Task demands (normal smoking; sham smoking; smoking or non-smoking during complex cognitive performance; and, smoking or non-smoking during monotonous vigilance performance) were manipulated in three experiments. Smoking increased electrodermal activity (EDA) arousal from pre-smoking baseline. Sham smoking (as a control for motoric aspects) also increased EDA arousal but to a lesser degree. In contrast the demands of complex cognitive performance were associated with lower EDA arousal during smoking than during non-smoking. Finally, during vigilance performance smoking maintained EDA arousal which during non-smoking decreased. Smoking did not improve performance during complex cognitive processing or vigilance above deprivation performance levels. It was concluded that smoking did have bidirectional effects as a function of task demand. However, there was no evidence that these physiological changes were functional and the smoking behavior data gave no indication as to the cause of these changes.

Adult↗

PubMedDate not supplied

Is sham smoking an adequate control condition for the motoric component of smoking?

This is a study of the similarities and differences between real and sham smoking; 15 participants, all of whom had a smoking history of more than two years, attended on two occasions within a balanced design. They were instructed to either smoke or sham smoke their own brand of cigarette as normally as possible. Real and sham smoking were highly correlated for various measures: frequency of puffs, puff duration, interpuff interval, puff volume, and puff pressure. This showed that the pattern of smoking was common across the two conditions. At the same time, there were differences between the two conditions in the intensity of smoking, such that sham smoking led to significant increases in puff duration, volume, frequency, and decreases in the length of interpuff interval. Sham smoking is often used in smoking experimentation as a control for various aspects of smoking. This is the first study to examine the commonalities between real and sham smoking in a detailed and systematic fashion.

Adolescent↗

PubMedDate not supplied

Factors influencing nurses' inferences about patient pain.

This study examined the factors that influence nurses' perception of patient pain. Sixteen vignettes were constructed on the basis of interviews with nurses about factors affecting their perception of patient pain and previous published literature. Four variables were systematically varied within a factorial design: diagnosis (surgery vs oncology), level of patient mobility, presence or absence of physical and behavioural signs, and patient gender. Twenty-seven nurses rated each vignette for degree of inferred patient pain and degree of patient psychological distress. Mobility and positive signs of pain had statistically significant effects on nurses' judgments of inferred pain (P < 0.001), but diagnosis had no main effect. Significant interactions showed that: inferred pain in male patients was seen to be greater when immobile while mobility had no effect on the inferred pain of female patients (P < 0.003); oncology patients (compared with surgical patients) had greater inferred pain when displaying positive signs (P < 0.024); and positive signs yielded higher ratings where patients were immobile (P < 0.001). Female patients were perceived to experience higher psychological distress than men (P < 0.037) and oncology patients were perceived to experience higher distress than surgical patients (P < 0.005). Ratings of perceived pain and distress were significantly correlated but did not differ in magnitude. Offered a choice of analgesics to relieve pain for each of the patients depicted, nurses typically chose those with the lowest strength.

Attitude of Health Personnel↗

PubMedDate not supplied

Operation open heart 1995: lessons learned and thoughts for the future.

Explore the source record for details and available documents.

Adult↗