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PubMed1988

The Level of Expressed Emotion Scale: a new measure of expressed emotion.

The Level of Expressed Emotion (LEE) scale was developed to provide an index of the perceived emotional climate in a person's influential relationships. Unlike existing measures, the scale was constructed on the basis of a conceptual framework described by expressed emotion theorists. In addition to providing an overall score, the 60-item scale assesses the following four characteristic attitudes or response styles of significant others: Intrusiveness, emotional response, attitude toward illness, and tolerance/expectations. The scale underwent extensive psychometric development procedures: (1) theoretically based item generation; (2) pilot testing with normal and psychiatric populations to select the final items; and (3) construct validation within a schizophrenic population. The results were quite favorable and indicate that the LEE scale has sound psychometric properties of internal consistency; reliability; independence from sex, age, and amount of contacts; and construct validity.

Adaptation, Psychological↗

PubMed1989

The contributions of self-defeating philosophies, perceived helplessness, and repression to anxiety among psychiatric patients.

Four of the most influential psychological explanations for the development of anxiety attribute it to (1) repressed awareness of undesirable emotions; (2) the emergence of unacceptable feelings from the unconscious; (3) adherence to irrational, self-defeating philosophies; and (4) perceived helplessness/lack of control over one's affairs. To test these theories, the authors administered the Trait Anxiety, Denial, Irrational Beliefs, and Locus of Control scales to 190 psychiatric inpatients. Appropriate zero-order, attenuation-corrected, multiple, and partial correlations were run. Denial was correlated negatively with Trait Anxiety; this is consistent with the view that awareness of unpleasant emotions generates anxiety, but does not support the claim that it is the result of repression. The correlations of Trait Anxiety with the Irrational Beliefs scale were substantial. However, its relationships with Locus of Control were limited and nonsignificant after the effects of the Denial and Irrational Beliefs scales were removed statistically. The findings lend support to the positions that anxiety results from self-defeating philosophies and/or the emergence of unpleasant thoughts about oneself, but give only modest support to the "perceived helplessness" hypothesis and seem to contradict the "excessive repression" explanation.

Adjustment Disorders↗

PubMed1989

WISC-R stability and re-evaluation of learning-disabled students.

This study investigated the temporal stability of WISC-R IQ scores for learning-disabled subjects (N = 113). All study subjects were administered the WISC-R for an initial evaluation (M age = 8 years, 3 months) and a follow-up re-evaluation (M age = 11 years, 7 months). Pearson product-moment correlations yielded coefficients that were considerably lower than those previously reported: r = .55, p less than .001 for the Verbal IQs; r = .63, p less than .001 for the Performance IQs; and r = .58, p less than .001 for the Full Scale IQs. Results of t-test analyses indicated that only the Verbal IQ scores were significantly different when the initial evaluation (M = 89.4) was compared to the re-evaluation (M = 85.3), p less than .001. The results suggest that the WISC-R may be less stable for the learning-disabled population than for other groups and that the average 3-year test-retest time lapse was an influential factor in the reduced reliability of this instrument.

Child↗

PubMed1990

Comparisons of two expressed emotion scales with the Camberwell Family Interview.

The relationship of the Camberwell Family Interview (CFI) with two self-report scales purported to measure levels of expressed emotion was assessed. Fifteen schizophrenic patients and 22 of their relatives completed the Level of Expressed Emotion Scale (LEE) and the Influential Relationships Questionnaire (IRQ). The relatives of patients also participated in Camberwell Family Interviews (CFI). Results supported the value of the self-report measures in evaluating the affective environment of patients with schizophrenia.

Adult↗

PubMed1991

The acceptability of behavioral and emotional feedback depending upon valence and structure in personal growth groups.

Forty-eight students participated in a one-time personal growth group. Subjects were assigned to one of eight groups. Exercises were conducted to promote interpersonal contact, followed by feedback sessions. Four groups generated and exchanged feedback among group members. Statement lists were used as feedback in remaining groups. Within each set, one group delivered positive-behavioral; one, positive-emotional; one, negative-behavioral; and one, negative-emotional feedback. Positive feedback was more credible, desirable, and influential for recipients and donors; positive-behavioral feedback in particular was more credible. Donors rated unstructured feedback as more credible than structured feedback, with negative-structured feedback the least credible with donors and recipients. Findings are discussed in terms of research and application.

Adult↗

PubMed1976

Reflections on the golden age of Columbia psychology.

This paper discusses the Golden Age (1920-1940) of the Columbia University psychology department and analyzes some of the sources of its strengths and weaknesses. Much of the credit goes to Robert S. Woodworth, the dean of American experimental psychology, who set up the objective eclectic orientation of the department, recruited a remarkable group of competent faculty members, and above all kept up a cooperative unified spirit in the department. Because the Columbia University psychology department was so influential during its Golden Age, its organization, staffing and departmental characteristics are analyzed. Probably the key to its success was the capability of a guiding genius, Robert S. Woodworth, who gathered a remarkable group of scholars about him. Woodworth's objective eclectic orientation provided the broadest possible approach within a rigorous experimental-statistical orientation. Woodworth's scholarly approach pervaded the department so that many of his colleagues also wrote pioneering encyclopedic works in their particular fields of specialization. The writings of the Columbia psychologists truly shaped the field.

Faculty↗

PubMed1987

David Hartley's Newtonian neuropsychology.

David Hartley's association psychology has been immensely influential. His vibrationist neurophysiology has, in contrast, been largely overlooked and forgotten. Hartley's vibration theory is examined. On the one hand it is shown how closely it is related to Sir Isaac Newton's mathematical physics and on the other how well it complements the association theory. The vibration theory, indeed, strongly influenced Hartley's associationist psychology and hence is of more than merely antiquarian interest. Although Hartley's understanding of the central nervous system has long been superseded, his general ideas prefigure some aspects of contemporary neurophysiology and philosophy of mind and thus provide a further reason for rescuing his vibrationism from oblivion.

England↗

PubMed2025

Granular Hydrogels as Brittle Yield Stress Fluids.

While granular hydrogels are increasingly used in biomedical applications, methods to capture their rheological behavior generally consider shear-thinning and self-healing properties or produce ensemble metrics (e.g., dynamic moduli) while neglecting transient yielding and unyielding processes. Combining oscillatory shear testing with Brittility (Bt) via the Kamani-Donley-Rogers (KDR) model, this work shows that granular hydrogels behave as brittle yield stress fluids. This work quantifies steady and transient rheology as a function of microgel properties and granular composition for polyethylene glycol and gelatin microgels. The KDR model with Bt captures granular hydrogel behavior for a wide range of design parameters, reducing the complex rheology to a determination of model parameters. In granular mixtures, this work observes monotonic dependencies of the elastic modulus, structural viscosity, and brittility upon granular composition, while the yield stress is lower for mixtures. Microgel size distribution and polymer fraction are the most influential parameters in monolithic granular hydrogels, while microgel size and packing density are less impactful. The model robustly captures self-healing behavior and reveals that granular hydrogel relaxation accelerates with an increased small-amplitude strain rate. This quantitative framework is an important step toward rational design of granular hydrogels for applications ranging from injection and in situ stabilization to 3D bioprinting.

brittility↗

PubMed1983

Asbestosis and tuberculosis.

The frequent association between silicosis and tuberculosis has been known for a long time. However, the possible interrelationship between asbestosis and tuberculosis is not entirely clear, and some reports on the subject are contradictory. The incidence of tuberculosis was determined in three groups of people: 1) those with asbestosis, 2) those exposed to asbestos dust but without asbestosis, and 3) healthy people without pneumoconiotic exposure. Chest X-rays of 2,846 workers surveyed in this department between 1976 and 1980 were reviewed. Since only one case of active tuberculosis was detected, residual tuberculosis was the type encountered and this was diagnosed solely on its radiological signs. The incidence of tuberculosis was: 3.87% (N = 257) for group 1; 3.45% (N = 1,215) in group 2; and 3.93% (N = 1,374) for group 3. Statistical analysis confirms the lack of significant differences in the incidence of tuberculosis in the three groups. From these findings, it is concluded that asbestosis is not an influential factor in the appearance and development of tuberculosis.

Adolescent↗

PubMed1979

Continuing education in rheumatoid arthritis for the primary care physician.

An educational program in rheumatoid arthritis was developed for primary care practitioners. This program is community based and utilizes physicians, identified by their peers as being influential, for the dissemination of information. A marked change in knowledge has been noted in those completing the program, but further followup is needed to determine if a change in the care of patients with rheumatoid arthritis will also result.

Arthritis, Rheumatoid↗

PubMed1985

Continuing medical education. Changing behavior and improving outcomes.

A study was undertaken to determine if an intensive continuing medical education program in rheumatology could improve patient care. Fifteen primary care practitioners, who fit the description of educationally influential physicians, completed a 2-week academic medical center-based preceptorship. Improvement in physician knowledge, from a mean score of 65.3% to a mean of 82.9%, was documented using pre- and post-tests. Significant changes in physician behavior were documented using chart audits and patient interviews. The use of diagnostic tests and corticosteroids, and physician-patient interactions were the areas of greatest improvement. Functional outcomes for patients, measured by the Sickness Impact Profile, also improved. These findings suggest that a well-designed continuing medical education program can effect some changes in physician knowledge and behavior that will result in at least short-term improvement in patient outcomes.

Clinical Competence↗

PubMed1988

A system approach to intravenous thrombolysis in acute myocardial infarction in community hospitals: the influence of paramedics.

UNLABELLED: During a 3-year period, intravenous streptokinase (IV STK) was given to 110 consecutive patients ages 34-78 in the course of acute myocardial infarction (AMI) in three community hospitals served by the same paramedic system. 1.5 million units of IV STK was given over 30 minutes. Half of the patients were brought to the hospital by paramedics. The average time from onset of pain to administration of IV STK was 107 minutes in the paramedic group and 182 minutes for the others. Of 110 patients, 98 (89%) showed clinical evidence of reperfusion and 94 of 106 patients (89%) showed angiographic reperfusion. Angiography was performed from 1 to 10 days post-AMI. Mean time to angiography was 6 days for the first 58 patients and 2 days for the last 52 patients. In-hospital mortality was 2 of 110 patients and there was 1 late death at 8 months for an overall 3-year mortality 2.7%. Of 86 patients, 83 (96%) working before their infarct are working now. Of 107 survivors, 96 (90%) are Functional Class I. CONCLUSIONS: (1) IV STK is safely administered in a high percentage of AMI patients. (2) IV STK is safely administered in community hospitals. (3) Paramedics act as an early warning system and allow for earlier treatment than patients presenting without paramedic involvement. (4) Successful coronary reperfusion with IV STK results in low mortality rates and minimizes functional disability. (5) A system-wide approach to reducing time to treatment in AMI may be the most influential factor in affecting morbidity and mortality.

Adult↗

PubMed1988

Formation and expression of filial attachment in rhesus monkeys raised with living and inanimate mother substitutes.

The formation and expression of filial attachment was investigated in rhesus monkeys raised with dogs or inanimate mother substitutes in a longitudinal study spanning the first 4 years of life. At 2 months monkeys were identified within each rearing group as strongly attached or weakly attached, as measured by proximity, contact and clinging to the mother substitute in the living cage and in a novel room, and by differences in levels of distress vocalization and heart rate when they were alone and in the presence of the substitute mother in a novel room. By 4 months, all monkeys were attached, and the strongly attached and weakly attached monkeys of the first age-period were no longer distinguishable on any measure. The attachment was specific to the substitute mother. It was not exclusive, however, inasmuch as similar responses were elicited by a stranger of the same type as the substitute mother, although the stranger was less effective. The attachment figure was also influential when it could be seen but not touched. Evidence of attachment to the substitute mothers persisted until the end of testing at 44 months. Comparison of rearing groups support the hypothesis that the principal effect of living and inanimate mother substitutes is on responsiveness, rather than on the attachment process per se.

Animals↗

PubMed1990

A note on fitting one-compartment models: non-linear least squares versus linear least squares using transformed data.

Drug concentrations in one-compartment systems are frequently modeled using a single exponential function. Two methods of estimation are commonly used for determining the parameters of such a model. In the first method, non-linear least-squares regression is used to calculate the parameters. In the second method, the data are first transformed by a logarithmic function, and then the log-concentration data are fit using linear least-squares regression. The assumptions for fitting these models are discussed with special emphasis on which data points are most influential in determining parameter values. The similarities between fitting a linear regression model to the log-concentration data and fitting a weighted regression model to the original data are noted. An example is presented that illustrates the differences in fitting a model to the log-transformed data versus fitting unweighted and weighted models to the original-scale data.

Animals↗

PubMed1982

Growth, differentiation, and function of the testes in the toad Bufo bufo bufo (L.), with special reference to regulatory capacities: effects of unilateral castration, hypophysectomy, and excision of Bidder's organs.

Function and compensatory growth of the testis have been studied in male toads of varying ages, ranging from postmetamorphosis to adults. All experiments lasted 2 months, starting about September 1. Spermatogenesis was normal in sexually immature, 1-year-old toads. The fastest growing young toads developed secondary sex characteristics, the thumbpads, during the experiment. The data suggest that size is more influential than age in determining the onset of sexual maturation. But body size is not the only factor which influences sexual maturation. The growth response of the remaining testis to unilateral castration decreased with increasing age and size of the toads. Two months after operation the remaining testis had reached the size of two testes in the young toads, whereas the testis showed no significant compensatory growth in the adult-sized toads, whether sexually immature or mature. Hypophysectomy reduced body growth in young toads and prevented a testicular growth response to unilateral castration. Young toads, but no adults, with excised Bidder's organs had larger testes than the control toads. In hypophysectomized, young toads spermatogenesis was still active 2 months after the operation.

Animals↗

PubMed1990

The passerine bird song system as a model in neuroendocrine research.

In the neural system controlling song in passerine birds, gonadal steroid hormones have potent effects on neural growth and differentiation. During ontogeny, sex differences in the secretion of steroid hormones lead to dramatic sex differences in neuron number and structure. In adulthood, sex steroid hormones also cause a significant reorganization of neural circuits. These studies of hormone action have been influential in the development of the field of neuroendocrinology.

Animals↗

PubMed1992

Early innervation of abdominal swimmeret muscles in developing lobsters.

The swimmerets in the abdomen of the lobster Homarus americanus are paired external appendages whose back and forth propulsive movements are brought about largely by a group of power and return stroke muscles located in the lateral abdominal cavity. We find functional innervation of these muscles by several excitatory axons and a single inhibitor in embryonic and stage 1 larval lobsters before the external appendages are even formed. This early innervation is via a few nerve bundles in which branches of the motor axons are intertwined in a complex manner. As the swimmerets develop to maturity in later larval and juvenile stages, the innervation consisting usually of several excitor and a single inhibitor synaptic terminals becomes localized to individual muscles. Patterned synaptic activity in these muscles was not seen in the embryonic and larval stages but has been shown in early juvenile stages, when it coincides with the onset of rhythmic movement of the swimmerets. Consequently, such early innervation of the swimmeret muscles may be influential in establishing the central circuitry for the generation of patterned activity, a possibility that was discounted in a previous study (Proc. Natl. Acad. Sci. USA, 70:954-958).

Abdomen↗

PubMed1984

Effect of cement pressure and bone strength on polymethylmethacrylate fixation.

The effect of the quality of the bone and of the cement pressurization magnitude and duration on the fixation achieved with polymethylmethacrylate (PMMA) bone cement is studied in vitro. Seventy-one cement-bone interface specimens, prepared under various conditions of pressurization of low-viscosity bone cement, are tested in tension. The load at failure and the maximum cement penetration are measured to assess the fixation achieved, and the quality of the bone is assessed by determining the compressive strength of each of the bone specimens. Statistical analysis of the data indicates that the pressure magnitude is the most influential of the factors considered in the cement penetration behavior and in the development of failure load capacity. The duration of the pressure does not appear to be a significant factor. The cement penetration is a decreasing function of the bone strength, reflecting a decrease in the porosity and an increase in the area fraction. Although not directly measured in these tests, these latter bone properties are indirectly measured by the bone compressive strength. The effect of increasing bone strength on the failure load is nonlinear. The development of adequate failure load capacity is the result of a balance between the cement penetration allowed by the porosity of the bone and the inherent strength of the cancellous bone itself. Weak bone, although adequately penetrated by cement, cannot provide strong fixation. Stronger, denser bone limits cement penetration, but pressurization enhances development of failure load capacity through more complete infusion and interlocking of the cement in the available pore space. The strength of the fixation achievable for any bone is limited by the intrinsic strength of the bone.(ABSTRACT TRUNCATED AT 250 WORDS)

Biomechanical Phenomena↗