Using the Delphi Method to Classify Medical Specialties

One medical specialty classification system applicable for research and career counseling is the person‐oriented versus technique‐oriented taxonomy. Given that the model was conceptualized in the 1960s, verification based on how medical specialties are practiced and viewed today is necessary. Five specialists in medical career development and advising verified the categorization of specialties. Based on their review, 100% consensus was reached regarding grouping of specialties. This outcome validates the taxonomy of medical specialties and supports its continued use for medical career specialty advising and choice.     

Differences in health-related quality of life among persons living with HIV/AIDS

We sought to identify differences in health-related quality of life (HRQoL) among a sample of HIV positive individuals receiving case management services in northern Florida. Our study consisted of 97 individuals receiving HIV case management that included 56 males (57.7%) and 81 African Americans (83.5%) who were 47.05 years old (SD = 9.33). HRQoL was measured using the HIV/AIDS Targeted-Quality of Life scale (HAT-QOL). Results show significant group differences in HRQoL by race, income, tobacco use, alcohol use, drug use, and CD4 cell count, despite only 43% of this sample being able to recall their most recent CD4 count. Translating these findings to inform practice, HIV care providers need to provide continuing education to patients about their disease status, knowledge, and treatment as it relates to self-care. Also, HIV care providers should be especially cognizant of the impact that tobacco, alcohol, and illicit drug use has on HRQoL for persons living with HIV/AIDS (PLHA) by working to assess social support, identify readiness for change, and make appropriate referrals for treatment.     

Self,Career and Nationhood: The contrasting aspirations of British and French elite graduates

There is increasing interest in the emergence of a ‘global middle class’ in which high achieving young graduates increasingly look to develop careers that transcend national boundaries. This paper explores this issue through comparing and contrasting the aspirations and orientations of two ‘elite’ cohorts of graduates. Interviews with students at the University of Oxford, England, and Sciences‐Po, France, reveal very different ambitions and allegiances. Our Oxford respondents portray their futures as projects of self‐fulfilment as they build portfolio careers by moving from job to job and from country to country with limited social allegiances – epitomizing the nomadic worker of the transnational elite. Our Parisian respondents, on the other hand, display strong allegiances to the nation, state and civic duty. Their projects of the self involve reconciling their personal aspirations with strong allegiances to France. The paper concludes by discussing the significance of these differences. It argues that the enduring role of education in the formation of national identities should not be overlooked and that more detailed research is needed on the contextual specifity of transnationalism and the (re)production of elites.     

Emotional impacts of environmental decline: What can Native cosmologies teach sociology about emotions and environmental justice?

This article extends analyses of environmental influences on social action by examining the emotions experienced by Karuk Tribal members in the face of environmental decline. Using interviews, public testimonies, and survey data we make two claims, one specific, the other general. We find that, for Karuk people, the natural environment is part of the stage of social interactions and a central influence on emotional experiences, including individuals’ internalization of identity, social roles, and power structures, and their resistance to racism and ongoing colonialism. We describe a unique approach to understanding the production of inequality through disruptions to relationships among nature, emotions, and society. Grief, anger, shame, and hopelessness associated with environmental decline serve as signal functions confirming structures of power. The moral battery of fear and hope underpins environmental activism and resistance. More generally, we expand this concern to argue that neglecting the natural world as a causal force for “generic” social processes has limited not only work on Native Americans, but also work sociology of emotions and theories of race and ethnicity, and has masked the theoretical significance of environmental justice. Taking seriously the experiences of Native people and the importance of the natural environment offers an opportunity to extend sociological analyses of power and to move sociology toward a more decolonized discipline.     

An Assessment of Three Procedures to Teach Echoic Responding

The Analysis of Verbal Behavior - The research literature has revealed mixed outcomes on various procedures for increasing vocalizations and echoic responding in persons with disabilities (Miguel,...     

A four factor model predicting likelihood of foster carer retention

This study used a self‐report method to test a conceptual model for predicting the likelihood of retention of foster carers for children requiring out‐of‐home care. It was hypothesized that satisfaction levels of foster carers would be determined by locus of control and social support, and that the decision to stay or leave fostering within the next 18 months would be influenced by foster carer satisfaction, and commitment to a child/ren in care. Participants were 185 Queensland foster carers. Results supported the proposed model. Logistic regression analysis revealed that an increase in either satisfaction or commitment would result in foster carers being more likely to decide to stay in fostering. Multiple regression analysis found that both locus of control and social support made a significant contribution to the prediction of carer satisfaction. The findings were further supported by qualitative data. Implications of the findings are discussed.     

Quantitative Risk Assessment of Listeria monocytogenes in French Cold-Smoked Salmon: II. Risk Characterization

A model for the assessment of exposure to Listeria monocytogenes from cold-smoked salmon consumption in France was presented in the first of this pair of articles (Pouillot et al ., 2007, Risk Analysis, 27:683–700). In the present study, the exposure model output was combined with an internationally accepted hazard characterization model, adapted to the French situation, to assess the risk of invasive listeriosis from cold-smoked salmon consumption in France in a second-order Monte Carlo simulation framework. The annual number of cases of invasive listeriosis due to cold-smoked salmon consumption in France is estimated to be 307, with a very large credible interval ([10; 12,453]), reflecting data uncertainty. This uncertainty is mainly associated with the dose-response model. Despite the significant uncertainty associated with the predictions, this model provides a scientific base for risk managers and food business operators to manage the risk linked to cold-smoked salmon contaminated with L. monocytogenes. Under the modeling assumptions, risk would be efficiently reduced through a decrease in the prevalence of L. monocytogenes or better control of the last steps of the cold chain (shorter and/or colder storage during the consumer step), whereas reduction of the initial contamination levels of the contaminated products and improvement in the first steps of the cold chain do not seem to be promising strategies. An attempt to apply the recent risk-based concept of FSO (food safety objective) on this example underlines the ambiguity in practical implementation of the risk management metrics and the need for further elaboration on these concepts.     

Community standards,conservatism, and judgments of pornography

In an attempt to determine if a community standard existed and to relate judgments of pornography to conservatism, scores on Wilson and Patterson's Conservatism Scale, yes‐no judgments on whether 25 pictures were or were not pornographic, and demographic data were obtained from a random sample (N = 114) of a community. Results were as follows: (1) suggestive evidence for the existence of a community standard; (2) the c‐scale correlated .57 (N = 114, p < .01) with number of pictures judged pornographic; (3) the 25 pictures met Guttman requirements of unidimensionality (reproducibility of .925); and (4) factor analysis of the pornography judgments yielded three clear‐cut factors and one ambiguous factor which were ordered along the Guttman dimension.