Anorexia, undernutrition, weight loss, sarcopenia, and cachexia of aging

During the period between 2000 and 2030, the number of persons older than 65?years is projected to grow from 550 to 937 million worldwide. Globally, this growth represents an increase from 6.9 to 12?%. Studies have found that 74.6?% of women and 67.4?% of men aged 65?years or older suffer from many clinical and subclinical syndromes and problems, including anorexia, undernutrition, weight loss, sarcopenia, and cachexia, which are often overlooked or managed inadequately. These issues are very common in the elder. The key clinical question is whether these changes in the elder are distinct entities or an interdependent continuum. In this article, we reviewed these issues of related basic, clinical knowledge. The purpose of this review is to enhance the recognition of anorexia, undernutrition, weight loss, sarcopenia, and cachexia.     

Testing,One, Two,Three, Testing: An Attorney Perspective

SUMMARY

This article addresses the attorney perspective on the use of psychometric testing in the context of family law child custody evaluations. Although attorneys, judicial officers and child custody evaluators “use” psychometric testing in family law matters, the ways in which each discipline uses the information gleaned from the results of these tests as administered to child custody litigants can differ substantially. This article distinguishes the attorney perspective from the mental health perspective in the use of the results of such tests.     

Expectations,education, and opportunity

Using a long panel of youths, we establish a causal link between parental expectations regarding education and educational attainment. In particular, we use an instrumental variables approach to find that the child’s chances of obtaining a high school or college degree are increasing in the parent’s expectations of the likelihood of these events. We then use differences between the objective likelihood of a child’s educational attainment and the parents’ subjective probabilities to consider the hypothesis that lower educational outcomes among certain groups are driven by a “culture of despair,” where children are low-achieving because they are expected to underachieve. While we do find that children from households with lower levels of income, wealth, and parental education are less likely to attain high school and college degrees, we reject the hypothesis that this is driven by low subjective expectations of educational success. Rather, we find that parents from disadvantaged groups have expectations for the educational outcomes of their children that differ more from the statistical likelihood of these outcomes than do parents of children from advantaged households. That is, we find that parents in more disadvantaged households are more optimistic about the educational outcomes of their children than those from more advantaged households.     

RATIONALITY, EVOLUTION, AND ACQUISITIVENESS

The first part of this paper discusses Alchian's classic 1950 article "Uncertainty, Evolution, and Economic Theory" and argues against the notion that it is easy to eliminate rationality from economic behavior by appealing to evolution as a substitute. The second section discusses rationality and develops a specc meaning for this term that distinguishes it from the axioms of choice found in economic theory. In the final section, I use this definition and link rationality to a behavioral propensity almost unique to the human species—acquisitiveness, concluding from this linkage that acquisitiveness can speed up the evolution of intelligence.     

Electronic Play,Study, Communication,and Adolescent Achievement, 2003–2008

Adolescents’ time spent messaging, exploring websites, and studying on the computer increased between 2003 and 2008. Using data from the Panel Study of Income Dynamics Child Development Supplement, this study examines how such changes have influenced individual achievement and behavior from childhood to adolescence. Greater communications and Internet web time proved detrimental to vocabulary and reading whereas the increased use of computer games was associated with increased reading and problem‐solving scores, particularly for girls and minority children. Increased use of the computer for studying was associated with increased test scores for girls, but not boys. The consequences are more benign than many feared. Groups that have traditionally used the computer less (girls, minority children) appear to benefit from greater use.     

Pragmatic Thinking about Self,Society, and Natural Environment: Mead,Carson, and Beyond

An interactionist approach provides a relevant point of view on human—natural environment relations. This essay draws on an interactionist approach from a Meadian, pragmatic, social constructionist perspective. In the context of grounded distinctions for interpreting “natural environment,” this discussion considers instances of human intervention and levels of responses, for example, individual, social, cultural, historical, and utopian, as variant, even conflicting, reconstructions of the foundational relationship of human—natural environment interaction. Incorporating a pragmatic model derived from Rachel Carson, the work at hand focuses on knowledge and ethical claims, as discourse and action shift from preventing to mitigating and adjusting environmental outcomes.     

CHARISMA, RITUAL, COLLECTIVE EFFERVESCENCE, AND SELF-ESTEEM

Durkheim expected ritual in conjunction with collective effervescence to transform the psyches of individuals; Weber held similar expectations for charisma. Yet, little work examines the social-psychological effects of charisma and ritual. The present study remedies this oversight, examining the effects of charisma, ritual, collective effervescence, and other variables on self-esteem.
Data are drawn from the Zablocki-Bradley-Aidala national sample of urban communes. This study includes 286 individuals from 44 groups. About half of these groups (including about half of the individuals) have a charismatic leader. The groups also have varying types and numbers of rituals.
The results indicate that the existence of a charismatic leader significantly interacts with group rituals and group size in affecting group members' self-esteem. Individual involvement in collective effervescence, and interpersonal power positively affect self-esteem regardless of charismatic leadership. The results are robust in the face of a variety of methodological controls.     

Choices,Challenges, and Tensions

ABSTRACT

No research has examined the challenges faced by lesbian women seeking to adopt from the perspective of lesbian couples themselves. The current qualitative study utilized data from 70 women (from 35 same-sex couples) who were in the process of adopting to explore how lesbian women experience and navigate the challenges they encounter during this critical life transition. Ecological, minority stress, and feminist perspectives informed our analysis. Results indicated that many women experienced tensions between their desire to be “out” in the adoption process and the legal and social realities of adoption. Based on their reports, women in this sample faced numerous barriers to adopting but engaged in multiple forms of resistance to legal and social inequities. Women also identified supportive practices by agencies that facilitated the adoption process. Findings suggest the importance of considering lesbian women's experiences as a starting point in understanding how heteronormative social practices shape the experiences of same-sex couples striving to adopt.     

Street lamps,alleys, ratio analysis,and nonprofit organizations

This article offers an accounting‐based framework for evaluating the efficiency of nonprofit organizations using four factors. Separately, these factors reflect (1) the proportion of revenues actually used in the current year, (2) the proportion of the expenditures allocated to programs, (3) the units of output produced from that spending, and (4) the value of the units produced, expressed in terms of an index value. Combined, these four factors measure the value of units produced per dollar of revenue received, an accounting measure of overall efficiency. Using this framework provides insight into both the appropriateness and the limitations of employing solely financial measures to judge nonprofit organizations and also identifies conceptual areas absent from currently available evaluation tools.     

Vertical spillovers,market concentration,union coverage,and wages

This paper outlines a model that tests for the presence of spillover effects of union coverage across industry boundaries on wages and union coverage in vertically related industries. There is some evidence of spillover effects from buying industries to the wages of nonunion workers and of such effects on the degree of union coverage from both buying and supplying industries. We are grateful to Dan Hamermesh and an anonymous referee for useful comments. Responsibility for errors is our own.     

Tick-Tock,Tick-Tock,Tick...: The Fizzles,Misfires, and Timed Delays of Manhattan Project Novels

Novelizations of the story of the Manhattan Project at Los Alamos have been in publication almost from the moment when news of the Project first broke. In this article I survey these productions, from their earliest beginnings in the writings of Upton Sinclair to their latest manifestation in Nora Gallagher’s novel Changing Light (2007). The best way in which to read these works is to locate them within a larger cultural trend, prevalent in the US, which takes stories of scientific achievement as a means to deflect attention from the atomic bombings of Hiroshima and Nagasaki. However, one might also see these narratives as inadvertently revealing a gulf in the writer’s capacity to represent nuclear apocalypse within the genre of the historical novel.     

Unions,politics, and protectionism

Conventional models of labor relations emphasize “business unionism,” that is, collective bargaining activities and outcomes. We argue that a more realistic model of behavior incorporates the union’s role as an agent of redistribution that seeks to benefit some members and union leaders primarily at the expense of other members, nonunion employees, and consumers. Union power to redistribute wealth is obtained from the special privileges that labor organizations obtain from government. This paper demonstrates how, as political entities, unions and their employers attempt to secure government-sanctioned wealth transfers through protectionism. The authors gratefully acknowledge research support provided by the Sarah Scaife Foundation and the Earhart Foundation.     

Mapping Elder Mistreatment Cases: Interactions Between Mistreatment,Dementia, Service Utilization,Access to Services,and Disadvantage

Typical explanations of elder mistreatment have focused on individual-level models. The current study adds to the literature by considering the neighborhood context in which reports of elder mistreatment are made to protective services. Using geographic information system software, the distribution of 751 adult protective services (APS) reports from three cities in southeastern Virginia is analyzed. Results suggest that Alzheimer's cases are distributed differentially across cities and that in one city, reports primarily come from disadvantaged areas. The results also suggest that clients from disadvantaged areas are more likely to refuse services. Implications for policy, theory, and future research are provided.     

UNIONS, PLANTS, JOBS, AND WORKERS

The relationship between unions and their members is an important, yet neglected, subject in recent studies of the sociology of work. This study develops and tests a theory of union satisfaction and participation that combines recent research in the sociology of work with previous explanations of union satisfaction and participation provided by industrial relations researchers, in an attempt to understand the relationship between unions, plants, jobs, and workers in U.S. manufacturing industries. This theory predicts that union members will be satisfied with their unions and participate more in them if there are extensive ties between workers, employers, and unions. These ties stem from the focus of labor/management relations in particular, and class struggles in general, on market outcomes and the historical linkage of union membership with employment in the United States. The theory also predicts that unions them-selves act as ties to specific work settings and that union participation is a forum for voicing dissatisfaction with specific characteristics of workers' jobs. Testing these predictions is complicated by contradictory nature of the structure and organization of work in advanced industrial societies. The analysis provides qualified support for this theory, with data drawn from more unions, plants, and union members than have been used to date. In addition to discussing modifications to the theory and analysis presented here, the study includes a discussion of its implications for the future of unionization and the organization of work, in light of declines in union membership, increased efforts to decertify unions and resist union organizing efforts, and deindustrialization in the United States.     

PRODUCTION, APPROPRIATION, AND INCOME TRANSFER

In a conflict between the prey and predator, the availability of income transfer option to the prey, given that defense is already an option, results in equilibrium where both defense and income transfer are utilized and the use of income transfer increases production efficiency by inducing either the prey or predator to divert resources from appropriation to production. The equilibrium amount of defense can be smaller because the prey has an interest in minimizing the amount of transfer that can be achieved in part by provoking a largest possible amount of offense from the predator if actual fight broke out.     

Power,Status, and Affect Control

Abstract

Power, status, and the evaluation, potency, and activity dimensions of affect control theory may be interrelated to a degree allowing for bridges between these theories. This paper makes two preliminary hypotheses: (1) Occupational power will significantly predict occupational status and (2) The potency of an occupation will significantly predict the power of the occupation. Two reliable scales developed from theories of power and status tap respondents' assessment of the power and status of various occupations. Two samples of undergraduates at a large Midwestern university rate the power and status of different but overlapping lists of occupations. Results are consistent across samples and support both hypotheses. Regression analyses produce coefficients establishing affect control theory's EPA (evaluation, potency, and activity) profiles for the fundamental concepts of power from network exchange theory and status from status characteristics theory. These profiles may be useful for theoretical development bridging fundamental theories of group processes.     

Opioids,cannabis, confidentiality,ethics, buprenorphine among highlights of 2019

Opioids are still the dominant news story in the substance use disorder (SUD) field. Last year saw continued funding from the Substance Abuse and Mental Health Services Administration — and, of course, Congress — for the treatment field. Formulations of buprenorphine, the looming loss of confidentiality protections, the growing acceptance of cannabis, and a focus on quality and ethics were among the important stories for ADAW readers.     

Inheritance,poverty, and disability

Inheritance is a significant means of transferring wealth from one generation to the next, and therefore increasingly attracts attention from researchers and policy-makers working on intergenerational and multidimensional poverty. However, until now disabled persons have been overlooked in these discussions. This oversight is particularly unfortunate because, as a group, the estimated one billion people with disabilities (some 15% of the world’s population) are among the poorest and most marginalized of the global population. Over the past decade, a small but growing literature has examined the recursive connections between poverty and disability throughout the developing world. In this paper, we argue that disabled individuals are routinely denied inheritance rights in many low-income and middle-income countries, and that this is a significant and largely unrecognized contributor to their indigence. The denial of inheritance is both a social justice issue and a practice that can no longer be overlooked if disabled persons are to be brought into the development mainstream.     

Urbanization,migration, and Vietnam's spatial structure

In North Vietnam during the war years from the mid-1960s to the mid-1970s, cities were evacuated to minimize damage from bombing. As such, the urbanization process was checked. In the South, however, urban areas grew rapidly as people fled the fighting in the villages. Reunification of the country led to an outflow of residents from the largest southern cities back to the North or into new economic zones. From the mid-1970s to the early 1980s, Vietnam's total urban population remained static before beginning to increase slowly during the latter half of the 1980s. The rate of urbanization accelerated in the first half of the 1990s, although that process is not reflected in the available statistics. During 1979-89, the smaller cities grew faster than the larger ones, while most interprovincial migration occurred from North to South. Unemployment is a major problem in Vietnam's growing cities. The country's economic reforms require a more fluid labor market with fewer restrictions upon labor mobility. These needs are gradually undermining the strategy designed to contain urbanization, forcing planners to rethink urban development. The author discusses developing Vietnam's three main urban development corridors.