Exploratory evaluation of several teratogen warning symbols

BACKGROUND: Previous research has noted potential inadequacies in the warning labels and symbols used with some teratogenic medications. A clear teratogen warning symbol represents an important component of risk mitigation for accidental teratogen exposure. METHODS: Several teratogen warning symbols were developed through rapid prototyping and focus groups. A nationally distributed field trial (n = 300) examined the relative effectiveness of 6 candidate symbols, including the symbol in use at the time of the study. Measures included open-ended interpretation, closed-ended preference, and demographic surveys. Each participant was shown a single symbol and asked what it meant, to whom it applied, and what that person should do. Text statements were added to the symbol and participants were asked to reinterpret the warning. Participants were told the intended message of the warning, shown all 6 symbols, and asked to choose the most effective symbol. RESULTS: Four of 6 symbols achieved levels of correct interpretation close to or exceeding the American National Standards Institute (ANSI) benchmark of 85% and none exceeded the ANSI limit of 5% critical confusion. Symbols elicited varying conceptual responses. Respondents considered 1 symbol to be the most effective, by a 4 to 1 margin. Several outcomes varied by age and by ethnicity. CONCLUSIONS: Several symbols emerged as viable alternatives to the current symbol; however, no 1 symbol was clearly found to be the most effective. Instead, the symbol considered "best" depends on the messages that are considered most essential to the warning. Additionally, it appears a symbol without the addition of text can convey most, but possibly not all, of the meaning required of the warning label. Next steps should include further symbol refinement, closer examination of text additions to symbols, and validation of the candidate symbols and warnings through a large-scale field trial.     

Auditory warning sounds in the work environment

One of the most common auditory warnings is the ambulance 'siren'. It cuts through traffic noise and commands one's attention, but it does so by sheer brute force. This 'better safe than sorry' approach to auditory warnings occurs in most environments where sounds are used to signal danger or potential danger. Flooding the environment with sound is certain to attract attention; however it also causes startled reactions and prevents communications at a crucial point in time. In collaboration with several companies and government departments, the MRC Applied Psychology Unit performed a series of auditory warning studies. The main conclusions of the research were that the number of immediate-action warning sounds should not exceed about six, and that each sound should have a distinct melody and temporal pattern. The experiments also showed that it is possible to predict the optimum sound level for a warning sound in most noise environments. Subsequently, a set of guidelines for the production of ergonomic auditory warnings was developed. The guidelines have been used to analyse the environments in both fixed-wing and rotary-wing aircraft, and to design prototype warning systems for environments as diverse as helicopters, operating theatres and the railways.     

Comparison Enhances Size Sensitivity: Neural Correlates of Outcome Magnitude Processing

Magnitude is a critical feature of outcomes. In the present study, two event-related potential (ERP) experiments were implemented to explore the neural substrates of outcome magnitude processing. In Experiment 1, we used an adapted gambling paradigm where physical area symbols were set to represent potential relative outcome magnitudes in order to exclude the possibility that the participants would be ignorant of the magnitudes. The context was manipulated as total monetary amount: ¥4 and ¥40. In these two contexts, the relative outcome magnitudes were ¥1 versus ¥3, and ¥10 versus ¥30, respectively. Experiment 2, which provided two area symbols with similar outcome magnitudes, was conducted to exclude the possible interpretation of physical area symbol for magnitude effect of feedback–related negativity (FRN) in Experiment 1. Our results showed that FRN responded to the relative outcome magnitude but not to the context or area symbol, with larger amplitudes for relatively small outcomes. A larger FRN effect (the difference between losses and wins) was found for relatively large outcomes than relatively small outcomes. Relatively large outcomes evoked greater positive ERP waves (P300) than relatively small outcomes. Furthermore, relatively large outcomes in a high amount context elicited a larger P300 than those in a low amount context. The current study indicated that FRN is sensitive to variations in magnitude. Moreover, relative magnitude was integrated in both the early and late stages of feedback processing, while the monetary amount context was processed only in the late stage of feedback processing.     

The social impacts of the heat–health watch/warning system in Phoenix,Arizona: assessing the perceived risk and response of the public

Heat is the leading weather-related killer in the United States. Although previous research suggests that social influences affect human responses to natural disaster warnings, no studies have examined the social impacts of heat or heat warnings on a population. Here, 201 surveys were distributed in Metropolitan Phoenix to determine the social impacts of the heat warning system, or more specifically, to gauge risk perception and warning response. Consistent with previous research, increased risk perception of heat results in increased response to a warning. Different social factors such as sex, race, age, and income all play an important role in determining whether or not people will respond to a warning. In particular, there is a strong sense of perceived risk to the heat among Hispanics which translates to increased response when heat warnings are issued. Based on these findings, suggestions are presented to help improve the Phoenix Heat Warning System.     

Symbols are not uniquely human

Modern semiotics is a branch of logics that formally defines symbol-based communication. In recent years, the semiotic classification of signs has been invoked to support the notion that symbols are uniquely human. Here we show that alarm-calls such as those used by African vervet monkeys (Cercopithecus aethiops), logically satisfy the semiotic definition of symbol. We also show that the acquisition of vocal symbols in vervet monkeys can be successfully simulated by a computer program based on minimal semiotic and neurobiological constraints. The simulations indicate that learning depends on the tutor-predator ratio, and that apprentice-generated auditory mistakes in vocal symbol interpretation have little effect on the learning rates of apprentices (up to 80% of mistakes are tolerated). In contrast, just 10% of apprentice-generated visual mistakes in predator identification will prevent any vocal symbol to be correctly associated with a predator call in a stable manner. Tutor unreliability was also deleterious to vocal symbol learning: a mere 5% of "lying" tutors were able to completely disrupt symbol learning, invariably leading to the acquisition of incorrect associations by apprentices. Our investigation corroborates the existence of vocal symbols in a non-human species, and indicates that symbolic competence emerges spontaneously from classical associative learning mechanisms when the conditioned stimuli are self-generated, arbitrary and socially efficacious. We propose that more exclusive properties of human language, such as syntax, may derive from the evolution of higher-order domains for neural association, more removed from both the sensory input and the motor output, able to support the gradual complexification of grammatical categories into syntax.     

Contemporary chinese sex symbols in dreams.

[Correction Notice: An erratum for this article was reported in Vol 20(3) of Dreaming (see record 2010-17362-003). The publishing year of the article in the correction notice was listed incorrectly as 2009. The correct publication year for the original article is 2010. The word were was also misspelled in the body of the correction as where.] [Correction Notice: An erratum for this article was reported in Vol 20(2) of Dreaming (see record 2010-12874-005). Three Chinese characters where printed incorrectly in the article. The correct symbols are shown along with the location of each in the original article. An error is also located on page 26, 3rd paragraph from the top, second symbol in the third sentence from the bottom of the paragraph. On page 28, 1st paragraph, the 1st symbol in line 7 of the paragraph is incorrect. The last error is on page 28, in which the 1st paragraph, 1st symbol in the last line of the paragraph is incorrect.] The present study aimed to determine how often Chinese people dream of sexual metaphors and to examine the association between the dreaming of sexual experiences and contemporary Chinese sex symbols. A list of sex symbols was derived from a thorough review of the sexual analogies that Chinese people most often use in slang language. This list, together with the Marlowe-Crowne Social Desirability Scale and the Eysenck Personality Questionnaire Revised–Short Form, was administrated to a sample of 608 upper-secondary school graduates from Hong Kong. It was found that the participants rarely dreamed about food analogies for sex, such as “eating litchis” and “bananas or banana-like objects.” By contrast, sex symbols involving weapons and aggressive behavior, such as “knives, swords, or daggers” and “shooting,” occurred in dreams with moderate prevalence rates. Moreover, gender, the frequency of dreaming sexual experiences, and social desirability significantly predicted the frequency scores on the scale formed by these aggressive symbols for sex. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

A Comparison of Different Informative Vibrotactile Forward Collision Warnings: Does the Warning Need to Be Linked to the Collision Event?

Recent research demonstrates that auditory and vibrotactile forward collision warnings presenting a motion signal (e.g., looming or apparent motion across the body surface) can facilitate speeded braking reaction times (BRTs). The purpose of the present study was to expand on this work by directly comparing warning signals in which the motion conveyed was constant across all collision events with signals in which the speed of motion was dependent on the closing velocity (CV). Two experiments were conducted using a simulated car-following task and BRTs were measured. In Experiment 1, increasing intensity (looming) vibrotactile signals were presented from a single tactor attached to the driver''s waist. When the increase in intensity was CV-linked, BRTs were significantly faster as compared to a no-warning condition, however, they were not significantly different from constant intensity and CV-independent looming warnings. In Experiment 2, a vertical array of three tactors was used to create motion either towards (upwards) or away (downwards) from the driver''s head. When the warning signal presented upwards motion that was CV-linked, BRTs were significantly faster than all other warning types. Downwards warnings led to a significantly higher number of brake activations in false alarm situations as compared to upwards moving warnings. The effectiveness of dynamic tactile collision warnings would therefore appear to depend on both the link between the warning and collision event and on the directionality of the warning signal.     

Correction to Yu (2010).

Reports an error in "Contemporary Chinese sex symbols in dreams: Correction to Yu" by Calvin Kai-Ching Yu (Dreaming, 2010[Mar], Vol 20[1], 25-41). The publishing year of the article in the correction notice was listed incorrectly as 2009. The correct publication year for the original article is 2010. The word were was also misspelled in the body of the correction as where. (The following abstract of the original article appeared in record 2010-05656-003.) [Correction Notice: An erratum for this article was reported in Vol 20(2) of Dreaming (see record 2010-12874-005). Three Chinese characters where printed incorrectly in the article. The correct symbols are shown along with the location of each in the original article. An error is also located on page 26, 3rd paragraph from the top, second symbol in the third sentence from the bottom of the paragraph. On page 28, 1st paragraph, the 1st symbol in line 7 of the paragraph is incorrect. The last error is on page 28, in which the 1st paragraph, 1st symbol in the last line of the paragraph is incorrect.] The present study aimed to determine how often Chinese people dream of sexual metaphors and to examine the association between the dreaming of sexual experiences and contemporary Chinese sex symbols. A list of sex symbols was derived from a thorough review of the sexual analogies that Chinese people most often use in slang language. This list, together with the Marlowe-Crowne Social Desirability Scale and the Eysenck Personality Questionnaire Revised–Short Form, was administrated to a sample of 608 upper-secondary school graduates from Hong Kong. It was found that the participants rarely dreamed about food analogies for sex, such as “eating litchis” and “bananas or banana-like objects.” By contrast, sex symbols involving weapons and aggressive behavior, such as “knives, swords, or daggers” and “shooting,” occurred in dreams with moderate prevalence rates. Moreover, gender, the frequency of dreaming sexual experiences, and social desirability significantly predicted the frequency scores on the scale formed by these aggressive symbols for sex. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Implicit Motivational Impact of Pictorial Health Warning on Cigarette Packs

Objective

The use of pictorial warning labels on cigarette packages is one of the provisions included in the first ever global health treaty by the World Health Organization against the tobacco epidemic. There is substantial evidence demonstrating the effectiveness of graphic health warning labels on intention to quit, thoughts about health risks and engaging in cessation behaviors. However, studies that address the implicit emotional drives evoked by such warnings are still underexplored. Here, we provide experimental data for the use of pictorial health warnings as a reliable strategy for tobacco control.

Methods

Experiment 1 pre-tested nineteen prototypes of pictorial warnings to screen for their emotional impact. Participants (n = 338) were young adults balanced in gender, smoking status and education. Experiment 2 (n = 63) tested pictorial warnings (ten) that were stamped on packs. We employed an innovative set-up to investigate the impact of the warnings on the ordinary attitude of packs’ manipulation, and quantified judgments of warnings’ emotional strength and efficacy against smoking.

Findings

Experiment 1 revealed that women judged the warning prototypes as more aversive than men, and smokers judged them more aversive than non-smokers. Participants with lower education judged the prototypes more aversive than participants with higher education. Experiment 2 showed that stamped warnings antagonized the appeal of the brands by imposing a cost to manipulate the cigarette packs, especially for smokers. Additionally, participants’ judgments revealed that the more aversive a warning, the more it is perceived as effective against smoking.

Conclusions

Health warning labels are one of the key components of the integrated approach to control the global tobacco epidemic. The evidence presented in this study adds to the understanding of how implicit responses to pictorial warnings may contribute to behavioral change.     

"Contemporary Chinese sex symbols in dreams": Correction to Yu (2009).

Reports an error in "Contemporary Chinese sex symbols in dreams" by Calvin Kai-Ching Yu (Dreaming, 2010[Mar], Vol 20[1], 25-41). Three Chinese characters where printed incorrectly in the article. The correct symbols are shown along with the location of each in the original article. On page 26, 3rd paragraph from the top, the second symbol in the third sentence from the bottom of the paragraph is incorrect. On page 28, 1st paragraph, the 1st symbol in line 7 of the paragraph is also incorrect. The last error on page 28, in which the 1st paragraph, 1st symbol in the last line of the paragraph is incorrect. (The following abstract of the original article appeared in record 2010-05656-003.) The present study aimed to determine how often Chinese people dream of sexual metaphors and to examine the association between the dreaming of sexual experiences and contemporary Chinese sex symbols. A list of sex symbols was derived from a thorough review of the sexual analogies that Chinese people most often use in slang language. This list, together with the Marlowe-Crowne Social Desirability Scale and the Eysenck Personality Questionnaire Revised–Short Form, was administrated to a sample of 608 upper-secondary school graduates from Hong Kong. It was found that the participants rarely dreamed about food analogies for sex, such as “eating litchis” and “bananas or banana-like objects.” By contrast, sex symbols involving weapons and aggressive behavior, such as “knives, swords, or daggers” and “shooting,” occurred in dreams with moderate prevalence rates. Moreover, gender, the frequency of dreaming sexual experiences, and social desirability significantly predicted the frequency scores on the scale formed by these aggressive symbols for sex. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Interpreting the Bucrania of Çatalhöyük: James Mellaart,Dorothy Cameron,and Beyond

ABSTRACT

The bucranium (bull's head and horns) has been recognized as the most prevalent three-dimensional art form found during the excavations of the Neolithic village of Çatalhöyük in central Turkey. James Mellaart interpreted it as the symbol of the son and lover of the Great Mother Goddess, worshipped at Çatalhöyük. Extending this interpretation, Dorothy Cameron, friend and colleague of Mellaart, saw the bucranium as a symbol of life and regeneration—essentially a female symbol, representing the divine power of the human female reproductive system. Using archaeological evidence, and interpretations arising from the current excavations at Çatalhöyük, parallel examples from comparative religion, and supportive data from veterinary images, this paper explicates and challenges these theories, extending them into an alternative interpretation of the symbolism of the bucranium.     

植被制图色彩和符号设计原则与全国植被图图例方案

植被图通常采用不同的颜色并结合符号来区分不同的植被类型, 以期更加直观、清晰地将植被类型信息传达给读者。如何通过色彩和符号的合理搭配来区分不同的植被类型是植被制图中的关键步骤, 尤其是对于植被类型较丰富的区域, 植被图的色彩和符号设计更为复杂。植被图图例系统建立在植被分类系统之上, 近10余年来我国的植被分类系统得到了进一步的发展和完善, 因此, 非常有必要在最新的植被分类系统基础上, 提出一套植被制图色彩和符号设计方案, 用以指导当前的植被制图工作。该研究整理了地图学、植被图以及其他专题地图色彩和符号设计的要求, 提出了植被制图的色彩和符号设计原则。在最新的植被分类系统基础上, 采用颜色三属性(色调、明度、饱和度)及符号的基本视觉变量(形状、尺寸、方向、色彩、密度、亮度)的变化及其组合, 依据色彩和符号设计的系统性、科学性、象征性等原则, 对中国植被分类系统高级分类单位中的植被亚型, 进行了标准化配色和符号设计, 旨在为植被制图工作者及新一代1:50万植被图编研提供理论依据和参考, 提升植被制图的效率和质量。     

Monoclonal antibodies: Longitudinal prescribing information analysis of hypersensitivity reactions

Monoclonal antibodies (mAbs) are known to cause hypersensitivity reactions (HSRs). The reactions pose a significant challenge to investigators, regulators, and health providers. Because HSRs cannot be predicted through the pharmacological basis of a therapy, clinical data are often relied upon to detect the reactions. Unfortunately, clinical studies are often unable to adequately characterize HSRs especially in therapies for orphan diseases. HSRs can go undetected until post-marketing safety surveillance when a large number of patients have been exposed to the therapy. The presented data demonstrates how hypersensitivity reaction warnings have changed over time in the prescribing information (PI), i.e., the drug package insert, through August 1, 2011 for 28 US-marketed mAbs. Tracking all PI revisions for each mAb over time revealed that hypersensitivity warning statements were expanded to include more severe manifestations. Over the course of a mAb therapy’s life cycle, the hypersensitivity warning is twice more likely to be upgraded than downgraded in priority. Approximately 85% of hypersensitivity-associated fatality warnings were added in PI revisions as a result of post-marketing experience. Over 60% (20/33) of revisions to hypersensitivity warnings occurred within 3–4 y of product approval. While HSRs are generally recognized and described in the initial PI of mAbs, fatal HSRs are most commonly observed in post-marketing surveillance. Results of this study suggest that initial product labeling information may not describe rare but clinically significant occurrences of severe or fatal HSRs, but subsequent label revisions include rare events observed during post-marketed product use.     

Monoclonal antibodies: Longitudinal prescribing information analysis of hypersensitivity reactions

Monoclonal antibodies (mAbs) are known to cause hypersensitivity reactions (HSRs). The reactions pose a significant challenge to investigators, regulators, and health providers. Because HSRs cannot be predicted through the pharmacological basis of a therapy, clinical data are often relied upon to detect the reactions. Unfortunately, clinical studies are often unable to adequately characterize HSRs especially in therapies for orphan diseases. HSRs can go undetected until post-marketing safety surveillance when a large number of patients have been exposed to the therapy. The presented data demonstrates how hypersensitivity reaction warnings have changed over time in the prescribing information (PI), i.e., the drug package insert, through August 1, 2011 for 28 US-marketed mAbs. Tracking all PI revisions for each mAb over time revealed that hypersensitivity warning statements were expanded to include more severe manifestations. Over the course of a mAb therapy’s life cycle, the hypersensitivity warning is twice more likely to be upgraded than downgraded in priority. Approximately 85% of hypersensitivity-associated fatality warnings were added in PI revisions as a result of post-marketing experience. Over 60% (20/33) of revisions to hypersensitivity warnings occurred within 3–4 y of product approval. While HSRs are generally recognized and described in the initial PI of mAbs, fatal HSRs are most commonly observed in post-marketing surveillance. Results of this study suggest that initial product labeling information may not describe rare but clinically significant occurrences of severe or fatal HSRs, but subsequent label revisions include rare events observed during post-marketed product use.     

When We Should Worry More: Using Cognitive Bias Modification to Drive Adaptive Health Behaviour

A lack of behavioural engagement in health promotion or disease prevention is a problem across many health domains. In these cases where people face a genuine danger, a reduced focus on threat and low levels of anxiety or worry are maladaptive in terms of promoting protection or prevention behaviour. Therefore, it is possible that increasing the processing of threat will increase worry and thereby enhance engagement in adaptive behaviour. Laboratory studies have shown that cognitive bias modification (CBM) can increase or decrease anxiety and worry when increased versus decreased processing of threat is encouraged. In the current study, CBM for interpretation (CBM-I) is used to target engagement in sun protection behaviour. The goal was to investigate whether inducing a negative rather than a positive interpretation bias for physical threat information can enhance worry elicited when viewing a health campaign video (warning against melanoma skin cancer), and consequently lead to more adaptive behaviour (sun protection). Participants were successfully trained to either adopt a positive or negative interpretation bias using physical threat scenarios. However, contrary to expectations results showed that participants in the positive training condition reported higher levels of worry elicited by the melanoma video than participants in the negative training condition. Video elicited worry was, however, positively correlated with a measure of engagement in sun protection behaviour, suggesting that higher levels of worry do promote adaptive behaviour. These findings imply that more research is needed to determine under which conditions increased versus decreased processing of threat can drive adaptive worry. Various potential explanations for the current findings and suggestions for future research are discussed.     

Health Warnings on Alcoholic Beverages: Perceptions of the Health Risks and Intentions towards Alcohol Consumption

ObjectivesResearch has demonstrated that packaging which includes pictorial health warnings are more effective in altering smokers’ perceptions and intentions as well as changing smoking behaviours compared to text-only health warnings. However, very few studies have investigated the effectiveness of health warnings on alcoholic beveragesMethodsParticipants (N = 60) viewed alcoholic beverages presenting one of three health warnings (No health warning, Text-only, Pictorial) and then responded to questions relating to level of fear arousal and their perceptions toward alcohol use.ResultsWe found that pictorial health warnings were associated with significantly higher fear arousal, increased perceptions of the health risks of consuming alcohol as well as greater intentions to reduce and quit alcohol consumption compared to the control.ConclusionsThese novel findings suggest pictorial health warnings on alcoholic beverages may be an important way of making the public aware of the health risks of alcohol consumption.