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Lessons from a doctoral thesis.

The production of a doctoral thesis is a time-consuming affair that until recently was done in conjunction with professional publishing services. Advances in computer technology have made many sophisticated desktop publishing techniques available to the microcomputer user. We describe the computer method used, the problems encountered, and the solutions improvised in the production of a doctoral thesis by computer. The Apple Macintosh was selected for its ease of use and intrinsic graphics capabilities. A scanner was used to incorporate text from published papers into a word processing program. The body of the text was updated and supplemented with new sections. Scanned graphics from the published papers were less suitable for publication, and the original data were replotted and modified with a graphics-drawing program. Graphics were imported and incorporated in the text. Final hard copy was produced by a laser printer and bound with both conventional and rapid new binding techniques. Microcomputer-based desktop processing methods provide a rapid and cost-effective means of communicating the written word. We anticipate that this evolving technology will have increased use by physicians in both the private and academic sectors.

Academic Dissertations as Topic

Hemispheric differences for orthographic and phonological processing.

The role of hemispheric differences for the encoding of words was assessed by requiring subjects to match tachistoscopically presented word pairs on the basis of their rhyming or visual similarity. The interference between a word pair's orthography and phonology produced matching errors which were differentially affected by the visual field/hemisphere of projection and sex of subject. In general, right visual field/left hemisphere presentations yielded fewer errors when word pairs shared similar phonology under rhyme matching and similar orthography under visual matching. Left visual field/right hemisphere presentations yielded fewer errors when word pairs were phonologically dissimilar under rhyme matching and orthographically dissimilar under visual matching. Males made more errors and demonstrated substantially stronger hemispheric effects than females. These patterns suggested visual field/hemispheric differences for orthographic and phonological encoding occurred during the initial stages of word processing and were more pronounced for male compared to female subjects.

Adolescent

Phonemic similarity effects and prelexical phonology.

Ten experiments were conducted on visually presented Serbo-Croatian words and pseudowords, comprising phonemically similar and dissimilar context-target sequences. There were five main results. First, phonemic similarity effects in both lexical decision and naming are independent of graphemic similarity. Second, phonemic similarity need not facilitate lexical decision; the direction of its effect depends on lexicality, target frequency, and type of similarity (specifically, the position of the phoneme that distinguishes context and target). Third, phonemic similarity expedites the naming of words and pseudowords, and to the same degree. Fourth, phonemic similarity is negated in naming, but not in lexical decision, when the visually presented context and target are stressed differently. Fifth, the phonemic similarity effect occurs even when the context is a masked pseudoword. These results are discussed in terms of a model in which word-processing units are activated routinely by phoneme-processing units, and in which compositionally similar word units, when activated, inhibit one another in proportion to each's familiarity. In this model, the phonemic similarity effect in naming is based on the states of phoneme units, whereas the phonemic similarity effect in lexical decision is based on the states of word units. Overall, the results comport with an account in which phonology is computed prelexically and automatically.

Adolescent

On the role of competing word units in visual word recognition: the neighborhood frequency effect.

Current models of word recognition generally assume that word units orthographically similar to a stimulus word are involved in the visual recognition of this word. We refer to this set of orthographically similar words as an orthographic neighborhood. Two experiments are presented that investigate the ways in which the composition of this neighborhood can affect word recognition. The data indicate that the presence in the neighborhood of at least one unit of higher frequency than the stimulus word itself results in interference in stimulus word processing. Lexical decision latencies (Experiment 1) and gaze durations (Experiment 2) to words with one neighbor of higher frequency were significantly longer than to words without a more frequent neighbor. This neighborhood frequency effect is discussed in terms of the different types of candidate selection process postulated by contemporary models of visual word recognition.

Adult

Hypnotic susceptibility and verbal automaticity: automatic and strategic processing differences in the Stroop color-naming task.

The original hypothesis of Dixon, Brunet, and Laurence (1990) that highly hypnotizable (HH) subjects process words more automatically than do low hypnotizable (LH) subjects was retested in a paradigm that separated strategic from automatic processes in the Stroop color-naming task. The words red and blue preceded a color patch that was red or blue. Subjects were told that the word predicted the opposite color 75% of the time. Automatic and strategic processes were assessed by varying the interstimulus interval (ISI) between the word and the color patch. Both HH and LH subjects showed significant strategic effects (faster incongruent-trial, color-naming reaction times than congruent-trial reaction times at ISIs over 400 ms), but only HH subjects showed significant automaticity (significantly faster congruent-trial reaction times than incongruent-trial reaction times at 16.7 ms, the lowest ISI).

Adult

Visual field effects for processing content and function words.

This study investigated the processing of content and function words when input to the left vs right hemispheres. For both lexical decision and naming there was a larger RVF advantage for function as compared to content words: function words were processed more slowly than content in the LVF, but not in the RVF. These results do not replicate the previous report of Bradley and Garrett, Neuropsychologia 21, 155-159, 1983, and provide some support for the view that function words are less accessible to the right hemisphere. In a second experiment, there was no difference in VF asymmetry when acceptability judgments were required for function vs content word phrases. Grammaticality judgments, of any sort, may be predominantly processed in the left hemisphere.

Female

Psychophysiological components of imagery.

McGuigan's neuromuscular model of information processing (1978a, 1978b, and 1989) was investigated by electrically recording eye movements (electro-oculograms), covert lip and preferred arm responses (electromyograms), and electroencephalograms. This model predicts that codes are generated as the lips are uniquely activated when processing words beginning with bilabial sounds like "p" or "b," as is the right arm to words like "pencil" that refer to its use. Twelve adult female participants selected for their high imagery ratings were asked to form images to three orally presented linguistic stimuli: the letter "p," the words "pencil" and "pasture," and to a control stimulus, the words "go blank." The following findings were significant beyond the 0.05 level: an increased covert lip response only to the letter "p," increased vertical eye activity to "p" and to the word "pencil," right arm response only to the word "pencil," and a decreased percentage of alpha waves from the right 02 lead only to the word "pasture." Since these covert responses uniquely occurred during specific imagery processes, it is inferred that they are components of neuromuscular circuits that function in accord with the model of information processing tested.

Adult

Lateral differences in lexical access: word length vs. stimulus length.

A. W. Young and A. W. Ellis (1985, Brain and Language, 24, 326-358) have shown that visual length of stimuli is a major determinant of lateral differences in word processing. They suggest that the right hemisphere must first code the words in graphemic form and, therefore, is affected by the word length. They demonstrated that visual length is best defined as the number of letters. The present experiment was conducted with 36 normal subjects to test this definition of the visual length by contrasting the number of letters and the physical length in the visual field. Spaces were inserted in the short words (4-letter) so that they matched the physical length of the long words (7-letter). Our results replicated those of Young and Ellis and confirmed that visual length can be defined by the number of letters. In addition, the imagery value of the words tended to affect this Hemifield x Length effect, a result not obtained by Young and Ellis.

Adult

Selective processing of food words in anorexia nervosa.

The selective processing of food- and body size-related information was investigated using a modified version of the Stroop task. Anorexic subjects were generally slower than controls in colour-naming all words, and particularly slow with food-related words. This interference effect appeared to operate maximally amongst subjects who fell into the higher end of the anorexic weight range. The findings appeared to be a reflection of current concerns with food and eating.

Anorexia Nervosa

On the role of word frequency in the detection of component letters.

The experiments reported in this study were conducted to explore the issue of race models versus holistic models of word processing. In both types of model, it is assumed that an available word-level encoding for a display will conceal letter information, and thereby inhibit component-letter detection. However, whereas in holistic models it is assumed that encoding always should occur at the word or pattern level first, in the race models it is assumed that encoding occurs at all levels (e.g., feature, letter, and word) simultaneously, with the final level of encoding being at whatever level has been completed first. If the rate of word-level encoding is facilitated by increasing word frequency, the holistic models predict a generally declining latency for letter detection, because the initial step in letter detection (i.e., word-level encoding) will be occurring more rapidly. The race models, on the other hand, predict that with increasing word frequency there will be an increasing chance that the word-level encoding will win the encoding race, resulting in an increase in the latency for letter detection (i.e., the word code will conceal the letter codes). Two experiments are reported, and the obtained pattern of latency data appears to be most consistent with the race models.

Adult

Naming multisyllabic words.

The process of reading multisyllabic words aloud from print was examined in 4 experiments. Experiment 1 used multisyllabic words that vary in terms of the consistency of component spelling-sound correspondences. The stimuli were regular, regular inconsistent, and exception words analogous to the monosyllabic items used in previous studies. Both regular inconsistent and exception words produced longer naming latencies than regular words. In Experiment 2 these differences between word types were found to be limited to lower frequency items. Experiment 3 showed that effects of number of syllables on naming latency are also limited to lower frequency words when the stimulus display forced subjects to use syllabic units. Thus, frequency modulates the effects of two aspects of lexical structure-consistency of spelling-sound correspondences and number of syllables. The results suggest that the naming of multisyllabic words draws on some of the same knowledge representations and processes as monosyllabic words; however, naming does not require syllabic decomposition. The results are discussed in the context of current models of naming.

Adult

Geometric and semantic similarity in visual masking.

Semantic and geometric or physical similarity were manipulated separately in a backward-masking situation. When the target was a word to be read aloud, formal similarity between the letters of target and mask facilitated target recognition, as did associative similarity. Masking a target word by its own anagram also facilitated whole word report. In contrast, formal similarity was inhibitory rather than facilitatory of report when the target was spelled letter-by-letter, rather than read whole. This was true even for the same target words whose whole report was facilitated by formal similarity. A model to account for this reversal in the broader context of the neural substrate of reading is advanced. It is proposed that letter and word processing are fundamentally different in that letters are recognized by hierarchical feature analysis while words are stored and recognized wholistically by diffuse and redundant networks. Implications of the results for the study of reading are discussed.

Female

Free recall of lists of word and sign labels by severely handicapped children.

Two experiments are reported which tested short-term recall of lists of four sign or four word labels by severely handicapped children. The findings suggest that the subjects were more efficient at processing words than signs in short-term memory, and that their organization of sign and word lists were affected by the length of time the material had to be held in short-term store. Both of these effects were influenced by whether or not the subjects had to use the stimuli as labels when making a response.

Adolescent

[Data processing in radiology: summary and prospects].

The technical aspects of radiology are particularly suitable for electronic data processing. In addition to automation of radiological apparatus and tumour registration, there are three areas in radiology particularly suitable for electronic data processing: treatment planning, dose calculations and supervision of radiotherapy techniques in radio-oncology. It can be used for word processing in the office and for documentation, both in diagnostic and therapeutic radiology, and digital techniques can be employed for image transmission, storage and manipulation. Computers for treatment planning and dose calculation are standard techniques and suitable computers allow one to spot occasional and systematic errors during radiation treatment and to eliminate these. They also provide for the automatic generation of the required protocols. Word processors have proved particularly valuable in private practice. They are valuable for composing reports from their basic elements, but less valuable for texts that are stereotypes. The most important developments are in digital imaging, image storage and image transmission. The storage of images on video discs, transmission through fibre-optic cables and computer manipulation of images are described and the consequences and problems, which may affect the radiologist, are discussed.

Computers

Reading aloud in jargonaphasia: an unusual dissociation in speech output.

A patient is described who showed several dissociations between oral and written language processing after bilateral retrorolandic vascular lesion. Dissociation was firstly between abolished auditory comprehension and preserved written comprehension and then involved confrontation naming, clearly superior in the written modality. The third striking dissociation involved oral output; spontaneous speech, although fluent and well articulated, consisted of neologistic jargon, while reading aloud was clearly superior though not perfect. Data are discussed with reference to a cognitive model of word processing. The pattern of dissociation in word production may be due to a failure in retrieving the phonological word form from the semantic system.

Aged

Research in physical medicine and rehabilitation. V. Data entry and early exploratory data analysis.

The process of data entry and initial analysis to locate data errors is described. Basic terms are defined and a simple method of entering data by using word processing software is illustrated. Data checking is done by using visual check of the raw data. Statistical programs are then used to locate possible data errors by finding data points (outliers) that are very different from the average. Special graphic output of statistical programs, scatterplots and box and whisker plots can be used to further locate questionable data. Examples of data entry forms and annotated step by step data cleaning with the use of inexpensive programs for personal computers are presented.

Computers

Theory-based approach to computer skill development in nursing administration.

The authors describe a theory-based approach to computer skill development in nursing administration that is a strategy for preparing nurse administrators to meet the challenge for effective decision making in the rapidly changing health care environment. A framework is presented using theories of decision making and information processing to integrate the development of knowledge and skills for decision making with knowledge and skills associated with computer decision support. Computerized support is available to help managers be effective at each stage of the decision-making process. Focusing on five stages of the decision-making process, the authors discuss how computers can facilitate decision-making. Computer applications introduced throughout a three-semester program in nursing administration include bibliographic databases, thought and word processing, database programs, decision analysis programs, spreadsheets, and project management programs. The curriculum and course activities are described.

Computer User Training

[Medical applications of electronic data processing in surgery, trauma surgery and orthopedics. Results of a survey of 1,450 clinics].

With a standardized questionnaire we evaluated 1450 orthopedic and general surgery departments. The response rate was 57.2%, 52% of the departments were using computers for different purposes. The favoured system was the MS-DOS system (73%). The computers were mainly used for word processing (58%), statistics (50%), and graphics (39%). For clinical routine the leading use was patient documentation (70%) followed by patient report generation (43%). Other applications (e.g. online use of administrative data (19.4%) or the use of other patient information like blood parameters (10%)) were relatively rarely used. However, most of the users have plans to incorporate these applications in the nearest future. For the out patients care the leading application is private billing (42.5%) and statistics (30%). The majority of the departments (42.6%) only have one PC. Most of the departments use the printer for hard copies and as hard disc a the standard storage medium. The average storage capacity of the used hard discs is 40 to 80 MB. Other peripheral tools like a laser printer, a scanner, or modems are rarely used. Most of the departments invested between 5000 and 15,000,--DM. 33.3% financed the computers only with the official budget of the department. However, 25.8% only used private funds to buy the hard- and software. The distribution according to zip codes showed a slight accommodation in Bavaria and NRW. The amount of new installations showed an almost constant increase from 1975 until 1981. Between 1981 and 1990 there was a significant increase with a small drop in 1986.

Computer Systems