Predictors of proficient technique and successful lesion detection in breast self-examination

Seventy-three women attending a health fair completed a questionnaire that measured demographic and health history variables, knowledge, and current practice of breast self-examination (BSE), Multidimensional Health Locus of Control (MHLC; Wallston, Wallston, & DeVellis, 1978), and components of the Health Belief Model (HBM; Rosenstock, 1974) in relation to breast cancer and BSE. These variables formed the basis of a conceptual model of BSE behavior that was examined by having each woman participate in a behavioral trial with a breast model in which her BSE technique and ability to detect simulated tumors was assessed. Regression analyses revealed that self-confidence in the efficacy of BSE was the best single predictor of proficient BSE. Powerful others HLC, knowledge of correct BSE behaviors, and chance HLC, respectively, also contributed significantly to the variance in performance. As anticipated, successful lesion detection was most strongly associated with more proficient BSE technique and higher frequency of BSE practice in the past six months. Internal HLC scores were not predictive of either behavioral measure. Similarly, except for perceived efficacy of BSE, HBM variables showed no strong relationships to observed behavior.     

Rates and Types of Student Aggression against Teachers: A Comparative Analysis of U.S. Elementary,Middle, and High Schools

Student perpetrated violence against teachers is widespread, yet few studies differentiate teacher experiences of violence by school level (i.e., elementary, middle, and high school). This study, based upon 2,558 pre-kindergarten through 12^th grade teacher survey responses, revealed differences in types of student aggression against teachers by school level. Middle and high school teachers were more likely to report verbal harassment compared to elementary school teachers. Middle school teachers were most likely to report property offenses. Elementary and middle school teachers were more likely to report physical aggression than high school teachers. Demographic predictors of teacher-directed violence were also examined at each school level. Across all school levels, urban teachers had a greater probability of experiencing a violent incident. For elementary teachers, race/ethnicity and teaching experience were also significant risk factors. Future research, policy, and practice implications and recommendations are discussed.

     

Indian Health Care Professionals’ Attitude Towards Spiritual Healing and Its Role in Alleviating Stigma of Psychiatric Services

Persons with mental illnesses in India and rest of developing world continue to consult religious/spiritual (R/S) healers or traditional, complementary and alternative medicine (TCAM) professionals prior to seeking psychiatric services that are devoid of spiritual components of care. We aim to understand TCAM and allopathic professionals’ perspectives on patients’ R/S needs within mental health services, cross-sectional study was conducted at five TCAM and two allopathic tertiary care hospitals in three different Indian states; 393 participants completed RSMPP, a self-administered, semi-structured survey questionnaire. Perspectives of TCAM and allopathic health professionals on role of spirituality in mental health care were compared. Substantial percentage, 43.7 % TCAM and 41.3 % allopathic, of participants believe that their patients approach R/S or TCAM practitioners for severe mental illness; 91.2 % of TCAM and 69.7 % of allopaths were satisfied with R/S healers (p = 0.0019). Furthermore, 91.1 % TCAM and 73.1 % allopaths (p = 0.000) believe that mental health stigma can be minimized by integrating with spiritual care services. Overall, 87 % of TCAM and 73 % of allopaths agreed to primary criterion variable: ‘spiritual healing is beneficial and complementary to psychiatric care.’ A quarter of allopaths (24.4 %) and 38 % of TCAM physicians reportedly cross-refer their grieving patients to religious/TCAM healer and psychiatrist/psychologist, respectively; on logistic regression, significant (p < 0.05) predictors were clinical interactions/references to r/s healers. Providing spiritual care within the setup of psychiatric institution will not only complement psychiatric care but also alleviate stigma against mental health services. Implications on developing spiritual care services like clinical chaplaincy are discussed.     

Is it Push or Pull? Recent Evidence from Migration into Bangalore, India

Given urban areas contribute to more than 65 % of India’s gross domestic product (GDP), the sustainability of the rapid 8–9 % GDP growth India has experienced in the last decade, is dependent to a large extent on urban areas. With migration being one of the important factors contributing to the growth of urban population, we attempt to understand whether it is push (out of the rural area) or pull (toward the urban area due to its perceived benefits) which explains migration in India, taking the case of Bangalore, which has one of the largest proportions of in-migrants to total population. An examination of these factors is done using a primary survey of migrants in Bangalore. Using a probit model, we find that the lower the level of education of the migrant, the greater the importance of the push factors whereas with increasing level of education of the migrant, pull factors become more important in migration. Women are more likely to be “pulled” toward urban areas. We find migrants from within Karnataka are “pushed”. This suggests that nonfarm employment opportunities have to be increased, rural infrastructure improved, and the development of small and medium towns encouraged.     

Dynamic formation and destruction process of stacking fault tetrahedra in single-crystal Ni during nanoscale cryo-rolling

Stacking fault tetrahedra (SFTs) are known to form during the rolling process of face-centered cubic metals and to deteriorate their structural properties. However, the atomistic mechanism of formation and destruction of SFTs during such material processing is still unclear. We have performed molecular dynamics simulations of the nanoscale cryo-rolling process for single-crystal nickel and here report the mechanism behind the formation and collapse of SFTs. It is found that SFTs are formed through dissociation of Shockley partial dislocation loops in the specimen. On the other hand, destruction of SFTs occurs under compressive stress and follows an inverse Silcox-Hirsch mechanism.     

HIV voluntary counselling and testing among recently initiated and traditionally circumcised men in the Eastern Cape Province of South Africa

HIV voluntary counselling and testing (VCT) is a cornerstone of the national strategic plan for HIV/AIDS treatment, care and support in South Africa. However, research shows that the utilisation of VCT services is disappointingly low, particular among males. This article focuses on the factors associated with the intention to test for HIV-infection among recently initiated and traditionally circumcised men in the rural areas of Eastern Cape Province, South Africa. Individual face-to-face interviews were conducted among 1656 sexually active men. Logistic regression analyses were used to explore the association between intention to test for HIV and psychosocial factors. Overall, 35.1% of the participants reported ever having tested for HIV. Intention to test for HIV was positively associated with perceived probability of getting an STI, positive attitudes towards gender-based violence, received general teachings about being a responsible man and highest grade passed. These findings provide specific information that can be used in the development of a focused cultural sensitive STI/HIV prevention programme aimed to increase VCT uptake among sexually active young men, which can be integrated into initiation and health education practices.     

Sex differences in the factor structure of a modified Sexual Experiences Questionnaire

Sexual harassment has long been a problem in educational, employment, and military populations. It is unclear whether existing questionnaires used to measure sexual harassment in the U.S. military--particularly, derivatives of the Sexual Experiences Questionnaire--perform similarly in men and women. Using exploratory factor analyses in a mixed sample of active duty troops and veterans (289 men, 181 women), sex differences were found in one version's factor structure. Implications and suggestions for improving the validity of the questionnaire for men are offered.     

Making Human Rights Emotional: A Research Agenda to Recover Shame in “Naming and Shaming”

Shame is an emotion that is the cornerstone of International Relations (IR) human rights scholarship but remains undertheorized from an explicitly emotional perspective. Given the dubious and unsettled efficacy of human rights “naming and shaming” campaigns, in this article, we outline the theoretical and methodological contours of a research agenda designed (1) to uncover the emotional content of naming and shaming and (2) to pay greater attention to how nonstate actors, especially human rights nongovernmental organizations (NGOs), evoke and experience shame, thus engaging in “emotional diplomacy.” Drawing on theories of emotions in IR and political psychology, we present a thicker account of shame by highlighting the individual and social origins of shame, discussing different varieties of shame, and by distinguishing between emotions that are often conflated with shame. We end with a discussion of the methodological tools suitable for pursuing this agenda, using examples of prominent human rights NGOs.