The Semantically Reciprocating Robot: Adult Influences on Children's Early Conversational Skills

Two-year-old children's conversational replies were observed in two social contexts: (a) with a partner who consistently responded to each of their utterances by semantically reciprocating and commenting briefly on their topic; or (b) with a partner who also consistently replied to each of their utterances but did not semantically reciprocate their topic. Children were significantly more likely to reply to a partner who maintained their topic. Given that a child replied, the verbal responses in the semantic reciprocation group were also more likely to have a topic-comment structure characteristic of more advanced conversational skills. These experimental data confirm previous correlational evidence suggesting that children are sensitive to semantic reciprocation during the early stages of verbal communicative development, and they support recent arguments suggesting that the adult's use of expansions scaffolds the child's tendency to use predicative, topic-comment replies…and perhaps advances the child's understanding of the adult partner as an attentional/intentional mental agent.     

Nonlinear voxel-based modelling of the haemodynamic response in fMRI

A common assumption for data analysis in functional magnetic resonance imaging is that the response signal can be modelled as the convolution of a haemodynamic response (HDR) kernel with a stimulus reference function. Early approaches modelled spatially constant HDR kernels, but more recently spatially varying models have been proposed. However, convolution limits the flexibility of these models and their ability to capture spatial variation. Here, a range of (nonlinear) parametric curves are fitted by least squares minimisation directly to individual voxel HDRs (i.e., without using convolution). A ‘constrained gamma curve’ is proposed as an efficient form for fitting the HDR at each individual voxel. This curve allows for spatial variation in the delay of the HDR, but places a global constraint on the temporal spread. The approach of directly fitting individual parameters of HDR shape is demonstrated to lead to an improved fit of response estimates.     

"If I'm not allowed to put my family first": challenges experienced by women who are caregiving for family members with dementia

In this study of 26 employed, West Texas women caregivers, we found that women worried that they would not be able to give their family members the care they deserved because of the multiple demands placed on them. Women actively negotiated working conditions to achieve flexibility. Women who did not have access to flexibility often changed jobs until they had working conditions that provided it. Work provided a respite and a chance to feel some measure of control. In spite of the importance of work to them, these women paid costs for balancing both roles.     

How much administration is today's physician doing?

The substantial changes in the organization and financing of health care services that have occurred in the United States over the past decade have helped to facilitate a growing role for physicians in health care management. These administrative roles for physicians are becoming increasingly important within many health care institutions with regard to such issues as cost containment and cost effectiveness, quality assurance and professional standards, and access to care. The growing complexity and diversity of the delivery system have created the need for more physicians to become involved in "orchestrat(ing)" the management of the medical-industrial complex."     

The effects of smoking laws on seating allocations of restaurants, bars, and taverns

Supporters of smoking laws often argue that they do not harm restaurants, bars, and taverns and may even raise their profits. Opponents argue that owners cater to customer preferences regarding smoking and that laws mandating specific smoking policies will therefore negatively impact profits of some firms. This article tests hypotheses regarding how smoking laws affect seating allocations, using data from a nationwide survey of restaurant and bar owners. The empirical evidence indicates that smoking laws exert no significant effect on seating allocations. Firms are shown to allocate greater shares of seating to nonsmoking use when customers exhibit stronger preferences for such seating.     

Identification of mother-child interaction patterns:: A longitudinal evaluation of early age intervention effects on early adolescents

Evidence is offered that meaningful patterns of mother-child interaction could be detected in families more than 10 years after a family-centered, early age, preventive intervention. The interactions of mother-child dyads in a situational test during the child's early adolescence were examined for three experimental conditions: a lower socioeconomic experimental group that participated in the intervention for approximately 2 years, an untreated lower socioeconomic, and an untreated upper middle socioeconomic control group.Factor analyses of family interaction measures revealed three factors, which were called Democratic-Participatory Interaction, Mixed Dominance Interaction, and Mother Controlled Interaction. Separate ANOVAS based on factor scores were performed for each factor. Both the intervention group and the middle socioeconomic comparison group were significantly higher than in the lower socioeconomic comparison group in the first factor.     

Older Adults Navigating Medicare: When Benefits Are Denied

Guided by Bourdieu's theory of practice and symbolic violence, this qualitative study explored experiences and perceptions of elderly beneficiaries who had been denied rehabilitation services by Medicare. In semistructured interviews, 12 beneficiaries or family members told of the physical, psychological, and financial consequences of service denial/termination. The resulting perception of Medicare was as a cumbersome, difficult to negotiate system. Findings have implications for future research on service denial and indicate the need for better communication with, and support of, consumers by health care professionals when this occurs.