Knowledge and attitudes of Polish university students toward organ donation and transplantation

Although the number of patients needing organ transplantation systematically increases, recent years have seen a considerable shortage of donors. The level of knowledge and attitudes toward donation are critical factors in achieving the required balance between supply and demand. This pilot study assessed the knowledge, opinions, and behaviors related to organ donation and transplantation among 625 students representing eight different fields of study from the University of Rzeszow in south-eastern Poland. Although the participants provided evidence of knowledge about human organ donation and transplantation, they were aware of the main organs of the human body for potential transplants, and generally showed positive attitudes; only 24% of the subjects indicated their willingness to register as a donor; only 3% stated that they had already registered and had a donor card. The findings suggest that good intentions do not translate into action and that Poland needs to develop a nation-wide, up-to-date, and youth-oriented health education program that builds on favorable attitudes toward organ donation and transplantation.     

Factor structure and reliability of the Spanish adaptation of the Children's Yale-Brown Obsessive-Compulsive Scale--Self Report (CY-BOCS-SR)

The aim of this study was the adaptation to Spanish of the ?Children's Yale-Brown Obsessive-Compulsive Scale--Self Report? (CY-BOCS-SR), one of the most frequently utilized scales in the assessment of obsessive-compulsive behaviors. After its translation to Spanish, its factor invariance in boys and girls, reliability, and relationship with the children's age were examined. Lastly, normative data for this Spanish version are presented. The sample comprised 1,706 children and adolescents from the general population. Results show that the factor composition of the CY-BOCS-SR does not present a very good fit to the usual scoring of three scales were observed: Obsession Severity, Compulsion Severity, and total score. Results also show that the factor validity and reliability of the CY-BOCS-SR improve remarkably if items related to Resistance to Obsessions and Compulsions are considered a different factor from Severity. It is concluded that the Spanish version of the CY-BOCS-SR has similar psychometric characteristics as the original English version.     

Ambulatory group treatment for cocaine dependent patients combining cognitive behavioral therapy and motivational interviewing

Psychological interventions in cocaine dependent patients have demonstrated efficacy. Remarkable approaches are Contingency Management (CM) and Cognitive Behavioral Therapy (CBT). Lack of treatment adherence is the most important limitation. Motivational Interview (MI) has been shown to be an adherence enhancer. The objective of this study is to evaluate retention and abstinence in a combined CM and CBT group treatment in patients who have reached maintenance stage according to Prochaska and DiClemente's transtheoretical model (1982). Therefore, a longitudinal study was carried out with cocaine dependent patients with or without concomitant mental health disease. A 12-session open group was conducted weekly. Nineteen patients were included (78.9% men, mean age 36.6 years), 95% consumed intranasally and 47% had another psychiatric comorbidity. Treatment retention was 84%. During treatment and the first month of follow-up, all patients remained abstinent whereas at three months, 3 patients relapsed. These data confirm that using combined CM and CBT group therapy in cocaine dependents undergoing maintenance treatment enhances adherence and is effective to achieve abstinence.     

Why do adolescents use drugs? A common sense explanatory model from the social actor's perspective

Analysis was made of the common sense explanations of 60 Mexican teenage illicit drug users in rehabilitation to determine their drug use debut. The explanatory model was separated into three blocks, two of which contained common sense aspects: interaction between subject's plane and the collectivity; and relationship between subject's interior (subject-family) and exterior (environment or group-pressure). Based on these data, we propose that drug use debut may be linked to subjects' emotional vulnerability which originates in the family image and renders them more susceptible to the influence of others. This kind of reasoning points to a more passive than active, and more social than personal dynamic in drug use debut, important factors for developing preventative measures.     

Social representations used by the parents of Mexican adolescent drug users under treatment to explain their children's drug use: gender differences in parental narratives

The aim of this study was to explore the social representations used by the parents of adolescent drug users to explain the onset of drug use. Differences in explanations between the parents of male and female adolescents were also explored. Sixty parents who accompanied their children to four rehabilitation centers in 2004 completed two semi-structured questionnaires. In addition, indepth interviews were applied to a subsample. The explanation of the drug use was carried out through two social representations: the neglectful family and the son or daughter as an inexperienced teen. The parents-son model was well structured; however, the parents-daughter was unstructured, which suggests a higher resonance in the familial group.     

“Primary Relations” In a New Foundational Axiomatic Framework

The new system of axioms we propose is based on the foundational theory of De Giorgi et al. Scuola Normale Superiore di Pisa, Preprints di Matematica 26: 1 (1996) slightly modified. In that paper (which is dedicated to a new axiomatic framework for mathematics, informatics and logic) the authors use two kinds of primitive notions: relations and qualities. Since their system is based on the distribution paradigm, they start from distinction. We propose to shift the perspective and to start from unity and then from within unity to pass to distinction; to this end we apply ideas of Lesniewski, Nijhoff International Philosophy Series 44 (1992). We introduce only one kind of entity as a primitive notion, namely relations, and treat qualities as articulations of relations. The new concept of “primary relation” permits the introduction of a dynamic, non-standard form of identity, which we hope will find application in various fields where self-referential structures are required.     

Syntactic component in language responsible cognitive structure: Neurological evidence

From the results of a broad ranging comprehension test, a hierarchy of difficulty emerged that is shared by the two groups of aphasics (Broca's and Wernicke's aphasics) and by the control group of normal subjects. The parallelism has been interpreted as a confirmation of the hypothesis that syntactic competence is not inaccessible either in Wernicke's or in Broca's aphasia. The Minimal Distance Principle, as a relevant recognition principle, has been studied, and although not confirmed by the scores has been brought to the fore both by the correlations between the variables under study and by the correlations with the concomitant variables of age and level of education.     

Decision making and job satisfaction among youth workers in community-based agencies

Sixty-four counselors and 32 alternative school teachers in 13 grass-roots agencies reported on levels of participation, influence, and competence in making clinical and administrative decisions. The data supported predictions that (a) professionals would report greater decision-making opportunities and abilities than nonprofessionals, and (b) that workers in general would report higher levels of participation, influence, and competence in clinical than in administrative domains, and higher levels of competence than influence in both domains. However, regression analyses testing the effects of the decision-making variables on different aspects of job satisfaction did not support predicted interactions among participation, influence, and competence. Rather, decision-making involvements had positive effects and decision-making abilities had negative effects on worker morale. The discussion high-lights the need for further research to identify the underlying processes involved in the observed relationships.