MENTAL HEALTH EDUCATION IN GERIATRIC FELLOWSHIPS     

Beverly G. Wheeler 《Educational gerontology》2013,39(4):405-414

Geriatric fellowship curricula in primary care specialties of medicine include a minimum of mental health education, resulting in inadequate psychiatric assessment of the elderly. An educational program was developed to teach the psychology of aging, communication skills, and psychotherapy principles with older adults to geropsychiatry fellows during a 2‐year fellowship. The program's impact on fellows' performance was measured using 10 rated skill areas from the Periodic Review of Psychotherapy Skills. Improvement or maintenance of skills at the highest level was achieved by all fellows. The program's success is indicated by improved conceptualization of older adults' problems, increased accuracy of diagnoses, development of more appropriate treatment plans and goals, and refined communication and psychotherapy skills. Applicability to other medical and nonmedical disciplines and impediments to fellowship integration are discussed.  相似文献   

A microfluidic membrane device to mimic critical components of the vascular microenvironment     

Srigunapalan S  Lam C  Wheeler AR  Simmons CA 《Biomicrofluidics》2011,5(1):13409

Vascular function, homeostasis, and pathological development are regulated by the endothelial cells that line blood vessels. Endothelial function is influenced by the integrated effects of multiple factors, including hemodynamic conditions, soluble and insoluble biochemical signals, and interactions with other cell types. Here, we present a membrane microfluidic device that recapitulates key components of the vascular microenvironment, including hemodynamic shear stress, circulating cytokines, extracellular matrix proteins, and multiple interacting cells. The utility of the device was demonstrated by measuring monocyte adhesion to and transmigration through a porcine aortic endothelial cell monolayer. Endothelial cells grown in the membrane microchannels and subjected to 20 dynes∕cm(2) shear stress remained viable, attached, and confluent for several days. Consistent with the data from macroscale systems, 25 ng∕ml tumor necrosis factor (TNF)-α significantly increased RAW264.7 monocyte adhesion. Preconditioning endothelial cells for 24 h under static or 20 dynes∕cm(2) shear stress conditions did not influence TNF-α-induced monocyte attachment. In contrast, simultaneous application of TNF-α and 20 dynes∕cm(2) shear stress caused increased monocyte adhesion compared with endothelial cells treated with TNF-α under static conditions. THP-1 monocytic cells migrated across an activated endothelium, with increased diapedesis in response to monocyte chemoattractant protein (MCP)-1 in the lower channel of the device. This microfluidic platform can be used to study complex cell-matrix and cell-cell interactions in environments that mimic those in native and tissue engineered blood vessels, and offers the potential for parallelization and increased throughput over conventional macroscale systems.  相似文献   

Addendum to Wheeler, Stout, and Miller (2004)     

Daniel S. Wheeler  Steven C. Stout  Ralph R. Miller 《Learning & behavior》2006,34(1):109-109

  相似文献   

Action Research on Hybrid Courses and their Online Communities     

Steve Wheeler 《Educational Media International》2013,50(1):31-38

English: This article reviews a study conducted to establish the psychological basis for user responses to digital videoconferencing. Left and right brain laterality and the demographic factors of age and gender were examined as possible predictors of user response. Behavioural and affective responses were measured in a small group of distance learners (n=60). Affective measure ‘A’ concerned user perception of equipment functionality and usefulness, and the intention to repeat the experience, whilst behavioural measure ‘B’ examined anxiety level and self-consciousness. Significant differences were observed between age groups with older participants expressing greater satisfaction with functionality and less anxiety overall. A lesser effect was observed between males and females with the latter reporting higher satisfaction levels and lower anxiety with the technology. No significant difference between left and right brain lateralities was observed.

Francais: Cet article rend compte d'une étude conduite pour établir la base psychologique pour les résponses des étudiants à la vidéoconférence digitale. On a pris en compte la latéralité gauche et droite du cerveau et les facteurs démographiques d'âge et de sexe afin d'essayer de mieux prévoir les réactions des usageurs. Les réponses concerenant les attitudes et les réactions affectives ont été mesurées chez un group limité d'étudiants à distance (n=60). La mesure affective ‘A’ concernait la perception de la fonctionalité de l'équipement et de son utlité, ainsi que l'intention de répéter l'experiénce, tandis que les mesures d'attitude ‘B’ examinait le niveau d'anxieté et de conscience de soi. Des différences significatives ont été observées entre les groupes d'âge, les participants plus âgés exprimant davantage leur satisfaction de l'équipement et faisant preuve de moins d'anxiété en général. Un effet moindre a été observé entre les hommes et les fammes, ces dernières étant plus satisfaites et étant moins anxieuses devant la technologie. Aucune difference significative entre les latéralités droite et gauche n'a été observée.

Deutsch: In diesem beitrag wird uber eine studie berichtet, die zur herstellung einer psychologischen basis für nutzerreaktionen auf digitales videoconferencing diente. Linke und rechte hirnhälften und der demographische faktor bezüglich alter und geschlecht wurden als mögliche voreinstellungen für das nutzerverhalten untersucht. Das verhalten und affektive reaktionen wurden in kleinen gruppen (N=60) von distance-lernern gemessen: die affektive messung ‘A’ bezog sich auf nutzereinsicht in die ausstattungsfunktionalität und - nützlichkeit sowie die einstellung zu einer wiederholung des experiments, während die verhaltensmessung ‘B’ angstlevel und selbstbewusstsein untersuchte. Signifikante unterschiede wurden festgestellt bei gruppen mit älteren teilnehmern mit höherer zufriedenheitsrate bei der funktionalität und weniger angstüberschuss. Ein geringerer effekt wurde zwischen frauen und männern beobachtet, wobei die ersteren uber höhere zufriedenheit und geringerer technologieangst berichteten. Kein signifikanter unterschied wurde zwischen der linken und der rechten gehirnhälfte beobachtet.  相似文献   

Perceptual Mapping Software as a Tool for Facilitating School-Based Consultation     

S. Craig Rush  Ashley Kalish  Joanna Wheeler 《Journal of educational and psychological consultation》2013,23(3):217-227

Perceptual mapping is a systematic method for collecting, analyzing, and presenting group perceptions that is potentially useful in consultation. With input and feedback from a consultee group, perceptual mapping allows the consultant to capture the group's collective perceptions and display them as an organized image that may foster meaningful understanding of their shared beliefs and serve as a stimulus for discussion and problem solving. Perceptual mapping can give school-based consultants an additional means to bring ideas “to the table” that consultees can clearly conceptualize as originating with them as opposed to the notions of the consultant. The authors illustrate the potential use of and offer support for perceptual mapping as a tool for consultation in schools.  相似文献   

Developing a Library Bioinformatics Program Fully Integrated into a Medical Research Institution     

Terrie R. Wheeler  Peter R. Oxley 《Medical reference services quarterly》2013,32(4):413-421

Abstract

Establishment of a new bioinformatics service at the Samuel J. Wood Library of Weill Cornell Medicine was successfully achieved through reference to existing programs and utilization of established success factors. Setting the vision, focusing on the essentials, designing for value, and implementing continuous improvement through feedback, helped to create a successful and integrated bioinformatics service for the medical research community.  相似文献   

‘An ambitious club on a small scale’: the rise of the Royal Isle of Wight Golf Club 1882–1914     

Paul Wheeler 《Sport in History》2016,36(4):477-497

In this article, the notable, but forgotten, history of the Royal Isle of Wight Golf Club (RIWGC), founded in 1882, is used to examine the cultural and social shifts that enabled the development of the sport's popularity across late Victorian and Edwardian society in Britain. The club can justifiably be described as notable because for a brief period this small island club was at the centre of developments which helped shape golf during this era and framed its development in the twentieth century. Two archetypally entrepreneurial Victorian gentlemen, Captain Jack Eaton and Charles John Jacobs, were central to the club's success and their endeavours underpinned the club's illustrious status. This paper examines newspaper records, periodicals and local archives to explain how the RIWGC originated and then prospered in tandem with the development of the Isle of Wight as an upmarket holiday destination. Moreover the article shows how the club provided access for both sexes of the English upper middle class to a sport and an environment that delivered the cultural benefits and the social kudos which could be derived from association with a golf club, and particularly one that was one of a select group of ‘Royal’ golf clubs. However, research also demonstrates that the club provided an environment where enterprising and talented men from less privileged backgrounds could seize the opportunity to become famous on the national and even the international stage. Finally it will demonstrate that the RIWGC had a significant role in codifying the rules of golf in the 1880s when the R&A appeared hesitant to take the lead.  相似文献   

The mathematical abilities of dyslexic 10-year-olds     

T. R. Miles  M. N. Haslum  T. J. Wheeler 《Annals of dyslexia》2001,51(1):299-321

Seventy-two items testing various aspects of mathematics were given to 12,131 ten-year-old children. Criteria for specific developmental dyslexia (SDD) and for other groupings are specified. Despite the absence of differences in intelligence level, the mean score on the mathematics test for the dyslexics was not only lower than that of the normal achievers but lower also than that of underachievers believed not to be dyslexic. On some of the 72 items, there was little difference in percentage pass rate between the groups; on others, however, there were wide differences. On the basis of ratings carried out “blind” by a panel of experienced teachers of dyslexic children, and in the light of other considerations, some tentative suggestions are put forward as to what it is about certain mathematical items that makes them relatively hard or easy for children with dyslexia.  相似文献   

Analysis of behavioural responding across multiple instructional conditions for a child with childhood disintegrative disorder     

Stacy L. Carter  John J. Wheeler 《Journal of Research in Special Educational Needs》2007,7(3):137-141

The effects of multiple instructional conditions on self-injury/aggression and on-task behaviours were assessed with a 9-year-old boy diagnosed with childhood disintegrative disorder. Behavioural responses were assessed as part of an educational evaluation to determine the occurrence of target behaviours in relation to varying degrees of educational support. Self-injury/aggression and task engagement were assessed across baseline conditions and instructional conditions involving pre-session access to preferred items, followed by systematic presentation of work tasks with contingent reinforcement and auditory cueing. Results indicated an increase in task engagement and a decrease in the target behaviours from baseline across subsequent conditions. This study lends support for directly assessing the efficacy of specific potential instructional support as a means of developing individualised treatment packages for learners with childhood disintegrative disorder.  相似文献   

Interaction of retention interval with CS-preexposure and extinction treatments: Symmetry with respect to primacy     

Wheeler DS  Stout SC  Miller RR 《Learning & behavior》2004,32(3):335-347

Imposition of a retention interval between cue-outcome pairings and testing can alleviate the retardation of conditioned responding induced by pretraining exposure to the cue (i.e., the CS-preexposure effect). However, recent studies have reported an enhanced effect of CS-preexposure treatment with longer retention intervals (De la Casa & Lubow, 2000, 2002; Lubow & De la Casa, 2002). In a series of conditioned barpress suppression studies with rats, we examined the effects of imposing a retention interval just prior to testing following either CS-preexposure (cue alone before cue-outcome pairings) or extinction (cue alone after cue-outcome pairings) treatments. Experiment 1 replicated in a different preparation recent reports of CS-preexposure treatment effects increasing with longer retention intervals. Experiment 2 showed that spontaneous recovery of stimulus control of behavior after extinction can be obtained with the same parameters as those used to observe the augmented effect of CS-preexposure treatment. In Experiment 3, both the augmented effect of CS-preexposure treatment and spontaneous recovery from extinction were found when we used, in place of a retention interval, an associative priming manipulation.  相似文献