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CHESS (Comprehensive Health Enhancement Support System): an interactive computer system for women with breast cancer piloted with an underserved population.

The Comprehensive Health Enhancement Support System (CHESS) is an interactive computer system containing information, social support, and problem-solving tools. It was developed with intensive input from potential users through needs-assessment surveys and field testing. CHESS had previously been used by women in the middle and upper socioeconomic classes with high school and college education. This article reports on the results of a pilot study involving eight African-American women with breast cancer from impoverished neighborhoods in Chicago. CHESS was very well received; was extensively used; and produced feelings of acceptance, motivation, understanding, and relief.

Ambulatory Care Information Systems↗

Cartilage disorders: comparison of spin-echo, CHESS, and FLASH sequence MR images.

Magnetic resonance (MR) imaging is known to be a suitable modality for the visualization of the hyaline cartilage and the fibrocartilage joint structures. To compare standard spin-echo (SE) images with water images obtained with the chemical shift selective (CHESS) sequence and with the fast low angle shot (FLASH) sequence, examinations were performed with all three sequences in eight volunteers and 28 patients with inflammatory degenerative and traumatic alterations of the knee, hip, and sacroiliac joints. Arthroscopic and/or surgical correlation were available in 16 patients; bone scanning and computed tomography of the sacroiliac joints were performed in four patients. CHESS-water and FLASH images proved superior to SE images in demonstrating hyaline cartilage disorders. There was no difference between SE, CHESS, and FLASH in the detection of fibrocartilage disorders. Short imaging times and satisfactory depiction of cartilage alterations make FLASH a promising method.

Adult↗

The role of attack and defense semantics in skilled players' memory for chess positions.

There is much evidence that chess skill is based on chunks in memory that represent parts of positions from previously encountered games. However, the content of these chunks is a matter for debate. According to one view, (1) the closer two pieces are to each other on a board (proximity), the more likely they are to be in the same chunk, and (2) skilled players encode the precise locations of pieces. An alternative view is that what information is encoded in a chess chunk is determined more by processing of the attack/defense relations during evaluation. In three experiments, participants evaluated positions and completed recognition tests. Experiment 1 supported the view that expert players make more use of attack/defense relations than of locations of pieces in a recognition test. Experiments 2 and 3 demonstrated that, for both long and short presentation times, expert players' recognition for a piece within a position was primed more by a piece related by attack or defense than by a piece merely proximal. These findings challenge theories of expertise for chess that assume a primary role for proximity and location in determining which pieces are grouped together in memory.

Aptitude↗

Chess-playing epilepsy: a case report with video-EEG and back averaging.

A patient suffering from juvenile myoclonic epilepsy experienced myoclonic jerks, fairly regularly, while playing chess. The myoclonus appeared particularly when he had to plan his strategy, to choose between two solutions or while raising the arm to move a chess figure. Video-EEG-polygraphy was performed, with back averaging of the myoclonus registered during a chess match and during neuropsychological testing with Kohs cubes. The EEG spike wave complexes were localised in the fronto-central region. [Published with video sequences].

Adult↗

[Sports medical examination of top class chess players (author's transl)].

During an international chess championship tournament in Munich, 14 participants were thoroughly investigated physically in order to find out generally the psychological maximum stress and the autonomic excitability as well as the circulatory conditions during the individual games and to study the metabolic load during the 18 day tournament. Eight of the eleven players who participated in the blood determinations showed at least once during the competition marginal to increased cholesterol levels. In their general physical capacity, their autonomic excitability and their circulatory parameters during the competition the chess players were completely comparable to other sportsmen of the "light athletics" class, so that chess can also rightly be called a class of sport according to these criteria.

Adult↗

Search heuristics of chess players of different calibers.

Information-processing models of chess-playing ability have distinguished between players of different calibers solely in terms of perceptual encoding and recognition of chess configurations. A reanalysis of deGroot's verbal protocols of 1965 indicates that players of different calibers direct their attention toward different areas of the board. Grandmasters and masters consider squares that are affected by many pieces, while lesser players direct their attention toward squares on which the pieces are located. In a recall experiment, chess positions were presented that had been randomly generated so as to differ only in the degree to which the pieces converge on the same squares. Masters showed superior recall for briefly presented positions only when the material affects a highly centralized area of the board.

Attention↗

Effects of orienting tasks on recognition of chess positions.

Two experiments using a levels-of-processing paradigm were performed to demonstrate the existence and usefulness of a semantic component in chess knowledge. Experiment I compared forced-choice recognition of chess positions after a structural task (piece counting) as opposed to a semantic task (choosing a move). Recognition accuracy, confidence, and familiarity ratings all showed a facilitation effect in the semantic condition. By including an orienting task that did not encourage semantic processing but still allowed pattern-matching operations to occur (copying a board), Experiment II demonstrated that this task effect was a genuine enhancement of memory due to meaningful processing. One again, the processing of meaningful relations in the semantic task (positional evaluation) produced a higher level of recognition performance than did the more structural processing. These results suggest that aspects of meaning have some input into the processes that generate the memory representation of a chess position.

Cognition↗

CHESS: An interactive computer system for women with breast cancer piloted with an under-served population.

The Comprehensive Health Enhancement Support System (CHESS) is an interactive computer system containing information, social support and problem solving tools. It was developed with intensive input from potential users through needs-assessment surveys and field testing. CHESS had previously been used by women in the middle and upper socio-economic classes with high school and college education. This article reports on the results of a pilot study involving eight African-American women with breast cancer from impoverished neighborhoods in the city of Chicago. CHESS was very well received, extensively used and produced feelings of acceptance, motivation, understanding and relief.

Adult↗

Will HIV-positive people use an interactive computer system for information and support? A study of CHESS in two communities.

A study of use of an interactive computer system (CHESS--Comprehensive Health Enhancement Support System) by HIV-Positive people was conducted in Madison and Milwaukee during Fall 1992 and Winter 1993. Computers were placed in homes, and use monitored by the computer. Results showed that the system was used heavily by both samples, and that gender (women used it more) age, (younger used it more), living arrangements (those living alone used it more), and need for health care information (those who felt the most need used it more) but not education predicted use of CHESS. The authors argue that heavy CHESS use by a wide variety of HIV-positive people suggests that the computer can overcome "information poor" barriers in health information campaigns.

Adult↗

Templates in chess memory: a mechanism for recalling several boards.

This paper addresses empirically and theoretically a question derived from the chunking theory of memory (Chase & Simon, 1973a, 1973b): To what extent is skilled chess memory limited by the size of short-term memory (about seven chunks)? This question is addressed first with an experiment where subjects, ranking from class A players to grandmasters, are asked to recall up to five positions presented during 5 s each. Results show a decline of percentage of recall with additional boards, but also show that expert players recall more pieces than is predicted by the chunking theory in its original form. A second experiment shows that longer latencies between the presentation of boards facilitate recall. In a third experiment, a Chessmaster gradually increases the number of boards he can reproduce with higher than 70% average accuracy to nine, replacing as many as 160 pieces correctly. To account for the results of these experiments, a revision of the Chase-Simon theory is proposed. It is suggested that chess players, like experts in other recall tasks, use long-term memory retrieval structures (Chase & Ericsson, 1982) or templates in addition to chunks in short-term memory to store information rapidly.

Humans↗

CHESS classification of bladder-outflow obstruction. A consequence in the discussion of current concepts.

The present discussion on the natural history, growth rate pathophysiology, morbidity, and possible treatment of benign prostatic hyperplasia (BPH) reinforces the need to objectify mechanical BPH-induced obstruction with pressure-flow study. Different methods for the quantification of BPH-induced obstruction exist and the grade of simplification depends on their working mechanism. To review the limitations of the current concepts, 118 BPH patients were selected for computerized pressure-flow data analysis according to quadratic passive urethral resistance relation (PURR) function. The CHESS classification differs from all other concepts due to its two-dimensional character and was developed as a result of the following way of thinking: (1) the whole individual pressure-flow plot is the most accurate basis for further analysis; (2) PURR as the true low-pressure flank of the individual plot is the most favorable definition for mechanical obstruction; (3) PURR quantification requires at least two parameters, footpoint and curvature/slope, with regard to the documented missing significant correlation of both; and (4) a two-parameter-based classification is two-dimensional (CHESS classification).

Aged↗

The Canadian Hospital Executive Simulation System (CHESS).

The Canadian Hospital Executive Simulation System (CHESS) is a computer-based management decision-making game designed specifically for Canadian hospital managers. The paper begins with an introduction on the development of business and health services industry-specific simulation games. An overview of CHESS is provided, along with a description of its development and a discussion of its educational benefits.

Canada↗

The MDS-CHESS scale: a new measure to predict mortality in institutionalized older people.

OBJECTIVES: To develop a scale predicting mortality and other adverse outcomes associated with frailty. DESIGN: Observational study based on Minimum Data Set (MDS) 2.0 and mortality data. SETTING: Ontario chronic hospitals. PARTICIPANTS: All chronic hospital patients (N = 28,495) assessed with the MDS 2.0 after mandatory implementation in July 1996 followed until May 1999. MEASUREMENTS: MDS 2.0 assessments done as part of normal practice mainly by registered nurses or multidisciplinary teams in a chronic hospital. Mortality data are available from the accompanying discharge tracking form. RESULTS: The MDS-Changes in Health, End-stage disease and Symptoms and Signs (CHESS) score is a composite measure addressing changes in health, end-stage disease, and symptoms and signs of medical problems. It is a strong predictor of mortality (P <.0001) independent of the effects of age, sex, activities of daily living impairment, cognition, and do-not-resuscitate orders. It is also strongly associated with physician activity, complex medical procedures, and pain (P <.001 for each dependent variable). CONCLUSIONS: The CHESS score provides a useful new MDS-based test to predict mortality and to measure instability in health as a clinical outcome.

Activities of Daily Living↗

Dynamic perception in chess.

The present study examines the dynamic aspects of perceptual processes in expert chess players. This topic is approached in terms of the anticipation processes carried out by experienced players during the encoding of chess positions. The aim of the first experiment, which used a short-term comparison task, was to stress the role of anticipation, which allows expert players to focus their attention on the area of the studied position where they expect the likely standard move to occur. The second experiment used a long-term recognition task. The results showed that expert players made many false recognitions on the new positions that could be expected from the positions presented in the preliminary study phase. Taken together, the results of the two experiments highlight the anticipatory component of expert perception.

Adolescent↗

Visual short-term memory and aging in chess players.

Young (M = 20 years) and older (M = 54 years) equally skilled chessplayers reconstructed slides of chess diagrams shown for 1, 2, and 4 sec either immediately or following 15 sec of interpolated processing. Recall was more accurate for younger players, with the gap widening as viewing time increased. Interpolated processing decreased accuracy and increased retrieval time equally in the two groups. Measures of chunking indicated no age-related differences. These results imply that there is an age-related deficit in encoding but not retrieval for visual short-term memory. Since young and old were affected equivalently by interpolated processing, it appears likely that they have similar memory consolidation functions. Since the players were equally skilled, the results contradict the view that skill in chess derives primarily from encoding ability.

Adult↗

Multilayer X-ray optics at CHESS.

Almost half of the X-ray beamlines at the Cornell High Energy Synchrotron Source (CHESS) are based on multilayer optics. ;Traditional' multilayers with an energy resolution of DeltaE/E approximately 2% are routinely used to deliver X-ray flux enhanced by a factor of 10(2) in comparison with standard Si(111) optics. Sagittal-focusing multilayers with fixed radius provide an additional factor of 10 gain in flux density. High-resolution multilayer optics with DeltaE/E approximately 0.2% are now routinely used by MacCHESS crystallographers. New wide-bandpass multilayers with DeltaE/E = 5% and 10% have been designed and tested for potential applications in macromolecular crystallography. Small d-spacing multilayers with d < or = 20 A have been successfully used to extend the energy range of multilayer optics. Analysis of the main characteristics of the Mo/B4C and W/B4C small d-spacing multilayer optics shows enhancement in their performance at higher energies. Chemical vapour deposited SiC, with a bulk thermal conductivity of a factor of two higher than that of silicon, has been successfully introduced as a substrate material for multilayer optics. Characteristics of different types of multilayer optics at CHESS beamlines and their applications in a variety of scattering, diffraction and imaging techniques are discussed.

Crystallography, X-Ray↗

Cognitive model of problem-solving in chess.

By performing a series of five experiments with two subjects, several aspects of one of the subject's behavior in solving chess problems were found to be predictable, and a model was developed to explain this predictability. The heuristics used in this model may be applicable in developing future computer programs for chess play.

Cognition↗

Multiple chemical shift selective (CHESS) MR imaging using stimulated echoes.

Recently, stimulated echo acquisition mode (STEAM) magnetic resonance (MR) imaging has been demonstrated as a new tool for multiparametric MR imaging studies. Applications of the chemical shift selective (CHESS) STEAM technique using a 2.0-T whole-body MR imaging system are reported in which a series of contiguous cross-sectional images of the head and the pelvis were acquired. Because selective excitation of the desired component is employed rather than elimination of the unwanted component, this method yields an improved degree of spectral resolution which is dependent only on the homogeneity of the static magnetic field. For routine medical applications, no sophisticated adjustment of the CHESS pulse is needed, as reported in previous methods.

Adipose Tissue↗