Human Immunodeficiency Virus (HIV) and the Health of African Americans

The author contends that the disproportionately high rate of HIV/AIDS infections among African Americans should be approached from a social and political perspective, and should not be viewed as merely a result of individual behavior.     

The Perceptions of Persons Living with Human Immunodeficiency Virus/Acquired Immune Deficiency Syndrome About Their Experiences in Regaining Productive Occupations: A Delphi Study

Research supports the importance of occupational role engagement for people living with human immunodeficiency virus and acquired immunodeficiency syndrome. This qualitative Delphi study obtained the perspectives of participants in a community-based program for persons living with human immunodeficiency virus/acquired immunodeficiency syndrome about their resumption of productive occupations. Data analysis revealed four themes of self-worth, finances, health, and social systems. Within each theme, motivators, obstacles, and supports were identified. These findings can be used to guide occupational therapy practitioners working with persons living with human immunodeficiency virus/acquired immunodeficiency syndrome to facilitate supports, surmount barriers, and empower persons living with human immunodeficiency virus/acquired immunodeficiency syndrome to resume and retain desired and meaningful occupational roles.     

Development of the Diabetes Education, Counseling, Information Delivery and Evaluation (DECIDE) Program: A Health Promotion Intervention For Preadolescents with Type 1 Diabetes

Careful attention to self-care behaviors is crucial to achieving good health outcomes in children and adolescents with type 1 diabetes. Despite the unequivocal research findings that adolescence is a time of poor metabolic control among affected individuals, there have been few prevention efforts geared toward health promotion in this age group. The diabetes education, counseling and information delivery, and evaluation (DECIDE) Program is intended to prevent the deterioration of self-care behaviors often evident during adolescence by intervening during the earlier, more stable time period of preadolescence. This paper describes the foundation for the DECIDE Program and outlines intervention development, current study recruitment, and preliminary program evaluation data. Findings indicate that enrollment into the program is feasible among children and their parents; early feedback suggests that parents and children are also satisfied with their participation. The challenges of conducting randomized controlled trials in health promotion for childhood diabetes are discussed, and ideas are offered for future research directions to improve the integration of child health psychology with public health approaches in this population.     

Attributional Style, Self-Esteem, and Human Immunodeficiency Virus: A Test of the Hopelessness and Self-Esteem Theories of Depression

Research on the hopelessness and self-esteem theories of depression (Abramson, Metalsky, & Alloy, 1989; Metalsky, Joiner, Hardin, & Abramson, 1993) suggests that HIV-infected persons with depressotypic attributional style (AS) and low self-esteem (SE) may be at risk for onset of a syndrome referred to as hopelessness depression (HD). In a prospective study conducted to test these theories, measures of anxiety and depression, AS, and SE were administered to 85 HIV+ and 43 HIV– men; symptoms were reassessed 6 months later. Results indicated that: (1) The interaction of AS, SE, and HIV status predicted change in HD symptoms, but not overall depression or anxiety symptoms; (2) HIV+ men with depressotypic AS and high SE had increased HD symptom levels while other men with high SE had decreased HD symptom levels; (3) HD symptoms remained stable over the 6-month interval among men with low SE; and (4) High SE predicted decreases in anxiety symptoms among HIV– men, but not among HIV+ men. Contrary to the study hypothesis, these findings suggest that among individuals with life-threatening illnesses such as HIV infection, those with depressotypic AS and high SE may be at highest risk for onset of HD.     

培养坚强意志，拒绝不良影响

科学无神论教育在中学进行尝试性的课题在北京八中进行了一个学期,该课题的唐燕老师将其思想融入了自己的教学中,运用现代教育学的理论,指导中学生对社会和校园中出现的一些迷信现象进行了分析讨论,让同学们自己作出判断,由此树立正确的“三观”,达到科学无神论教育的目的。这种生动而有效的教学活动给无神论教育走入校园以很大的启发。我们将分几期择要摘录了一些课堂活动的纪实情况,以便读者学习参考。     

A Human Modification of the Children's Apperception Test (CAT-H)

Since the creation of the CAT fifteen years ago, first introduced in the pages of this Journal, many studies have been published comparing the stimulus value of animal versus human figures. Some outcomes favored the animal figures, while an even larger number favored the human stimuli. It appears that some children respond better to animal stimuli, and some to human figures, depending on particular characteristics of the child. A human modification of the CAT was therefore developed by Bellak and Bellak. It is hoped this version will be useful with older children, especially those with an M.A. beyond ten years, and will thus bridge the gap between the animal CAT and the TAT. The human CAT may also elicit more information from children with particular personality characteristics.     

The Effects of Emotional (Non-)Expression in (Chronic) Disease: A Meta-Analytic Review

Research on emotional (non-)expression is characterized by two facets; it has mainly focused on healthy individuals and it has failed to explore the relationships between the different concepts describing expression and non-expression. A meta-analysis was conducted in order to identify the differential effects of emotional expression and non-expression in patient samples. Results showed that neither expression, nor non-expression of emotions was related to perception of disease severity. Psychological distress increased in relation to emotional non-expression, but no effect was shown for emotional expression. Emotional non-expression was also related to adopting a helpless attitude towards the disease. The conceptual and methodological disparities identified in the retrieved studies undermined the validity of the emerged relationships. Reported changes in physical and psychological outcomes were related to the kind of research design, operationalization of (non-)expression and the clinical and psychological condition of the recruited samples. Implications for improving future research are discussed.     

Design, Development, and Evaluation of an Interactive Simulator for Engineering Ethics Education (SEEE)

Societal pressures, accreditation organizations, and licensing agencies are emphasizing the importance of ethics in the engineering curriculum. Traditionally, this subject has been taught using dogma, heuristics, and case study approaches. Most recently a number of organizations have sought to increase the utility of these approaches by utilizing the Internet. Resources from these organizations include on-line courses and tests, videos, and DVDs. While these individual approaches provide a foundation on which to base engineering ethics, they may be limited in developing a student’s ability to identify, analyze, and respond to engineering ethics situations outside of the classroom environment. More effective approaches utilize a combination of these types of approaches. This paper describes the design and development of an internet based interactive Simulator for Engineering Ethics Education. The simulator places students in first person perspective scenarios involving different types of ethical situations. Students must gather data, assess the situation, and make decisions. This requires students to develop their own ability to identify and respond to ethical engineering situations. A limited comparison between the internet based interactive simulator and conventional internet web based instruction indicates a statistically significant improvement of 32% in instructional effectiveness. The simulator is currently being used at the University of Houston to help fulfill ABET requirements.     

Education and conspiracy beliefs: A replication of van Prooijen (2017)

The main aim of the study was to replicate and extend van Prooijen's findings on how education and its outcomes (cognitive complexity, subjective social standing, self-esteem, a feeling of control and powerlessness, cognitive reflection, epistemic curiosity and scientific reasoning) predict conspiracy beliefs. In two studies (Study 1: N = 497, M_age = 49.06, SD_age = 14.92; Study 2: N = 482, M_age = 47.45, SD_age = 15.87), subjective socioeconomic status and cognitive reflection (Study 1) and a feeling of powerlessness and scientific reasoning (Study 2) contributed to the negative relationship between education level and belief in conspiracy theories. These results showed the connection of education to socioeconomic status, a feeling of control and analytic thinking (cognitive reflection, scientific reasoning) and their power to reduce conspiracy beliefs.     

The Fears of Evaluation About Performance (FEAP) Task: Inducing Anxiety-Related Responses to Direct Exposure to Negative and Positive Evaluations

Fears of negative and positive evaluation (i.e., evaluative fears) manifest within performance-based situations (e.g., public speaking, group presentations), particularly among those experiencing social anxiety. Within these performance-based situations, individuals experiencing such evaluative fears frequently display a variety of impairments (e.g., avoidance, nervousness) that might manifest within and across various settings (e.g., employment, school). How do those who experience these fears react to in-the-moment feedback about their performance? We constructed the Fear of Evaluation About Performance (FEAP) task to examine ecologically valid experiences with anxiety when reacting to positive and negative feedback. During the task, participants gave a speech, and subsequent to this and in counterbalanced order, received positive and negative feedback about their speech, with continued assessment of anxiety-related arousal throughout the task. We tested the FEAP task among 127 adults, who provided self-reports of fears of positive and negative evaluation before completing the task. Fears of positive evaluation uniquely predicted arousal following receipt of positive feedback, whereas fears of negative evaluation uniquely predicted arousal following receipt of negative feedback. Relative to participants receiving positive feedback first, those receiving negative feedback first experienced elevated post-feedback arousal, followed by a steep decline in arousal post-positive feedback. Conversely, participants receiving positive feedback first experienced a buffer effect whereby arousal post-negative feedback remained low, relative to the arousal experienced post-negative feedback among those who received negative feedback first. We expect the FEAP task to inform basic science on fears of negative and positive evaluation, as well as treatment planning in applied clinical settings.     

A longitudinal study of bilingual and cognitive development(1)

This paper presents the findings of a longitudinal study of IQ data collected over a 5-year period (Grades K-4) on pupils enrolled in a French immersion program (anglophone pupils receiving all instruction in French except English language arts) and pupils in the regular English program. Although year-by-year results may fail to show IQ differences between the two groups, repeated measures analysis indicates that the immersion group has a higher IQ measure over the 5-year period. However, considering Grades 1–3 only, which involved the administration of the same test, the two groups do not score differentially with respect to either overall IQ measure or specific subtest scores (classification/categorization, analogies, following of verbal directions) when scores are adjusted for initial IQ (and age) differences, thus failing initially to support studies which show positive relationships between bilingualism and cognitive functioning. However, supportive of those studies is a further analysis on the data of immersion pupils classified as “high” French achievers vs. “low” French achievers. The high French achievers obtain significantly higher IQ measures and subtest scores (analogies and following of verbal directions) than the low French achievers, even when scores are adjusted for initial IQ and age differences. These findings are interpreted in the context of Cummins' (1976) “threshold” hypothesis relating to level of competence in the second language.     

关于甲型H1N1流感未来流行趋势的几点分析

2009年3月以来出现的甲型H1N1流感是一种全新的流感病毒,目前已在全球大流行.从半年的疫情监测结果判断,轻症患者居多,病毒似乎还没有产生明显的变异.但随着北半球冬季的到来,患者数目必然急剧增多.由于现有的疫苗不能充分满足需要,医疗和防疫部门仍需承担相当艰巨的任务.     

Design, Development, and Evaluation of a Second Generation Interactive Simulator for Engineering Ethics Education (SEEE2)

This paper describes a second generation Simulator for Engineering Ethics Education. Details describing the first generation activities of this overall effort are published in Chung and Alfred (Sci Eng Ethics 15:189?C199, 2009). The second generation research effort represents a major development in the interactive simulator educational approach. As with the first generation effort, the simulator places students in first person perspective scenarios involving different types of ethical situations. Students must still gather data, assess the situation, and make decisions. The approach still requires students to develop their own ability to identify and respond to ethical engineering situations. However, were as, the generation one effort involved the use of a dogmatic model based on National Society of Professional Engineers?? Code of Ethics, the new generation two model is based on a mathematical model of the actual experiences of engineers involved in ethical situations. This approach also allows the use of feedback in the form of decision effectiveness and professional career impact. Statistical comparisons indicate a 59 percent increase in overall knowledge and a 19 percent improvement in teaching effectiveness over an Internet Engineering Ethics resource based approach.     

A parallel process seminar for use in programs of Clinical Pastoral Education (CPE)

A seminar model is developed and used for students in Clinical Pastoral Education to explore parallel process dynamics operative in their ministry. One of the key assumptions on which this seminar is designed is that students will present material from their work with patients that carry relational dynamics that parallel the students' intra-psychic dynamics. Verbatim material presented is used in the learning group to identify and respond to the presenter's intra-psychic dynamics and their implication for ministry--to provide support, clarification, and/or confrontation with the intent of facilitating personal and professional growth.     

A validation study of a transferred group intelligence test(1)

The purpose of the research was to conduct a validation study of a transferred group intelligence test. The Lorge-Thorndike Intelligence Test, Level A, Form 1 was translated to Hebrew and administered to an Israeli sample comparable to the original norming group. The results obtained were concerned with variability, reliability, validity, item analysis, intercorrelations among subtests, and factor analysis. While few comparisons of the Israeli sample with the original data were made, the validation of the transferred test was examined in the light of other criteria for evaluating a new test. The suitability of the transferred test for Israeli high achievers from high-status families was supported by the results. The major conclusions were: (1) the total mean IQ scores of Israeli students were approximately the same as the American mean; (2) mean raw scores increased with age; (3) relative difficulty of individual items remained stable through translation and administration in Israeli culture, in three out of five subtests; (4) it appears reasonable to suggest that the factor structure of the translated test is consistent with the intent of the original.     

Association of Catechol-O-Methyltransferase Polymorphism (Val108/158Met) With Parkinson's Disease: A Meta-Analysis

Parkinson's disease (PD) is a common neurodegenerative disease, the risk factors of which are gaining more attentions. Among all these risk factors, catechol-o-methyltransferase (COMT) has been widely studied, and believed to be associated with PD. However, the relationship between COMT polymorphism and PD has not been confirmed hitherto. Therefore, a meta-analysis was performed to evaluate the effect of COMT polymorphism on PD patients. A total of 24 study subjects comprising 3,807 patients with PD and 3,942 unrelated healthy controls were recruited in this meta-analysis. Heterogeneity testing and sensitivity analysis were conducted with Review Manager 5.0 software (The Nordic Cochrane Centre, The Cochrane Collaboration, Copenhagen, Denmark) and Stata software (StataCorp, College Station, TX), together with publication bias by funnel plot method and modified Egger's linear regression test. No evidences of publication bias and heterogeneity were detected. In the 24 studies, the estimated odds ratios (OR) in PD patients are 0.98 for the Met allele (95% confidence interval [0.92, 1.05]) under a fixed-effects model. The authors also conducted a stratified analysis according to geographic region among Europe, Asia, and North America, the ORs for the Met allele are 0.92, 1.02, and 1.10, respectively. According to the results of the meta-analysis, a conclusion could be drawn that polymorphism of Val108/158Met are not associated with the risk of PD. However, more convincing studies are warranted to have a solid conclusion supported.