Identifying predictor variables of weight loss outcome: Implications for a stepped program and weight management

Abstract

Four variables were identified that predicted outcome for the minimal and moderate intensity weight control programs presented in sequence. Predictive models for pounds lost and percentage overweight lost were computed for both programs and follow-up and accounted for 33% to 62% of the variance. The predictor variable that contributed to the two programs and follow-up was success in losing weight previously. Greater rate of weight loss in the first five weeks contributed to the model for the minimal intensity program and for follow-up and total number of calories expended in nonroutine physical activity added to the model for the minimal intensity program. Marital dissatisfaction of subjects was a predictor for the moderate intensity program and follow-up. The findings have utility for a stepped program for weight and provide confirmation of variables noted as predictors in prior research. This study may help in the quest to identify consistent predictors of weight loss success.     

Coping strategies used by middle-aged males with noise-induced hearing loss,with and without tinnitus

Abstract

The aim of this study was to examine the relationship between general coping strategies and specific communication strategies, adopted by males with noise-induced hearing loss (NIHL) in order to deal with stressful events and demanding auditory situations. The sample included 72 males with NIHL; 22 without tinnitus, 26 with mild tinnitus, and 24 with severe tinnitus. The following variables were measured: “active coping” “escape coping” and “passive acceptance” (general coping strategies), and “maladaptive behaviours”, “verbal strategies” and “nonverbal strategies” (specific communication strategies). The results showed that males without tinnitus or with mild tinnitus combined “active coping” and “passive acceptance”, whereas males with severe tinnitus supplemented these strategies with “escape coping”. The relationship between general coping and specific communication strategies was weak, although giving a significant correlation between “escape coping” and “maladaptive behaviours”. The results indicate that the hypothesis that a person's general pattern of coping has influence on his/her ability to cope effectively with a hearing impairment can not be supported. Further research should concentrate on the contribution of personality factors as well as environmental factors to the variance in coping with NIHL and tinnitus.     

氧化型低密度脂蛋白：致动脉粥样硬化和抗动脉粥样硬化的双重作用

研究证明,氧化型低密度脂蛋白（oxLDL）,而不是低密度脂蛋白,是致动脉粥样硬化的独立危险因素。oxLDL主要通过巨噬细胞上的清道夫受体摄入oxLDL,引起血管壁泡沫细胞的堆积和脂纹的形成;oxLDL还改变了内皮细胞、平滑肌细胞、血小板的多种功能,使之释放多种致炎细胞因子,促进了炎症细胞的趋化和聚集。但最近有报道认为,口服免疫耐量的oxLDL可弱化早期和晚期动脉粥样硬化。因此,oxLDL不仅能导致动脉粥样硬化,在某些情况下,还具有抗动脉粥样硬化的作用。本文从辩证法的角度出发,系统的阐述oxLDL的这一双重作用。     

Parental grief following the death of an infant—a follow-up over one year

The course of parental bereavement during the first year following an infant's death was investigated. Also, the differences in mothers' and fathers' reactions, the differences according to the mothers' occupational role, and the similarities in couples' reactions were studied. From a total sample of 59 families, 13 families answered their questionnaires at all three time points (1, 6 and 13 months), 22 families responded at two time points, and 37 families responded at some point following the loss. Measures relating to anxiety, depression, bodily discomfort, general well being and impact of event were used at the three time points. The results showed that grief, as measured by the different inventories, decreased over time. The decrease was most evident from 6 to 13 months, and most prominent in women. A considerable number of the parents were still actively dealing with the loss all through the first year of bereavement. In most couples the mother reported most distress. Mothers were significantly more depressed than fathers at all time points, and mothers also had significantly higher anxiety and lower general health at 1 and 13 months, and intrusive scores of 1 and 6 months. Women at home evidenced more grief at all three time points than women employed outside the home. A high or low score in one spouse was more strongly correlated with a similar score in the other at 1 and 13 months, than at 6 months. The implications for counselling of parents, with special emphasis on the employment situation of the mother, is emphasized.     

Discovery and Revitalization of “Feeling of Hometown” from a Disaster Site Inhabitant's Continuous Engagement in Reconstruction Work: Ethnographic Interviews with a Radiation Decontamination Worker Over 5 Years Following the Fukushima Nuclear Power Plant Accident1

After hometown loss due to the Fukushima Nuclear Power Plant accident, many radiation decontamination workers started to engage in the reconstruction of their hometown. However, little is known regarding the meaning of experience of engaging in such work. We describe the process of such experience through a series of ethnographic interviews over 5 years with a radiation decontamination worker. The process was classified into the following three periods: “recovery of lost land by inhabitants' own hands,” “goal loss and semiotic trap in pursuit of recovery,” and “revitalization of feeling of hometown.” Consequently, the informant overcame the contradiction theorized as a “semiotic trap” that radiation decontamination for physical recovery would make his return to home impossible, and updated his narrative to the revitalization of “feeling of hometown” through continuous engagement in the work by creating a sense for transplacement, in which the individual focuses on the psychological aspects of his/her hometown instead of the physical aspects. Psychological reconstruction for disaster victims requires the discovery and revitalization of feeling of hometown rather than the completion of physical reconstruction.