A Case Series of 44 Completed Gambling-Related Suicides

This paper presents an analysis of 44 case records of suicide occurring between 1990 and 1997 in the State of Victoria, Australia, in which the State Coroner identified the presence of a putative gambling problem. Analysis of demographic data revealed that the majority of suicidal gamblers were male with a mean age of 40 years with 84% of the sample being either unemployed or from lower socioeconomic backgrounds. The most common method of suicide was carbon monoxide poisoning. A quarter of the victims left a suicide note. Evidence was found indicating that almost a third (31.8%) of cases had previously attempted suicide and one in four had sought some form of mental health assistance for their gambling problem. A number of putative risk factors were identified including comorbid depression, large financial debts and relationship difficulties. The relationship between crime, suicide and gambling and gender differences among suicidal gamblers was also examined. The authors conclude that further research is required to substantiate these initial findings which are based on retrospective accounts and secondary sources of evidence.     

Physician executive contracts: negotiating the future

Once viewed as a matter of standard protocol, physician executive contracts have become as complex as the health care industry itself. Historically, hospital administration and physicians negotiated a few key points, then sent the ideas to an attorney for insertion of standard legalize and boilerplate. Today, physician executive contracts are an important part of the changes in health care. They not only cover traditional hospital and physician relations, but increasingly apply to new types of relations (such as employment) between hospitals and physicians, physicians and physicians, and health plans and physicians. In this article, we will explore both the "content" and the "context" of physician executive contracts. Content will deal with the specific provisions typically included in contracts. Context will address issues associated with preparing for and negotiating a contract.     

Management of Parkinson's disease in older women

Elderly women with Parkinson's disease (PD) represent a specific patient population that may benefit from individualized treatment strategies. PD has been shown to occur approximately twice as often in men than in women, resulting in theories regarding estrogen being protective against the disease and as a potential treatment strategy. Given women's longer life expectancy, they are more likely to reach an age where antiparkinsonian medications are associated with side-effects. This paper will review medical and surgical treatments as well as the relationship of gender and age with respect to the management of PD.     

Adolescent Weight and Depressive Symptoms: For Whom is Weight a Burden?*

Objective. Adolescent weight and depressive symptoms are serious population health concerns in their own right and as they relate to each other. This study asks whether relationships between weight and depressive symptoms vary by sex and race/ethnicity because both shape experiences of weight and psychological distress. Methods. Results are based on multivariate analyses of National Longitudinal Study of Adolescent Health (Add Health) data. Results. There are no associations between adolescent girls' weight and depressive symptoms, but these associations vary considerably among boys. Underweight is associated with depressive symptoms among all boys and subpopulations of white and Hispanic boys. Among Hispanic boys, those who are overweight (vs. normal weight) have a lower probability of reporting depressive symptoms. Finally, among normal weight boys, Hispanics and blacks are more likely to report depressive symptoms than whites. Conclusions. Findings are a reminder that understanding population health issues sometimes requires a focus on subpopulations, not simply the population as a whole.     

The Effects of Parenting on the Development of Adolescent Alcohol Misuse: A Six‐Wave Latent Growth Model

Alcohol use increases throughout adolescence. Based on family socialization theory, it was hypothesized that family factors, particularly parental support and monitoring, would influence individual trajectories in the development of alcohol misuse. Six waves of data were analyzed, based on interviews with 506 adolescents in the general population of a northeastern metropolitan area. Using growth‐curve longitudinal analysis, results show that parenting significantly predicts adolescents' initial drinking levels (intercepts) as well as their rates of increase in alcohol misuse (slope). This study provides evidence that effective parenting is an important factor in preventing alcohol misuse.     

Patterns of positivity: Positive affect trajectories among infants of mothers with a history of depression

This study examined positive affect (PA) trajectories over the first year of life among infants of mothers with a history of depression (N = 191) as well as predictors (i.e., maternal prenatal and postpartum depression symptoms, maternal parenting behaviors) of those trajectories. Infant PA was observed in play and feeding tasks during laboratory visits at 3, 6, and 12 months of age; parenting behaviors were observed at 3 months. Mothers completed questionnaires regarding their symptoms of depression throughout the prenatal period and during the first 3 months postpartum. Growth curve analyses indicated that infant PA increased across time, and this finding replicated across both the play and feeding tasks, though increases slowed over time. Neither maternal prenatal nor postpartum depression symptoms predicted infants' PA trajectories, but mothers' PA, positive parenting, and disengaged parenting were associated with infant PA during the play task. Our finding that infant PA increased over the first year postpartum suggests PA trajectories among infants of mothers with a history of depression may be indices of resilience, despite risks associated with their mothers' history of depression. Furthermore, this study highlights parenting behaviors that may be important targets of prevention and early intervention efforts to bolster infant PA.     

Victimization,Aggression, and Other Problem Behaviors: Trajectories of Change Within and Across Middle School Grades

This study examined trajectories of victimization and problem behaviors within and across three grades of middle school. Participants were 2,166 adolescents from three urban middle schools in the United States who completed measures of victimization, physical and relational aggression, substance use, and delinquent behavior. Latent curve analyses modeled changes in each construct across 12 waves collected every 3 months. In each case, the best‐fitting model required separate linear slopes to represent changes within each grade and a factor representing decreases in the summers. Positive cross‐construct correlations were found for intercepts, linear slopes, and measures within waves. The findings suggest strong associations among victimization and problem behaviors, and individual differences in their patterns of change both within and across grades.     

Hearing Impairment and Emotion Identification from Auditory and Visual Stimuli

In the present pilot study, the researchers investigated how people with impaired hearing identify emotions from auditory and visual stimuli, with people with normal hearing acting as their controls. Two separate experiments were conducted. The viewpoint was in the communication and social function of emotion perception. Professional actors of both genders produced emotional nonsense samples without linguistic content, samples in the Finnish language, and prolonged vowel samples. In Experiment 1, nine Cochlear implant users and nine controls participated in the listening test. In Experiment 2, nine users of a variety of hearing aids and nine controls participated in the perception test. The results of both experiments showed a statistically significant difference between the two testing groups, people with hearing impairment and people with normal hearing, in the emotion identification and valence perception from both auditory and visual stimuli. The results suggest that hearing aids and cochlear implants do not transfer well enough the nuances within emotions conveyed by the voice. The results also suggest difficulties in the visual perception among people with hearing impairment. This warrants further studies with larger samples.     

Planning for the American Dream: The College-Savings Behavior of Asian and Latino Foreign-Born Parents in the United States

Population Research and Policy Review - Rapid growth in the population of children of immigrants has occurred during an era of soaring college costs in the United States. Despite well-established...     

Buildings as Artifacts: What Are Buildings in World History Telling Us?

Learning about people from long ago and far away poses a challenge for students because such people seem so distant and different. The lack of easily comprehensible text-based primary sources compounds this problem. Using a built environment as a primary source makes people from the distant past more accessible, concrete and exciting. Broadly speaking, a built environment entails all the changes that people have made to a landscape, such as buildings, roads, ways of conveying power and water, and even adaptations of the physical environment such as gardens and parks. Students' exploration of a built environment fosters historical inquiry and visual literacy, provides evidence for constructing a historical narrative, and offers insight into a people, place and time as they investigate not simply the structure, but the perspectives of those associated with it and the cultural and historical context in which it is situated. In this article we draw on our experience with 6th and 9th grade students as we present a guide on how to integrate the built environment as a source of artifacts into world history.