Cardiovascular Disease in Elders: Is It Inevitable?

Cardiovascular disease is the major cause of death and disability in America. The burden of cardiovascular disease is higher in elders than in younger populations, presumably because of life-long exposure to risk factors such as hypertension, smoking, abnormal blood lipids, lack of exercise, and/or obesity. Many assume that it is too late to attempt to modify risk factors in elders because behavior is so difficult to change. The purpose of this article is to argue that cardiovascular risk factor modification is effective in elders and should be vigorously pursued for the good of individuals, families, communities, and societies.     

大学生控制信念及其与人际信任的关系

以290名大学生为被试,采用量表法考察其控制信念和人际信任的特点及两变量之间的关系。结果表明,（1）被试的认知控制信念得分最高,情感控制最低,直接控制和间接控制信念得分居中;且控制信念得分存在显著性别和生源地差异,女生的认知控制和情感控制得分都高于男生,农村生源学生的间接控制信念得分显著低于城市生源学生;（2）被试人际信任得分较低,且不存在性别和生源地差异;（3）控制信念与人际信任的关系因被试性别和生源地的不同而有差异,对于女生和农村生源大学生来说,直接控制、认知控制信念得分越高,人际信任得分也越高;而对     

利他动机对中小学教师知识共享的影响——组织认同和组织支持感的调节作用

为探讨利他动机、组织认同和组织支持感对知识共享的影响,选取北京市不同学区的20所中小学校的教师进行问卷调查,使用利他行为问卷、组织认同问卷、组织支持感问卷和知识共享问卷获得有效数据1342份。结果发现：（1）中小学教师的利他动机对其知识共享具有显著的正向预测作用;（2）组织认同在中小学教师利他动机与知识共享之间起到调节作用;（3）组织支持感对中小学教师利他动机与组织认同对知识共享的交互效应具有高阶调节作用。本研究检验了个体因素（利他动机）与组织因素（组织认同、组织支持感）变量对知识共享的共同作用,对提升中小学教师知识共享具有一定的指导作用。     

Emotional eating as a mediator between anxiety and cholesterol in population with overweight and hypertension

Although the relationship between cholesterol and mood states (especially anxiety) has been well studied, few researches have included the role of eating styles in this relationship. This study explored the associations among eating styles, negative emotional symptoms, and levels of cholesterol (and other medical variables) in a population with hypertension and overweight or obesity, analyzing the possible mediation mechanisms involved. A cross-sectional study was conducted in 68 adults with hypertension and overweight/obesity, and stepwise multiple regression analysis and mediation analyses were carried out to test the hypothesis that eating styles mediate the relationship between negative emotional symptoms and cholesterol. Several significant correlations among age, anthropometric, medical, and psychological variables (eating styles and negative emotional symptoms) were found. There was a significant indirect effect of anxiety on total cholesterol and LDL cholesterol through emotional eating. Results suggest that emotional eating has a relevant role in the rise in total and LDL cholesterol, acting as a mediator in the relationship between anxiety and cholesterol. This finding could have important implications, since it introduces a new variable in the relationship between emotions and cholesterol and, therefore, changes the way of understanding this relationship, and of treating high cholesterol in a hypertensive sample.     

Association of hypertension-related distress with lack of self-care among hypertensive patients

Research on factors associated with poor adherence to self-care focuses primarily on psychiatric emotional disorders such as depression and anxiety, whereas non-psychiatric chronic-disease-related emotional distress has received little attention in hypertensive patients. The objective of this study was to evaluate the association of hypertension-related distress with the lack of self-care including low adherence to pharmacological treatment, lack of regular physical activity, low intake of fruits and vegetables and frequent intake of high-salt foods. A cross-sectional survey was conducted in 2014 in two family medical units affiliated with the Mexican Institute of Social Security. The study included 487 hypertensive patients >19 years of age. The conceptual framework for the study was based on the Health Promotion Model. The analysis included multiple Poisson regression models. We found that 21.1% of participants had hypertension-related distress. Low adherence to pharmacological treatment was identified in 45.8% of patients, whereas 46.8% lacked regular physical activity, 30.8% reported a low consumption of fruits and vegetables, and 54.6% frequently consumed foods high in salt content. Hypertension-related distress was associated with lack of regular physical activity and low intake of fruits and vegetables. These findings highlight the importance of addressing distress in order to improve self-care of hypertensive patients.     

Predictors of superstitious beliefs

This study investigated whether relationships exist among personal control, coping mechanism, primary control, secondary control and superstitious beliefs. The participants were 375 Ghanaian student athletes (females = 44%). They completed measures of self-reported superstitious beliefs, personal control, coping mechanisms, primary and secondary control strategies. The data were analysed to evaluate the correlates of both positive and negative superstitious beliefs and how constructs of personal control, coping mechanisms and control strategies, predict positive and negative superstitious beliefs. The results indicated that personal control, coping mechanisms and control strategies were predictors of negative and positive superstitious beliefs. In the final model exaggerated internal control, God-mediated control, emotional support, and substance use were predictors of negative superstitions. Exaggerated internal control, substance use, emotional support and acceptance were predictors of positive superstitions. Athletes may activate different types of superstitious beliefs to cope and gain control in situations of uncertainty.     

The ‘tyranny of time’: getting to the heart of the impact of educational cuts on the provision of guidance counselling in Ireland

The Irish Education Act (Government of Ireland 1998) stipulates that each young person in secondary school in Ireland is entitled to access ‘appropriate’ guidance. It has been argued that this very right has been eroded since Budget 2012, where resource re-allocations in guidance counselling are obstructing the requirement for schools to implement this section of the Act. This qualitative study explored the effects of ‘educational cutbacks’ from the perspective of guidance counsellors. Findings from interviews with guidance counsellors, suggest that the effects of such cutbacks in guidance counselling are far-reaching and ultimately students are the one’s losing out. The paper proposes that there is a need to reinstate guidance counselling hours to allow guidance counsellors provide a comprehensive service to young people – which they are entitled to.     

A ‘tale of two cultures’—reflections on a dialogical study of a Jewish and a Catholic secondary school

Drawing on material gathered during case studies of a Jewish and a Catholic secondary school, I introduce a number of different stories from the staff, and students in the schools and from myself as the researcher. I argue that these can be understood as forms of dialogue in which voices can be heard in some detail. They throw light on various, sometimes conflicting, views within two particular faith‐based schools and on the wider educational dialogue.     

从不同高血压防治指南的比较看高血压治疗策略的变化

为减少因高血压造成的各种心血管事件,世界不同地区制定或修订了适合自己的高血压防治指南。通过对JNC7、ESH/ESC及2004年中国高血压防治指南的比较及分析,以便能更全面、正确地理解和发展我国新的高血压指南,并将该指南灵活运用于实际工作。     

Psychosocial Predictors of Psychological Distress in Taiwanese Secondary School Boys and Girls

This study was designed to investigate predictors of psychological distress in secondary school boys (n =779) and girls (n = 893) in Taiwan. Participants completed anxiety and depression scales as part of a larger study. Gender, GPA, parenting practices, self-esteem, and personality/satisfaction were significantly correlated with psychological distress. Significant gender differences were found in students' psychological distress, GPA, stereotyped thinking, academic self-expectations, parental expectations, parenting practices, and mother's education level. Stepwise regressions revealed that self-esteem was the only significant predictor for boys; it accounted for 40.9% of the variance in their psychological distress. GPA, family income, self-esteem, and parenting practices were significant predictors for girls; they accounted for 42.6% of the variance in girls' psychological distress. Research recommendations and educational implications are discussed.