A comparison of paired- and multiple-stimulus-without-replacement preference assessments to identify reinforcers for dog behavior.

Dogs may be relinquished to shelters and are unlikely to be adopted if they engage in problem behavior. A successful way to eliminate problem behavior is through training techniques based on behavioral principles. Obedience training with the use of positive reinforcement has been successful in treating problematic behavior by dogs. In order for this method to work, it is essential that the stimuli selected function as reinforcers. Preference assessments can be used to identify these potential reinforcers. A preference assessment is a systematic method used to identify stimuli that may serve as possible reinforcers by yielding preference hierarchies. Although preference and reinforcer assessments have been successfully used with humans, research with nonhuman animals is limited. Therefore, the purpose of the study was to compare the efficacy and efficiency of paired-stimulus preference assessment with a multiple-stimulus preference assessment. The results suggested that the results of both preference assessments corresponded with reinforcer assessments but that the paired-stimulus method was the most efficient.

Establishing a sustainable healthcare environment in low- and middle-income countries.

The dynamics of disease prevalence and healthcare systems continue to change dramatically in low- and middle-income countries (LMICs). This is a result of multiple factors including the demands of an ageing population in the context of increasing life expectancy and the rise of non-communicable diseases putting an additional burden on an already weak healthcare system. Further healthcare deficiency is attributable to additional factors such as low financial budgets, political conflicts and civil war, as well as continuing burden of communicable diseases, which are known to be the major risk to health in LMICs. Surgical needs largely remain unmet despite a Lancet report published in 2015. Various deficient aspects of healthcare systems need to be addressed immediately to provide any hope of creating a sustainable healthcare environment in the coming decades. These include developing strong primary and secondary care structures as well as strengthening tertiary care hospitals with an adequately trained healthcare workforce. The facilities required to improve patients' access to healthcare cannot be developed and sustained solely within the local budget allocation and require major input from international organizations such as the World Bank and the World Health Organization as well as a chain of donor networks. To create and retain a local healthcare workforce, improved training and living conditions and greater financial security need to be provided. Finally, healthcare economics need to be addressed with financial models that can provide insurance and security to the underprivileged population to achieve universal health coverage, which remains the goal of several global organizations promoting equity in high-standard healthcare provision.

An evaluation of toy quality for increasing self-control in typically developing preschool children.

Children often make impulsive choices, and previous research has shown that access to activities during the delay may enhance self-control (e.g., Newquist, Dozier, & Neidert, 2012). The purpose of the current study was to extend the results of Newquist et al. (2012) by comparing the effects of access to low-preference, moderate-preference, and high-preference toys during delays. Results showed that (a) all toys increased self-control for 2 participants when toys were available for all choice options and (b) high-preference toys (and sometimes moderate-preference toys) increased self-control for 3 participants when the toys were available only for large delayed choices.

Efficacy of and preference for reinforcement and response cost in token economies.

Researchers have shown that both differential reinforcement and response cost within token economies are similarly effective for changing the behavior of individuals in a group context (e.g., Donaldson, DeLeon, Fisher, & Kahng, 2014; Iwata & Bailey, 1974). In addition, these researchers have empirically evaluated preference for these procedures. However, few previous studies have evaluated the individual effects of these procedures both in group contexts and in the absence of peers. Therefore, we replicated and extended previous research by determining the individual effects and preferences of differential reinforcement and response cost under both group and individualized conditions. Results demonstrated that the procedures were equally effective for increasing on-task behavior during group and individual instruction for most children, and preference varied across participants. In addition, results were consistent across participants who experienced the procedures in group and individualized settings.

Open urethroplasty versus endoscopic urethrotomy--clarifying the management of men with recurrent urethral stricture (the OPEN trial): study protocol for a randomised controlled trial.

BACKGROUND: Urethral stricture is a common cause of difficulty passing urine in men with prevalence of 0.5 %; about 62,000 men in the UK. The stricture is usually sited in the bulbar part of the urethra causing symptoms such as reduced urine flow. Initial treatment is typically by endoscopic urethrotomy but recurrence occurs in about 60% of men within 2 years. The best treatment for men with recurrent bulbar stricture is uncertain. Repeat endoscopic urethrotomy opens the narrowing but it usually scars up again within 2 years requiring repeated procedures. The alternative of open urethroplasty involves surgically reconstructing the urethra, which may need an oral mucosal graft. It is a specialist procedure with a longer recovery period but may give lower risk of recurrence. In the absence of firm evidence as to which is best, individual men have to trade off the invasiveness and possible benefit of each option. Their preference will be influenced by individual social circumstances, availability of local expertise and clinician guidance. The open urethroplasty versus endoscopic urethrotomy (OPEN) trial aims to better guide the choice of treatment for men with recurrent urethral strictures by comparing benefit over 2 years in terms of symptom control and need for further treatment. METHODS/DESIGN: OPEN is a pragmatic, UK multicentre, randomised trial. Men with recurrent bulbar urethral strictures (at least one previous treatment) will be randomised to undergo endoscopic urethrotomy or open urethroplasty. Participants will be followed for 24 months after randomisation, measuring symptoms, flow rate, the need for re-intervention, health-related quality of life, and costs. The primary clinical outcome is the difference in symptom control over 24 months measured by the area under the curve (AUC) of a validated score. The trial has been powered at 90% with a type I error rate of 5% to detect a 0.1 difference in AUC measured on a 0-1 scale. The analysis will be based on all participants as randomised (intention-to-treat). The primary economic outcome is the incremental cost per quality-adjusted life year. A qualitative study will assess willingness to be randomised and hence ability to recruit to the trial. DISCUSSION: The OPEN Trial seeks to clarify relative benefit of the current options for surgical treatment of recurrent bulbar urethral stricture which differ in their invasiveness and resources required. Our feasibility study identified that participation would be limited by patient preference and differing recruitment styles of general and specialist urologists. We formulated and implemented effective strategies to address these issues in particular by inviting participation as close as possible to diagnosis. In addition re-calculation of sample size as recruitment progressed allowed more efficient design given the limited target population and funding constraints. Recruitment is now to target. TRIAL REGISTRATION: ISRCTN98009168 Date of registration: 29 November 2012.

Functional analysis and treatment of problem behavior in early education classrooms.

We conducted functional analyses (FA) with 4 typically developing preschool children during ongoing classroom activities and evaluated treatments that were based on FA results. Results of each child's FA suggested social-positive reinforcement functions, and differential reinforcement of alternative behavior plus time-out was effective in decreasing problem behavior and increasing appropriate behavior. We discuss the utility of classroom-based FAs and potential compromises to experimental control.

Positive reinforcement as treatment for problem behavior maintained by negative reinforcement.

Functional analyses (Iwata, Dorsey, Slifer, Bauman, & Richman, 1982/1994) have been useful in determining function-based treatments for problem behavior. Recently, however, researchers have evaluated the use of arbitrary reinforcers (e.g., positive reinforcers) to decrease problem behavior maintained by negative reinforcement, particularly in the absence of extinction. We provide a brief review of recent research on this topic and discuss implications regarding mechanisms, practice, and future research directions.

A simple technique for accurate diathermy destruction of urethral meatal warts.

The use of surgical diathermy in the fulguration of penile warts is well established. The use of diathermy has been associated with urethral meatal stenosis resulting from circumferential thermal injury to the meatus. We describe the use of a plastic quill as a shield to prevent such circumferential thermal injuries.

High and low rigor temperature effects on sheep meat tenderness and ageing.

Immediately after electrical stimulation, the paired m. longissimus thoracis et lumborum (LT) of 40 sheep were boned out and wrapped tightly with a polyethylene cling film. One of the paired LT's was chilled in 15°C air to reach a rigor mortis (rigor) temperature of 18°C and the other side was placed in a water bath at 35°C and achieved rigor at this temperature. Wrapping reduced rigor shortening and mimicked meat left on the carcass. After rigor, the meat was aged at 15°C for 0, 8, 26 and 72 h and then frozen. The frozen meat was cooked to 75°C in an 85°C water bath and shear force values obtained from a 1×1 cm cross-section. The shear force values of meat for 18 and 35°C rigor were similar at zero ageing, but as ageing progressed, the 18 rigor meat aged faster and became more tender than meat that went into rigor at 35°C (P<0.001). The mean sarcomere length values of meat samples for 18 and 35°C rigor at each ageing time were significantly different (P<0.001), the samples at 35°C being shorter. When the short sarcomere length values and corresponding shear force values were removed for further data analysis, the shear force values for the 35°C rigor were still significantly greater. Thus the toughness of 35°C meat was not a consequence of muscle shortening and appears to be due to both a faster rate of tenderisation and the meat tenderising to a greater extent at the lower temperature. The cook loss at 35°C rigor (30.5%) was greater than that at 18°C rigor (28.4%) (P<0.01) and the colour Hunter L values were higher at 35°C (P<0.01) compared with 18°C, but there were no significant differences in a or b values.

Effect of muscle restraint on sheep meat tenderness with rigor mortis at 18°C.

The effect on shear force of skeletal restraint and removing muscles from lamb m. longissimus thoracis et lumborum (LT) immediately after slaughter and electrical stimulation was undertaken at a rigor temperature of 18°C (n=15). The temperature of 18°C was achieved through chilling of electrically stimulated sheep carcasses in air at 12°C, air flow 1-1.5 ms(-2). In other groups, the muscle was removed at 2.5 h post-mortem and either wrapped or left non-wrapped before being placed back on the carcass to follow carcass cooling regimes. Following rigor mortis, the meat was aged for 0, 16, 40 and 65 h at 15°C and frozen. For the non-stimulated samples, the meat was aged for 0, 12, 36 and 60 h before being frozen. The frozen meat was cooked to 75°C in an 85°C water bath and shear force values obtained from a 1 × 1 cm cross-section. Commencement of ageing was considered to take place at rigor mortis and this was taken as zero aged meat. There were no significant differences in the rate of tenderisation and initial shear force for all treatments. The 23% cook loss was similar for all wrapped and non-wrapped situations and the values decreased slightly with longer ageing durations. Wrapping was shown to mimic meat left intact on the carcass, as it prevented significant prerigor shortening. Such techniques allows muscles to be removed and placed in a controlled temperature environment to enable precise studies of ageing processes.