Addressing issues of face validity in the application of a clinical guideline

In 1995, a statewide project to improve the practice of electroconvulsive therapy (ECT) in the Medicare population was started in Louisiana. A retrospective baseline study found high concurrent utilization of lithium and benzodiazepines, medications considered detrimental to ECT by the second American Psychiatric Association Task Force on ECT. Resistance to a clinical guideline because of lack of face validity by clinicians was used as an opportunity to involve clinicians in using data to evaluate their clinical practices. Results of the first two quarters of the project demonstrated that the strategy was successful.     

The determinants of breastfeeding for Mexican migrant women

This article develops an economic model for assessing Mexican agricultural migrants' decision to breastfeed in a sample of 137 women in 3 agricultural communities in California. The resulting hypotheses from the model are linked to health care and welfare program access, cultural factors, and employment. Using a probit analysis of the variables, a major finding is that non-traditional practices such as out-of-home child care, birth control, and alcohol use have a negative impact on the probability of breastfeeding. These findings were consistent with the hypothesis that women with more traditional values would be more likely to breastfeed. The authors also found that working women in the sample population were less likely to breastfeed.     

Long‐term Outcomes for Children with Early Language Problems: Beating the Odds

Using the 1970 British Cohort Study, this study examines factors promoting positive language development and subsequent successful education and employment transitions among children showing early receptive language problems (age 5). We find that 61 per cent of children with early receptive language problems develop into competent readers by age 10. Factors promoting positive language development include parental support and more importantly a good school environment, characterised by only few children receiving remedial help. Post‐16 education and employment experiences indicated competent reading to be associated with a less challenging journey into adulthood. Findings are discussed in terms of their policy implications.     

“Drunkorexia”: Understanding eating and physical activity behaviors of weight conscious drinkers in a sample of college students

Objective: Behaviors of weight conscious drinkers (BWCD) include disordered eating, excessive physical activity (PA), and heavy episodic drinking. Considering that approximately 25% of the college students report BWCD, it is important to investigate what characteristics increase the likelihood of college students engaged in BWCD for both moderate and vigorous PAs. Participants: A total of 510 college students were recruited from a large, public southeastern university. Methods: Participants completed a cross-sectional survey during the spring 2015 semester. Results: Of 510 respondents, 11.2% reported moderate PA-based BWCD and 14.7% reported vigorous PA-based BWCD. Weight loss intention, BMI and Greek affiliation predicted both moderate and vigorous BWCD. Conclusions: Study findings suggest that Greek-affiliated students and students with weight loss intentions might be at an increased risk for BWCD. Along with promoting lower levels of alcohol consumption, college practitioners should consider discussing issues of weight and body image with college students as they relate to maladaptive drinking behavior.     

Avian diversity in a suburban park system: current conditions and strategies for dealing with anticipated change

A growing trend towards increased urbanization emphasizes the role of suburban parks in wildlife conservation. Spatial planning aimed at maintaining biological diversity and functionality must consider how changes at landscape and more local scales will influence the biotic structure of urban areas. From May 2006 to July 2010, bird surveys were conducted in three metropolitan parks in Cleveland, Ohio, USA. Surveys were conducted with the goal of examining the effect of vegetation structure and adjacent land cover on the distribution and species richness of breeding birds within this park system. A total of 65 species were recorded throughout the study area. Avian species richness was linked to several habitat metrics, measured at both the local and landscape scale. Generally, species richness was highest at locations characterized by moderate forest cover. The proportion of canopy cover at survey sites related negatively to species richness and the density of understory vegetation showed a positive relationship with species diversity. Despite the influence of these three metrics, sensitivity analysis indicates that the density of understory vegetation is the most significant correlate to avian diversity within this suburban park system. Management actions aimed at providing habitat for the greatest diversity of breeding songbirds within the study area should allow for moderate canopy cover while retaining or improving the structural complexity of understory vegetatation.     

The interaction of co-occurring mental disorders and recovery management checkups on substance abuse treatment participation and recovery

This article examines the effectiveness of quarterly Recovery Management Checkups (RMCs) for people with substance disorders by level of co-occurring mental disorders (34% none, 27% internalizing disorders, and 39% internalizing and externalizing) across two randomized experiments with 92% to 97% follow-up. The 865 participants are 82% African American, 53% female, and age 37 on average. RMC involves identification of those in need of treatment, motivational interviews, and treatment linkage assistance. It is effective in linking participants in need to treatment, with equal or better outcomes among those with more mental disorders. The data support the utility of monitoring and re-intervention for clients with co-occurring disorders.     

The Next Decade in Career Counseling: Cocoon Maintenance or Metamorphosis?

The authors, using a cocoon maintenance or metamorphosis metaphor, articulate the strengths, weaknesses, opportunities, threats, and future vision for career counseling. Major strengths in career counseling include the growth and development of career theory, research, and practice. Weaknesses are identified in terms of career counseling practices that maintain localized career standards. Opportunities exist for the profession to assist clients in redefining their careers on the basis of ownership and life stories. The continued devaluation of career counseling in counselor education programs is seen as a threat. The authors conclude with their vision for the future for the discipline and profession of career counseling.     

THE IMPACT OF LABOR CONTRACTS: EVIDENCE FROM BRAZIL

The conventional Keynesian model suggests that frictions created by nominal wage contracts generate a positive relationship between inflation and output. On the other hand, the New Classical/Real Business Cycle theory claims that firms and workers base their employment behavior, and hence output, on the marginal product of labor ignoring the efficiencies of fixed nominal wage contracts. Using Brazilian data, where nominal wages were indexed by law, tests show that fixed nominal wage contracts insignificantly affected output. Thus, the data support the view that fixed nominal wages play an insignificant role in determining the evolution of output. ( JEL E31)     

A photovoice study of older adults' conceptualizations of risk

Risk is a multifaceted and complex concept that mediates quality of life through the balance between risk taking and risk avoidance. Society expects older adults to identify and manage their personal risks yet little is known about the meaning of risk in their daily lives and how they balance the tensions between taking and avoiding risks. Therefore the purpose of this study was to explore how older adults construe risk. A qualitative exploratory study that incorporated photovoice methodology was used. Seventeen older adults, over a weeklong period, took pictures and kept a log of the places, spaces, events, activities, or situations that best represented risk. Subsequently, they participated in a follow-up individual interview. Older adults viewed risk both positively and negatively, judging the saliency of a risk according to criteria that related both to the risk itself and to personal characteristics. Although risk was avoided in specific situations, risk taking was participants' primary approach to risk, which assumed three forms: adaptive, opportunistic, and/or unjustifiable. Contrary to societal views, older adults view risk as constructive and personally relevant, and as something to be taken and need to be supported in risk taking rather than risk avoidance.