Biomedical subjects

D Dunning

Publications and source records attributed to D Dunning.

At least 19 recordsLinked to original sources

PubMed2005

The effect of axial and abaxial release on meniscal displacement in the dog.

The meniscal release (MR) is used to minimize meniscal pathology after Tibial Plateau Leveling Osteotomy (TPLO) surgery. The purposes of this study were: (i) to describe meniscal orientation in a unaltered cadaveric canine stifle, a cruciate deficient stifle, TPLO repaired stifle with and without the MR using magnetic resonance imaging; (ii) to determine if the abaxial release is equivalent to the axial release in its ability to affect caudal pole displacement in a TPLO repaired stifle and (iii) to evaluate with MRI the effect of MR on the femorotibiol articular cartilage contact area in a TPLO repaired stifle. Briefly, cadaver limbs were placed into a jig designed to mimic a weight-bearing stance at 140 degrees and 90 degrees at the stifle. The limbs were sequentially evaluated from the unaltered state; after cranial cruciate ligament transection; after TPLO stabilization; and finally after a meniscal release. No significant difference was found between the intrameniscal area (IMA) of the abaxial and axial meniscal releases although there was an increase in the IMA after the meniscal release compared to the IMA in the normal, cranial cruciate ligament deficient stifle, and TPLO stabilized stifle. In the abaxial release, a meniscal remnant remained in situ and provided a space effect between the femur and the tibial plateau. This is in contrast to the axial meniscal release, where the entire caudal pole of the medial meniscus relocated caudolaterally and consequently permitted more direct femorotibial contact. Overall, however, there was evidence of caudal pole compression of the medial meniscus throughout the MRI series which was ameliorated by either of the MR procedures.

Animals↗

PubMed2001

The influence of four wound dressings on the kinetics of human walking.

OBJECTIVES: This in vivo study (the second phase of a research project first described in the February issue of Journal of Wound Care) reports on the influence of various wound dressings on the dynamics of human walking. Allevyn (Smith and Nephew), Biatain (Coloplast), Lyofoam (Seton Scholl) and Tielle (Johnson and Johnson) were used in this study. The investigation aimed to assess the ground reaction forces in the foot while the dressings were applied to the plantar surface of the foot. METHOD: A strain gauge force plate system was used. Six subjects with 'normal' gait patterns and no foot pathology were recruited into the study. Eight trials were recorded for each subject. The peak push-off force, in the vertical component of the ground reaction force, and the maximum braking and propulsive forces in the medial-lateral component of the ground reaction force were estimated and reported. RESULTS: Among the various dressings tested, Allevyn performed closest to barefoot in the peak push-off force and demonstrated an increased braking force at the deceleration point in the gait cycle. CONCLUSION: These findings may have implications for clinicians selecting wound dressings for the treatment of certain foot ulcerations. However, further clinical research is warranted in this area.

Bandages↗

PubMed2000

Egocentric empathy gaps between owners and buyers: misperceptions of the endowment effect.

In 5 studies, the authors examined people's perceptions of the endowment effect, or the tendency to value an object more once one owns it. In the 1st 2 studies, the authors documented egocentric empathy gaps between owners and buyers regarding the endowment effect: Both owners and buyers overestimated the similarity between their own valuation of a commodity and the valuation of people in the other role. The next 2 studies showed that these empathy gaps may lead to reduced earnings in a market setting. The final study showed that egocentric empathy gaps stem partly from people's misprediction of what their own valuation would be if they were in the other role.

Adult↗

PubMed2000

Feeling "holier than thou": are self-serving assessments produced by errors in self- or social prediction?

People typically believe they are more likely to engage in selfless, kind, and generous behaviors than their peers, a result that is both logically and statistically suspect. However, this oft-documented tendency presents an important ambiguity. Do people feel "holier than thou" because they harbor overly cynical views of their peers (but accurate impressions of themselves) or overly charitable views of themselves (and accurate impressions of their peers)? Four studies suggested it was the latter. Participants consistently overestimated the likelihood that they would act in generous or selfless ways, whereas their predictions of others were considerably more accurate. Two final studies suggest this divergence in accuracy arises, in part, because people are unwilling to consult population base rates when predicting their own behavior but use this diagnostic information more readily when predicting others'.

Adolescent↗

PubMed2000

The use of distraction osteogenesis to induce new suprabony periodontal attachment in the beagle dog.

Using a technique called distraction osteogenesis (DO), orthopedic surgeons are capable of reconstructing 4 to 5 cm of bone and soft tissue without bone grafts or pedicle flap procedures. DO has been used recently to generate maxillofacial bone as an alternative to maxillary and mandibular osteotomies. Using DO methodology, this study attempted to regenerate supraalveolar buccal periodontium on the mandibular second, third, and fourth premolars of beagle dogs. A small but statistically significantly greater amount of new cementum was generated in experimental teeth, with no difference found between experimental and control groups with respect to regenerating alveolar bone. Further studies using modifications of this technique are warranted to explore the potential of DO as an alternative to conventional regenerative approaches.

Alveolar Bone Loss↗

PubMed2000

Improving the oral hygiene of institutionalized mentally retarded clients.

PURPOSE: The quality of oral health care of persons with mental retardation has been reported in the literature to be less than that of their normal peers. The purpose of this study, set in a Midwest institution for persons with developmental retardation, was to determine if a change in policy followed by staff training and monitored by an interested third party would improve the oral hygiene of clients living on wards. METHODS: Methods used to train staff in proper toothbrushing were developed. Three living units were randomly selected for study: control, training plus accountability (experimental group I), and training without accountability (experimental group II). The direct care staff of both experimental groups were trained in proper toothbrushing techniques. Staff of the control group received no training. A dental hygienist visited the living unit periodically to evaluate and provide feedback on the plaque index scores taken by the caregivers in both experimental groups. RESULTS: The plaque indexes of group I showed significant improvement over the control group and group II. CONCLUSION: The results of this pilot study support the other findings of higher plaque indexes for residents with mental retardation and that modifying toothbrushing policies and staff training are not as critical to the improvement of the clients' oral hygiene as is the presence of an involved, interested third party.

Adult↗

PubMed1999

Unskilled and unaware of it: how difficulties in recognizing one's own incompetence lead to inflated self-assessments.

People tend to hold overly favorable views of their abilities in many social and intellectual domains. The authors suggest that this overestimation occurs, in part, because people who are unskilled in these domains suffer a dual burden: Not only do these people reach erroneous conclusions and make unfortunate choices, but their incompetence robs them of the metacognitive ability to realize it. Across 4 studies, the authors found that participants scoring in the bottom quartile on tests of humor, grammar, and logic grossly overestimated their test performance and ability. Although their test scores put them in the 12th percentile, they estimated themselves to be in the 62nd. Several analyses linked this miscalibration to deficits in metacognitive skill, or the capacity to distinguish accuracy from error. Paradoxically, improving the skills of participants, and thus increasing their metacognitive competence, helped them recognize the limitations of their abilities.

Cognition↗

PubMed1998

Analysis of prognostic indicators for dogs with pericardial effusion: 46 cases (1985-1996).

OBJECTIVE: To determine factors associated with disease-free interval and survival time for dogs with pericardial effusion. DESIGN: Retrospective study. ANIMALS: 46 dogs. PROCEDURE: Signalment, history, results of physical examination, electrocardiography, echocardiography, and thoracic radiography; disease-free interval; and survival time were obtained from medical records or telephone conversations with owners and referring veterinarians. RESULTS: Dogs that had ascites at the time of the initial physical examination were significantly less likely, and dogs that had evidence of pulmonary metastases on thoracic radiographs or that had echocardiographic evidence of a right atrial mass were significantly more likely, to have died of pericardial effusion or the underlying cause of effusion than were dogs that did not. Median survival time was 15.3 months for dogs with idiopathic pericardial effusion, 16 days for dogs with hemangiosarcoma, and 13.6 months for dogs with mesothelioma. Dogs that had a nonspecific extracardiac mass and underwent pericardiectomy were significantly less likely to have had recurrence of signs than were dogs that did not. However, dogs with mesothelioma or hemangiosarcoma that underwent pericardiectomy did not have a significantly different risk of recurrence of signs or survival time, compared with dogs that did not. CLINICAL IMPLICATIONS: Results suggest that pericardiectomy will not affect risk of recurrence or survival time in dogs with pericardial effusion secondary to hemangiosarcoma or mesothelioma. However, pericardiectomy is still needed to differentiate dogs with neoplastic pericardial effusion from dogs with idiopathic pericardial effusion.

Animals↗

PubMed1998

Turning up the contrast: self-enhancement motives prompt egocentric contrast effects in social judgments.

Contrast effects occur when people judge the behavior and attitudes of others relative to their own. We tested a motivational account suggesting that these effects arise because people tailor their judgments of others to affirm their own self-worth. Consistent with that interpretation, participants displayed more egocentric contrast in their judgments of another person's intelligence (i.e., their evaluation of his score on the Scholastic Aptitude Test was more negatively related to their own score) after their self-esteem was threatened than after it was bolstered (Studies 1 and 2). High-self-esteem individuals displayed more judgmental contrast overall than did their low-esteem counterparts (Study 2). Strongly pro-choice participants whose esteem was threatened also displayed more contrast in their judgments of another person's attitude on abortion, relative to esteem-bolstered participants (Study 3). Discussion centers on the implications of these findings for theory on social comparison, self-affirmation, and social judgment.

Achievement↗

PubMed1998

Gingival fluid IL-1beta in postmenopausal females on supportive periodontal therapy. A longitudinal 2-year study.

Posterior interproximal alveolar bone in 59 women, within 5 years after menopause, was assessed at baseline and after 2 years of supportive periodontal therapy (history of moderate/advanced periodontitis) using digitized image analysis. Baseline lumbar spine bone mineral density, smoking status, and yearly serum estradiol (E2) levels also were obtained to group subjects. An additional 16 non-periodontitis postmenopausal women were followed 2 years for clinical and estrogen status. 2-min GCF IL-1beta levels averaged from 2 baseline periodontal pockets (in periodontitis subjects) and 2 non-periodontitis sites (in non-periodontitis and periodontitis subjects) were determined with an enzyme immunoassay. A progressive and stable site were also monitored every 6 months for GCF IL-1beta in 15 patients. Results after 2 years indicated that 17 subjects had no posterior interproximal sites losing > or =0.4 mm of alveolar crest bone height, while 13 subjects had > or =3 such sites. Using analysis of variance, none of the above clinical groupings resulted in a significant difference in mean baseline or longitudinal GCF IL-1beta levels. However, when subjects who lost alveolar crest bone height were considered, E2-sufficient subjects had significantly depressed baseline GCF IL-1beta (in past-periodontitis sites) compared to E2-deficient patients (9.1+/-2.1 versus 31.7+/-10.2 pg/2-min sample, p<0.05), suggesting E2 influences gingival IL-1beta production in progressive periodontitis patients.

Absorptiometry, Photon↗

PubMed1998

Information source preferences for selecting dental services among elderly consumers.

This manuscript presents the results of a primary research study conducted among the elderly to determine the sources of information they prefer for the selection of dental services. The results of the study are presented in terms of source preferences by dental need (generalist or specialist), source preferences by gender (male or female), source preferences by level of education (low or high), and source preferences by income level (low or high). Conclusions are drawn from the results of the research, and suggestions are made regarding the use of information source preferences for the marketing of dental services to the elderly.

Age Factors↗

PubMed1997

Construal processes and trait ambiguity: implications for self-peer agreement in personality judgment.

The relationship between trait ambiguity and self-peer agreement in personality judgment was examined. In Study 1, self-peer agreement was lower on ambiguous traits (those with many behavioral referents) than on unambiguous ones (those with few behavioral referents). This finding was partially moderated by the level of friendship between peers. These results suggest that people disagree in their judgments because they use idiosyncratic trait definitions when making judgments on ambiguous traits. Study 2 tested this explanation by exploring self-peer agreement when participant pairs were forced to use the same trait definition versus different ones when judging themselves and each other. Forcing participants to use the same trait definition increased the degree to which their judgments covaried with one another. Discussion centers on the cognitive and motivational forces that can influence the degree to which personality judgments differ.

Ego↗

PubMed1997

Stereotypes and tacit inference.

To judge another person's behavior, one often has to come to an understanding of what that behavior was in its detail. Five studies demonstrated that stereotypes influence the tacit inferences people make about the unspecified details and ambiguities of social behavior (e.g., what the behavior specifically was, what stimulus the individual reacted to, what caused the individual to act) and that these inferences occur when people encode the relevant information. One study found that participants who scored low on a measure of modern sexism were just as likely to make tacit inferences based on gender stereotypes as were those who scored high. Discussion centers on the implications of these findings for identification processes in social judgment, as well as whether stereotypes influence tacit inferences at an implicit level.

Female↗

PubMed1995

Idiosyncratic trait definitions: implications for self-description and social judgment.

Descriptions of self (e.g., "I am dominant") may reflect not only a person's behavioral tendencies but also idiosyncratic definitions of the social concepts and categories being considered. Five studies revealed that participants who differed in their self-ratings along trait dimensions also tended to associate different behaviors and performances with those traits. For example, participants who described themselves as dominant tended to emphasize desirable over undesirable behaviors and characteristics in their definitions of the trait, whereas self-described nondominants highlighted the opposite. Participants' self-ratings on dominance were also influenced by making positive or negative examples of dominant behavior salient to them. Moreover, when participants were induced to shift self-descriptions in self-serving ways, they tended to do so by revising their prototype of the trait in question. Discussion centers on the implications of these findings for the prediction of behavior and the interpretation of some social science results.

Female↗

PubMed1991

Depression, realism, and the overconfidence effect: are the sadder wiser when predicting future actions and events?

Do depressed individuals make more realistic judgments than their nondepressed peers in real world settings? Depressed and nondepressed Ss in 2 studies were asked to make predictions about future actions and outcomes that might occur in their personal academic and social worlds. Both groups of Ss displayed overconfidence, that is, they overestimated the likelihood that their predictions would prove to be accurate. Of key importance, depressed Ss were less accurate in their predictions, and thus more overconfident, than their nondepressed counterparts. These differences arose because depressed Ss (a) were more likely to predict the occurrence of low base-rate events and (b) were less likely to be correct when they made optimistic predictions (i.e., stated that positive events would occur or that aversive outcomes would not). Discussion focuses on implications of these findings for the depressive realism hypothesis.

Adult↗

PubMed1991

Self-serving prototypes of social categories.

Why and when do people disagree on their conceptions or prototypes of social categories? In 6 studies, it was revealed that such differences tend to be self-serving. Ss tended to endorse self-descriptive attributes as central to their prototypes of desirable social concepts and emphasize features that were not self-descriptive in their conceptions of undesirable categories. Such disagreements were constrained to attributes potentially central to the domain in question and did not occur for clearly peripheral features. Self-serving differences in prototype structure were exhibited in social information processing tasks and led to disagreements in judgments of others. Potential mechanisms underlying the development of these egocentric cognitive structures and their implications for self-serving judgments of ability are discussed.

Adult↗

PubMed1991

Nebraska dental professional's procedures and opinions related to infectious diseases.

Based on the findings of this study, the following specific strategic recommendations are offered: 1. Offer continuing education courses throughout the state at reasonable fees. The courses should emphasize recognition of AIDS related lesions and infectious diseases, aseptic techniques/infectious disease control, AIDS, Hepatitis B, and infections/antibiotics. In addition, continuing education courses in the area of medical history taking methods should be offered to teach methods of inquiring about sexual and drug-use histories. 2. Establish a state resource center for information regarding infectious diseases. This could, perhaps, be a cooperative venture with the Department of Health, the Nebraska Dental Association, and the College of Dentistry. There is a need to gather, interpret and disseminate periodic updates on infectious disease research. This venture should also focus on developing literature for practitioners with consistent information about infection control regulations and guidelines. 3. Either through continuing education courses or through the information resource center, provide instruction on realistic assessment of the risk of infectious disease transmission in dentistry. 4. Develop a public relations campaign to educate the public about infection control policies in dentistry, what is being done to protect the public. 5. A research effort should be undertaken to determine the discrepancy between self-reported infection control practices and observed infection control practices. This could be accomplished through patient and dentist surveys, interviews, and/or observations. 6. Establish a confidential HIV blood screening program for health care providers.

Acquired Immunodeficiency Syndrome↗

PubMed1990

The overconfidence effect in social prediction.

In five studies with overlapping designs and intents, subjects predicted a specific peer's responses to a variety of stimulus situations, each of which offered a pair of mutually exclusive and exhaustive response alternatives. Each prediction was accompanied by a subjective probability estimate reflecting the subjects' confidence in its accuracy--a measure validated in Study 5 by having subjects choose whether to "gamble" on the accuracy of their prediction or on the outcome of a simple aleatory event. Our primary finding was that in social prediction, as in other judgmental domains, subjects consistently proved to be highly overconfident. That is, regardless of the type of prediction item (e.g., responses to hypothetical dilemmas, responses to contrived laboratory situations, or self-reports of everyday behaviors) and regardless of the type of information available about the person whose responses they were predicting (e.g., predictions about roommates or predictions based on prior interviews), the levels of accuracy subjects achieved fell considerably below the levels required to justify their confidence levels. Further analysis revealed two specific sources of overconfidence. First, subjects generally were overconfident to the extent they were highly confident. Second, subjects were most likely to be overconfident when they knowingly or unknowingly made predictions that ran counter to the relevant response base rates and, as a consequence, achieved low accuracy rates that their confidence estimates failed to anticipate. Theoretical and normative implications are discussed and proposals for subsequent research offered.

Adult↗