Internet accessibility and usage among urban adolescents in Southern California: implications for web-based health research.

The World Wide Web (WWW) poses a distinct capability to offer interventions tailored to the individual's characteristics. To fine tune the tailoring process, studies are needed to explore how Internet accessibility and usage are related to demographic, psychosocial, behavioral, and other health related characteristics. This study was based on a cross-sectional survey conducted on 2373 7th grade students of various ethnic groups in Southern California. Measures of Internet use included Internet use at school or at home, Email use, chat-room use, and Internet favoring. Logistic regressions were conducted to assess the associations between Internet uses with selected demographic, psychosocial, behavioral variables and self-reported health statuses. The proportion of students who could access the Internet at school or home was 90% and 40%, separately. Nearly all (99%) of the respondents could access the Internet either at school or at home. Higher SES and Asian ethnicity were associated with higher internet use. Among those who could access the Internet and after adjusting for the selected demographic and psychosocial variables, depression was positively related with chat-room use and using the Internet longer than 1 hour per day at home, and hostility was positively related with Internet favoring (All ORs = 1.2 for +1 STD, p < 0.05). Less parental monitoring and more unsupervised time were positively related to email use, chat-room use, and at home Internet use (ORs for +1 STD ranged from 1.2 to 2.0, all p < 0.05), but not related to at school Internet use. Substance use was positively related to email use, chat-room use, and at home Internet use (OR for "used" vs. "not used" ranged from 1.2 to 4.0, p < 0.05). Self-reported health problems were associated with higher levels of Internet use at home but lower levels of Internet use at school. More physical activity was related to more email use (OR = 1.3 for +1 STD), chat room use (OR = 1.2 for +1 STD), and at school ever Internet use (OR = 1.2 for +1 STD, all p < 0.05). Body mass index was not related to any of the Internet use-related measures. In this ethnically diverse sample of Southern California 7(th) grade students, 99% could access the Internet at school and/or at home. This suggests that the Internet is already a potential venue for large scale health communication studies. Adolescents with more psychosocial risk factors or detrimental health behaviors were more likely to use the Internet. Therefore, if used properly, Internet interventions could effectively address the high risk populations. Additional research is needed to gain a more complete understanding of the positive and negative consequences of Internet use among adolescents.     

Psychosocial adaptation in relatives of critically injured patients admitted to an intensive care unit

The aim of this study is to analyze how the length of time a patient spends in an Intensive Care Unit (ICU) affects close relatives, with regard to specific clinical variables of personality, family relationships and fear of death. The study group consisted of 57 relatives of seriously ill patients admitted to the ICU of "Virgen del Rocío" Rehabilitation and Trauma Hospital (Seville, Spain). The instruments applied were: a psychosocial questionnaire, clinical analysis questionnaire, family environment scale and fear of death scale. The relatives of patients admitted to ICU obtained higher scores in hypochondria, suicidal depression, agitation, anxious depression, guilt-resentment, paranoia, psychasthenia, psychological maladjustment and self-expression, and less in fear of their own death, as when compared to interviews with the same relatives 4 years later. The length of time a patient spent in the ICU influenced relatives in some clinical variables of personality, family relationships and fear of death     

Body image perceptions among Chinese children and adolescents

In order to investigate the body image self-perception and the prevalence of body dissatisfaction among Chinese children and adolescents, 9100 children aged 3-15 years living in four cities completed a questionnaire assessing body image self-percepts and ideals by figural stimuli. The results indicate that (1) children's body ratings started to be significantly related to their BMIs at age 5 and correlations increased with age; (2) a wide range of current body sizes was chosen by Chinese boys and girls; (3) the ideal body sizes of boys and girls selected by boys and girls, respectively, were "boys by boys">"boys by girls">"girls by boys">"girls by girls" and (4) the satisfaction, mild dissatisfaction, and moderate dissatisfaction rates were 40.1%, 36.4% and 23.5%, respectively. Differences as a function of gender and age were identified. It was concluded that the prevalence of body dissatisfaction among children and adolescents of urban China was striking, and that the Chinese boys were not immune to body dissatisfaction.     

人口逆淘汰及其预防

对人口逆淘汰必须全面、动态地加以认识.必须阻止人口逆淘汰,提高人口质量,变"人口"为"人力".教育是关键措施,医疗卫生和环境改善十分重要,但决不能鼓励高学历人口多生育而限制农村人口的出生.     

Something from nothing: exploring dimensions of children's knowing through the repeated reading of favourite books

Witte‐Townsend and DiGiulio explore some of the dimensions of knowing that children, teachers and parents may engage together during story‐time. They reflect on some of their own long‐term relationships with children and children's books, especially Phoebe Gilman's Gilman P 1992 Something from nothing (New York, NY, Scholastic Inc)  [Google Scholar] Something from nothing (published in 1992) and Simms Taback's Taback S 1999 Joseph had a little overcoat (New York, NY, Viking‐Penguin)  [Google Scholar] Joseph had a little overcoat, published in 1999. The authors probe issues such as why children ask to hear a favourite story over and over and why they suddenly abandon all interest and move on to a new book. They explore the meaning of the silences that sometimes arise during story‐time, pooling around the young listeners as the last words of the book are read. Witte‐Townsend and DiGiulio remind us of the value of literature in the lives of children and they affirm that the reading and re‐reading of favourite stories enables the understanding of complex human issues and contributes significantly to social, emotional and spiritual growth.     

Diencephalic damage decreases hippocampal acetylcholine release during spontaneous alternation testing

A rodent model of diencephalic amnesia, pyrithiamine-induced thiamine deficiency (PTD), was used to investigate diencephalic-hippocampal interactions. Acetylcholine (ACh) release, a marker of memory-related activation, was measured in the hippocampus of PTD-treated and control rats prior to, during, and after spontaneous alternation test. During behavioral testing, all animals displayed increases in ACh release. However, both the percent increase of ACh release during spontaneous alternation testing and the alternation scores were higher in control rats relative to PTD-treated rats. Thus, when rats are tested on a task with demands dependent on the hippocampus, it appears that the hippocampus is not fully activated after diencephalic damage.     

论流行病学与医学创新

流行病学随医学的发展而发展,同时,它的发展对整个医学学科的发展也产生了重大的影响。从流行病学对医学思维、医学研究方法、医学模式及医学目的的实现等几个方面讨论了该学科在现代医学发展中的作用和地位。     

Civic religion in England: Traditions and transformations

As the religious diversity of English towns and cities has grown over the past thirty years due to the establishment in some places of sizeable communities of Hindus, Muslims and Sikhs, as well as other faiths, there have been important changes to local public religion. Traditional civic ceremonies, such as Remembrance Sunday, as well as new forms of civic celebration and commemoration, are now increasingly taking account of the diversity of faiths represented in Britain. This paper examines the consequences of religious diversity for English civic religion by looking at some of the traditions of civic ceremonies in England and at the way in which they have been transformed by the changing religious landscape of towns and cities. The paper also explores some of the dilemmas and questions that have emerged both for the Church of England as well as for the other faith communities when it comes to the design and delivery of civic ceremonies.     

Mathematical engineering and mathematical change 1

In this paper, I introduce and examine the notion of “mathematical engineering” and its impact on mathematical change. Mathematical engineering is an important part of contemporary mathematics and it roughly consists of the “construction” and development of various machines, probes and instruments used in numerous mathematical fields. As an example of such constructions, I briefly present the basic steps and properties of homology theory. I then try to show that this aspect of contemporary mathematics has important consequences on our conception of mathematical knowledge, in particular mathematical growth.