Physical activity and patient-reported outcomes: enhancing impact

Physical activity (PA) is beneficial for cancer survivors across the cancer trajectory. Evidence indicates physical and psychosocial benefits, and ultimately, enhanced overall quality of life, for individuals who are more versus less active (Semin Oncol Nurs 23:285–296, 2007; Cancer Epidemiol Biomarkers Prev 14:1672–1680, 2005; J Cancer Surviv 4:87–100, 2010). A number of recent reviews have been conducted that examine different patient or survivor populations and outcomes. In general, the findings across the reviews reveal potential positive associations between exercise (structured activity one engages in for the purposes of enhancing health-related fitness outcomes) and PA (any physical movement, including lifestyle types of activity) with both physical and psychological outcomes. It is important to note, however, that depending on the nature of the review and the types of studies included in the review, the strength of the findings (i.e., effect size) vary. Despite this overwhelmingly positive evidence for the benefits of PA, activity levels are very low among cancer survivors, with one study reporting only 22 % of survivors as active enough to achieve health benefits (Cancer 112(11):2475–2482, 2008). This suggests that we must begin to better understand the factors that impact the uptake and maintenance of PA among cancer survivors. These potential factors are important when considering the patient-reported outcomes to assess and can include timing (i.e., during or after treatment completion), characteristics of the cancer diagnosis and subsequent treatments (i.e., early vs. late stage cancers), and characteristics of the individual (i.e., older vs. younger).     

Case Study: The First Israeli BSW Program for Haredi Women Students

The article summarizes a longitudinal case study of the very first Israeli program in social work targeted to the Haredi (ultra-Orthodox Jewish) population (1997–1999). The program's success played an important role in the last decade's dramatic change of attitude in the Israeli Council for Higher Education toward social work education and higher education for the Haredi population. Aside from describing an interesting case of intercultural educational encounter, exploring the dynamics of the interaction between the social work faculty and the Haredi students, and investigating changes in the participants' perceptions of themselves, the other, and the situation, the findings provide some theoretical and practical clues for the inclusion of culturally peripheral populations in social work and higher education.     

Young Women's Experiences and Perceptions of Cunnilingus during Adolescence

Recent studies indicate that cunnilingus may be as prevalent as fellatio among American adolescents. Despite this approximate equivalence in rates, there is an imbalance in the amount and type of attention paid to fellatio and cunnilingus. Furthermore, there has been little empirical examination of young women's experiences and perceptions of cunnilingus during adolescence. Two studies in response to this gap in knowledge were conducted. In Study 1, regression analyses indicated that a young woman's sexual assertiveness was linked to having more lifetime cunnilingus partners, as well as more cunnilingus experiences in the past three months. Study 2 explored young women's perceptions of cunnilingus and their speculations about their male partners’ perceptions thereof. Linear mixed modeling revealed that participants had highly favorable impressions of cunnilingus, which they believed their male partners shared. These findings are considered in terms of positive adolescent sexual development and cultural norms regarding female sexuality.     

Injecting and Rejecting,Framing and Failing

This paper seeks to examine how female subjectivities are privileged by Canadian human papillomavirus (HPV) vaccination discourse and, in turn, how homosexual male subjectivities are displaced. Employing a Critical Discourse Analysis approach, I analyze selected HPV vaccination (HPVV) promotional materials, and depict the discursive strategies which privilege and exclude gendered subjectivities. My critical analysis is influenced by feminist linguistic works that seek to uncover the discursive constructions around sexuality, gender and identity, and the discursive strategies used to communicate ideas about sexual health risks and responsible citizenship. In addition, I adopt feminist theories of knowledge and power to rethink the discursive representations of some bodies and subjectivities as normal, and Others as unintelligible within HPVV discourse in today's neoliberal time.     

<Emphasis Type="Italic">„Mönche aus Wien,bitte lüftets eure Geheimnisse</Emphasis>.“ Über die Abweichungen der Beratungspraxis von den Idealtypen der Organisationsberatung

A discrepancy between the explicit theories of organizational consulting and consulting in practice has to be assumed. This paper analyzes the difference between front stage and back stage in organizational consulting. Therefore the idealtyps of organizational consulting are reconstructed and put in contrast with actual consulting behaviour (on the basis of 48 interviews with consultants). As a result three thesis can be stated: Based on the clients’ expectations a divergence between the idealtyps and the consulting practice has been identified, which leads to convergence in the consulting practice (convergence thesis). For systemic consulting (in German: Systemische Organisationsberatung) this divergence is as significant and vast (value transfer thesis) that it doesn’t seem justifiable to take it as an independent approach on organizational consulting (three realtyps thesis).     

Exploring the Meanings of the “Heartfelt” Gesture: A Nonverbal Signal of Heartfelt Emotion and Empathy

Journal of Nonverbal Behavior - We conducted two studies to explore the potential meanings associated with the “heartfelt” gesture, which involves placing one’s hand with a flat...     

The Role of Gesture in Children's Comprehension of Spoken Language:Now They Need It, Now They Don't

Two experiments investigated gesture as a form of external support for spoken language comprehension. In both experiments, children selected blocks according to a set of videotaped instructions. Across trials, the instructions were given using no gesture, gestures that reinforced speech, and gestures that conflicted with speech. Experiment 1 used spoken messages that were complex for preschool children but not for kindergarten children. Reinforcing gestures facilitated speech comprehension for preschool children but not for kindergarten children, and conflicting gestures hindered comprehension for kindergarten children but not for preschool children. Experiment 2 tested preschool children with simpler spoken messages. Unlike Experiment 1, preschool children's comprehension was not facilitated by reinforcing gestures. However, children's comprehension also was not hindered by conflicting gestures. Thus, the effects of gesture on speech comprehension depend both on the relation of gesture to speech, and on the complexity of the spoken message.     

Children's Use and Knowledge of Display Rules for Anger Following Hypothetical Vignettes versus Following Live Peer Interaction

Our primary goal was to examine the correspondence between children's self-reported use and knowledge of display rules for anger following hypothetical vignettes versus following live peer interactions. Our secondary goal was to investigate whether children's self-reported experience and self-reported expression of anger were related their observed anger expression, considered an observational measure of use of display rules for anger. Participants were 274 second-grade children. Children were first interviewed about their use and knowledge of display rules for anger in game-playing situations depicted through hypothetical vignettes. Several months later, children interacted with a confederate in standardized games designed to simulate the vignettes and answered the same questions about display rules. Children's responses were moderately related across the two contexts. However, following the live interactions, compared to the hypothetical vignettes, children reported feeling less anger, expressing less anger, intending to hide their anger more, and dissembling their anger more. In addition, there were differences in the quality and quantity of strategies for hiding anger that children generated across the two contexts. Observations of anger expression were not related to self-reports of either the experience or expression of anger.     

Reproducibility of clinical data I: continuous outcomes

Across a variety of clinical settings, repeated measurements on an individual, obtained under identical circumstances, often differ from one another. This implies the measurements lack perfect reproducibility. Topics related to reproducibility of clinical measurements are introduced in this paper. In this first of two parts, continuous outcomes are addressed. The intraclass correlation coefficient, ρ, has been the traditional coefficient of reproducibility for continuous outcomes. The importance of ρ regarding observations on an individual, and observations among populations, is outlined. Estimation and inferential procedures for ρ are reviewed and worked examples are provided. Copyright © 2004 John Wiley & Sons, Ltd.     

The “fetus-infant”: Changing classifications ofIn Utero development in medical texts

This paper examines several aspects of the changing cultural classifications of reproduction through a close reading of obstetrics textbooks. Through the discursive construction of the fetus in obstetric texts, medical accounts are beginning to classify the fetus as a baby. In investigating this transformation, I focus upon two cognitive processes: the splitting of the fetus apart from the pregnant woman and the concurrent lumping of two distinct mental entities—a fetus and an infant into one new medical category: the fetus-infant. In addition, textual evidence shows a shift in cognitive orientation away from classifying fetuses based on gestational age to an emphasis on what I term functional age. Further, new knowledge enables physicians to affect functional age, making the fetus with mature function in utero conceptually no different from a baby. An earlier version of this paper was presented at the American Sociological Association Meeting, Washington, DC, August, 1995.