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At least 127 records · Page 7Linked to original sources

Do forward- and backward-traveling waves occur within the cochlea? Countering the critique of Nobili et al.

The question of whether or not forward- and backward-traveling waves occur within the cochlea constitutes a long-standing controversy in cochlear mechanics recently brought to the fore by the problem of understanding otoacoustic emissions. Nobili and colleagues articulate the opposition to the traveling-wave viewpoint by arguing that wave-equation formulations of cochlear mechanics fundamentally misrepresent the hydrodynamics of the cochlea [e.g., Nobili et al. (2003) J. Assoc. Res. Otolaryngol. 4:478-494]. To correct the perceived deficiencies of the wave-equation formulation, Nobili et al. advocate an apparently altogether different approach to cochlear modeling--the so-called "hydrodynamic" or "Green's function" approach--in which cochlear responses are represented not as forward- and backward-traveling waves but as weighted sums of the motions of individual basilar membrane oscillators, each interacting with the others via forces communicated instantaneously through the cochlear fluids. In this article, we examine Nobili and colleagues' arguments and conclusions while attempting to clarify the broader issues at stake. We demonstrate that the one-dimensional wave-equation formulation of cochlear hydrodynamics does not misrepresent long-range fluid coupling in the cochlea, as claimed. Indeed, we show that the long-range component of Nobili et al.'s three-dimensional force propagator is identical to the hydrodynamic Green's function representing a one-dimensional tapered transmission line. Furthermore, simulations that Nobili et al. use to discredit wave-equation formulations of cochlear mechanics (i.e., cochlear responses to excitation at a point along the basilar membrane) are readily reproduced and interpreted using a simple superposition of forward- and backward-traveling waves. Nobili and coworkers' critique of wave-equation formulations of cochlear mechanics thus appears to be without compelling foundation. Although the traveling-wave and hydrodynamic formulations impose strikingly disparate conceptual and computational frameworks, the two approaches ultimately describe the same underlying physics.

Animals↗

The cognitive based approach of capacity assessment in psychiatry: a philosophical critique of the MacCAT-T.

This article gives a brief introduction to the MacArthur Competence Assessment Tool-Treatment (MacCAT-T) and critically examines its theoretical presuppositions. On the basis of empirical, methodological and ethical critique it is emphasised that the cognitive bias that underlies the MacCAT-T assessment needs to be modified. On the one hand it has to be admitted that the operationalisation of competence in terms of value-free categories, e.g. rational decision abilities, guarantees objectivity to a great extent; but on the other hand it bears severe problems. Firstly, the cognitive focus is in itself a normative convention in the process of anthropological value-attribution. Secondly, it misses the complexity of the decision process in real life. It is therefore suggested that values, emotions and other biographic and context specific aspects should be considered when interpreting the cognitive standards according to the MacArthur model. To fill the gap between cognitive and non-cognitive approaches the phenomenological theory of personal constructs is briefly introduced. In conclusion some main demands for further research to develop a multi-step model of competence assessment are outlined.

Cognition↗

Public information and education sections of the Report of the Presidential Commission on Drunk Driving: a critique and a discussion of research implications.

This is a critique of the Report of the Presidential Commission on Drunk Driving, with special attention to those sections dealing with public information and education. Emphasis is given to the role of research in public action against drinking and driving. The question of deterrence vis á vis education and rehabilitation is examined. School-based programs, beginning in the early years, are viewed as promising preventive measures, along with public information programs that target high-risk groups and are combined with grass-root community support and intervention. Criteria are studied for formative evaluation of school-based programs, and recommendations are made for research to combat drunk driving in both school-based and public information programs.

Adolescent↗

Is Helicobacter pylori a cause of duodenal ulcer? A methodologic critique of current evidence.

INTRODUCTION: Helicobacter pylori (HP) in the gastric antrum has been strongly associated with both duodenal ulcer (DU) and chronic active gastritis (CAG). The relationship between HP and DU has been interpreted as causal by many observers. An alternate hypothesis is that HP coincidently colonizes CAG, which is independently associated with DU by some yet-unknown mechanism. PURPOSE: To assess the extent to which a causal relationship between HP and DU has been demonstrated, we performed a methodologic critique of published clinical studies. We carried out a literature search to identify clinical studies that included at least 25 subjects. Of the eight studies we identified, six used a cross-sectional design and two used a prospective cohort design. We applied methodologic criteria to assess causation: strength of association, biologic gradient, temporality, and experiment. METHODS: A strong association between HP and DU was demonstrated in all eight studies. Biologic gradient and temporality were not assessed in any study. In the two experimental studies of therapy, loss of antral HP was associated with a decreased rate of DU relapse; however, we did not interpret this as sufficient to support causality because the effect may have been due to a direct mucosal action rather than eradication of HP. CONCLUSION: We conclude that published evidence does not establish HP as a cause of DU. One approach to address causality would be an observational cohort study of ulcer relapse to assess the temporal relationships between HP, CAG, and DU.

Cohort Studies↗

Critique of the session on diagnostic testing.

During the session on diagnostic testing, various diagnostic tests used to identify the cause of chest pain were discussed. This critique of diagnostic assessments of the complex etiology of chest pain is presented as a contribution toward further investigation and clarification of this difficult clinical syndrome. The first step in the evaluation process is to exclude coronary artery disease. Patients with angina and normal coronary artery flow may have atypical disease, such as microvascular angina or syndrome X. The precise relationship between these disorders and esophageal disease or gastroesophageal reflux, as well as their possible involvement in chest pain of undetermined origin, requires further definition. A limitation of esophageal provocation tests is that they may identify the esophagus as the source of pain without determining the specific esophageal disorder that causes the pain. Problems associated with 24-hour pH and pressure monitoring include (a) poor correlation between reflux episodes and heartburn symptoms, (b) the lack of a good functioning swallowing signal, and (c) the huge amount of data that must be analyzed, along with shortcomings in computer-aided analysis. Nevertheless, the various available diagnostic tests can provide important information to the clinician.

Angina Pectoris↗

A methodological critique of the current status of eye movement desensitization (EMD).

Eye Movement Desensitization (EMD) has been recently advocated as a rapid treatment for the elimination of traumatic memories responsible for the maintenance of a number of anxiety disorders and their clinical correlates. Despite a limited conceptual framework, EMD has attracted considerable interest among clinicians and researchers. The popularity and interest generated by EMD will likely result in wide usage. We present a methodological critique of it with reference to assessment, treatment outcome, and treatment process. We also provide guidelines for judging the methodological adequacy of research on EMD and suggest intensive research to assess effectiveness, treatment components, and comparisons with other procedures.

Anxiety Disorders↗

Nursing's syntax revisited: a critique of philosophies said to influence nursing theories.

Lodged within the syntax of a discipline are the value systems and research constraints that influence theory development and research strategies. Humanism and postmodern philosophy have challenged natural science philosophical influences on nursing's syntax. This paper examines the construction of nursing's syntax from empiricist, hermeneuticist, feminist, and critical social theory views. In this critique, two requirements are placed on the world views: (1) they must accommodate theoretical (realist) terms important to nursing; and (2) they should provide explanatory power for these terms within nursing's disciplinary substance. Arguments are continued for a "within-the discipline" structure, a substantive and syntactical structure for the discipline of nursing that recognizes the centrality of biobehavioral processes in the practice of nursing [Gortner, IMAGE: J. Nurs. Scholarship 22, 101-105 (1990)].

Female↗

The proper focus of nursing: a critique of the "caring" ideology.

Some nurse educators in the United Kingdom are following the lead of North American theorists by asserting that caring "is" the core of nursing. This paper offers a focused critique of the caring ideology, through an examination of: (a) the views of a founding figure in the "caring" movement, and (b) a proposal for the integration of a "caring curriculum" within Project 2000. An overview of the "caring" literature prefaces an examination of Watson's notion of a "science of caring". Finally, Kirby and Slevin's recent proposals for a "curriculum of care" are examined in terms of their necessity and practicality.

Altruism↗

A critique of posterior lumbar interbody fusion: 12 years' experience with 250 patients.

A comprehensive long-term follow-up analysis of the clinical and radiographic results of posterior lumbar interbody fusion for lumbar disk disease is presented. This 12-year experience with 250 patients is compared with a previous critique of our surgical management of lumbar disk disease by laminotomy and diskectomy alone. The clinical results and complications rates are comparable. However, posterior lumbar interbody fusion significantly reduces the rate of recurrent problems requiring subsequent surgery. Careful technique and judgment are mandatory for success with posterior lumbar interbody fusion. Homologous tissue bank bone grafts were found to be as successful as autogenous bone. Posterior lumbar interbody fusion represents an improvement in the surgical management of lumbar disk disease.

Humans↗

Preterm birth prevention programs. A critique of current literature.

Published reports of the effectiveness of preterm birth prevention programs have produced mixed results. Many larger observational studies suggest benefit. The randomized trials, however, suggest no effect on reducing rates of preterm birth in high-risk populations. This article reviews and critiques these reports and suggests areas for further research.

Female↗

Mother-son sexual abuse: rare or underreported? A critique of the research.

This paper reviews the literature regarding mother-son sexual abuse and critiques the methodologies that may be responsible for the underreporting of such cases. The review of the clinical and empirical literature reveals discrepancies regarding estimates of incidence and prevalence of mother-son sexual abuse. The author suggests improved methodologies for researchers interested in studying this topic.

Adult↗

Radiation and brain calcium: a review and critique.

Serious controversy pervades the scientific study of radio-frequency (RF) radiation and its biological effects. The issues range broadly from international differences in safe exposure standards to questions pertaining to the neurological symptoms purportedly induced by electromagnetic radiation. In a more specialized vein, there is great concern in the discipline about the influence of different sources of radiation on the activity of calcium in the brain. A principal and very realistic reason for this concern stems from the pivotal importance of calcium ions in the normal functioning of the brain in all of its myriad complexity. The purpose of the review is to critically evaluate from an unbiased and "non-involved" viewpoint the major findings on the possible interaction between calcium ions and various radiation sources. Background information is also considered as it relates even indirectly to hypothetical mechanisms that might be used to explain any possible shift in Ca++ ion kinetics. Finally, an inclusive critique is presented which deals with the bench-top methods and strategy used in the conduct of calcium-radiation experiments.

Animals↗

In defence of pedagogy: a critique of the notion of andragogy.

Malcolm Knowles' theory of andragogy has gained increasing acceptance among nurse educators. Andragogy is espoused as a progressive educational theory, adopted as a theoretical underpinning for curricula and is even considered to be synonymous with a variety of teaching techniques and strategies such as 'problem-based' and 'self-directed' learning. This paper offers a critique of the notion of andragogy which maintains that the distinction created between andragogy and pedagogy is spurious and based upon assumptions which are untenable. It is argued that andragogy has been uncritically accepted within nursing education in much the same way that the nursing process and models of nursing were in their day. Finally, it is claimed that true pedagogy has far more radical, powerful and transformative possibilities for nursing education.

Adult↗

Social support and compliance: a selective review and critique of treatment integrity and outcome measurement.

The paper presents a selective review and critique of the literature on social support as a factor in the enhancement of patient compliance with medical regimens. The review highlights several studies that measure the correlation between social support and compliance. The manner in which studies operationalize social support is discussed. Several research recommendations suggest ways social support could be studied as a clear and strong independent variable, such as utilizing measures of compliance with the social support manipulation and considering several different variates of social support. Greater attention to methods for measuring compliance is also suggested.

Group Processes↗

The movement for independent living: an evaluation and critique.

In recent times a growing radicalism has been evident amongst certain groups representing people with disabilities. In the United States, one of the most notable groups is the movement for independent living (ILM). Two recent reports by Gerben De Jong have provided an outline of the movement's origins and concerns and an empirical examination of the validity of its theoretical concepts. This paper provides an evaluation of the movement as portrayed in these reports, and a critique of its assumptions and findings. Although discovering much of genuine interest, it is suggested that certain ambiguities in the underlying philosophy of the movement render it less than convincing as a basis for policy and research.

Activities of Daily Living↗

A critique of the ideological and political positions of the Willy Brandt Report and the WHO Alma Ata Declaration.

This article (1) analyzes the Willy Brandt Commission Report and the WHO Alma Ata Declaration within the socio-economic and political context that determined them, and (2) makes a critique of the ideological and political assumptions that both documents make. Through an assumingly apolitical and technological-administrative discourse both documents reproduce the major positions upheld by the hegemonic development establishments of the Western world. The article analyzes (through a study of what is being said and not said) how those positions appear in the documents. It is indicated that (1) their understanding of the causes of underdevelopment and its major health and disease problems and (2) their suggestions for change based on 'moral calls for social justice' and 'enlightened self-interest' are faulty and insufficient. Alternative explanations and solutions are presented.

Delivery of Health Care↗

British home and community care: research-based critiques and the challenge of the new policy.

The policy of the British central government is among the most coherent and pervasive of those in countries at the leading edge of reform. One perspective is its attempt to match resources to needs. Starting from a summary of the official statement of the logic of the policy and the way in which it reflected policy critiques of the previous decade in Section 1, Section 2 reviews the propositions of the arguments of the mid-1980s in the light of results of research on the nature and causes of patterns of resources, needs and outcomes and their interrelationships, particularly the results of a stream of 'production of welfare' studies focused on who gets what resources and with what effects. Evidence shows that applying some of the assumptions of the new policy dramatically changes the basis for judging the degree to which a cost-effective targeting of resources to needs could in principle be accomplished within the then level of public funding of the services. It shows a higher degree of consistency of allocations than some of the criticisms had implied, but the evidence did not allow a rejection of the proposition that allocations were biased against some kinds of potential beneficiary. Discussing the proposition that community-based services had a low impact on the probabilities of unwanted and inappropriate admission to institutions for long-term care, the evidence shows that low proportions of recipients were subsequently admitted; that as a consequence of assumptions and processes which have been extensively researched, the cost of care in the community approached cost of care in institutions for too few persons for the resources to have been most effectively used to make admission unnecessary, so that resources have not been focused on those for whom the impact is greatest; that generally, providing more rather than less service tended to have a small impact on the probability of admission to institutions. Section 3 discusses what changes in the relations between resources needs and outcomes will be necessary, and what the results of evaluated new models suggest about how to achieve them, discussing the improvement of targeting and increasing the impact of resources on outcomes in the context of the logic and results of care management experiments in the U.K., the U.S.A. and elsewhere, concluding that there is a need to adopt longer time horizons in the implementation of the new policy.

Aged↗

On the independence of P300 and the CNV: a short critique of the principal components analysis of Donchin et al. (1975).

Donchin, Tueting, Ritter, Kutas and Heffley (1975) present evidence from a principal components analysis (PCA) that the CNV and P300 are independent. This short critique points out a number of erros in their PCA and presents a reworking of their analysis. A number of further aspects of Donchin et al.'s paper are also discussed. The general value of this contribution in drawing the attention of EP researchers to potential sources of error in the application of factor analysis is emphasized.

Contingent Negative Variation↗