The juvenile sexual offender: Challenges to assessment for outpatient intervention

Assessment is the key in the outpatient treatment of the juvenile sexual offender, helping to distinguish cause and determine appropriate interventions. The structured assessment identifies issues regarding sexuality, power, control and the impact of sexual abuse upon the child victim and the juvenile offender. Providing a comprehensive view of the offender's past and present, it helps in the utilization of treatment techniques.     

Current State of the Sociology of Occupations

This report is a review of the recent literature (mostly since the mid 60s) of the sociology of occupations. The notion of measuring professionalism, especially as represented by the attribute approach, has failed to deal with crucial sociological issues. The sociology of occupations has been criticized for being without an overall theory, but the search for such a theory may not be a justified goal. Work in this field has produced many interesting and useful generalizations of a more limited range. Studies of this field are numerous, but they are distributed unevenly over the range of occupations and work issues. The strong point is the numerous detailed case studies of occupations. However, there are also some good examples of efforts to relate occupational behavior to a larger societal perspective.     

A Psychometric Evaluation of the Facial Action Coding System for Assessing Spontaneous Expression

The Facial Action Coding System (FACS) (Ekman & Friesen, 1978) is a comprehensive and widely used method of objectively describing facial activity. Little is known, however, about inter-observer reliability in coding the occurrence, intensity, and timing of individual FACS action units. The present study evaluated the reliability of these measures. Observational data came from three independent laboratory studies designed to elicit a wide range of spontaneous expressions of emotion. Emotion challenges included olfactory stimulation, social stress, and cues related to nicotine craving. Facial behavior was video-recorded and independently scored by two FACS-certified coders. Overall, we found good to excellent reliability for the occurrence, intensity, and timing of individual action units and for corresponding measures of more global emotion-specified combinations.     

A Comparison of Actual and Perceived Sexual Risk Among Older Adults

Sexual risk among older adults (OAs) is prevalent, though little is known about the accuracy of sexual risk perceptions. Thus, the aim was to determine the accuracy of sexual risk perceptions among OAs by examining concordance between self-reported sexual risk behaviors and perceived risk. Data on OAs aged 50 to 92 were collected via Amazon.com’s Mechanical Turk. Frequency of sexual risk behaviors (past six months) were reported along with perceived risk, namely, sexually transmitted infection (STI) susceptibility. Accuracy categories (accurate, underestimated, overestimated) were established based on dis/concordance between risk levels (low, moderate, high) and perceived risk (not susceptible, somewhat susceptible, very susceptible). Approximately half of the sample reported engaging in vaginal (49%) and/or oral sex (43%) without a condom in the past six months. However, approximately two-thirds of the sample indicated they were “not susceptible” to STIs. No relationship was found between risk behaviors and risk perceptions, and approximately half (48.1%) of OAs in the sample underestimated their risk. Accuracy was found to decrease as sexual risk level increased, with 93.1% of high-risk OAs underestimating their risk. Several sexual risk behaviors are prevalent among OAs, particularly men. However, perception of risk is often inaccurate and warrants attention.     

Stability and change in subjective well-being over short time periods

Recent research has reported high stability for subjective well-being over periods as long as 9 years, concluding that well-being is essentially unaffected by environmental change. Other research has suggested well-being is responsive to change in life circumstances, and appropriate for use as an adaptational outcome variable. The present research examined the stability of well-being over short periods (3–6 months) using a range of well-being measures. Two different samples, mothers with young children and elderly persons, provided assessments of well-being and every day stressors (hassles) on three occasions, three months apart, as well as the personality measure, sense of coherence. Results demonstrated high consistency in well-being, but also found it to be influenced by environmental events and personality. With prior well-being controlled, current well-being was predicted by current hassles but not by past hassles. Coherence explained limited variance in current well-being with pror well-being controlled. Of the three factors, prior well-being, current hassles, and coherence, prior well-being was the strongest predictor of present well-being. These findings were consistent across the range of well-being measures, and replicated across the samples. Implications for the use of well-being as an adaptational outcome are discussed.     

The evolution of the hospital medical director: a historical perspective.

Numerous articles have been written regarding the concept of the Medical Director, especially in the community hospital. Extensive research of the topic yielded little information in a readily available form as to the substantive, historical sequence that led us to the present concept. The material herein represents an overview of my perspective on how we got here and is presented as a based upon which further review may be undertaken by those interested in such endeavors.     

Consumer Phase Risk Assessment for Listeria monocytogenes in Deli Meats

The foodborne disease risk associated with the pathogen Listeria monocytogenes has been the subject of recent efforts in quantitative microbial risk assessment. Building upon one of these efforts undertaken jointly by the U.S. Food and Drug Administration and the U.S. Department of Agriculture (USDA), the purpose of this work was to expand on the consumer phase of the risk assessment to focus on handling practices in the home. One-dimensional Monte Carlo simulation was used to model variability in growth and cross-contamination of L. monocytogenes during food storage and preparation of deli meats. Simulations approximated that 0.3% of the servings were contaminated with >10(4) CFU/g of L. monocytogenes at the time of consumption. The estimated mean risk associated with the consumption of deli meats for the intermediate-age population was approximately 7 deaths per 10(11) servings. Food handling in homes increased the estimated mean mortality by 10(6)-fold. Of all the home food-handling practices modeled, inadequate storage, particularly refrigeration temperatures, provided the greatest contribution to increased risk. The impact of cross-contamination in the home was considerably less. Adherence to USDA Food Safety and Inspection Service recommendations for consumer handling of ready-to-eat foods substantially reduces the risk of listeriosis.