Although evaluative judgments are a central component of everyday decision making little is known about the temporal dynamics of the processes used to make them. The present study used the high ...temporal resolution of event-related brain potentials (ERPs) to test Cunningham and Zelazo's (2007) posited differences in the timing of attitude tag retrieval relative to stimulus categorization for 'attitudes' and 'evaluations,' as well as tenets of their Iterative Reprocessing (IR) loop model. Participants made agree/disagree decisions about their attitudes and You/Not You decisions about their autobiographical memories in separate reaction time (RT) tasks while brain activity was recorded from 32 scalp sites. A median-split analysis on RT was used to separate fast and slow decisions. Decisions about autobiographical stimuli produced the typical results in which retrieval and stimulus categorization occurred together just before the response regardless of decision difficulty. By contrast, the relative timing of tag retrieval and categorization differed with difficulty for attitude decisions as predicted by the model. Fast attitude decisions were processed similarly to fast You decisions with retrieval and categorization timing coupled to the response. Slow attitude decisions, however, differed because, while tag retrieval timing was the same as for fast attitude decisions, post-retrieval processing delayed stimulus categorization and a response by 450 msec. ERP activity over dorsolateral prefrontal cortex (DLPFC) in the pre-response interval was asymmetrical, with greater activity for attitude and autobiographical decisions over left and right hemispheres, respectively, while amplitude and duration increased with decision difficulty for both. Slow attitude decisions alone elicited a reduced pre-response positivity, a correlate of goal-directed response selection. The results provide empirical support for key aspects of Cunningham and Zelazo's (2007) attitude-evaluation dichotomy and the timing of the posited component processes in their IR model as well as novel information about the roles of stored tags and reflective processes in different attitude decisions.
Climate change is a highly complex social-ecological problem characterized by system-type dynamics that are important to communicate in a variety of settings, ranging from formal education to ...decision makers to informal education of the general public. Educational games are one approach that may enhance systems thinking skills. This study used a randomized controlled experiment to compare the impact on the mental models of participants of an educational card game vs. an illustrated article about the Arctic social-ecological system. A total of 41 participants (game: n = 20; reading: n = 21) created pre- and post-intervention mental models of the system, based on a "fuzzy cognitive mapping" approach. Maps were analyzed using network statistics. Both reading the article and playing the game resulted in measurable increases in systems understanding. The group reading the article perceived a more complex system after the intervention, with overall learning gains approximately twice those of the game players. However, game players demonstrated similar learning gains as article readers regarding the climate system, actions both causing environmental problems and protecting the Arctic, as well as the importance of the base- and mid-levels of the food chain. These findings contribute to the growing evidence showing that games are important resources to include as strategies for building capacity to understand and steward sustainable social-ecological systems, in both formal and informal education.
The link between university graduation and liberal values is well‐established and often taken as evidence that higher education participation causes attitudinal change. Identification of education’s ...causal influence in shaping individual preferences is notoriously difficult as it necessitates isolating education’s effect from self‐selection mechanisms. This study exploits the household structure of the Harmonized British Household Panel Study and Understanding Society data to tighten the bounds of causal inference in this area and ultimately, to provide a more robust estimate of the independent effect of university graduation on political attitudes. Results demonstrate that leveraging sibling fixed‐effects to control for family‐invariant pre‐adult experiences reduces the size of higher education’s effect on cultural attitudes by at least 70%, compared to conventional methods. Significantly, within‐sibship models show that obtaining higher education qualifications only has a small direct causal effect on British individuals’ adult attitudes, and that this effect is not always liberalizing. This has important implications for our understanding of the relationship between higher education and political values. Contrary to popular assumptions about education’s liberalizing role, this study demonstrates that the education‐political values linkage is largely spurious. It materializes predominately because those experiencing pre‐adult environments conducive to the formation of particular values disproportionately enroll at universities.
The aim of this pilot study was to investigate feasibility and preliminary efficacy of an intensive, manual-based behavioral feeding intervention for children with chronic food refusal and dependence ...on enteral feeding or oral nutritional formula supplementation.
Twenty children ages 13 to 72 months (12 boys and 8 girls) meeting criteria for avoidant/restrictive food intake disorder were randomly assigned to receive treatment for 5 consecutive days in a day treatment program (n = 10) or waitlist (n = 10). A team of trained therapists implemented treatment under the guidance of a multidisciplinary team. Parent training was delivered to support generalization of treatment gains. We tracked parental attrition and attendance, as well as therapist fidelity. Primary outcome measures were bite acceptance, disruptions, and grams consumed during meals.
Caregivers reported high satisfaction and acceptability of the intervention. Three participants (1 intervention; 2 waitlist) dropped out of the study before endpoint. Of the expected 140 treatment meals for the intervention group, 137 (97.8%) were actually attended. The intervention group showed significantly greater improvements (P < 0.05) on all primary outcome measures (d = 1.03-2.11) compared with waitlist (d = -1.13-0.24). A 1-month follow-up suggested stability in treatment gains.
Results from this pilot study corroborate evidence from single-subject and nonrandomized studies on the positive effects of behavioral intervention. Findings support the feasibility and preliminary efficacy of this manual-based approach to intervention. These results warrant a large-scale randomized trial to test the safety and efficacy of this intervention.
An educational divide has become apparent in Western democratic politics. Our understanding of why this divide has emerged remains limited as existing studies have not utilized mediation ...methodologies, which allow detailed examination of how education's shaping effect on electoral behaviour is transmitted. This study addresses this gap in knowledge - providing a more complete picture of why modern British politics divide along educational lines. It applies the Karlson-Holm-Breen method to British Election Study data to explore firstly, what proportion of education's total effect on vote choices, cast in the 2016 referendum, 2017 and 2019 General Elections, was transmitted indirectly, and secondly, the relative contribution of economic orientations, cultural attitudes and political cue-taking behaviours as drivers of this divide. Findings show 67-91% of education's total effect on vote choices was transmitted indirectly and crucially, that vote choices divided along educational lines largely because educational groups exhibited divergent economic orientations, cultural attitudes and cue-taking behaviours. Results also highlight that educational division(s) in the referendum and General Election voting were driven by different mechanisms.
Experiencing God in Nursing Simon, Elizabeth B; Hodges, Ryan; Schoonover-Shoffner, Kathy
Journal of Christian nursing,
2020 Apr/Jun, Letnik:
37, Številka:
2
Journal Article
Recenzirano
Christian faith supports the idea that God is always at work in the world. God invites people into relationship with him and then to join in his work. Three nurses relay supernatural events where God ...worked in and through their nursing practice, reinforcing the understanding of what author Henry Blackaby calls experiencing God. Christian nurses are called to enter deeply into relationship with God.
The significance of leg edema as a symptom of multiple anomalies, from benign manifestations to underlying Graves' disease, is described. Accurate assessment, history taking, and supportive ...diagnostic tests will assist nurses to manage their patients' with competence. A comprehensive discussion about different types of edema, etiology, pathophysiology, management, and patient education is aimed to equip nurses in independent and collaborative management of lower-extremity edema in their patients.
Leadership in Pandemic Simon, Elizabeth
Medsurg nursing,
09/2021, Letnik:
30, Številka:
5
Journal Article
Recenzirano
The current global pandemic, predicted nursing shortage, and rapid nursing turnover require a humble approach to leadership that inspires and serves the nursing team. Servant leadership builds ...individual lives, stronger organizations, and a just and caring world.
Vital Signs Rice, Marion E.; Galang, Romeo R.; Roth, Nicole M. ...
MMWR. Morbidity and mortality weekly report,
08/2018, Letnik:
67, Številka:
31
Journal Article, Newsletter
Odprti dostop
Zika virus infection during pregnancy causes serious birth defects and might be associated with neurodevelopmental abnormalities in children. Early identification of and intervention for ...neurodevelopmental problems can improve cognitive, social, and behavioral functioning.
Pregnancies with laboratory evidence of confirmed or possible Zika virus infection and infants resulting from these pregnancies are included in the U.S. Zika Pregnancy and Infant Registry (USZPIR) and followed through active surveillance methods. This report includes data on children aged ≥1 year born in U.S. territories and freely associated states. Receipt of reported follow-up care was assessed, and data were reviewed to identify Zika-associated birth defects and neurodevelopmental abnormalities possibly associated with congenital Zika virus infection.
Among 1,450 children of mothers with laboratory evidence of confirmed or possible Zika virus infection during pregnancy and with reported follow-up care, 76% had developmental screening or evaluation, 60% had postnatal neuroimaging, 48% had automated auditory brainstem response-based hearing screen or evaluation, and 36% had an ophthalmologic evaluation. Among evaluated children, 6% had at least one Zika-associated birth defect identified, 9% had at least one neurodevelopmental abnormality possibly associated with congenital Zika virus infection identified, and 1% had both.
One in seven evaluated children had a Zika-associated birth defect, a neurodevelopmental abnormality possibly associated with congenital Zika virus infection, or both reported to the USZPIR. Given that most children did not have evidence of all recommended evaluations, additional anomalies might not have been identified. Careful monitoring and evaluation of children born to mothers with evidence of Zika virus infection during pregnancy is essential for ensuring early detection of possible disabilities and early referral to intervention services.
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