A Qualitative Study of Health Professionals' Views Regarding Provision of Information About Health-Protective Behaviors During Genetic Consultation for Breast Cancer

This study aimed to explore health professionals' views and practice regarding the provision of information about health-protective behaviors (e.g., exercise, alcohol consumption, diet) during genetic consultation for breast cancer. Ten genetic counselors participated in three focus groups, and seven medical specialists were interviewed in a focus group or individually. Data was analyzed using the constant comparative method. Findings suggested that health professionals held differing, often opposing, views about the value of health-protective behaviors for women at increased risk of breast cancer. The content and extent of information provided about health-protective behaviors varied widely, and participants expressed a need to form consensus regarding information provision both within and across clinics. The main barriers to providing information regarding health-protective behaviors included the lack of research evidence regarding the impact of these factors and higher priority of other information need to be provided in the limited consultation time. Participants generally did not consider it their role to promote health-protective behaviors, and were concerned about the psychological impact of providing information about behavioral risk factors during genetic consultations.     

Where creeds meet incredulity: educational research in a post-utopian age

In contrast to Jean-Francois Lyotard’s classic warning, postmodern society in the United States seems increasingly influenced by metanarratives—religious metanarratives. This article examines the implications of this religious resurgence for educational researchers. It offers a competing analysis of the postmodern that draws on Harold Bloom, Slavoj ŽiŽek and others to identify the gnostic elements in contemporary religiosity, both in Europe and the United States. This competing reading of postmodern religiosity suggests a reframing of Lyotard’s paralogy—research that searches for instabilities in the framework of knowledge. Drawing examples from recent educational research, I will argue for ways in which researchers can better engage religion in their work.The author would like to thank the anonymous reviewer who brought to his attention additional texts and debates about this highly interdisciplinary topic.     

Neural modeling and imaging of the cortical interactions underlying syllable production

This paper describes a neural model of speech acquisition and production that accounts for a wide range of acoustic, kinematic, and neuroimaging data concerning the control of speech movements. The model is a neural network whose components correspond to regions of the cerebral cortex and cerebellum, including premotor, motor, auditory, and somatosensory cortical areas. Computer simulations of the model verify its ability to account for compensation to lip and jaw perturbations during speech. Specific anatomical locations of the model's components are estimated, and these estimates are used to simulate fMRI experiments of simple syllable production.     

Relations of Parenting and Negative Life Events to Cognitive Diatheses for Depression in Children

In a sample of 299 children (grades 2, 4, and 6), we examined parenting and negative life events as predictors of depressive cognitions, specifically low self-perceived competence, depressive cognitive schemas, and depressogenic attributional style. We also examined developmental trends in these relations. Children completed measures of parenting, negative life events, and depressive cognitions. Parents also completed measures of parenting and negative life events. Consistent with our hypotheses, negative parenting and negative life events corresponded with higher levels of depressive cognitions, whereas positive parenting corresponded with lower levels of depressive cognitions. The relations between negative parenting and negative automatic thoughts were stronger for older children. Theoretical and practical implications are discussed.     

中国健康城市建设的进展及理论思考

中国健康城市的建设走过了探索和实质性发展两个阶段.它以健康促进的理念为指导,以"健康社会、健康环境、健康人群"为主线,成为了当前开展健康促进的典范.健康城市能呈现实质且快速发展的势头,政府主导是其重要的特点.它既符合中国社会文化背景和现状,也是以"上游策略"来解决全人群健康问题创新性举措.中国健康城市推行的深远意义在于,它为当前公共卫生体系建设赋予了先进的内涵,与世界卫生组织倡导的"健康促进曼谷宪章"的核心精神是完全相符的,成为了引领中国公共卫生汇入国际现代公共卫生运动的领头兵.但是,它的茁壮成长仍需要有远见的政治家的呵护和支持.     

转基因食品与人类健康初探

随着转基因食品不断地进入市场,学者和公众对转基因食品是否危害人类健康展开了激烈的争论。介绍转基因食品安全性评价的科学指标,运用伦理学的基本原则对两种观点进行了分析,并提出对转基因食品采取“有罪推定”的战略。     

A Brief Scale for Measuring “Behavioral Inhibition to the Unfamiliar” in Children

The behavioral inhibition scale (BIS) is a brief rating scale for measuring behavioral inhibition in children. The present study examined the test–retest stability of the BIS in a sample of 7–12-year-olds consisting of inhibited and non-inhibited children (N = 83). Results demonstrated that the BIS scores were fairly stable over a 2-year period, with a test–retest correlation of .77. Further, the BIS scores of inhibited children significantly increased over the 2-year period, whereas those of the non-inhibited comparison group significantly decreased. Finally, the BIS was in a theoretically meaningful way associated with temperamental traits as measured by the Rothbart scales. Altogether, these results provide support for the reliability and validity of the BIS.     

Predicting Resource Utilization by Children with Serious Emotional Disturbance and Their Families

Our study represents a rural case management agency's use of its data to aid in its transition from being funded by federal grant funds to self-sustainment. We wanted to learn if some characteristics of those children served could predict the resources needed to serve them. We analyzed data on 90 children and adolescents living in a rural community. Using multiple regression analysis we found that CAFAS total and CBCL total problem scores predicted Medicaid reimbursements but not flexible funds spending or case management hours. History of psychiatric hospitalization, however, predicted flexible funds spending and case management hours. Using one-way ANOVA and post hoc analysis we found that the staff members' assessments of each child and family's level of service needs were reflected in differences in mean CAFAS total scores, Medicaid reimbursements and case management hours, but not CBCL total problem scores or flexible funds spending.     

Psychosocial Characterization of Physically Abused Children from Low Socioeconomic Households in Comparison to Neglected and Nonmaltreated Children

Research reports on the long-term sequelae of physically abused children have not produced a coherent profile that can be used to identify this population as a distinct diagnostic group. To define the specific combination of symptomatology and personality characteristics of this group, 41 physically abused children, referred by the state Child Protection Officers were interviewed using the Attachment Style Classification Questionnaire, the Children's Depression Inventory, the Trait Anxiety Inventory, and the Child Suicidal Potential Scales. The results were compared with those of 38 neglected children and 35 nonabused, nonneglected children. The physically abused children showed an avoidant attachment style, specific depressive and suicidal symptomatology, high anxiety level, high aggression level, and primitive defense mechanisms. A discriminant data analysis identified 92.8% of the participants in terms of their diagnostic status. Our study suggests that an emotional and behavioural cluster of characteristics may differentiate physically abused children from neglected and nonmaltreated children. This cluster highlights the severity of induced developmental damages in the short and long-term.