Screening for recommended antenatal risk factors: How long does it take?

Background

Detection and management of antenatal risk factors is critical for quality care.

On weighted composite scores for early Alzheimer's trials

Recent research on finding appropriate composite endpoints for preclinical Alzheimer's disease has focused considerable effort on finding “optimized” weights in the construction of a weighted composite score. In this paper, several proposed methods are reviewed. Our results indicate no evidence that these methods will increase the power of the test statistics, and some of these weights will introduce biases to the study. Our recommendation is to focus on identifying more sensitive items from clinical practice and appropriate statistical analyses of a large Alzheimer's data set. Once a set of items has been selected, there is no evidence that adding weights will generate more sensitive composite endpoints.     

Efficacy of interventions targeting alcohol,drug and smoking behaviors in university and college students: A review of randomized controlled trials

Objective: To evaluate the effectiveness of interventions targeting alcohol consumption, drug use and smoking for college/university students.Participants: College/University students.Methods: Studies were eligible if: (1)included students attending universities/colleges; (2)implemented in a university/college setting; (3)aimed to improve at least one of the following behaviors: alcohol and/or drug use and/or smoking; (4)were RCTs. The effect of the interventions on behaviors was determined by the percentage of studies that reported an effect. Due to the heterogeneity of outcomes meta-analysis was not conducted.Results: 88 studies met criteria. University-based interventions were effective for reducing alcohol-related outcomes (drinking patterns, BAC, consequences, problem drinking). Inconsistent findings for drug and smoking were observed.Conclusions: University-based interventions have the potential to improve health for students. While there is a breadth of research examining the efficacy of interventions to reduce alcohol consumption, further research is needed to determine the best approach for addressing smoking and drug use among students.     

The estimation of a corporate crisis communication

This experimental study found a main effect of perceived leadership and an interaction effect of perceived leadership and perceived severity of threats on the public's estimation of organizational crisis responses. The results indicate that the contingent theoretical argument explaining the dynamics of organizational factors and situational factors that determine stance taken by public relations practices can also be applied when explaining the outside latent public's thought patterns predicting an organizational stance and message strategy. Contingency theory offers predictive power, not just for the practitioner, but for the public passing judgment on the stance taken by an organization.     

Making nice may not matter: The interplay of crisis type,response type and crisis issue on perceived organizational responsibility

Experimental findings suggest limited effects for corporate social responsibility (CSR) to inoculate a company prior to a crisis. CSR may be viewed as accommodative window dressing that diminishes resources to assure corporate competence. When an accident occurs, emphasis in crisis communication on corporate ability (CA) may be more effective than CSR, especially when corporate culpability is low.     

Whose problem? Disability narratives and available identities

Special Issue on the Arts and Community Development, Volume42, Number 4. Unfortunately, the article contained an incorrect quotationthat     

Computer simulation of adult sentencing proposals

Several legislative proposals have been introduced in the State of Washington which would alter sentencing procedures for adults convicted of felonies. A major policy concern is the degree to which such new legislation would impact population levels in an already overcrowded prison system. The Sentencing Alternatives Impact Simulation Project developed a series of computer simulation programs to model the sentencing proposals. Results of the simulations were made available to the Legislature and to planners for Adult Corrections. This article describes the major model developed, the data required to run it, and the results obtained from it under a variety of hypothetical conditions. It includes a discussion of the level of utilization made of the results, and some comments on the requirements for maximizing utilization in future simulation projects.     

Intention or Attention Before Pointing: Do Infants’ Early Holdout Gestures Reflect Evidence of a Declarative Motive?

Gestures are the first signs of intentional communication within prelinguistic infants and can reflect various motives, including a declarative motive to share attention and interest. The ability to use gestures declaratively has been linked to later language development; therefore, it is important to understand the origins of this motive. Previous research has focused on the use of declarative pointing at around 12 months; however, other potential forms of declarative communication, such as holdout gestures, are yet to be studied in detail. The purpose of this study was to examine whether from 10 months, infants use holdouts declaratively. We elicited holdouts from 36 infants and then reacted to these gestures in four different conditions: (1) joint attention: shared interest; (2) infant attention: attended to infant; (3) toy attention: attended to toy; (4) ignore: gesture was not attended to. Infants’ behavioral responses were recorded. When the experimenter engaged in joint attention, infants were significantly more likely to display a positive attitude and produced fewer re‐engagement attempts. In contrast, the three non‐joint attention conditions displayed significantly higher negative attitudes and attempts to re‐engage the experimenter. We conclude that infants display declarative communication prior to 12 months, resetting the age at which these more complex skills emerge.