulsivity mediated the BPD–BMI association, with impulsiveness exerting a stronger mediation effect than deliberation. Obesity interventions that improve inhibitory control may be most effective for individuals with BPD pathology.     

Situating Standards in Practices: Multi Drug-Resistant Tuberculosis Treatment in India

Public health care needs to cope with a basic dilemma between providing standardized care within public programmes across entire and at times resource-constrained countries and adapting this care locally when responding to individual needs. This tension between standardization and local adaptation becomes particularly obvious for the prolonged and complicated treatment of multidrug-resistant tuberculosis (MDR-TB). Situated standardization, as introduced by Zuiderent-Jerak [2007a, 2007b] offers a way out of this dilemma. It helps to focus on how standards need to be situated in practice rather than viewing standardization and local adaptation as mutually exclusive practices. How do actors relate standardization and individual care in their practices of treating MDR-TB? Results from qualitative fieldwork at the first MDR-TB treatment sites of the Indian TB programme show that actors situate standards in a particular way. They assess the role of guidelines in a particular situation and on that basis recognize the core recommendations of guidelines or go beyond the guidelines. This allows actors to negotiate how standards should be situated and reconciles the dilemma between local adaptation and standardization. Having guidelines internalized, as is common for Indian TB control, bears both promises and pitfalls for engaging in standardization processes in a situated manner. The results contribute to science and technology study scholarship on guideline development. They highlight how actors coordinate the situating of standards and how this depends upon cultures of control. This illustrates the potential of qualitative studies on local adaptation for guideline developers by revealing existing practices of relating and negotiating local adaptation and standardization.     

基层医院年轻医生临床素质现状分析及培养对策

本文对基层医院年轻医生临床素质的现状进行分析,指出了文化层次、福利待遇、带教培养、质控意识、科研热情、人文修养和医疗环境等方面存在的缺陷和不足是导致基层医院年轻医生临床素质低的重要原因。同时呼吁政府加大投入和确保医疗环境安全,加强年轻医生政治思想教育,树立正确的人生观和良好的医德医风,具备良好的心理素质、较好的人文修养和过硬的沟通能力,强化质控意识,引导和培养年轻医生加强临床知识积累,掌握科学的思维方法,从而促进科研水平的提高。     

Rethinking parafoveal processing in reading: Serial-attention models can explain semantic preview benefit and N+2 preview effects

During reading, some information about the word to the right of fixation in the parafovea is typically acquired prior to that word being fixated. Although some degree parafoveal processing is uncontroversial, its precise nature and extent are unclear. For example, can it advance up to the level of semantic processing? Additionally, can it extend across more than two spatially adjacent words? Affirmative answers to either of these questions would seemingly be problematic for serial-attention models of eye-movement control in reading, which maintain that attention is allocated to only one word at a time (see Reichle, 2011). However, in this paper we report simulation results using one such model, E-Z Reader (Reichle, Pollatsek, Fisher, & Rayner, 1998), to examine the two preceding questions. These results suggest the existence of both semantic preview and N+2 preview effects, indicating that they are not incompatible with serial-attention models. We discuss the implications of these findings for models of eye-movement control in reading and provide a new theoretical framework for conceptualizing parafoveal processing during reading and its influence on eye movement behaviour.