Digital Commons Network^™

Development Of A Theory-Informed Implementation Intervention To Improve The Triage, Treatment And Transfer Of Stroke Patients In Emergency Departments Using The Theoretical Domains Framework (Tdf): The T3 Trial, Louise E. Craig, Natalie Taylor, Rohan Grimley, Dominique A. Cadilhac, Elizabeth Mcinnes, Rosemary Phillips, Simon Dale, Denise O'Connor, Chris Levi, Mark Fitzgerald, Julie Considine, Jeremy M. Grimshaw, Richard Gerraty, N. Wah Cheung, Jeanette Ward, Sandy Middleton

Health Sciences Papers and Journal Articles

Background: Theoretical frameworks and models based on behaviour change theories are increasingly used in the development of implementation interventions. Development of an implementation intervention is often based on the available evidence base and practical issues, i.e. feasibility and acceptability. The aim of this study was to describe the development of an implementation intervention for the T3 Trial (Triage, Treatment and Transfer of patients with stroke in emergency departments (EDs)) using theory to recommend behaviour change techniques (BCTs) and drawing on the research evidence base and practical issues of feasibility and acceptability.

Methods: A stepped method for developing complex interventions based …

Neuromuscular Training Improves Movement Competency And Physical Performance Measures In 11-13 Year Old Female Netball Athletes, A Hopper, E Haff, O Barley, C Joyce, R Lloyd, G Haff

Health Sciences Papers and Journal Articles

The purpose of this study was to examine the effects of a neuromuscular training program on movement competency and measures of physical performance in youth female netball players. It was hypothesized that significant improvements would be found in movement competency and physical performance measures following the intervention. Twenty-three junior female netball players (age, 12.17 ± 0.94 yrs; height, 1.63 ± 0.08 m; weight, 51.81 ± 8.45 kg) completed a test battery before and after a six-week training intervention. 13 of these athletes underwent six weeks of neuromuscular training, which incorporated plyometrics and resistance training. Trained athletes showed significant improvements in …

Reducing Falls After Hospital Discharge: Protocol For A Randomised Controlled Trial Evaluating An Individualised Multi-Modal Falls Education Program For Older Adults, A. Hill, C. Etherton-Beer, S. Mcphail, M. Morris, L. Flicker, R. Shorr, M. Bulsara, D. Lee, J. Francis-Coad, N. Waldron, A. Boudville, T. Haines

Health Sciences Papers and Journal Articles

Introduction: Older adults frequently fall after discharge from hospital. Older people may have low self-perceived risk of falls and poor knowledge about falls prevention. The primary aim of the study is to evaluate the effect of providing tailored falls prevention education in addition to usual care on falls rates in older people after discharge from hospital compared to providing a social intervention in addition to usual care.

Methods and analyses: The ‘Back to My Best’ study is a multisite, single blind, parallel-group randomised controlled trial with blinded outcome assessment and intention-to-treat analysis, adhering to CONSORT guidelines. Patients (n=390) (aged 60 …

Birth Experience Of Fathers In The Setting Of Teenage Pregnancy: Are They Prepared?, Simeon Ngweso, Rodney W. Petersen, Julie Quinlivan

Health Sciences Papers and Journal Articles

Aim: To explore the birth experiences of teenage fathers and determine the extent to which they are prepared for childbirth.

Methods: A mixed methods observational study was undertaken comparing the birth experience of 50 fathers in the setting of teenage pregnancy (teenage) compared to a group of 50 older fathers. Fathers were recruited in the antenatal period and completed structured questionnaires following the birth of their child. Quantitative and qualitative analysis was undertaken.

Results: Teenage fathers were younger, less educated and less likely to attend prenatal childbirth education classes (P < 0.0001). During birth, they were less prepared and consulted by attending staff (both P < 0.05). They reported limited roles in intrapartum decision-making (< 20%). In multivariate analysis being a father in the setting of teenage pregnancy remained significantly associated with feeling unprepared for birth. The major themes in qualitative analysis were feeling unprepared, shock, fear, a sense of detachment, happiness, pride, love of the baby and satisfaction with fertility.

Conclusion: Teenage fathers are less prepared for the …

Revisiting The Small-World Phenomenon: Efficiency Variation And Classification Of Small-World Networks, Tore Opsahl, Antoine Vernet, Tufool Alnuaimi, Gerard George

Research Collection Lee Kong Chian School Of Business

Research has explored how embeddedness in small-world networks influences individual and firm outcomes. We show that there remains significant heterogeneity among networks classified as small-world networks. We develop measures of the efficiency of a network, which allow us to refine predictions associated with small-world networks. A network is classified as a small-world network if it exhibits a distance between nodes that is comparable to the distance found in random networks of similar sizeswith ties randomly allocated among nodesin addition to containing dense clusters. To assess how efficient a network is, there are two questions worth asking: (a) What is a …

Take A Break! Benefits Of Sleep And Short Breaks For Daily Work Engagement, Jana Kuhnel, Hannes Zacher, Jessica De Bloom, Ronald Bledow

Research Collection Lee Kong Chian School Of Business

The current study investigates the benefits of a good night’s sleep and short work breaks for employees’ daily work engagement. It is hypothesized that sleep and self-initiated short breaks help restore energetic and self-regulatory resources which, in turn, enable employees to experience high work engagement. A daily diary study was conducted with 107 employees who provided data twice a day (before lunch and at the end of the working day) over 5 workdays (453 days in total). Multilevel regression analyses showed that sleep quality and short breaks were beneficial for employees’ daily work engagement. After nights employees slept better, they …

Estimating Swiss Chard Foliar Macro- And Micronutrient Concentrations Under Different Irrigation Water Sources Using Ground-Based Hyperspectral Data And Four Partial Least Squares (Pls)-Based (Pls1, Pls2, Spls1 And Spls2) Regression Algorithms, Elfatih M. Abdel-Rahman, Onisimo Mutanga, John Odindi, Elhadi Adam, Alfred Odindo, Riyad Ismail

All Peer-Reviewed Publications

Timely information on crop foliar nutrient content provides a measure of crop nutritional and vitality status. Growers and farm managers use such information for precision crop management such as an appropriate fertilizer application to correct for any crop nutrient deficiencies at identified hotspots. Foliar heavy nutrient content could also be a direct indicator of crops having been polluted from the surroundings, which may be a result of heavy metals absorbed from, among others, contaminated soils and waste water. In the present study, we explored the potential use of four partial least squares (PLS)-based regression algorithms for estimating foliar Swiss chard …

The Plant As A Habitat For Entomophagous Insects, L. Kaiser, P. Ode, S. Van Nouhuys, P. A. Calatayud, S. Colazza, A. M. Cortesero, A. Thiel, J. Van Baaren

All Peer-Reviewed Publications

Populations of herbivorous insects are naturally consumed by other predacious or predatory insect species. These entomophagous insects are thus plant-dwelling organisms that use the plant for several vital functions and are affected by plant traits at the evolutionary, organism and population levels. Many entomophagous species are used for the biological control of insect pests worldwide. The aim of this chapter is to provide an exhaustive review of mechanisms underlying the interactions between plants and entomophagous insects, including those governing life history traits at the individual level, as well as those acting on population and community structure and dynamics. We detail …

Use Of Insects For Fish And Poultry Compound Feed In Sub-Saharan Africa - A Systematic Review, G. Ssepuuya, V. Namulawa, D. Mbabazi, S. Mugerwa, P. Fuuna, Z. Nampijja, S. Ekesi, K. K.M. Fiaboe, D. Nakimbugwe

All Peer-Reviewed Publications

The cost of compound feed is a constraint in intensive fish and poultry farming, contributing 60-80% of the total production costs, 70% of which is due to fish and soy meal used as protein source. This review presents the extent to which insects have been utilised as an alternative protein source in feed in sub-Saharan Africa (SSA). A key word search of agricultural, biological and multi-disciplinary databases and academic search engines was conducted for literature on the extent of research and utilisation of insects in poultry and fish feed in SSA. There is limited published information on the practice as …

Steinernema Pwaniensis N. Sp., A New Entomopathogenic Nematode (Nematoda: Steinernematidae) From Tanzania, V. Půža, J. Nermut, Z. Mráček, S. Gengler, S. Haukeland

All Peer-Reviewed Publications

A new species of entomopathogenic nematode, Steinernema pwaniensis n. sp., belonging to the glaseri group, is described from Tanzania. The infective juveniles of S. pwaniensis n. sp. are characterized by a body length of 978 μm (808-1131), distance from anterior end to excretory pore of 86 μm (80-95) and a tail length of 87 μm (75-95). The ratios a, c and E% of S. pwaniensis n. sp. are substantially lower than those of all other African 'glaseri' group members. The first-generation males of S. pwaniensis n. sp. can be distinguished by a large spicule length of 92 μm (80-97) and …

Angiostoma Norvegicum N. Sp. (Nematoda: Angiostomatidae) A Parasite Of Arionid Slugs In Norway, Jenna L. Ross, Solveig Haukeland, Bjørn A. Hatteland, Elena S. Ivanova

All Peer-Reviewed Publications

Angiostoma norvegicum n. sp. (Angiostomatidae) is described from the oesophagus, crop and the buccal mass of five species of slugs of the family Arionidae, Arion vulgaris (Moquin-Tandon), Arion ater (L.), Arion fasciatus (Nilsson), Arion fuscus (Müller) and Arion rufus/Arion ater hybrid), collected throughout Norway. Angiostoma norvegicum n. sp. was found parasitising arionids at seven of the 30 sample sites examined (23.3%), and 9.9% of all Arion spp. were infected with this nematode. The new species is characterised by its large size (4.0–8.6 mm long) and in having: lateral alae; 6 + 6 papillae at the cephalic end; a large circular …

Entomopathogens Routinely Used In Pest Control Strategies: Orchards In Tropical Climate, N. K. Maniania, S. Ekesi, C. Dolinski

All Peer-Reviewed Publications

Fruit and nut trees such as mango, pineapples, papaya, banana, guava, cashew, passion fruit, and avocado are important components of tropical ecosystems. They are sources of vitamins, minerals and carbohydrates and have great economic importance as sources of both household incomes and national revenues. Fruit and nut trees provide important adaptive values and tend to be more resilient to climate change due to their perennial nature, and they have the property of sequestering carbon. World production and trade of fresh tropical fruit are expected to expand over decades, with developing countries accounting for about 98% of total production, while developed …

Frontiers In Otolith Chemistry: Insights, Advances And Applications, B. D. Walther, K. E. Limburg, C. M. Jones, J. J. Schaffler

OES Faculty Publications

The rapid proliferation of publications employing chemical assays of fish hard parts, and otoliths in particular, has led to many novel insights into the migration patterns, life history strategies and mixed stock dynamics of fishes across the globe (Campana et al., 2000; Elsdon et al., 2008; Walther & Limburg, 2012). These insights include uncovering diverse migratory strategies within species and populations (Kerr et al., 2009; Hogan et al., 2014; Schoen et al., 2016), quantifying rates of mixing among stocks across management boundaries (Rooker et al., 2008; Walther & Thorrold, 2010) and estimating the relative …

Patient Predictors Of Poor Drug Sensitive Tuberculosis Treatment Outcomes In Kyiv Oblast, Ukraine, Omowunmi Aibana, Andrej Slavuckij, Mariya Bachmaha, Viatcheslav Krasiuk, Natasha Rybak, Timothy P Flanigan, Vasyl Petrenko, Megan B Murray

Faculty, Staff and Student Publications

Background: Ukraine has high rates of poor treatment outcomes among drug sensitive tuberculosis (DSTB) patients, while global treatment success rates for DSTB remain high.

We evaluated baseline patient factors as predictors of poor DSTB treatment outcomes.

Methods: We conducted a retrospective analysis of new drug sensitive pulmonary TB patients treated in Kyiv Oblast, Ukraine between November 2012 and October 2014. We defined good treatment outcomes as cure or completion and poor outcomes as death, default (lost to follow up) or treatment failure. We performed logistic regression analyses, using routine program data, to identify baseline patient factors associated with poor outcomes. …

Genetic Diversity And Population Structure Of The African Catfish, Clarias Gariepinus (Burchell, 1822) In Kenya: Implication For Conservation And Aquaculture, James E. Barasa, Sinebongo Mdyogolo, Romulus Abila, Johannes Paul Grobler, Robert A. Skilton, Hesmari Bindeman, Moses Ndotono Njahira, Emily J. Chemoiwa, Otto G. Dangasuk, Boaz Kaunda-Arara, Erik Verheyen

All Peer-Reviewed Publications

African catfish, Clarias gariepinus, is an important species in aquaculture and fisheries in Kenya. Mitochondrial D-loop control region was used to determine genetic variation and population structure in samples of C. gariepinus from 10 sites including five natural populations (Lakes Victoria (LVG), Kanyaboli (LKG), Turkana (LTA), Baringo (LBA) and Jipe (LJP), and five farms (Sangoro Aquaculture Center (SAN), Sagana Aquaculture Centre (SAG), University of Eldoret Fish Farm (UoE), Kibos Fish Farm (KIB), and Wakhungu Fish Farm (WKU)) in Kenya. Similarly, samples from eight localities (four natural populations: LVG/LKG, LTA, LBA, and four farmed: SAN, SAG, KIB, UoE) were genotyped using …

Dna Barcodes, Expanded Distribution, And Redescription Of Apanteles Hemara Nixon, 1965 (Hymenoptera, Braconidae, Microgastrinae), A Potential Biocontrol Species Against Amaranth Leaf-Webbers In Africa, Jose Fernandez-Triana, Melanie Beaudin, Kees Van Achterberg, Mawufe K. Agbodzavu, Stephen T.O. Othim, Faith W. Nyamu, Komi K.M. Fiaboe

All Peer-Reviewed Publications

The microgastrine parasitoid wasp Apanteles hemara Nixon, 1965, is currently being considered as a potential biocontrol agent of amaranth leaf-webber pests in Africa. To facilitate future research and identification of the species, we characterize it from an integrative taxonomy perspective by providing a comprehensive morphological redescription, extensive illustrations (including the first images of the holotype), DNA barcodes, wasp biology, host data (Choreutidae and Crambidae caterpillars), and updated geographical distribution of the species (including eight new country records). Despite a wide distribution across four major biogeographical regions (mostly within the Old World tropics), the species seems to be relatively uniform from …

Systematics And Biology Of Cotesia Typhae Sp. N. (Hymenoptera, Braconidae, Microgastrinae), A Potential Biological Control Agent Against The Noctuid Mediterranean Corn Borer, Sesamia Nonagrioides, Laure Kaiser, Jose Fernandez-Triana, Claire Capdevielle-Dulac, Célina Chantre, Matthieu Bodet, Ferial Kaoula, Romain Benoist, Paul André Calatayud, Stéphane Dupas, Elisabeth A. Herniou, Rémi Jeannette, Julius Obonyo, Jean François Silvain, Bruno Le Ru

All Peer-Reviewed Publications

Many parasitoid species are subjected to strong selective pressures from their host, and their adaptive response may result in the formation of genetically differentiated populations, called host races. When environmental factors and reproduction traits prevent gene flow, host races become distinct species. Such a process has recently been documented within the Cotesia flavipes species complex, all of which are larval parasitoids of moth species whose larvae are stem borers of Poales. A previous study on the African species C. sesamiae, incorporating molecular, ecological and biological data on various samples, showed that a particular population could be considered as a distinct …

Cytoprotective Activated Protein C Averts Nlrp3 Inflammasome–Induced Ischemia-Reperfusion Injury Via Mtorc1 Inhibition, Sumra Nazir, Ihsan Gadi, Moh'd Mohanad Al-Dabet, Ahmed Elwakiel, Shrey Kohli, Sanchita Ghosh, Jayakumar Manoharan, Satish Ranjan, Fabian Bock, Ruediger C. Braun-Dullaeus, Charles T. Esmon, Tobias B. Huber, Eric Camerer, Chris Dockendorff, John H. Griffin, Berend Isermann, Khurrum Shahzad

Chemistry Faculty Research and Publications

Cytoprotection by activated protein C (aPC) after ischemia-reperfusion injury (IRI) is associated with apoptosis inhibition. However, IRI is hallmarked by inflammation, and hence, cell-death forms disjunct from immunologically silent apoptosis are, in theory, more likely to be relevant. Because pyroptosis (ie, cell death resulting from inflammasome activation) is typically observed in IRI, we speculated that aPC ameliorates IRI by inhibiting inflammasome activation. Here we analyzed the impact of aPC on inflammasome activity in myocardial and renal IRIs. aPC treatment before or after myocardial IRI reduced infarct size and Nlrp3 inflammasome activation in mice. Kinetic in vivo analyses revealed that Nlrp3 …

Three Sources Of Errors In The Ehrenfest Treatment Of Inelastic Scattering And Possible Ways Of Resolving Them, Alexander Semenov, Dmitri Babikov

Chemistry Faculty Research and Publications

In order to identify the origin of possible errors in the mixed quantum/classical approach to inelastic scattering [A. Semenov and D. Babikov, J. Chem. Phys. 140, 044306 (2014) and A. Semenov, M.-L. Dubernet, and D. Babikov, J. Chem. Phys. 141, 114304 (2014)], a simplified model is considered that consists of one intermolecular degree of freedom and two intramolecular states, coupled by a simple potential. For this system, analytic derivations are carried out to determine (i) the exact quantum mechanical solution of the inelastic scattering problem, (ii) a simplified version of it with all oscillatory terms neglected, and (iii) …

Redox And Spectroscopic Properties Of Iron Porphyrin Nitroxyl In The Presence Of Weak Acids, Md. Hafizur Rahman, Michael D. Ryan

Chemistry Faculty Research and Publications

The spectroelectrochemistry and voltammetry of Fe(OEP) (NO) in the presence of substituted phenols was studied. Cyclic voltammetry showed that two closely spaced waves were observed for the reduction of Fe(OEP) (NO) in the presence of substituted phenols. The first wave was a single electron reduction under voltammetric conditions. The second wave was kinetically controlled, multielectron process. Visible spectroelectrochemistry of Fe(OEP) (NO) in the presence of substituted phenols showed that three species were present during the electrolysis. Additional spectroscopic studies indicated that the two reduction species were Fe(OEP) (HNO) and Fe(OEP)(H₂NOH). The Fe(OEP) (HNO) species, which can be generated …

Telehealth And Ehealth In Nurse Practitioner Training: Current Perspectives, Carolyn M. Rutledge, Karen Kott, Rebecca Poston, Christianne Fowler, Tina S. Haney

Ellmer School of Nursing Faculty Publications

Telehealth is becoming a vital process for providing access to cost-effective quality care to patients at a distance. As such, it is important for nurse practitioners, often the primary providers for rural and disadvantaged populations, to develop the knowledge, skills, and attitudes needed to utilize telehealth technologies in practice. In reviewing the literature, very little information was found on programs that addressed nurse practitioner training in telehealth. This article provides an overview of both the topics and the techniques that have been utilized for training nurse practitioners and nurse practitioner students in the delivery of care utilizing telehealth. Specifically, this …

Dna Methylation Patterns In Cord Blood Of Neonates Across Gestational Age Association With Cell-Type Proportions, Susan M. Braid, Kwame Okrah, Amol Shetty, Hector Corrada Bravo

Ellmer School of Nursing Faculty Publications

Background: A statistical methodology is available to estimate the proportion of cell types (cellular heterogeneity) in adult whole blood specimens used in epigenome-wide association studies (EWAS). However, there is no methodology to estimate the proportion of cell types in umbilical cord blood (also a heterogeneous tissue) used in EWAS.

Objectives: The objectives of this study were to determine whether differences in DNA methylation (DNAm) patterns in umbilical cord blood are the result of blood cell type proportion changes that typically occur across gestational age and to demonstrate the effect of cell type proportion confounding by comparing preterm infants exposed and …

A Decade Of Diabetes Hospitalizations: Meaningful Information For Community-Based Health Services Administrators For Identifying And Assessing Risk, Jewel Shepherd, Koren Goodman, Manasi Sheth-Chandra

Ellmer School of Nursing Faculty Publications

The American Diabetes Association has established that the largest contributor of expenditures related to the cost of care for diabetes is inpatient hospital care. Research has shown that when multiple hospitalizations have been examined, patients diagnosed with diabetes have higher same year readmission rates. Medicare-enrolled patients with coronary artery disease and diabetes who participated in a diabetes management intervention that included self-care behavior instructions and nurse management had fewer emergency room visits and hospitalizations for diabetes related care. In the US, an aging population and expected changes in the ethnic composition prompts an alert to actively address the need for …

Holistic Self-Care: Tai Chi, Qigong Training For Caregivers At An Alzheimer Disease Assisted Living Facility, Sunny Alperson, Christianne Fowler

Ellmer School of Nursing Faculty Publications

With the growing number of older persons with chronic illnesses, the demand for professionals who can provide complex care is increasing as well. However, evidence shows that health professionals’ burnout rate has been consistently increasing for the last 3 decades. In an effort to alleviate some of the issues associated with caregiver burnout, we conducted mind-body training of self-compassion for professional caregivers at an Alzheimer disease (AD) specialty center for 5 weeks. The intervention combined seven simple centering movements of tai chi and qigong in a context of mettā (loving kindness meditation) language mindfulness. Data showed significant improvements in caregiver …

An Integrated Retail Supply Chain Risk Management Framework: A System Thinking Approach, John Crowe

Doctoral

It is often taken for granted that the right products will be available to buy in retail outlets seven days a week, 52 weeks a year. Consumer perception is that of a simple service requirement, but the reality is a complex, time sensitive system - the retail supply chain (RSC). Due to short product life-cycles with uncertain supply and demand behaviour, the RSC faces many challenges and is very vulnerable to disruptions. In addition, external risk events such as BREXIT, extreme weather, the financial crisis, and terror attacks mean there is a need for effective RSC risk management (RSCRM) processes …

Do Belugas (Delphinapterus Leucas), Bottlenose Dolphins (Tursiops Truncatus), & Pacific White-Sided Dolphins (Lagenorhynchus Obliquidens) Display Lateralized Eye Preference When Presented With Familiar Or Novel Objects?, Deirdre Yeater, Sara Guarino, Steve Lacy, Tricia Dees, Healther Hill

Psychology Faculty Publications

Lateralization of behaviors and information processing are common across species. Hypothesized to be crucial for more efficient responding to environmental stimuli, lateralization has been investigated for a number of topics. Cetaceans are proposed to be hemispheric specialists, given a small corpus callosum, complete decussation of the optic nerve, and the ability to respond to a different visual stimulus presented to each eye simultaneously. Research with cetaceans has shown strong biases in a number of behaviors, including swimming, foraging, social interactions, and responses to myriad visual stimuli. Given similar evolutionary pressures, different species of cetaceans should display similar lateralized preferences. Previous …

Hybrid Simulation-Based Planning Framework For Agri-Fresh Produce Supply Chain, Mohammed Mesabbah

Doctoral

The ever-increasing demand for fresh and healthy products raises the economic importance of managing Agri-Fresh Produce Supply Chain (AFPSC) effectively. However, the literature review has indicated that many challenges undermine efficient planning for AFPSCs. Stringent regulations on production and logistics activities, production seasonality and high yield variations (quantity and quality), and products vulnerability to multiple natural stresses, alongside with their critical shelf life, impact the planning process. This calls for developing smart planning and decision-support tools which provides higher efficiency for such challenges. Modelling and simulation (M&S) approaches for AFPSC planning problems have a proven record in offering safe and …

Heme Oxygenase 1 Expression After Traumatic Brain Injury And Effect Of Pharmacological Manipulation On Functional Recovery., Nicholas H. Russell

Theses and Dissertations

Traumatic Brain Injury (TBI) is an increasingly diagnosed constellation of injuries derived from acute mechanical trauma to the brain. With the rise of advanced neuroimaging techniques recent focus has oriented primarily towards the mild-moderate range of TBI which previously was missed diagnostically. Characteristically, these advances have shown increasing areas of micro-hemorrhage in susceptible areas of the brain and to date there are no treatment modalities targeting micro-hemorrhages or their sequelae. This dissertation explores the effects of the resulting heme processing response in the days following injury with a particular focus on inducing early heme clearance from the parenchyma using a …

Implementing Integrated Care In Family Medicine: Description And Outcomes In An Underserved Population, Zach Radcliff

Theses and Dissertations

Introduction: Family physicians provide access to medical and behavioral healthcare for many underserved populations. Integrating behavioral health clinicians into primary care practices has been proposed as one of the most effective ways to increase access to necessary behavioral health services for many Americans. Integrated behavioral healthcare (IBHC) has begun to be implemented in family medicine practices but there is limited research examining the impact for patients and clinic staff. This study begins to fill this gap in the literature by examining the effects of implementing integrated behavioral healthcare in an urban family medicine clinic in a medically underserved area.

Objective: …

Risk Preference, Time Preference, And Salience Perception, Jonathan Leland, Mark Schneider

ESI Working Papers

A model of decision making is introduced that provides a unified approach for predicting choices under risk and over time. The model predicts systematic departures from expected utility and discounted utility using the same mathematical structure and the same psychological intuition and shows that a dozen diverse choice anomalies can be given a common underlying explanation. The model weights attribute differences both by their importance (consistent with expected utility and discounted utility) and by their salience or similarity (consistent with procedural models based on heuristics), and so provides a bridge between rational and heuristic representations of decision making.