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At least 703 records · Page 39Linked to original sources
PubMed2002

Motor learning by observation: evidence from a serial reaction time task.

This study sought evidence of observational motor learning, a type of learning in which observation of the skilled performance of another person not only facilitates motor skill acquisition but does so by contributing to the formation of effector-specific motor representations. Previous research has indicated that observation of skilled performance engages cognitive processes similar to those occurring during action execution or physical practice, but has not demonstrated that these include processes involved in effector-specific representation. In two experiments, observer subjects watched the experimenter performing a serial reaction time (SRT) task with a six-item unique sequence before sequence knowledge was assessed by response time and/or free generation measures. The results suggest that: (1) subjects can acquire sequence information by watching another person performing the task (Experiments 1-2); (2) observation results in as much sequence learning as task practice when learning is measured by reaction times (RTs) and more than task practice when sequence learning is measured by free generation performance (Experiment 2, Part 1); and (3) sequence knowledge acquired by model observation can be encoded motorically--that is, in an effector-specific fashion (Experiment 2, Part 2).

Adult↗
PubMed1978

The effects of overtraining on mediational processes in elderly males.

To examine the effects of overtraining on mediational processes, 81 male residents (aged 55 or above) of a VA domicillary were tested using a two-choice discrimination task. Upon reaching criterion, the men were given, 0, 15, or 30 overtraining trials and then shifted to either a reversal, intradimensional, or extradimensional task. Analysis of the error scores resulted in a significant initial versus shift task main effect and type of shift by initial versus shift task interaction. Further analysis indicated no difference among the three shift groups for the initial task. However, in the shift task, the reversal group had significantly fewer errors than the other two groups who were not statistically different. Participants thus appeared to be mediationally sufficient when reversal and extradimensional tasks were compared, but mediationally deficient when intra- and extradimensional, and reversal and intradimensional tasks were contrasted. While overtraining had no significant effect, examination of the three way interaction suggested potentially facilitative effects of overtraining and a possible regression effect among participants not receiving overtraining.

Aged↗
PubMed2003

Evaluation of pediatric HIV care provided in Ryan White CARE Act Title IV Women, Infants, Children, and Youth Clinics.

This evaluation examines the changing practices and outcomes of pediatric HIV care provided by the Ryan White Comprehensive AIDS Resources and Emergency (CARE) Act, Title IV grantees from 1996 through 1998--a period of rapidly changing medical practice within the United States. Using medical chart abstraction, 26 Title IV grantees reported information from the records of 525 HIV positive clients between the ages of 2 and 12. The chart abstractions covered medical care and case management provided to these clients including the number of clinical visits, use of antiretroviral therapy, use of laboratory tests such as CD4+ cell count (cells/mm3) and HIV-1 RNA viral load (copies/mL), enrollment in clinical trials, and receipt of opportunistic infection prophylaxis. Information on disease progression and hospitalization as well as client socio-demographic characteristics also is analyzed. Study results indicate that use of HIV combination therapy increased, while the occurrence of opportunistic infections and hospitalizations decreased. The increasing use of new pharmaceuticals during the study period indicates the feasibility of transferring information learned about HIV treatments from clinical trials to clinical practices that treat primarily Medicaid and pediatric populations.

Age Distribution↗
PubMed2005

Factors associated with the effectiveness of continuing education in long-term care.

PURPOSE: This article examines factors within the long-term-care work environment that impact the effectiveness of continuing education. DESIGN AND METHODS: In Study 1, focus group interviews were conducted with staff and management from urban and rural long-term-care facilities in southwestern Ontario to identify their perceptions of the workplace factors that affect transfer of learning into practice. Thirty-five people were interviewed across six focus groups. In Study 2, a Delphi technique was used to refine our list of factors. Consensus was achieved in two survey rounds involving 30 and 27 participants, respectively. RESULTS: Management support was identified as the most important factor impacting the effectiveness of continuing education. Other factors included resources (staff, funding, space) and the need for ongoing expert support. IMPLICATIONS: Organizational support is necessary for continuing education programs to be effective and ongoing expert support is needed to enable and reinforce learning.

Delphi Technique↗
PubMed1995

Enduring cognitive effects of early malnutrition: a theoretical reappraisal.

This article presents a reappraisal of the literature on the enduring cognitive effects of early malnutrition. In addition to summarizing the existing empirical literature, we present a theoretical framework for determining whether the processes likely to be most vulnerable to early malnutrition were adequately assessed. The two types of information used to make this determination are clinical and experimental behavioral data as well as reported neural changes. One point of clear consensus is that animals exposed to early malnutrition exhibit lasting changes in the realm of emotionality, motivation, and/or anxiety. Because these alterations profoundly affect all aspects of behavioral functioning, including cognition, it is suggested that future research focus on these changes, rather than control for them as many past studies have done. The functional integrity of specific cognitive processes is less clear. The only cognitive processes for which enduring cognitive changes were demonstrated in rehabilitated animals--outside of effects mediated by these affective changes--are cognitive flexibility and, possibly, susceptibility to proactive interference. However, the inference that these are the only processes affected does not appear to be warranted on the basis of the evidence that several cognitive processes likely to be affected have not been fully assessed. Examples include executive functions linked to the prefrontal cortex (for example, attention), transfer of learning, procedural learning and long-term memory. Future research focusing on these specific cognitive functions as well as on these unequivocal affective changes should allow a more definitive conclusion regarding the enduring functional consequences of early malnutrition.

Animals↗
PubMed2003

Training with cognitive sequences improves syntactic comprehension in agrammatic aphasics.

A major open question in cognitive neuroscience concerns the modularity of language: does human language rely, in part, on neural processes that are not language specific? Such reliance would predict that learning should transfer between non-linguistic and linguistic domains via this common neural basis. To test this prediction, we studied effects of non-linguistic cognitive sequence training on syntactic comprehension of six left-hemisphere damaged aphasic patients. Syntactic comprehension impairment was quantified before and after 10 weeks of training on a non-linguistic sequence processing task. This task used a transformational rule specifically corresponding to the transformation required for understanding a particular type of sentence referred to as relativised. Non-linguistic sequencing improved significantly with training (day effect: F(9,45)=3.7, <0.005). Moreover, a significant transfer of this improvement was observed for relativised, but not active nor passive sentences (pre-post x type interaction: F(2,10)=4.72, <0.05). The specificity of this transfer indicates that language relies partially on functional and neural processes that are not language specific.

Aged↗
PubMed1988

The impact of the Chernobyl accident on radiation protection.

The science of radiation protection is a fundamental outgrowth of peaceful and military applications of ionizing radiation and the use of nuclear energy. Scientific progress in radiation protection has not, however, been as dramatic as progress in other scientific endeavors, because many users of ionizing radiation have perceived that the major technical and institutional problems have already been solved. This misperception is not based on solid fact and is not shared by radiation protection professionals, who have a broader vision of both past achievements and problems remaining in this area. Experience gained as a consequence of the Chernobyl accident has highlighted new problems and demonstrated the urgency of finding better answers to some old questions. This paper addresses the future impact of the recent Chernobyl accident on the science of radiation protection. In summary, the accident demonstrated that particular emphasis should be directed toward: Improvement of dosimetric and health-effects models for predicting the consequences of exposure of the public to low doses of ionizing radiation. Development of optimized, realistic countermeasures and improvement in emergency preparedness. Education of the public, including students, scientists and politicians with regard to radiation protection issues. Development of advanced computer programs and radiation instruments for evaluating reactor accidents and their consequences. Transfer of learned concepts, methods and approaches to other scientific fields, such as environmental sciences, toxicology, pharmacology, etc.

Accidents↗
PubMed2002

Microvascular free tissue transfer in reconstructing skull base defects: lessons learned.

OBJECTIVE: To demonstrate the effectiveness of microvascular free tissue transfer in reconstructing complex skull base defects. STUDY DESIGN: Retrospective chart review. METHODS: A retrospective chart review was conducted identifying patients with anterior or lateral skull base defects, or both, who underwent microvascular free flap reconstruction. Appropriate demographic, pathological, and preoperative and postoperative clinical data were collected and analyzed. RESULTS: Thirty-five patients with skull base defects were identified, including 8 women (Mean age, 43.9 y; age range, 28-75 y) and 27 men (mean age, 57.9 y; age range, 19-85 y). Defects were secondary to trauma in two cases, whereas the remaining 33 cases were secondary to ablative procedures for a variety of malignant tumors, of which squamous cell carcinoma was the most common (n = 18). The average defect surface area was 89.3 cm(2), and 36 free flaps were used. The most commonly used flap was the rectus myocutaneous (n = 20); however, six different flap types were employed, including three radial forearm fascial flaps. In all, there were seven flap-related complications and there was one total flap loss. A total of 43 postoperative complications occurred in 23 patients, with the most common complications being grouped as intracranial (n = 10), orbital (n = 9), and cardiac (n = 9). The perioperative mortality rate was 5.7%, and the average hospital stay was 13.5 days (range, 7-37 d). CONCLUSIONS: The use of microvascular free tissue transfer for reconstruction of complex skull base defects has proven highly successful in the large series presented in the current study. The versatility and reliability of free flaps for such reconstruction are discussed, and helpful hints are given to minimize the complication rate.

Adult↗
PubMed1987

Effect of repeated testing on contrast sensitivity.

The effect of repeated testing on contrast sensitivity was examined across days and between eyes with the Nicolet CS-2000 Vision Tester. Monocular contrast sensitivity functions (CSF's) were measured with the standard technique for training days 1 to 5 on a group of 20 subjects. The group was then divided into four groups of five subjects each. A single post-training CSF was obtained for each group 1, 3, 5, or 7 days after the cessation of training. Results show that there is no measurable effect of practice on contrast sensitivity over a 5-day training period, nor is there any decrease in performance in the absence of training. CSF's were also obtained on both eyes of a separate group of subjects. We found no transfer of learning either between eyes within a single session or across multiple training sessions. We conclude that although the absence of a significant practice effect has important clinical advantages, the variability of the technique is high, allowing only robust experimental effects to be detected.

Adult↗
PubMedDate not supplied

Extinction and renewal of Pavlovian modulation in human sequential Feature Positive discrimination learning.

Using a conditioned suppression task, we investigated extinction and renewal of Pavlovian modulation in human sequential Feature Positive (FP) discrimination learning. In Experiment 1, in context a participants were first trained on two FP discriminations, X-->A+/A- and Y-->B+/B-. Extinction treatment was administered in the acquisition context a (aaa group) or in a new context b (aba group), and comprised X-->A- extinction and Y- control trials. Discriminative X-->A/A responding was lost in both groups when tested in the extinction context, but partially recovered in the aba and not in the aaa group when tested in the acquisition context, suggesting extinction and renewal of extinguished modulation. The same was observed for the Y-->B/B control pair, however, questioning whether the loss of discriminative X-->A/A responding represented genuine extinction of modulation. In Experiment 2, including only aba groups, participants were trained in context a on two FP discriminations, X-->A+/A- and Y-->B+/B-, after which the group "Extinction" was exposed to X-->A- extinction trials in context b, whereas the group "Control" was exposed to X- control trials; concurrently, both groups received further Y-->B+/B- training. In the group Control, differential Y-->B/B and X-->A/A responding were acquired and maintained throughout the experiment. In the group Extinction, while Y-->B/B responding was also maintained throughout, differential X-->A/A responding disappeared because of X-->A- extinction treatment when tested in the extinction context b, but partially reappeared when tested in the acquisition context a. This evidences aba-renewal of extinguished modulation.

Adolescent↗
PubMed2006

Evaluation of the KA24 (Knowledge Access 24) service for health- and social-care staff in London and the south-east of England. Part 1: quantitative.

AIMS AND OBJECTIVES: This two-part paper aims to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the Knowledge Access 24 (KA24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The quantitative evaluation analysed usage rates and user registration with the objective of measuring uptake by previously disadvantaged staff, and to inform the subsequent qualitative survey. METHODS: User and usage data were analysed by type of NHS Trust, by type of user, and by what was being used. The evaluation assessed development in user registration and usage of both databases and journals over a 2-year period. Data were aggregated and analysed both monthly and quarterly. RESULTS: Usage levels increased, but uptake in both the mental health and primary care sectors was comparatively slow. Nurses and allied professionals used the service more than doctors. The increase in usage of full-text journals over the usage of databases was marked. CONCLUSIONS: Previously disadvantaged staff used electronic resources. A qualitative survey was needed to identify the main enablers and barriers to uptake.

Community Health Services↗
PubMed2006

Evaluation of the KA24 (Knowledge Access 24) service for health and social care staff in London and the south-east of England. Part 2: qualitative.

AIM AND OBJECTIVES: The aim of this two-part paper is to identify the main transferable lessons learned from both the quantitative and qualitative evaluations of the KA24 (Knowledge Access 24) service of online databases and selected full-text journals for health and social care staff in London and the south-east of England. The objectives of the qualitative evaluation were to assess the enablers and barriers to usage, and to assess the impact of the service on patient care. METHODS: Telephone interviews (n = 65) and a questionnaire survey (n = 296) were conducted with various types of user, in various Trust settings. Some non-users were also contacted. Selection of interviewees and questionnaire recipients was not random, and aimed to cover all groups of users representatively. RESULTS: Results show that policy goals were being delivered, with indications of changes to clinical practice, and improved clinical governance. Promotion, training and support needs to be extensive, and tailored to needs, but users are not always aware they need training. The sharing of passwords cast doubts on the reliability of some usage data. CONCLUSIONS: Digital health library services, delivered at the point of care, are changing the way some clinicians practise. A combination of qualitative and quantitative evaluation methods are needed to assess digital library services.

Computer Literacy↗
PubMed2002

The limits of training Japanese listeners to identify English /r/ and /l/: eight case studies.

Eight monolingual Japanese listeners were trained to identify English /r/ and /l/ by using 560 training tokens produced by ten talkers in three positions (200 word initial, 200 consonant cluster, and 160 intervocalic tokens). Their baseline performance and transfer of learning were measured using 200 word initial and 200 consonant cluster tokens produced by additional ten talkers. Long-term training (15 days) with feedback indeed increased sensitivity to the nontraining tokens, but tremendous individual differences were found in terms of initial and final sensitivity and response bias. Even after training, however, there remained some tokens for each subject that were misidentified at a level significantly below chance, suggesting that truly nativelike identification of /r/ and /l/ may never be achieved by adult Japanese learners of English.

Adult↗
PubMed1991

Evaluation of a principal-components tactile aid for the hearing-impaired.

Principal component analysis, a statistical data reduction technique which can be used to eliminate redundant information, has shown promising results as a speech coding strategy in auditory perceptual studies. The present study describes the development, modification, and evaluation of a principal components-based tactile aid for speech perception by the hearing-impaired. In this device, the first two principal components of an input speech signal were displayed on two-dimensional arrays of vibrators contacting either the fingertip or the forearm. Initial testing of the device with closed-set recorded speech tokens showed fair recognition performance, reaching 57% for three consonants and 56% for four vowels. Modifications to the processor algorithm designed to improve vowel recognizability resulted in higher levels of performance (66% for eight vowels). A real-time prototype was constructed implementing the revised algorithm. Live-voice testing was conducted with six normal-hearing subjects, three of whom had previous training with the Queen's University vocoder, a multichannel tactile vocoder that has shown promising results. Performance of these "trained" subjects for both single-item and connected speech tasks was excellent, equalling levels obtained with the Queen's vocoder. These results suggest that a principal components design may be a promising alternative to a vocoder strategy for a tactile aid. Results for the "naive" subjects did not reach the levels attained by the trained subjects, a finding partially attributed to the short training period available to the naive subjects. The higher level of performance for the trained subjects, together with the similarity of performance for the principal components aid and the Queen's vocoder for these subjects, suggests that they were able to transfer previous learning with the Queen's vocoder to the principal components device.

Adult↗