An analysis of the distribution system of a brewery

The distribution system of a Danish brewery located in Jutland is evaluated. The performance of the present system and alternative proposals is examined using simulation. One of the main conclusions is that large savings can be achieved by merely administrative changes. The suggested changes have not yet been implemented in spite of the well documented economic advantages. Implementation in this case is not just a matter of economics but largely concerns the relations between the brewery and depot owners.     

Playing It Straight: Framing Strategies Among Reparative Therapists

Reparative therapy, a form of counseling that seeks to help individuals get rid of their homosexual desires, has been an important component of the ex‐gay movement, but the controversy surrounding the practice has been growing since the 1990s. As a result, the therapy has been effectively relegated to a deviant status by both mainstream society and the mental health profession. Nevertheless, a number of reparative therapists continue to offer their services. This article uses the sociological concepts of deviance and framing to identify both the factors that constitute the deviant status of reparative therapy and the frames practitioners use to legitimate the therapy within an increasingly hostile social environment. A content analysis of reparative therapy Web sites highlights differences between two types of reparative therapists: professional therapists who emphasize the client's right to pursue change and religious counselors who prioritize biblical teachings prohibiting homosexual acts. The results contribute to the sparse sociological literature on reparative therapy and the use of frames by individuals who have experienced marginalization.     

Intra‐ and Interracial Best Friendships During Middle School: Links to Social and Emotional Well‐being

This study examined patterns of intra‐ and interracial best friendships during middle school and their associations with social and emotional well‐being. We hypothesized that intraracial friendships would be beneficial for racial or ethnic minority youth because such relationships provide protection and solidarity in a discriminatory society. Results revealed that most youth had only intraracial best friends during middle school, but 38% had at least one interracial best friend. Associations between interracial best friendships and well‐being varied by racial group; Black and Asian American youth with only interracial best friends reported lower emotional well‐being than those with only intraracial best friends. Additionally, intraracial best friendships were associated with higher conflict than interracial best friendships, especially for Black and Latino youth.     

Exploring the Link between Mindfulness and Relationship Quality: Direct and Indirect Pathways

This study serves to advance the empirical research on predictors of relationship quality by considering the role of trait mindfulness in combination with measures of stress and positive relationship behaviors among a diverse sample of men and women in couple relationships. Multi-group structural equation models tested both direct links and indirect pathways and found stronger evidence for an additive model of trait mindfulness, perceived stress, and positive couple behaviors uniquely associated with men's and women's reports of relationship quality. Furthermore, positive relationship behaviors are comparatively the most closely linked with relationship quality for both men and women in our sample. As more clinicians are incorporating mindfulness training with clients, these types of explorations can serve to inform practices on relative value of intervention strategies and possible pathways for enhancing couple relationship quality.     

Perceptions of Aging Among Rural,Midwestern Senior Citizens: Signs of Women's Resiliency

ABSTRACT

This study utilized both quantitative and qualitative approaches to examine perceptions of aging among rural-dwelling senior citizens (203 women and 112 men), ages 65 and older. Quantitative results revealed that, despite no significant gender differences in the total number of medical conditions reported, women were less likely than men to report that health problems interfered with their daily functioning. Qualitative analyses revealed that women were particularly like to identify relationships, frame of mind, participating in activities, and religion/spirituality as important contributors to successful aging.     

Assessment of Cardiovascular Risk in Collegiate Football Players and Nonathletes

Abstract

Collegiate American football players may be at risk for cardiovascular disease. Objective: To compare cardiovascular disease risk factors and cardiovascular structure and function parameters of football players, stratified by position, to a group of sedentary, nonathletes. Participants: Twenty-six collegiate football players and 13 nonathletes participated in this study. Methods: Blood pressures, anthropometrics, and blood chemistries were obtained and analyzed using standardized procedures. Resting echocardiography was used to evaluate cardiac morphology and function. Brachial artery flow-mediated dilation was assessed using high-resolution ultrasonography. Results: The prevalence of the metabolic syndrome was significantly higher amongst the linemen compared to the skill-position players (46% versus 0%, p < .05). Mildly abnormal wall thickness was noted in 20% of the football players. No significant differences in vascular function were observed between the groups. Conclusions: The increased prevalence of the metabolic syndrome and its components in the collegiate linemen may increase cardiovascular disease risk.     

Active Commuting Patterns at a Large,Midwestern College Campus

Abstract

Objective: To understand patterns and influences on active commuting (AC) behavior. Participants: Students and faculty/staff at a university campus. Methods: In April–May 2008, respondents answered an online survey about mode of travel to campus and influences on commuting decisions. Hierarchical regression analyses predicted variance in walking and biking using sets of demographic, psychological, and environmental variables. Results: Of 898 respondents, 55.7% were female, 457 were students (50.4%). Students reported more AC than faculty/staff. For students, the models explained 36.2% and 29.1% of the variance in walking and biking, respectively. Among faculty/staff, the models explained 45% and 25.8% of the variance in walking and biking. For all models, the psychological set explained the greatest amount of variance. Conclusions: With current economic and ecological concerns, AC should be considered a behavior to target for campus health promotion.     

Neuropsychological Correlates of Performance Based Functional Status in Elder Adult Protective Services Referrals for Capacity Assessments

We have previously described high rates of executive function impairment in clients referred by Adult Protective Services (APS) to geriatric psychiatry for decision-making capacity assessments. The purpose of this study was to determine the independent relationship between neuropsychological screening instruments, particularly instruments sensitive to executive function, and performance-based functional tasks in elder referrals. Our retrospective medical review (n = 75/157 referrals completed all neuropsychological and functional assessments) revealed that only the Executive Interview (EXIT25) contributed independent variance to money management performance (R² = 0.29, p < 0.001), telephone use ability (R² = 0.39, p < 0.001), and summed performance (R² = 0.45, p < 0.001). Executive instruments may specifically inform decision-making capacity assessments.     

Least Restrictive or Least Understood? Waist Restraints,Provider Practices,and Risk of Harm

Since implementation of The Omnibus Budget Reconciliation Act of 1987, restraint use in American nursing homes has reduced dramatically. The reduction in vest restraints has resulted in an increase in “least restrictive” devices such as waist restraints. Although this analysis of U.S. Food and Drug Administration Adverse Event Reporting Data Files found that waist devices pose the same potential risk for asphyxial death as vest restraints, few health professionals and consumers are aware of this outcome. Post-marketing device reporting needs better data quality and surveillance, which can certainly benefit the Centers for Medicare and Medicaid Services in their efforts to regulate and enforce standards of care that reduce deaths and injuries to vulnerable nursing home residents.