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At least 631 records · Page 35Linked to original sources
PubMed2003

Wais-III matrix reasoning: instruction effects on task perception and performance.

Instructions for the Matrix Reasoning subtest of the WAIS-III do not communicate to examinees that the subtest is untimed. The present study examined what percentage of participants (34 women, 26 men, M age = 20.1; 55 Caucasian, 3 African American, 2 Hispanic) made the assumption that Matrix Reasoning was timed, and its effect on examinees' scores. 55% of participants receiving standard instructions retrospectively reported assuming the subtest was timed, and those who did not assume Matrix Reasoning was timed scored significantly higher than participants who did. Participants receiving additional instructions that clarified the untimed nature of Matrix Reasoning scored significantly higher than those receiving standard instructions who believed the subtest was timed.

Adolescent↗
PubMed2005

Isometric back extension endurance testing: reasons for test termination.

STUDY DESIGN: Cross-sectional study. OBJECTIVE: The self-reported reasons for terminating isometric back extension endurance testing and their associations with test performance and other factors were investigated to gain insight into determinants of test performance. BACKGROUND: Factors limiting isometric back extension endurance performance remain unclear. Better understanding the reasons for termination of isometric extension endurance testing could provide insights into what the test actually reflects. METHODS AND MEASURES: Lifetime work, leisure activities and back pain questionnaire data, isometric back extension endurance testing (holding time, as measured in seconds), and reasons for test termination were obtained for a population-based sample of 544 working-age men. RESULTS: The most common reason for test termination was fatigue (62.5%), followed by pain in various parts of the lower extremities (12.6%) and back (3.2%). A history of daily low back pain over the prior 12 months and greater pain intensity of the worst back pain episode over the same period were associated with a greater likelihood of termination due to back pain. In a regression analysis, longer holding time was associated with stopping due to fatigue rather than low back pain, with a trend of 19 seconds (95% confidence interval [CI], -2-40) longer holding time. After controlling for low back pain history, those previously involved in competitive sports were 2.6 times more likely to stop due to pain. Those with a competitive sport history had 14 seconds (95% CI, 5-23) greater holding time than those without such a history. CONCLUSIONS: Isometric back extension endurance testing is most commonly reported to be terminated due to muscle-related capacity as indicated by fatigue. Back pain is more likely to decrease performance time in men with a history of significant (frequent, intense) low back symptoms.

Adult↗
PubMed1995

Reasons for pregnancy termination: negligence or failure of contraception?

BACKGROUND: The aim of the study was to analyze the reasons for the failure of contraception and the reasons for not using any contraception among women seeking a legal abortion on social grounds. The women were also asked about their knowledge of contraception methods, including postcoital contraception. METHODS: We interviewed 200 women applying for a legal abortion within the first trimester of pregnancy about contraception, the contraceptive methods used, and the possible reasons for failure of contraception. RESULTS: Of all the women interviewed, 93% claimed to have adequate knowledge of contraception. At the time of conception 11.5% used safe methods (OCs 8%, IUDs 3.5%), 63% used less safe methods, and 26% were without contraception. Only 25% of the pill users had no explanation for the failure. 76.7% of the condom users reported that the condom was broken, had slipped off or its use had been irregular. The concern about side effects was the most common reason for not using safe contraceptives (25%). CONCLUSIONS: The women claimed to have enough information about contraceptives, and postcoital contraception was also familiar, but the knowledge on how to use them in practice was inadequate. Irregular use and breaks in contraception were common. Despite the data based on Pearl indices, pills failed twice as often as IUDs. Counseling about the proper use of contraceptives is important, although the concern about the side effects appeared to be a big, unsolved problem.

Abortion Applicants↗
PubMed1991

Replacement reasons and service time of class-II amalgam restorations in relation to cavity design.

Four hundred and sixty-eight class-II amalgam restorations were placed in 210 patients. The restorations had been inserted by seven Scandinavian dentists in their clinics, among their regularly attending patients. Impressions of the teeth with cavity preparations had been made, and epoxy casts fabricated. The designs and qualities of the cavities were assessed in accordance with an evaluation system for class-II cavities designed for use on models. The restorations were observed yearly and scored in accordance with the USPHS criteria. In case of replacement the reason was recorded, and the service time calculated. The restorations were observed throughout a period varying from 8 to 10 years. At the end of the observation period, 212 restorations had been lost owing to dropout patients, 68 restorations had been replaced, and 188 restorations remained functional. The commonest criteria for replacement were secondary caries (n = 30) and restoration bulk fractures (n = 24). Using univariate statistics and multivariate discriminant analyses, the time of service and the reasons for replacement were correlated with different clinical variables, including different indices for the dimensions and qualities of the cavity preparation. Several features of the cavity design could be associated with the service time of the restoration or with the reason for replacement, or both. Secondary caries was primarily associated with cavity design features gingivally on the proximal surface (p less than 0.001). At the patient level the rate of secondary caries correlated with the total number of restorations placed during the observation period, irrespective of the quality of the cavosurface margins or the size of the cavity. Restoration bulk fractures could be related to cavities with narrow and deep occlusal parts, or deep proximal parts (p less than 0.001). The discriminant functions predicted correctly between 70% and 93% of the actually failed restorations in the failure groups. The good prediction performance indicates that a linear discriminant analysis that includes aspects of the prepared cavity may be applied to predict the reasons for failure of restorations.

Dental Alloys↗
PubMed1997

The reasons for replacement and the age of failed restorations in general dental practice.

A cross-sectional survey among practitioners in Sweden treating adult patients was initiated to record the reasons for replacement of composite, amalgam, and glass ionomer restorations and to compare the findings with those obtained about 16 years ago. The age of the failed restorations was also recorded. The clinical diagnosis of secondary caries was the main reason for the replacement of all three types of restorations. The diagnosis was significantly higher for amalgam restorations than for composite and glass ionomer restorations. No statistically significant differences could be found in the diagnosis of secondary caries between composite and glass ionomer restorations. Major changes in the reasons for replacement of composite restorations were noted by comparing the present results with those from 16 years ago. A notable difference was seen with regard to a decrease in the relative frequency of replacements due to composite degradation/wear and an increase in the replacements due to bulk and marginal fractures. The reasons for replacement of amalgam restorations had remained much the same over the 16 years. The report that half the glass ionomer restorations replaced had the diagnosis secondary caries was by far the most surprising result. The age of the failed restorations were reported for a limited number of restorations. The median age was about 6 years for composite, almost 9 years for amalgam, and just more than 3 years for glass ionomer restorations.

Adult↗
PubMed1982

How do psychiatrists think? Clinical reasoning in the psychiatric interview: a research and education project.

This paper describes a model of the clinical process in psychiatry. Research into the clinical reasoning of physicians is reviewed. Experimental work at the University of Vermont has demonstrated systematic differences between medical students and psychiatrists of different levels of experience, in regard to the logical order and complexity of clinical reasoning. A psychiatric educational program which objectifies cue recognition, clinical inference, hypothesis generation and systematic enquiry has been associated with changes in reasoning. This suggests that the acquisition of efficient diagnostic reasoning strategies could be accelerated by appropriately designed educational programs.

Curriculum↗
PubMed1987

Diagnostic reasoning and treatment planning: I. Diagnosis.

Information-processing research into the natural process of clinical reasoning is reviewed and the University of Vermont diagnostic reasoning research project is described. Experienced psychiatric diagnosticians use a hypothetico-deductive logic. The development of a profile of diagnostic competencies is outlined and a course in diagnostic reasoning for medical students, which specifically objectified the tactics and strategy of reasoning and resulted in a significant improvement in the profile of competencies, is described. Finally, the organisation of a diagnostic formulation is discussed.

Clinical Clerkship↗
PubMed1984

Abstinence or decreasing consumption among adolescents: importance of reasons.

This study determined the pervasiveness of reasons for abstinence or for decreasing alcohol consumption among 196 high school students in eastern North Carolina. Expanding upon prior research, 29 personal, social, and environmental reasons were examined. Generally, the less a student drank, the more important a reason was for abstaining or for a reduction in alcohol intake. Reasons rated important by a majority of all adolescent drinking groups, including heavy drinkers, were related to health, self-esteem/self-control, and parental disapproval/disappointment.

Adolescent↗
PubMed1986

Drinking reasons, alcohol consumption levels, and drinking locations among drunken drivers.

In a DUI offender sample, four drinking reason factors are regressed on alcohol consumption variables and frequency of drinking in seven types of locations. Drinking for "pleasure" and "opposite sex/drunkenness" reasons are associated with both quantity consumed per occasion and away-from-home locations such as automobiles, bars, and parties, suggesting high traffic accident risk. "Escapism" reasons are related to quantity consumed per occasion, but are only weakly associated with specific locations; and "sociability" reasons are associated with drinking in friends' homes, but are not related to high consumption levels. Implications for DUI countermeasures are discussed.

Adolescent↗
PubMed1992

Abstinence, reasons for not drinking, and life satisfaction.

This study examines the reasons given for not drinking by abstinent alcoholics with varying lengths of sobriety. A Reasons for Not Drinking Scale is tested, as well as the Purpose in Life Questionnaire and Life Satisfaction Scale. Subjects are 60 males from a VA population. Results show that subjects with less education and those treated in a detoxification setting are more likely to endorse negative reasons for not drinking. Individuals with short and long abstinence have a higher level of life "dissatisfaction" than those with moderate periods of abstinence. The study suggests that purpose in life, life satisfaction, and reasons for not drinking are important measures of progress in treatment and movement through phases of recovery.

Adaptation, Psychological↗
PubMed1993

Reasons for drinking alcohol: their relationship to psychosocial variables and alcohol consumption.

The present investigation was designed to gain a better understanding of the psychosocial factors that predict reasons for drinking alcohol and how these drinking motives differentially relate to alcohol consumption. Four distinct reasons for drinking alcohol scales were established through factor analysis: drink to cope, drink to be sociable, drink to enhance social confidence, and drink for enjoyment. Multiple regression analyses showed that 1) each reason for drinking was predicted by a somewhat different set of demographic and psychosocial variables, and 2) the reasons for drinking, in turn, differentially predicted multiple indicators of quantity and frequency of alcohol consumption. Theoretical implications of the study results and suggestions for future research are discussed.

Adaptation, Psychological↗
PubMedDate not supplied

Multiparametric time course prognoses by means of case-based reasoning and abstractions of data and time.

In this paper we describe an approach to utilize Case-Based Reasoning methods for trend prognoses for medical problems. Since using conventional methods for reasoning over time does not fit for course predictions without medical knowledge of typical course pattern, we have developed abstraction methods suitable for integration into our Case-Based Reasoning system ICONS. These methods combine medical experience with prognoses of multiparametric courses. We have chosen the monitoring of the kidney function in an Intensive Care Unit (ICU) setting as an example for diagnostic problems. On the ICU, the monitoring system NIMON provides a daily report based on current measured and calculated kidney function parameters. We abstract these parameters to a daily kidney function state. Subsequently, we use these states to generate course-characteristic trend descriptions of the renal function over the course of time. Using Case-Based Reasoning retrieval methods, we search in the case base for courses similar to the current trend descriptions. Finally, we present the current course together with similar courses as comparisons and as possible prognoses to the user.

Artificial Intelligence↗
PubMed2006

Increased student self-confidence in clinical reasoning skills associated with case-based learning (CBL).

UNLABELLED: Second-year veterinary students were surveyed at the beginning and end of a 15-week semester regarding their confidence in performing three clinical reasoning skills: (1) making Problem Lists; (2) making Rule-Out Lists; and (3) selecting appropriate diagnostic tests. Each week during the semester, these skills were practiced in small-group case discussions. Changes in self-confidence were analyzed and studied in light of faculty assessments of student competence in performance of the three skills. RATIONALE: The purpose of the study was to determine if students' self-confidence in performing three clinical reasoning skills increased with practice. METHODOLOGY: On the first and last days of class, students rated their confidence in each of the three skills on a scale of 0 to 10. Mean confidence scores for the whole class both for time points and for each of the three skills were analyzed. RESULTS: There were significant increases in students' self-confidence in all three clinical reasoning skills over the semester each year. A greater percentage of students expressed improved confidence in selecting appropriate diagnostic tests than in the other two skills in three of the four years studied. CONCLUSIONS: Students' self-confidence in performing three clinical reasoning skills improved over the course of a semester in which they practiced the skills in a CBL format. Subjective faculty assessment of students' competence in these skills generally indicated improvement. However, no meaningful conclusions about the correlation of skill competence and student confidence could be drawn because of inadequacies in the measurement of student performance.

Animals↗
PubMed2006

The heuristic-analytic theory of reasoning: extension and evaluation.

An extensively revised heuristic-analytic theory of reasoning is presented incorporating three principles of hypothetical thinking. The theory assumes that reasoning and judgment are facilitated by the formation of epistemic mental models that are generated one at a time (singularity principle) by preconscious heuristic processes that contextualize problems in such a way as to maximize relevance to current goals (relevance principle). Analytic processes evaluate these models but tend to accept them unless there is good reason to reject them (satisficing principle). At a minimum, analytic processing of models is required so as to generate inferences or judgments relevant to the task instructions, but more active intervention may result in modification or replacement of default models generated by the heuristic system. Evidence for this theory is provided by a review of a wide range of literature on thinking and reasoning.

Decision Making↗
PubMed2002

Visual imagery can impede reasoning.

Although it is natural to suppose that visual mental imagery is important in human deductive reasoning, the evidence is equivocal. This article argues that reasoning studies have not distinguished between ease of visualization and ease of constructing spatial models. Rating studies show that these factors can be separated. Their results yielded four sorts of relations: (1) visuospatial relations that are easy to envisage visually and spatially, (2) visual relations that are easy to envisage visually but hard to envisage spatially, (3) spatial relations that are hard to envisage visually but easy to envisage spatially, and (4) control relations that are hard to envisage both visually and spatially. Three experiments showed that visual relations slow down the process of reasoning in comparison with control relations, whereas visuospatial and spatial relations yield inferences comparable with those of control relations. We conclude that irrelevant visual detail can be a nuisance in reasoning and can impede the process.

Adult↗
PubMed2003

From symptoms to causes: diversity effects in diagnostic reasoning.

A single causal agent can often give rise to a cascade of consequences that can be envisioned as a branching pathway in which symptoms are the terminal nodes. In three studies, we investigated whether reasoning about root causes on the basis of such symptoms would conform to a diversity effect analogous to that found in inductive reasoning about properties of hierarchically organized categories. A strong diversity effect was found both for reasoning about medical diseases that drew on existing background knowledge and for reasoning that did not. Specifically, the presence of a root cause was more likely to be induced when the symptoms present were further apart in the branching structure.

Diagnosis, Differential↗
PubMed2003

A dual-process model of belief and evidence interactions in causal reasoning.

In three experiments, we examined how reasoners' preexisting beliefs about causal relations constrained their evaluation of covariation-based empirical evidence. Reasoners were presented with causal candidates that were a priori rated to be either believable or unbelievable, as well as information regarding the degree to which the cause and the effect covaried. Several findings supported the conclusion that preexisting beliefs about causal relations reflect knowledge of both causal mechanisms and covariation relations, that these sources of knowledge are represented independently and contribute independently to causal judgments, and that the evaluation of new empirical evidence is influenced differently by mechanism-based and covariation-based beliefs. Finally, we observed that reasoners were relatively accurate in evaluating the degree to which their judgments were sensitive to empirical evidence but were less able to judge how much their judgments were influenced by their prior beliefs. We present a dual-process model that provides a descriptive account of the boundary conditions for belief and evidence interactions in causal reasoning.

Adolescent↗
PubMed2002

Efficiency of retrieval correlates with "logical" reasoning from causal conditional premises.

In two experiments, we examined the prediction that there should be a relation between the speed with which subjects can retrieve potential causes for given effects and their reasoning with causal conditional premises (if cause P, then effect Q). It was also predicted that when subjects are given effects for which there exists a single strongly associated cause, speed of retrieval of a second potential cause should be particularly related to reasoning with invalid logical forms--namely, affirmation of the consequent and denial of the antecedent. In the first experiment, 49 university students were given both retrieval tasks and conditional reasoning problems. The results were generally consistent with the predictions. The second experiment, involving 57 university students, replicated the first, with some methodological variations. The results were also consistent with the predictions. An analysis of the combined results of the two experiments indicated that individual differences in efficiency of retrieval of information from long-term memory did predict performance on the invalid logical forms in the predicted ways. These results strongly support a retrieval model for conditional reasoning with causal premises.

Adult↗