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The study examined the effect of stress inoculation training on the level of self-reported stress and anxiety, overt signs of distress and the physiological impact of the stress of abseiling. Twenty volunteer subjects were randomly assigned to either a 'no training' control group or a stress inoculation training group, following which both groups of subjects had to complete a test abseil from the roof of a 21.2 m building. Prior to descent, two self-report measures were taken: an intensity score derived from the word or phrase chosen by subjects from the Perceived Stress Index to best describe their feelings and a state anxiety score from Spielberger's State Trait Anxiety Inventory. Overt distress was also evaluated by a 'blind' observer also using the Perceived Stress Index. In addition, heart rate was monitored just prior to and throughout the abseil using a telemetry system. The stress inoculation group showed significantly less self-reported anxiety and stress and less behavioural signs of distress as judged by the observer. However, there were no significant differences between the groups in terms of heart rate. In addition, while self-report and the assessment of the observer were highly inter-correlated, these measures were poorly correlated with heart rate. 相似文献
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Integration of multiple information systems of a medical center will change the way physicians work and practice medicine in the future. Several major steps must be taken by an institution to make this a reality. Since 1983, Georgetown has been engaged in an Integrated Academic Information Management System (IAIMS) project to bring together multiple sources of information that reside on different computers and database systems. Georgetown is developing a Biotechnology and Biomedical Knowledge Network that includes informational and clinical databases, scholar workstations, instruction on computer use, a campuswide network with local area network nodes, and a modular approach to systems integration. The IAIMS project, spearheaded by the medical library, has enabled a broad spectrum of health professionals to benefit directly from new, dynamic information services. The network is heavily used; in 1991, more than 2,100 individual users conducted more than 148,500 computer functions and more than 104,000 searches. There is economy of scale in high-volume use. Overall, the average search cost is $1.57; for high use databases the cost is $0.38, and for low use, it is $9.41. As described in this paper, IAIMS offers a cost-effective means of enhancing patient care by improving information services to physicians. At Georgetown, IAIMS has advanced the concept of integration, accelerated use of computers in education, increased user acceptance of advanced technologies, and established cost factors for providing information resources. While progress made in improving the transfer of medical information is impressive, it is clear that IAIMS requires several more years of support to achieve full implementation. 相似文献
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This research was to determine whether the large differences in scores on the F scale found in previous studies (Bradburn, 1963; Kagitcibasi, 1970; Kinnis, 1977) were due to cultural differences in personality characteristics or due to differences in language and/or structure of measuring instruments.The subjects were three groups of university students from the United States and Turkey. The Turkish/English (T/E) sample attended a Turkish University where all classes were in English. The Turkish/Turkish (T/T) sample attended a Turkish University where all classes were in Turkish. The American/English (A/E) sample attended a Midwestern University.Each of the samples were administered three Scales measuring authoritarian personality characteristics. They were: Rokeach's (1960) Dogmatism scale (D scale) the standard F scale (Adorno et al., 1950) and a multiple choice format of the F scale called A scale (Neel, 1977). For the T/E and A/E subjects these scales were in English and for the T/T subjects in Turkish.For each cultural group the composite scores on each scale were obtained and used for inter-group comparisons through one-way analysis of variance (ANOVA). Within-group correlations across the three measures, the means and standard deviations of individual items and T tests were also computed. Interculture and language comparisons resulted in two significant differences on both the Dogmatism and F scales. Analysis of group, composite scales shows that these differences are due to disparities between the A/E and T/T culture/language groups. Differences across language and culture groups for the A scale were not significant. The A measure behaves differently from D and F for the two Turkish culture groups. For the A/E group, D, F, and A measures are almost undifferentiable. The results suggest the effect of measurement instruments on inter-cultural differences in inter-measure comparisons. This indicates a response format effect (agreer bias or acquiescence set). 相似文献
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