If We Build It … Will They Come? – Establishing a Cancer Genetics Services Clinic for an Underserved Predominantly Latina Cohort

Background: Cancer genetic counseling and testing is a standard of care option for appropriate families and can identify individuals at increased risk prior to diagnosis, when prevention or detection strategies are most effective. Despite documented efficacy of cancer risk reduction in high-risk individuals, underserved and minority individuals have a disproportionate cancer burden and limited access to genetic counseling. Methods: A needs assessment survey documented gaps in knowledge and interest in prevention. Satellite clinics were established at two indigent healthcare systems. Cancer genetics CME lectures were conducted and referral guidelines disseminated to clinicians who referred patients for counseling. Results: An increase in clinician knowledge was demonstrated post-CME and reflected by quality referrals. Eighty-eight percent of patients kept their appointments. In the predominantly Latina⁶ (n=77) clinic population, 71.4% were affected with cancer, and 17 mutation positive families were identified. Preliminary data shows a positive impact on patients' motivation and behavior. The majority has expressed satisfaction and reduction in anxiety. Conclusions: This study demonstrates feasibility and acceptability of cancer genetics services in this population, suggesting the potential to reduce cancer morbidity in underserved, high-risk families.“Latino” is the most common census term for individuals of Spanish, Mexican, Central and South American, Cuban, or Puerto Rican descent, referring to ethnicity, and is generally considered a more ethnically/culturally based term for individuals of the aforementioned groups. As this cohort is female the feminine noun “Latina” is used     

Orthographic directionality and thematic role illustration in English and Arabic

This study tested the hypotheses that people had a bias for drawing agents on the left of a picture when given a verb stimulus targeting an active or passive event (e.g., "kicked" or "is kicked") and that orthographic directionality would influence the way events were illustrated. Monolingual English speakers, who read and write left-to-right, and Arabic speakers, who read and write right-to-left, drew agents and patients in response to verb stimuli. We found no significant orthographic directionality effects and no preference for positioning agents on the left of pictures in either group or sentence type. Instead, participants drew agents on the right regardless of language or sentence type, and this was exaggerated in English speakers illustrating passive verbs. These findings support the existence of a preference for placing agents in the right hemispace that may result from asymmetrical hemispheric (i.e., left>right) activation induced by language processing. Our results are consistent with findings that people prefer pictures in which focus is on the right, a preference strongest in pictures with no implicit directionality of movement. This suggests that the methodology of the current study encouraged a static rather than dynamic interpretation of the verb in most participants.     

Power of the Circumplex: Incremental validity of intersection traits in predicting counterproductive work behaviors

This study examines the role of the circumplex model of personality in predicting counterproductive work behaviors (CWBs). Drawing on the fidelity‐bandwidth principle, we investigate the hypotheses that each of the three sets of circumplex traits representing the intersections of conscientiousness–agreeableness, conscientiousness–emotional stability, and agreeableness–emotional stability will account for significant incremental variance over five‐factor model (FFM) traits in predicting CWBs. Results indicated the circumplex traits contribute incremental variance over the FFM traits, are relatively more important than the FFM traits, and account for 1.5–2.0 times more variance in the total R² associated with CWBs. Collectively, these findings show that circumplex traits capture unique information not explained by FFM traits, and this information leads to a better understanding of the dispositional nature of CWBs.     

Why does ingroup essentialism increase prejudice against minority members?

A study with British participants (N = 90) tested a potential mediator of the effect of essentialist beliefs about the national ingroup on prejudice against immigrants. Essentialist beliefs were defined as beliefs in genetic determinism, a basic assumption that group membership is “written in the blood” and that the groups’ boundaries and characteristics are determined by genetic and/or biological factors. Essentialist beliefs were expected to play an important role in the formation of prejudice. They were predicted to be associated with a reduction in the perceived possibility of immigrants’ adopting the mainstream culture. Further, it was expected that essentialist beliefs would be positively associated with perceptions of intergroup threat, which in turn would be associated with a stronger demand for immigrants adopting the mainstream culture. Taken together, essentialist beliefs were predicted to be associated with a greater discrepancy between the demand for and perceived feasibility of culture adoption. This discrepancy was hypothesized to mediate the effect of essentialist beliefs on prejudice against immigrants. Structural equation modeling analysis and mediation analysis supported the hypotheses, showing that essentialism attributed to the national ingroup results in people demanding something seemingly impossible from immigrants, and that this situation in which immigrants have little chance of fulfilling majority members’ expectations results in prejudice against them. Thus, results show that perceptions of the ingroup are associated with attitudes to the outgroup, and they outline an explanatory mechanism for the positive correlation between essentialism and prejudice which has been found in previous research. Theoretical and applied implications are discussed.     

Late-onset startle syndrome and obsessive compulsive disorder

A case of late onset sporadic startle syndrome in a patient with a right posterior fossa brain tumour is reported. The exaggerated startle response did not respond to treatment with clonazepam. In addition to anxiety and depression, the patient developed obsessive- compulsive symptoms which responded to behavioural therapy. The possible mechanisms for this unique pattern of symptoms are discussed.     

Cumulative Advantage: Conductors and Insulators of Heavy‐Tailed Productivity Distributions and Productivity Stars

We use the metatheoretical principle of cumulative advantage as a framework to understand the presence of heavy‐tailed productivity distributions and productivity stars. We relied on 229 datasets including 633,876 productivity observations collected from approximately 625,000 individuals in occupations including research, entertainment, politics, sports, sales, and manufacturing, among others. We implemented a novel methodological approach developed in the field of physics to assess the precise shape of the productivity distribution rather than relying on a normal versus nonnormal artificial dichotomy. Results indicate that higher levels of multiplicity of productivity, monopolistic productivity, job autonomy, and job complexity (i.e., conductors of cumulative advantage) are associated with a higher probability of an underlying power law distribution, whereas lower productivity ceilings (i.e., insulator of cumulative advantage) are associated with a lower probability. In addition, higher levels of multiplicity of productivity, monopolistic productivity, and job autonomy were associated with a greater proportion of productivity stars (i.e., productivity distributions with heavier tails), whereas lower productivity ceilings were associated with a smaller proportion of productivity stars (i.e., productivity distributions with lighter tails). Results serve as a building block for future theory development and testing efforts aimed at understanding why, when, and how the distribution of individual productivity may follow a nonnormal curve—and to what extent. We also discuss implications for organizations and management in terms of the design and implementation of human resource systems (e.g., selection, training, compensation), as well as for individuals interested in becoming productivity stars themselves.     

Healing Faith: A Qualitative Exploration of Latina Breast Cancer Survivors

Latina cancer survivors report higher levels of distress and depression and lower levels of social quality of life and overall health‐related quality of life when compared with all other cancer survivors. Cultural values influence cancer survivorship; however, little research to date has examined how aspects of the Latina culture may be healing during the cancer journey. Therefore, the purpose of this article is to present findings from a qualitative study exploring the influence of culture on quality of life for Latina breast cancer survivors. The authors use consensual qualitative research to understand the lived experiences of Latina breast cancer survivors.