Prevention and treatment of osteoporosis in women

Osteoporosis affects one in three women. There has been some confusion among women and health professionals about the management of osteoporosis since the publication of the Women's Health Initiative and Million Women studies. This guidance regarding estrogen-based and non-estrogen-based treatments for osteoporosis responds to the controversies about the benefits and risks of individual agents. Treatment choice should be based on up-to-date evidence and targeted to individual women's needs.     

Training and Supervision of Counselors at a Residential Grief Camp

Peer-based grief camps, utilizing a volunteer staff, represent one method of mutual aid support for children. Manitou Experience is an example of a week-long residential camp for grieving boys. The recruitment, training, and supervision of Manitou Experience’s camp counselors and clinical team members are explained as they relate to program development and facilitation of positive change in its campers. Strengths and challenges of group processes are explored and discussed.     

Managing Helicobacter pylori in college health,with special considerations for international students

ABSTRACT

Objective: Helicobacter pylori infection is the major cause of dyspepsia, peptic ulcer disease, and gastric cancer. This paper will make specific recommendations for a diagnostic and treatment strategy tailored to the international student population. Participants/Methods: This paper is a case report and narrative review based on recent international epidemiologic studies and consensus conference recommendations identified in MEDLINE. Results: In the nations (mostly Asian) that send the largest number of students to the United States, the prevalence of H. pylori is generally 60% to 80%, whereas the prevalence in the United States is about 25%. The patterns of antibiotic resistance in those countries are also different than that in the general US population. Conclusions: Health care providers should have a higher index of suspicion for Helicobacter infection among international students with dyspepsia and need to use a different treatment regimen than is standard for the general US population.     

Complexity of identity and tactics of resistance among religious leaders of immigrants

This article discusses a unique groups of young ‘1.5 generation’ Jewish immigrant religious priests (kessoch) who were born in Ethiopia and immigrated to Israel, who cope with marginality and absence of legitimization by the religious establishment and by society. The article demonstrates that a complex cultural identity and behaviour pattern of syncretism is created among the religious priests, through selectively choosing aspects of identity which are meaningful for them. Their educated use of ‘fragments of identity’ and different tactics of resistance expresses a way for leaders of a minority group to cope with the reality they experience, and to find their place in the absorbing society.     

Getting Older and Getting Happier with Work: An Information-Processing Explanation

Job attitudes and subjective well-being (SWB) have important relationships with one another. Moreover, job attitudes and, to an extent, SWB are related to chronological age. Owing to a ??graying?? workforce in industrialized countries, uncovering how age influences job attitudes is increasingly important. The present work explores the effects of cognitive-aging research on the item response process during attitude measurement. Research finds that older individuals attend selectively to positive affective experiences and weigh affective experiences more heavily during judgment than younger individuals. Based on cognitive-aging research, we propose an item-response process and hypothesize that chronological age results in a specific form of measurement non-equivalence. Our hypothesis is tested on 2 different samples of university employees, across 3 different job attitudes rooted in emotional experiences. Results indicate age-related measurement non-equivalence across all 3 attitudes such that older employees report more positive job attitudes than younger employees even when controlling for the latent attitude construct. Our findings suggest caution in interpreting of age-satisfaction correlations, focusing greater attention on understanding item response processes of older versus younger individuals and increased attention to job-related emotional experience for older employees.     

INTERVENTIONS INTO GROUP PROCESS: AN APPROACH TO IMPROVING THE EFFECTIVENESS OF GROUPS*

Some new directions for research on group effectiveness are proposed. These include: (a) explicit recognition of group interaction process as the moderator of input-output relationships in groups; (b) research which focuses on the functions of group interaction in influencing group performance; and (c) use of experimental interventions which create new, non-typical patterns of interpersonal behavior in groups as an approach to studying group effectiveness. The results of two studies based on these proposals are summarized. One study examines the effectiveness of implicit vs. explicit discussion of group task “strategies”; the other addresses the effects of implicit (“traditional”) vs. explicit (“adaptive”) approaches to the maintenance of internal social relationships in work groups. Implications of the research are drawn both for future research on group effectiveness, and for the design of interventions aimed at improving the performance of on-going groups in organizations.     

Matrix Theory Formalism for Event Tree Analysis: Application to Nuclear-Risk Analysis

It is pointed out that the familiar analytical device of "event tree", widely used in risk analysis, can be viewed as a transition matrix expressing the likelihood of going from "entry states" to "exit states". This point of view is shown to have numerous interesting conceptual and computational features which promise to make it a very useful addition to the arsenal of tools for risk analysis. The basic idea is explained first in terms of a simple, made-up example. The application of the idea to a very real and complicated problem, nuclear-plant risk assessment, is then outlined.