The incidence of metabolic risk factors in an inpatient psychiatric setting

Our study examines risk factors for metabolic syndrome on admission to an acute psychiatric facility and the incidence of medical referrals at discharge. Data on demographics, risk factors for metabolic syndrome, other health risk factors, medications, related diagnoses, and primary care providers and referrals were collected from 125 psychiatric patient charts. Comparison analysis was done for two groups: those with two or more risk factors for metabolic syndrome and those with less than two risk factors. Differences between groups were statistically significant for age, waist circumference, body mass index, high-density lipoprotein, triglycerides, and fasting glucose levels. Few patients were referred to their primary care provider for follow-up care. This study has clinical implications for improving assessment of psychiatric patients at risk for developing metabolic syndrome, for designing interventions to help patients adopt lifestyle changes to mitigate these risks, and for working toward fuller integration of psychiatric and primary care.     

Walking in the shoes of others: Experimental testing of dual-interest and empathy in environmental choice

This paper further tests dual interest theory and the metaeconomics approach to environmental choice, recognizing a possible role for empathy–sympathy (the basis for an internalized, shared other-interest) in tempering and conditioning the more fundamental tendency to pursue self-interest. To test, we focus on rivers flowing through agricultural areas carrying sediments, chemicals, and fertilizers which are making their way into downstream rivers and lakes. We conduct a framed laboratory experiment modeling this problem: farmers decide on the usage of conservation technology to lessen impacts on the water quality (i.e. on the commons, the capacity to absorb these wastes) in downstream areas, which is more costly than the alternative intensive technology. The results confirm our hypotheses, demonstrating that Upstream Farmers who practice conservation are tempering profit maximization with empathy-based, environmentally conscious behavior. Such behavior better serves the farmers’ own-interest, and also helps Downstream Water Users. Environmental economics models need to explicitly include empathy–sympathy and the moral–ethical context it produces, providing a more scientific basis for conservation policy and programs.     

A consortium approach for child and family practice education

Child and family practice and child protection are extraordinarily complex. They require in-depth understanding of intra- and inter-personal skills and intricate service systems, and capacity to operate in a constantly changing policy environment. One way of meeting the needs of such practitioners is facilitating their access to experts working across direct practice, management and leadership and policy-making contexts. This article discusses the rationale for collaboratively delivered post-qualifying courses for child and family practitioners, and discusses a highly successful example of such courses delivered through La Trobe University. It outlines the unique developmental process and model of delivery adopted by the consortium responsible for the postgraduate programme. It concludes with reference to early evaluative findings indicating it as a promising pedagogical model.     

Psychoanalysis and Politics Juliet Mitchell,Then and Now

Feminism and psychoanalysis have been in constant dialogue over the last four decades, and Juliet Mitchell has played a critical role in instigating and shaping that conversation. Yet her own work incorporates some of the most contentious aspects of it. Here I explore her latest book, Madmen and Medusas, to reflect upon why the relationship between her work and that dialogue remains so troubled. This exploration enables me to consider, once more, the contrasts between psychoanalytic perspectives that focus upon kinship, ideology, and symbolic structures and those which stress the historical contingency of gender categories.     

‘Knows how to please a man’: studying customers to understand service work

This paper argues that sociologists interested in service work in consumer culture should pay attention to customers' understandings and accounts of their experience and participation in service encounters. It takes the market for sex as a case study and counters the neglect of customers within the study of service work by analysing customer service reviews of paid‐for sex published on a UK website, Punternet. It argues that male customers, familiar with the norms of consumer culture, assess the erotic, aesthetic and emotional labours performed by female workers to make judgements of service quality which suggests that the feminised ‘good worker’ is defined as professional when they disguise the market transaction.     

Ranked set sampling with concomitant variables

Ranked set sampling is a procedure which may be used to improve the precision of the estimator of the mean. It is useful in cases where the variable of interest is much more difficult to measure than to order. However, even if ordering is difficult, but there is an easily ranked concomitant variable available, then it may be used to “judgment order” the original variable. The amount of increase in the precision of the estimator is dependent upon the correlation between the 2 variables.