A Survey of Patients’ Experiences with the Cancer Genetic Counseling Process: Recommendations for Cancer Genetics Programs

In order to promote ongoing quality improvement of not only the Penn State Cancer Genetics Program, but also other cancer risk assessment programs throughout the country, we developed, piloted and conducted a survey to explore patient expectations, experiences, and satisfaction with the cancer genetic counseling process. The comprehensive survey was mailed to 340 eligible patients, 156 (45.9%) of whom returned the completed survey within the allotted time. Responses to closed-ended questions were tallied and open-ended questions were content analyzed. Major findings show that: (1) Patients were seeking cancer-related information and support throughout the cancer risk assessment process and were interested in participating in available research studies; (2) The setting in which patients are seen for cancer risk assessment may pose potential emotional ramifications; (3) Misperceptions regarding insurance discrimination and lack of insurance coverage persist; (4) Patients view the genetic counselor as responsible for updating them about new discoveries. Specific recommendations for cancer genetics programs are included.     

Satisfiability Decay along Conjunctions of Pseudo-Random Clauses

k-SAT is a fundamental constraint satisfaction problem. It involvesS(m), the satisfaction set of the conjunction of m clauses,each clause a disjunction of k literals. The problem has manytheoretical, algorithmic and practical aspects. When the clauses are chosen at random it is anticipated (butnot fully proven) that, as the density parameter m/n (n thenumber of variables) grows, the transition of S(m) to beingempty, is abrupt: It has a "sharp threshold", with probability1 – o(1). In this article we replace the random ensemble analysis by apseudo-random one: Derive the decay rule for individual sequencesof clauses, subject to combinatorial conditions, which in turnhold with probability 1 – o(1). This is carried out under the big relaxation that k is not constantbut k = log n , or even r log log n . Then the decay of S isslow, "near-perfect" (like a radioactive decay), which entailssharp thresholds for the transition-time of S below any givenlevel, down to S = .     

Mothers' attitudes toward fat, weight, and dieting in themselves and their children

We examined how a mother's view of her body, and fatness in general, affects her attitude toward her child's weight and eating. Mothers (N = 118) of 3–5-year-old children filled out a questionnaire designed to assess weight satisfaction, anti-fat attitudes, and how concerned and restrictive they are with regards to their child's weight and eating. We found mothers who were more fearful of being or becoming overweight themselves worried more for their children, although fearful attitudes did not predict restricting a child's eating. These results suggest that maternal attitudes toward their own weight affect their beliefs about their children's weight.     

General self-concept and life satisfaction for boys with differing levels of physical coordination: the role of goal orientations and leisure participation

Participation in leisure-time activities, self-concept perceptions and individual dispositional goal orientations were examined as mediators of relationships between physical coordination and self-evaluations of life satisfaction and general self-concept for 173 boys aged 10-13 years. Participants completed seven-day activity diaries and 12-month retrospective recall questionnaires recording participation in leisure-time activities. Self-report measures of self-concept, global life satisfaction and dispositional goal orientations were also completed. Results showed that boys with moderate to severe physical coordination difficulties had significantly lower self-concept perceptions of physical ability and appearance, peer and parent relations and general self-concept, as well as lower life satisfaction than boys with medium to high levels of physical coordination. The relationships between boys' physical coordination and their self-perceptions of life satisfaction and general self-concept were significantly influenced by individual self-concept appraisals of physical ability and appearance, peer and parent relations. Adopting task-oriented goals was found to positively change the relationship between physical coordination and both general self-concept and life satisfaction. Team sport participation positively mediated the relationship between physical coordination and life satisfaction. The potential for team sport participation and adoption of task-oriented goals to influence life satisfaction for boys with differing levels of physical coordination was discussed.     

Effects of team and organizational commitment – A longitudinal study

Retention management, i.e., keeping qualified employees, is a top priority for contemporary organizations. Commitment, and especially team commitment, can be the key to mastering this challenge. There is a lack of longitudinal research concerning the development and the direction of the effects of team commitment over time. In a longitudinal field-study design with three points of measurement, a total of 360 employees in 52 semi-autonomous industrial teams were surveyed over a period of three years. On the one hand, organizational commitment showed stronger effects on organization-related criteria (job satisfaction and intention to leave). These effects were consistent over the three points of measurement. Team commitment, on the other hand, affected team-related criteria (team performance and altruism). Longitudinal analyses confirmed the effects of organizational commitment on job satisfaction and intention to leave, and of team commitment on team performance and altruism. Moreover, these effects increased over time. Theoretical and practical implications of these findings are discussed.     

Developing a Conceptual Framework of Employee Well-Being (EWB) by Applying Goal Concepts and Findings from Personality-Social Psychology

This paper reports an attempt to develop a foundation of a theory of employee well-being (EWB) by borrowing concepts and findings from research in personality-social psychology. The proposed conceptual framework has four central principles: The principle of goal selection based on valence, the principle of goal selection based on expectancy, the goal implementation principle, and the goal attainment principle. These principles have corollaries expanding the logic of the proposed theoretical relationships. Specifically, the principle of goal selection based on valence has nine corollaries: Approach versus avoidance goals, goal meaningfulness, high- versus low-level goals, goals related to cultural norms, goals related to deprived needs, goals related to basic versus growth needs, intrinsic versus extrinsic goals, goals producing flow, and autonomy in goal setting. The principle of goal selection based on expectancy has five corollaries: Goal-motive congruence, goal-cultural value congruence, goal-resources congruence, goal conflict, and adapting goals to changes in circumstances. The principle of goal implementation has two corollaries: Goal concreteness and goal commitment. Finally, the goal attainment principle has three corollaries: Recognition of goal attainment, intensity versus frequency of positive feedback, and progress reports.     

Quality of Life in the European Union and the United States of America: Evidence from Comprehensive Indices

The main question of this article is about the quality of life in the European Union and the United States measured by different comprehensive indicators (HDI, WBI, WISP, OLS, PWI, ABS, HLE). On the world scale moderately different levels of quality of life characterize the European Area and the US. In objective terms, the US is more at the top level regarding economy and science, whereas Europe is more at the top level regarding social concerns in a broad sense. In subjective terms, which means to rely on the usual subjective measures, the average of US population seems to be slightly better off than the average of the EU population. That said, the differences inside the EU are often more significant than those between the EU and the US. Many EU countries in Northern and Western Europe show higher satisfaction levels than the US, and Eastern Europe is especially low in respect to the satisfaction of its population. It is rather obvious that the choice of criteria and values influences the results of the comparisons of nations and supranational unions to a considerable degree.     

Hume's Theory of Pity and Malice

This article describes, and proposes a solution to, an interpretive conundrum at the heart of Hume's theory of the passions. Hume tells us explicitly that pity and malice are indirect passions. But there is strong textual evidence suggesting that Hume takes pity and malice to be direct passions. Indeed, some of this evidence points to (1) the identification of pity with a kind of grief and malice with a kind of joy, while the rest of the evidence points to (2) the identification of pity and malice with different combinations of desire and aversion. Here, I argue that option (1) is the one that Hume would have chosen upon careful reflection.     

终末期肾病单病种付费方式患者满意度调查分析

本研究通过调查分析终末期肾病患者对当前单病种付费方式的满意度及影响因素,为医疗保险支付方式改革提供政策依据.研究采用典型抽样方法,对某市四家三级甲等医院257名透析治疗参保患者进行现场自填式问卷调查,调查结果显示,调查人员对终末期肾病单病种付费方式总体满意度为97.3％,对特约医疗机构的满意度高于对医疗保险政策的满意度.患者满意度的主要影响因素有治疗方式、文化程度和家庭收入.医疗保险部门应关注单病种付费政策的结算范围,增加医疗困难救助,加强对医护人员医疗保险政策的宣传,提高患者满意度.     

Authorship Decision Making: An Empirical Investigation

This empirical study concerns the authorship credit decision-making processes and outcomes that occur among coauthors in cases of multiauthored publications. The 2002 American Psychological Association (APA) Ethics Code offers standards for determining authorship order; however, little is known about how these decisions are made in actual practice. Results from a survey of 109 randomly selected authors indicated that most authors were satisfied with the decision-making process and outcome with few disagreements. Participants reported cases of both undeserved authorship being given and omission of deserving contributors' names as coauthors. Some factors associated with authorship decisions included “sense of loyalty or obligation,” “publish or perish pressures,” and “power differentials.” Authors who used APA standards were significantly more satisfied with both the process and outcome of authorship credit decisions.