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In this updated and expanded edition of The Cambridge Handbook of Expertise and Expert Performance, some of the world's foremost experts on expertise share their scientific knowledge of expertise and expert performance and show how experts may differ from non-experts in terms of development, training, reasoning, knowledge, and social support. The book reviews innovative methods for measuring experts' knowledge and performance in relevant tasks. Sixteen major domains of expertise are covered, including sports, music, medicine, business, writing, and drawing, with leading researchers summarizing their knowledge about the structure and acquisition of expert skills and knowledge, and discussing future prospects. General issues that cut across most domains are reviewed in chapters on various aspects of expertise, such as general and practical intelligence, differences in brain activity, self-regulated learning, deliberate practice, aging, knowledge management, and creativity.
Fontan survivors have depressed cardiac index that worsens over time. Serum biomarker measurement is minimally invasive, rapid, widely available, and may be useful for serial monitoring. The purpose of this study was to identify biomarkers that correlate with lower cardiac index in Fontan patients.
Methods and results
This study was a multi-centre case series assessing the correlations between biomarkers and cardiac magnetic resonance-derived cardiac index in Fontan patients ⩾6 years of age with biochemical and haematopoietic biomarkers obtained ±12 months from cardiac magnetic resonance. Medical history and biomarker values were obtained by chart review. Spearman’s Rank correlation assessed associations between biomarker z-scores and cardiac index. Biomarkers with significant correlations had receiver operating characteristic curves and area under the curve estimated. In total, 97 cardiac magnetic resonances in 87 patients met inclusion criteria: median age at cardiac magnetic resonance was 15 (6–33) years. Significant correlations were found between cardiac index and total alkaline phosphatase (−0.26, p=0.04), estimated creatinine clearance (0.26, p=0.02), and mean corpuscular volume (−0.32, p<0.01). Area under the curve for the three individual biomarkers was 0.63–0.69. Area under the curve for the three-biomarker panel was 0.75. Comparison of cardiac index above and below the receiver operating characteristic curve-identified cut-off points revealed significant differences for each biomarker (p<0.01) and for the composite panel [median cardiac index for higher-risk group=2.17 L/minute/m2 versus lower-risk group=2.96 L/minute/m2, (p<0.01)].
Higher total alkaline phosphatase and mean corpuscular volume as well as lower estimated creatinine clearance identify Fontan patients with lower cardiac index. Using biomarkers to monitor haemodynamics and organ-specific effects warrants prospective investigation.
The Cambridge Handbook of Applied Perception Research covers core areas of research in perception with an emphasis on its application to real-world environments. Topics include multisensory processing of information, time perception, sustained attention, and signal detection, as well as pedagogical issues surrounding the training of applied perception researchers. In addition to familiar topics, such as perceptual learning, the Handbook focuses on emerging areas of importance, such as human-robot coordination, haptic interfaces, and issues facing societies in the twenty-first century (such as terrorism and threat detection, medical errors, and the broader implications of automation). Organized into sections representing major areas of theoretical and practical importance for the application of perception psychology to human performance and the design and operation of human-technology interdependence, it also addresses the challenges to basic research, including the problem of quantifying information, defining cognitive resources, and theoretical advances in the nature of attention and perceptual processes.