A survey of smoking status and cancer risk perceptions among participants attending a hospital-based head and neck screening program

Abstract

Screening for head and neck cancer is underutilized. Given that lack of knowledge of the risk factors may partially account for screening underutilization. we surveyed subjective risk and knowledge of risk factors for head and neck cancer among 124 individuals who attended a free. hospital-based head and neck cancer screening. Few participants were current smokers. Most attendees perceived their risk as similar to others of their age and sex. Personal health habits comprised almost all of the risk-decreasing factors, yet less than half of the risk-increasing factors. generated. Personal habits were less frequently endorsed than factors such as pollution and heredity. Those who mentioned a risk behavior, or a family cancer history, reported higher subjective risk. Those who mentioned a personal health habit reported lower subjective risk. Results highlight needed efforts to increase screening among high-risk individuals through targeted education messages.     

Governors in the Legislative Arena: The Importance of Personality in Shaping Success

Research on the leadership of executives in the United States typically follows one of two traditions, emphasizing either characteristics of the incumbent or features of the office. This article brings together these traditions. It draws upon the work of Winter to develop measures of three aspects of personality—the power, achievement, and affiliation drives—and hypothesizes that the power and achievement motives are exhibited in conjunction by successful chief executives. It then tests this hypothesis within the contexts of the American states, thus accounting for both the leaders as individuals and the features of the political and economic environments in which they lead. The primary hypothesis is affirmed. Governors who exhibit high levels of the power and achievement motives in tandem are substantially more likely to achieve their policy goals. In addition, governors who emphasize affiliation are less successful.     

A Defining Presidential Moment: 9/11 and the Rally Effect

Public approval ratings of George W. Bush surged after the 11 September 2001 terrorist attacks. This study used a quasi–experimental, within–respondents design to investigate the relative contribution of five factors to this classic rally effect: the stimulus event itself, Bush's speech that evening, media exposure, partisan support, and gender effects. Respondents were pretested on the morning of the attacks; one group was posttested immediately after the speech, another group 41 hours later. Stability of effects was examined through an additional study of Bush's 20 September 2001 speech to a joint session of Congress. The findings indicate that Bush's 11 September speech was the critical factor in this rally effect; none of the other factors contributed significantly.     

RESCUE AND RECOVERY AS A THEOLOGICAL PRINCIPLE,AND A KEY TO MORALITY IN EXTRATERRESTRIAL SPECIES

New theological understanding can emerge with the advancement of scientific knowledge and the use of new concepts, or older concepts in new ways. Here, the authors present a proposal to extend the concept of “rescue and recovery” found in the United Nations Law of the High Seas, off-world and within a broader purview of other intelligent and self-aware species that humans may someday encounter. The notion of a morality that extends to off-world species is not new, but in this analysis, rescue and recovery become an imperative when any intelligent and self-aware species is in harm's way. Rescue and recovery encompass a necessary action component except perhaps in those cases where rescuers are in danger. The authors explore three biblical examples of rescue and recovery to derive a fundamental meaning of the concept.     

The "Social Etymology" of 'Sexual Harassment'

Language does not simply symbolize a situation or object which is already there in advance; it makes possible the existence or the appearance of that situation or object for it is a part of the mechanism whereby that situation or object is created. (Mead 1934, p. 78)     

Hand-eye coordination: The role of “motor memory”

Ten Ss attempted to track a visual target, which was moved either by hand (test run) or by a tape recording of the same hand movements (control run). On some test runs, movement of the target lagged behind that of the hand by a fixed amount (.18, .36, .72, or 1.44 sec). The number of saccades occurring on a given test run was divided by the number on the matched control run, and the test/control ratio was studied as a function of the hand-to-target lag time. With lag times of .36 sec or less, the test/control ratios were less than 1. indicating that manual control of the target had a significant effect on oculomotor performance. This effect disappeared at a lag close to .72 sec. The results are discussed in terms of a hypothetical “motor memory.”     

Mental health consultation to law enforcement: Secret Service development of a Mental Health Liaison Program

The Mental Health Liaison Program developed and used by the Secret Service is presented as a model for comprehensive, multidimensional interactions between law enforcement and mental health systems, with particular focus on assessing and preventing violent behavior. The structure of the program pairs consultants—psychologists and psychiatrists—with Secret Service field offices to provide (a) consultation regarding risk assessment and case management of individuals who threaten or display inappropriate interest in the President or other protectees; (b) training for agents on risk assessment, mental illness, and mental health care issues; and (c) liaison activities between the Secret Service and the mental health community. Practical benefits to the Secret Service are discussed to encourage more systematic use of broad based psychological and psychiatric consultation to law enforcement, with a goal of enhanced intersystem communication and collaboration. The need for program evaluation and outcome research is discussed in the context of applying the model to improve other mental health and law enforcement systems interactions. © 1998 John Wiley & Sons, Ltd.     

Application of The APA Practice Guidelines on Suicide to Clinical Practice

This article presents charts from The American Psychiatric Association Practice Guideline for the Assessment and Treatment of Patients with Suicidal Behaviors, part of the Practice Guidelines for the Treatment of Psychiatric Disorders Compendium, and a summary of the assessment information in a format that can be used in routine clinical practice. Four steps in the assessment process are presented: the use of a thorough psychiatric examination to obtain information about the patient's current presentation, history, diagnosis, and to recognize suicide risk factors therein; the necessity of asking very specific questions about suicidal ideation, intent, plans, and attempts; the process of making an estimation of the patient's level of suicide risk is explained; and the use of modifiable risk and protective factors as the basis for treatment planning is demonstrated. Case reports are used to clarify use of each step in this process.