转化医学体系下的学科服务模式探讨

转化医学的出现极大地推动了医学研究模式的变革,同时转化医学模式对服务于医学研究的图书馆也带来了机遇和挑战,通过对转化医学实现路径的分析,发掘出转化医学研究的实际需求,结合目前学科馆员服务面临的困境,从中寻找出适应转化医学模式的学科服务模式,从而为开展进一步的工作打下良好的基础.     

Attentional bias towards angry faces is moderated by the activation of a social processing mode in the general population

ABSTRACT

Dot-probe studies usually find an attentional bias towards threatening stimuli only in anxious participants, but not in non-anxious participants. In the present study, we conducted two experiments to investigate whether attentional bias towards angry faces in unselected samples is moderated by the extent to which the current task requires social processing. In Experiment 1, participants performed a dot-probe task involving classification of either socially meaningful targets (schematic faces) or meaningless targets (scrambled schematic faces). Targets were preceded by two photographic face cues, one angry and one neutral. Angry face cues only produced significant cueing scores (i.e. faster target responses if the target replaced the angry face compared to the neutral face) with socially meaningful targets, not with meaningless targets. In Experiment 2, participants classified only meaningful targets, which were either socially meaningful (schematic faces) or not (schematic houses). Again, mean cueing scores were significantly moderated by the social character of the targets. However, cueing scores in this experiment were non-significant in the social target condition and significantly negative in the non-social target condition. These results suggest that attentional bias towards angry faces in the dot-probe task is moderated by the activation of a social processing mode in unselected samples.     

Chronic Pain Syndromes and Violence Against Women

Abstract

Chronic pain is a common form of disability, and is often reported among women with a history of victimization. In the present study, we combine six pain symptoms into a measure of self-reported pain, and compare women who have experienced child or domestic abuse with those who do not report such a history. A sample of 110 female patients (57 abused, 53 non-abused controls) was drawn from an adult primary-care practice of 905 patients in a small, affluent, predominantly Caucasian community in northern New England. The subjects ranged in age from 18 to 88 (M = 47). Subjects completed a self-administered questionnaire that was used clinically as part of the new-patient work-up. Women who reported either child or domestic abuse were significantly more likely to report pain symptoms than women in the control group. There was no significant difference between women who had experienced domestic abuse vs. child abuse alone. These findings held true even after controlling for depression.     

Capturing the Child’s Perspective: A Review of Self-Report Measures used with Children

Recent policy extends the patient-professional collaboration in making health care decisions to children. As a result, the development of self-reporting measures allowing children to express their concerns is growing. A literature review identified 33 self-report measures for children among a range of disciplines. While these tools allow children to be part of the rehabilitation process, the information obtained does not seem to capture what matters to children. This is particularly true for children with mental illness whose views are often ignored. More research is needed on clinical approaches that access the unique experiences of children with mental illness.     

Chapter 6. Greater Satisfaction with Post-Injury Male Gender Roles

ABSTRACT

Shaken Baby Syndrome is a serious form of child abuse, involving infants under the age of six months. Deliberately shaking an infant is often associated with frustration or anger, particularly when an infant will not stop crying. The shaking results in numerous initial and long-term consequences for the developing infant. In its most severe form Shaken Baby Syndrome results in the death of the infant. A case study detailing the clinical findings and treatment of a six-month-old infant with Shaken Baby Syndrome who received inpatient occupational therapy services is presented.     

Classroom context,teacher expectations,and cognitive level: Predicting children's math ability judgments

Classroom practices that make ability differences salient communicate differential teacher expectations for students. This study reports on a new observational tool for measuring Classroom Ability-based Practices (CAP) and explores how young children's self-perceptions of ability in mathematics are related to their teachers' expectations for them and to their cognitive reasoning skills in classrooms that vary in usage of such ability-differentiated practices. The sample consisted of 193 children and their teachers in 15 first grade classrooms. The CAP was a reliable measure of ability-based differential teacher treatment and showed criterion validity as a moderator variable in predicting children's ability perceptions. In highly ability-differentiating classrooms, children's self-ratings were more congruent with teachers' expectations of students' mathematics ability. Also in highly ability-differentiating classrooms, higher cognitive levels predicted lower self-ability ratings in math. These findings extend our understanding of the social and cognitive factors that shape young children's self-judgments of math competence.     

School readiness in children living in non-parental care: Impacts of Head Start

The current study examines the effects of Head Start on the development of school readiness outcomes for children living in non-parental care. Data were obtained from the Head Start Impact Study, a randomized controlled trial of Head Start conducted with a nationally representative sample of Head Start programs and families. The sample included 253 children living in non-parental care (defined as a primary caregiver who self-identified as someone other than a biological, adoptive, or step-parent), who experienced elevated rates of child and family risk factors. Results revealed modest direct short-term and indirect longer-term impacts of Head Start on school readiness outcomes (increased pre-academic skills, more positive teacher–child relationships, and reductions in behavior problems) for children living in non-parental care. Limitations of this study and directions for future research are discussed.     

Changing interactions between teachers and socially inhibited kindergarten children: An interpersonal approach

In a short-term longitudinal intervention study, it was investigated whether a short teacher training in interpersonal theory and the complementarity principle could be used to break negative interaction cycles between teachers and socially inhibited kindergartners. Sixty-five children and their 35 regular teachers were observed in a dyadic task setting, on three occasions. In the training, it was explained that teachers could elicit more initiative from children by being less dominant and more friendliness by being more affiliative. Independent observers rated teachers' and children's interactive behaviors in 5-second episodes. Teachers reported on children's social inhibition. Multilevel analyses showed that the training elicited a decrease in teacher control at follow-up. Unexpectedly, the training increased teachers' complementarity on the affiliation dimension, especially in interactions with highly inhibited children. Implications for theory and practice are discussed.     

The Good Behavior Game

The Good Behavior Game was implemented with four children attending a church-affiliated preschool in efforts to increase concurrent compliance and cooperation. Sessions were conducted individually with each child pair while in free play. The children were given various instructions by “Buddy Bear” (a puppet). Children were praised individually for compliant behavior while noncompliant and inappropriate behaviors were ignored. Further instances in which children complies (i.e., cooperation) were rewarded with tokens make of felt, shaped like happy faced or dinosaurs and placed on a large felt board. If the children earned their criterion levels of tokens, they received animal snacks. Improvements in compliance were noted, with generalization occurring across therapists but not settings. Factors influencing the results and implications of the findings are discussed.     

Assessing Parental Response Patterns in the Treatment of Noncompliance in Children

Child noncompliance is one of the most frequently reported behavior problems in clinic-referred children. One difficulty with treating noncompliance in the clinic is that the demand characteristics of the situation may alter the rates of child compliance. The observation of parent-child interactions, with an emphasis on parent behaviors, may be a more meaningful way to assess parent training programs. In the current study, the parents of three children each showed a distinctive pattern in their responding to their children's compliant and noncompliant behaviors. An in vivo direct instruction procedure, that involved the therapist working directly with the parent to provide immediate consequences was used. Following training, improvements in correct responding were evident for al parents. Particularly noteworthy was that child compliance was not an accurate indicator when assessing parents' initial skill levels.