Consumer Satisfaction with Telerehabilitation Service Provision of Alternative Computer Access and Augmentative and Alternative Communication

Telerehabilitation (TR) services for assistive technology evaluation and training have the potential to reduce travel demands for consumers and assistive technology professionals while allowing evaluation in more familiar, salient environments for the consumer. Sixty-five consumers received TR services for augmentative and alternative communication or alternative computer access, and consumer satisfaction was compared with twenty-eight consumers who received exclusively in-person services. TR recipients rated their TR services at a median of 6 on a 6-point Likert scale TR satisfaction questionnaire, although individual responses did indicate room for improvement in the technology. Overall satisfaction with AT services was rated highly by both in-person (100% satisfaction) and TR (99% satisfaction) service recipients.

A psychophysical study of the relationship between temporal processing in odor mixtures and transduction pathways

Depending on the odorant, transduction during the olfactory reception process is reported to be mediated by the second messengers cyclic adenosine 3',5'-monophosphate (cAMP) or inositol 1,4,5-triphosphate (IP(3)). The present study with humans investigates the relationship between temporal processing in mixtures and the type of transduction process used. The most common outcomes were reciprocal temporal interactions which were primarily dependent on odorant concentration and independent of the type of transduction process. The results are consistent with the bulk of evidence that each receptor neuron commonly has only one type of receptor.

The analysis of odor mixtures by humans: evidence for a configurational process

Humans have a limited capacity to analyze odor mixtures with three to four being the maximum [Physiol Behav 46 (1989) 809.]. This study investigates the large loss of information about odor identity that occurs in mixtures and aims to determine the information on which identification and failure to identify is based. In Experiment 1, 14 subjects used a selective attention procedure to identify odorants in stimuli consisting of one to four components. As expected, substantial difficulties were encountered in identifying more than two odorants, and chance level scores were obtained for the group for each of the odorants in the quaternary mixture. In Experiment 2, 21 subjects used a profiling procedure consisting of 146 descriptors to describe the odor qualities perceived in the same stimuli used in Experiment 1. The results indicated that for some odorants, loss of a major characteristic quality occurred even in binary mixtures, but that many of the features of some odorants remained in the quaternary mixture. Comparison of the data from the two experiments indicated that identification of most of the prominent qualities of an odorant was not necessarily sufficient for identification of the odorant in a mixture. In contrast, the loss of some prominent features did not always result in non-identification. A configurational hypothesis of olfaction, analogous to that for facial and object recognition, is proposed to account for the data and the processes underlying odor identification in mixtures.

A limit in the processing of components in odour mixtures

We investigated the hypothesis that physiological limitations restrict the ability of humans to identify components in an odour mixture. Subjects were trained to identify the test odours, and were required to detect a single highly familiar odorant in stimuli consisting of one, four, eight, twelve, and sixteen odorants by using a selective-attention procedure. The stimuli were delivered by a computer-controlled sixteen-channel air-dilution olfactometer which provided samples of each of the sixteen odorants to be of equal perceived intensity for each subject. Identification fell to chance level when sixteen odorants were present. It is proposed that the profound loss of information was primarily due to inhibition of olfactory receptor cells by the odorants through competitive mechanisms, and the subsequent loss of odour identity through changes in the spatial code that may be used to identify odorants.

Temporal processing reveals a mechanism for limiting the capacity of humans to analyze odor mixtures

Humans have great difficulty in analyzing odor mixtures. The present study investigates the role of temporal processing in mixture perception and its impact on human performance. The results indicate that in contrast to binary mixtures, the temporal order of the perception of components and their identity cannot be discerned in ternary mixtures. It is proposed that the primary cause of this inability is slow processing in olfactory working memory which limits the analysis of mixtures to about three components.

Temporal processing of odor mixtures reveals that identification of components takes precedence over temporal information in olfactory memory

Temporal processing of binary mixtures results in odorants being perceived in series separated by many hundreds of milliseconds. Since the odorant perceived first is the main suppressor, knowledge of the order of perception of two odorants can allow prediction of interactions in mixtures. The present study investigated the temporal coding of ternary mixtures composed of carvone, coniferan and triethylamine, and citralva, lillial and triethylamine using a specially constructed air-dilution olfactometer. The results indicated that even though each of the components could be readily identified in ternary mixtures, it was very difficult to indicate which odor was perceived first, with chance scores being recorded. The same outcome occurred even when the 'slowest' odorant was delivered 600 ms after the 'fastest' to the nose. It is proposed that olfactory memory gives precedence to identification of the components of mixtures rather than to their order of perception when more than two odorants are in a mixture.

Examining the role of the practitioner-teacher in nursing

This article examines the difficulties faced by specialist nurses when they attempt to combine practice and teaching roles. It gives a detailed analysis of the emergence of full-time practitioner-teachers in nursing, including the role of joint appointees. It is recommended that the practitioner-teacher role should be promoted, and this will necessitate research into the feasibility of such roles.