Auditory-Processing Malleability: Focus on Language and Music

ABSTRACT— Auditory processing forms the basis of humans' ability to engage in complex behaviors such as understanding spoken language or playing a musical instrument. Auditory processing is not a rigid, encapsulated process; rather, it interacts intimately with other neural systems and is affected by experience, environmental influences, and active training. Auditory processing is related to language and cognitive function, and impaired auditory processing negatively affects the quality of life of many people. Recent studies suggest that the malleability of the auditory system may be used to study the interaction between sensory and cognitive processes and to enhance human well-being.     

中国古代堕胎考略

临床住院医师规范化培训是培养高水平专业人才的重要手段,是提高我国医疗水平的重要环节和措施,是一项有关卫生事业发展的重要工作。目前,我国住院医师培训还存在不少问题。在各方面的不断努力和探索下,一定能够使住院医师规范化培新工作做得更好。     

农村中医药人才的培养机制探讨

目前农村中医药人员的人员状况和从业素质令人担忧,主要存在人数减少、人员学识低下、临床能力不足等问题。发展中医药事业,重点是加强中医药人才的教育,培养出一批农村中医药人才骨干队伍,从而满足农村基层对中医药卫生医疗保健的需要。     

应对方式的生态瞬时评估法及其他测量方法简介

生态瞬时评估法（EMA）是当前对应对方式进行测量的一种较为先进的方法。它也广泛适用于其它社会科学和行为科学领域,因此在西方发达国家得到了较为广泛的应用。文章重点介绍了EMA的特点、使用方法、使用情况、适用条件和优缺点等。由于EMA特别适合于研究过程性的问题,因此用它来研究应对是非常恰当的。另外,文章还简单介绍并评价了其它的应对方式测量方法,并指出将来对应对方式进行测量的趋势。     

Neurocognitive Effects of Methamphetamine: A Critical Review and Meta-analysis

This review provides a critical analysis of the central nervous system effects of acute and chronic methamphetamine (MA) use, which is linked to numerous adverse psychosocial, neuropsychiatric, and medical problems. A meta-analysis of the neuropsychological effects of MA abuse/dependence revealed broadly medium effect sizes, showing deficits in episodic memory, executive functions, information processing speed, motor skills, language, and visuoconstructional abilities. The neuropsychological deficits associated with MA abuse/dependence are interpreted with regard to their possible neural mechanisms, most notably MA-associated frontostriatal neurotoxicity. In addition, potential explanatory factors are considered, including demographics (e.g., gender), MA use characteristics (e.g., duration of abstinence), and the influence of common psychiatric (e.g., other substance-related disorders) and neuromedical (e.g., HIV infection) comorbidities. Finally, these findings are discussed with respect to their potential contribution to the clinical management of persons with MA abuse/dependence.     

Reinforcer identification and evaluation of choice within an educational setting

Current research on preference methodology and the effects of choice with children who are typically developing is limited. This study evaluated two preference methodologies for identifying reinforcers across two choice options within the classroom. These methods include a teacher-generated list of reinforcers, a student-generated list of reinforcers, student choice from both lists, and teacher choice from both lists. Four elementary aged-children with no diagnosed learning or developmental disabilities participated. Both preference methods were effective in identifying reinforcers for all participants. Moreover, both choice options resulted in increases in responding. Results are discussed with respect to reinforcement and the effects of “choice.”     

Bayesian Risk Assessment in Genetic Testing for Autosomal Dominant Disorders with Age-Dependent Penetrance

Risk assessment is an essential component of genetic counseling and testing, and the accuracy of risk assessment is critical for decision making by consultands. However, it has been shown that genetic risk calculations may have high error rates in practice. Risk calculations for autosomal dominant disorders are frequently complicated by age-dependent penetrance and sensitivities of less than 100% in genetic testing. We provide methods of risk calculation for prototypical pedigrees of a family at risk for an autosomal dominant disorder with age-dependent penetrance. Our risk calculations include scenarios in which the sensitivity of genetic testing is less than 100%, and in which the sensitivity of genetic testing varies for different family members at risk. Our Bayesian methods permit autosomal dominant disease probabilities to be calculated accurately, taking into account all relevant information. Our methods are particularly useful for hereditary cancer syndromes, in which genetic testing can seldom achieve 100% sensitivity. Our methods can be applied to many different scenarios, including those where the sensitivity of genetic testing varies for different family members at risk. The content of this publication does not necessarily reflect the views or policies of the Department of Health and Human Services, nor does mention of trade names, commercial products, or organizations imply endorsement by the U.S. Government.     

Validity of Treatment Target Progress Ratings as Indicators of Youth Improvement

We examined whether clinical progress ratings on the Monthly Treatment and Progress Summary form (MTPS), an idiographic treatment progress measure, were meaningfully related to changes measured by two separate standardized instruments; the Child and Adolescent Functional Assessment Scale (CAFAS) and the Child and Adolescent Level of Care Utilization System (CALOCUS). Validity coefficients were examined at intake and three-, six-, and nine-month follow-up periods. Samples were selected for each measure and follow-up period from the population of youth receiving services through the Hawaii Child and Adolescent Mental Health Division’s (CAMHD) system of care. Significant youth improvement was evident on all three measures across all follow-up intervals. The type of changes measured by the MTPS and CAFAS were more alike over longer follow-up intervals than changes measured by the CALOCUS. The MTPS captures distinct aspects of client change that overlaps somewhat with CAFAS and CALOCUS measures. The MTPS is a brief client-tailored measure that seems to provide valid, sensitive, and nonredundant client specific treatment outcome information that can be collected on a frequent basis within a complex system of care.     

Foster Parents’ Involvement in Authoritative Parenting and Interest in Future Parenting Training

We surveyed 191 Southwest Ohio foster parents regarding their involvement in authoritative parenting and interest for additional parenting education. Our results showed that most respondents reported using an authoritative parenting style and were interested in receiving future training. Involvement in authoritative parenting differed significantly based on level of education and number of years as a foster parent. Foster parents with a college degree or higher were significantly more involved in authoritative parenting than foster parents with a high school diploma or less. Those who had been a foster parent for greater than five years were significantly more likely than those who been a foster parent for five years or less to use authoritative parenting and desire future training in authoritative parenting.