Medicine and Health Sciences Commons^™

The Effects Of Limiting Punitive Damage Awards, Edith Greene, David Coon, Brian H. Bornstein

David R. Coon

In response to concerns that jury awards in tort cases are excessive and unpredictable, nearly every state legislature has enacted some version of tort reform that is intended to curb extravagant damage awards. One of the most important and controversial reforms involves capping (or limiting) the maximum punitive damage award. We conducted a jury analogue study to assess the impact of this reform. In particular, we examined the possibility that capping punitive awards would cause jurors to inflate their compensatory awards to satisfy their desires to punish the defendant, particularly in situations where the defendant’s conduct was highly reprehensible. Relative …

Exploring The Boundaries Of Command And Control Models Of Distributed Team Performance In Aviation And Aerospace Operations, Haydee M. Cuevas, Barrett S. Caldwell

Haydee M. Cuevas

Traditional command and control (C2) models focus on a centralized command managing and directing one or more subordinate elements to perform required functions. However, in distributed C2 environments, a human commander has less ability to fully understand and control the behavior of "agents" (either human domain experts or autonomous automated systems) in real-time operations. In this paper, we explore the situational, information, and human performance issues that constrain the appropriateness of classical C2 system design, and highlight the need for distributed C2 information flow capabilities, in contemporary humanhuman and human-automation teams. We discuss these issues in the context of modern …

Investigating Uas Operator Characteristics Influencing Mission Success, Haydee M. Cuevas, Kristina M. Kendrick, Zane A. Zeigler, David J. Hamilton

Haydee M. Cuevas

The two objectives of this study were to 1) evaluate how specific operator characteristics (prior experience in manned and unmanned flight, teamwork, and gaming) influence mission success in unmanned aircraft systems (UAS) operations; and 2) evaluate the potential utility of a performance assessment tool. Mission success was assessed using a modified version of the Situation Awareness Linked Indicators Adapted to Novel Tasks (SALIANT) methodology. Eighteen participants completed a UAS scenario (port security) as part of 9 two-person crews (pilot and sensor operator). Results showed that the SALIANT measure was able to discriminate differences in performance among the UAS crews. Results …

Gratitude Intervention Modulates P3 Amplitude In A Temporal Discounting Task, Andrea L. Patalano, Sydney L. Lolli, Charles A. Sanislow

Charles A. Sanislow, Ph.D.

Uncertainty And Competing Priorities In Shared Clinical Decision-Making, Dennis J. Baumgardner

Dennis J. Baumgardner, MD

In this issue introduction, the editor-in-chief of Journal of Patient-Centered Research and Reviews observes that a connecting thread among the articles published therein is an element of uncertainty among patients and clinicians. Competing priorities for the patient also may be present. Several approaches to overcoming these prevalent conflicts to delivery of better health care have been proposed, the most important of which may be clinicians embracing a will to practice shared decision-making.

Designing A Mobile Application To Support The Indicated Prevention And Early Intervention Of Childhood Anxiety, Mandar Patwardhan, Ashish Amresh, Ryan Stoll, Kevin A. Gary, Derek B. Hamel, Armando Pina

Ashish Amresh

This paper presents the design of an mHealth application for prevention and early intervention of childhood anxiety. The application is based on REACH, a preventative-early intervention protocol for childhood anxiety. This paper describes the multidisciplinary design process, sharing lessons learned in developing an effective mHealth application. This mHealth application is unique due to participant age, preventive-early intervention focus, and utilization of mobile technology in a situated manner. A design process inspired by user-centered leveraging key informant interviews was used to identify application features, including game based strategies and an animated motivational avatar. Validation was performed through external review and a …

Massachusetts Medicaid Members That Smoked In 2008: Characteristics Associated With Smoking Status In 2014, Alexis D. Henry, John Gettens, Judith A. Savageau, Doris Cullen, Anna Landau

Judith A. Savageau

The smoking rate among non-elderly Medicaid enrollees is more than double the rate for those privately insured; smoking-related conditions account for 15% of Medicaid expenditures. Under state health reform, Massachusetts Medicaid (MassHealth) made tobacco cessation treatment available beginning in 2006. We used surveys conducted in 2008 and 2014 to examine changes in smoking abstinence rates among MassHealth members identified as smokers and to identify factors associated with being a former smoker. Members previously identified as smokers were surveyed by mail or phone; 2008 and 2014 samples included 3,116 and 2,971 members, respectively. Surveys collected demographic and health information, asked members …

Prevalence And Correlates Of Indoor Tanning And Sunless Tanning Product Use Among Female Teens In The United States, Megan Quinn, Arsham Alamian, Joel J. Hillhouse, Colleen Scott, Rob Turrisi, Katie Baker

Arsham Alamian

Background

Indoor tanning (IT) before the age of 35 increases melanoma risk by 75%. Nevertheless, IT and sunless tanning product (STP) use have gained popularity among youth. However, there are limited data on the prevalence and sociodemographic correlates of both IT and STP use in a representative sample of American teens.

Methods

Teenage females (N = 778) aged 12–18 years were recruited as part of an on-going longitudinal study conducted between May 2011 and May 2013. Descriptive statistics explored IT and STP usage in teen females at baseline. Logistic regression was used to determine sociodemographic correlates of IT and STP …

Every Word, Every Gesture, Dennis J. Baumgardner

Dennis J. Baumgardner, MD

Two nonverbal patients teach a novice clinician the power and often hidden impact of the physician-patient relationship.

Improving Huntington’S Disease Education For New Staff In A Voluntary Mental Health Facility, Joe Ogunbode

Joe Ogunbode

Where Do You Want To Live? A Pilot Study To Establish Housing Preferences Of Young Adults With Fetal Alcohol Syndrome Disorders, Autism Spectrum Disorder, An Traumatic Brain Injury., Julie Elaine N. Irish, Noorh Aldadi, Marilyn J. Bruin

Julie Elaine Irish