Keynote Address

Abstract

Because of the increasing prevalence of eating disorders in college populations, it is increasingly important for student health services to identify affected individuals. Therefore, the authors analyzed the student health forms of member schools of the New York State College Health Association for the presence of items that would identify an eating disorder. Directors of health services that include specific questions about eating disorders on health forms were then surveyed for their opinions about this practice.

Specific items about eating disorders (anorexia nervosa, bulimia, vomiting to lose weight, laxative use to lose weight) were included on 5 of 111 forms. Less specific items including dissatisfaction with weight, being on a diet, or binge eating appeared on 10% of forms.

Approximately one-third of the students known by health service staffs to have an eating disorder reported this on their health form, when provided a specific opportunity to do so. Even though underreporting by students is potentially a problem in such circumstances, the health service directors all recommended the inclusion of items relating to eating disorders on student health forms.

“Human Papillomavirus Type 16 and Early Cervical Neoplasia,” CHRISTOPHER P. CRUM, et al. Flat warts (condylomata) of the uterine cervix are sometimes cytologically atypical and have abnormal mitotic figures; they are thought to be possible precursors of cancer of the cervix. Flat warts are caused by any of a number of types of human papillomaviruses (HPVs), one of which (HPV 16) has been previously associated with invasive cancer of the cervix. To determine whether HPV 16 is also associated with flat warts with abnormal mitoses, we analyzed 23 flat warts by DNA-hybridization techniques for the presence of HPV 16 and other HPV types, and correlated the results with the histology. Of 10 lesions with abnormal mitotic figures, 7 contained HPV 16, and 1 contained another type of HPV. Of 13 lesions without abnormal mitotic figures, only 1 contained HPV 16, and 7 contained other types of HPV.

We conclude that the presence of HPV 16 correlates with the presence of abnormal mitotic figures in flat warts of the cervix, and that this type of flat wart is a precursor of invasive cancer of the cervix. (New England Journal of Medicine 1984;310:880–3.)     

National Identity,Globalization and the Discursive Construction of Organizational Identity*

This paper pursues two goals. First, it explores the connections between national identity and organizational globalization within the context of three British organizations' attempts to synchronize their corporate and organizational identities through diversity management initiatives. Second, it teases out the implications of these connections for current theorizing on organizational identity, looking in particular to extend Hatch and Schultz's (Human Relations, 55 (2002) , pp. 989–1018) processual model of image– culture dynamics. Based on a Foucauldian theoretical frame, and a data set comprising 36 in‐depth interviews, we show the complex and highly particular relationships between articulations of Britishness, and corporate, organizational and personal identities. Such complexity is suggestive of the contradictory connections between national and organizational identities, and of the disjointed, discursive and affective characteristics of organizational identity. Our contribution to the study of organizational identity lies in both an illumination of the local discursive dynamics of identity construction at the individual and collective levels, and an assertion of the ontological role of discourse(s) in structuring understandings and expressions of organizational identity.     

‘I may not know who I am,but I know where I am from’: the meaning of place in social work with children and families

Although social work around the world is understood to be a ‘person‐in‐environment’ activity, policy in UK places more emphasis on individual characteristics than on environmental influences on development and behaviour. This results in social work practice which rightly places a strong emphasis on children's attachments to their parents and other significant people, but which largely fails to recognize their attachments to important places in their lives. Evidence from a range of disciplines is used to demonstrate the fundamental links that exist between place, identity and well‐being. The implications of this evidence for social work with children and families are explored, using practice examples to highlight some of the consequences of a lack of ‘place awareness’, as well as ways in which greater place awareness can be used to promote the well‐being of children and families.     

Risk and risk aversion effects in contests with contingent payments

Contests by their very nature involve risk, winning and losing are both possible, and the gain from winning can itself be uncertain. The participants in a contest use resources to increase their chance of winning. The main focus of this analysis is on the effects of risk aversion and risk in contests where only winners pay for resources used to compete. When payment is contingent on winning, the effect of risk aversion is in the opposite direction of what occurs when costs are paid by both winners and losers. A number of contests observed in the marketplace that exhibit this contingent payment property are discussed.     

A conceptual framework for differential use of mediation and family therapy interventions with older adults and their families

The purpose of this article is to present a family-centered approach to working with older adults. This framework utilizes a differential use of family therapy and therapeutic mediation theoretical concepts and skills. This provides an effective approach to conceptualizing and intervening with these often complex situations regarding the decision-making processes related to care of older members. Family-centered mediators/clinicians must be skilled in both models to understand and intervene in the challenging issues presented by families. A case example is included in the article to illustrate the framework.     

Development of a lateral mobility task to identify individuals at risk for mobility disability and functional decline

Lateral mobility is integral to many activities of daily living involving transfer from one position to another. The objective of this study was to develop and evaluate the validity and test-retest reliability of a lateral-mobility (LATMOB) task for older adults. Measurements of lateral mobility, balance, and strength and self-reported and performance-based physical functioning were obtained in 63 women and 77 men > or = 50 years of age. The LATMOB task was significantly correlated with age, knee-extensor strength, grip strength, functional reach, and one-leg-stance time. Test-retest reliability of the task was excellent. The LATMOB task was highly correlated with the car task. Balance was significantly correlated with time to get into and out of a car and performance on the LATMOB task. The LATMOB task was significantly correlated with the Short Physical Performance Battery score. The LATMOB task is valid and reliable, but additional work is needed to assess its sensitivity to change and predictive validity.     

The effectiveness of using two different types of anti-vibration gloves compared to bare hand condition at dampening the frequencies associated with hand-arm vibration syndrome

The ability of a foam-padded and air-bladder glove to significantly attenuate hand-arm vibration compared to an individual's bare hands (after the effect of adipose content of the distal upper extremity had been removed) was studied. Subjects consisted of 3 male and 8 female university students' aged 20 to 22 years. After the effect of adipose content of the distal upper extremity was removed, the effect of the gloves on transmissibility was significant with F2,959 = 5.27, p<0.000. The effect of the frequencies was significant with F31,959 = 8.80, p<0.000. There was no significant interaction between the gloves and frequencies on transmissibility with F62,959 = 0.22, p = 1.000. Post-hoc analysis revealed that there was a significant difference was between bare hand and foam-padded glove conditions, F1,1052 = 8.13, p = 0.004, where foam-padded gloves had significantly greater transmissibility. Post-hoc analysis of the frequencies indicated that there were significant differences between frequencies at with the highest transmissibility occurring at 100 Hz.     

From bedside to bench: research agenda for frailty

The American Geriatrics Society sponsored a working conference in January 2004, funded by the National Institute on Aging, to establish the state of the art in frailty research and to set a research agenda for the future. The invited participants included senior basic biologists, epidemiologists, geneticists, and clinical investigators who study aging-related issues. This article summarizes the central theoretical observations on frailty and research needs and opportunities presented and discussed at this conference, and lays out an agenda for future research on frailty.     

Improvisational choreography in teleservice work

This naturalistic study of the ordinary work practice of sales representatives employed by the call centre of a large office-equipment company focuses on the actions of those sales reps during their calls with customers. We show how this work performance is organized through an improvisational choreography of action involving not only the turn-by-turn interchange with customers on the telephone but also the concurrent utilization of a variety of tools and artefacts. While 'improvise' and 'choreograph' may appear to be conceptually incongruent, our analysis demonstrates that even though these teleservice workers recurrently fabricate their actions out of materials and means that are conveniently on hand, the convenience is often carefully arranged to afford such extemporaneous composition. Finally, we conclude from this analysis that the traditional topics of 'work routines' and 'routinization' need to be respecified in order to take into account how any 'routine' is a contingently produced result (and in this centre, a craft-like performance).