An evidence-based approach to lifestyle interventions in urogynaecology

Urinary incontinence, urgency, overactive bladder symptoms, cystitis and urinary tract infections are common conditions that collectively trouble over one-third of the female population around and beyond the time of menopause, with a detrimental effect on physical, social and mental wellbeing. Apart from pharmacological and surgical treatments, a long list of lifestyle, behavioural, physical and complementary interventions have been introduced over the years to relieve lower urinary tract symptoms. This review examines the effect on these symptoms of lifestyle factors (such as weight, smoking, dietary components, fluid intake, exercise and bowel habit), complementary therapies (such as herbal remedies, acupuncture and hypnotherapy), behavioural therapies (bladder training and timed and prompted voiding), pelvic floor muscle training and some over-the-counter preparations. The high prevalence of the above conditions in combination with the increasing publicity for and awareness of the subject has contributed to the popularity of the interventions considered in this review. Many of them, however, lack a solid evidence base with regard to their efficacy and few have been subjected to robust randomized trials. It is widely recognized that there is a need for further prospective interventional studies of all lifestyle interventions to evaluate the effects of modifying these factors on lower urinary tract symptoms.     

Perceived Availability,Risks, and Benefits of Gambling among College Students

The current study was an exploration of gambling-related perceptions and their relation to gambling behavior among young adult college students. Three hundred and two ethnically diverse undergraduates at a large urban public university completed a survey to assess their perceptions of the availability, risks, and benefits of gambling, and the South Oaks Gambling Screen (SOGS) to assess gambling behavior and problems. Participants generally rated gambling as more available than alcohol or marijuana, and less risky than alcohol or cigarettes. The most common perceived benefits of gambling were social enhancement, financial gain, and positive changes in affect. Perceived benefits were a significant predictor of gambling problems. Perceived availability, perceived risk, and perceived benefits were found to be significant predictors of regular gambling. These results provide valuable information about the ways that college students perceive gambling and demonstrate that perceptions can be important predictors of gambling behavior. An erratum to this article can be found at     

Perspectives: Abortion and Genocide: The Unbridgeable Gap

This article examines The Center for Bio-Ethical Reform's claimthat abortion is genocide, assessing it against legal, trait-basedand "dynamic process" definitions of genocide. The purpose ofthis exercise is not to give credence to what many consideran outrageous claim, nor is it to merely refute this claim basedupon a close reading of existing definitions of genocide; instead,by subjecting The Center for Bio-Ethical Reform's claim to anethical and performative evaluation, our goal is to illustratehow the term genocide can be "misused." In the end, we arguethat The Center for Bio-Ethical Reform uses the term genocidefor its own totalizing and essentializing purposes, and in doingso engages in practices that share an affinity with the exclusionarydiscourses that help make genocide thinkable.     

The efficacy of the Rio Hondo DUI court: a 2-year field experiment

This study reports results from an evaluation of the experimental Rio Hondo driving under the influence (DUI) court of Los Angeles County, California. Interviews and official record checks with 284 research participants who were randomly assigned to a DUI court or a traditional criminal court were assessed at baseline and at 24-month follow-up. The interviews assessed the impact of the DUI court on self-reported drunk driving behavior, the completion of treatment, time spent in jail, alcohol use, and stressful life events. Official record checks assessed the impact of the DUI court on subsequent arrests for driving under the influence and other drinking-related behaviors. Few differences on any outcomes were observed between participants in the experimental DUI court and those assigned to the traditional court. The results suggest that the DUI court model had little additional therapeutic or public safety benefit over the traditional court process. The implication of these findings for the popularity of specialized courts for treating social problems is discussed.     

Virtual World Interview Skills Training for Students Studying Health Professions

This study examined the effectiveness of a health professional virtual world interview skills trainer (IST), in comparison to classroom training via interview role-plays with peers. Students of psychology, physiotherapy, and general health science learned interviewing skills through role-play and virtual world training. Students were randomly allocated to a role-play-first, or IST-first condition. Interviewing self-efficacy was measured at baseline and after each of the learning experiences. In total, 72 students completed all surveys. Students’ reported an increase in interviewing self-efficacy significantly after the IST experience than after role-play.     

Identities and Identity Work in Organizations

Identities, people's subjectively construed understandings of who they were, are and desire to become, are implicated in, and thus key to understanding and explaining, almost everything that happens in and around organizations. The research contribution that this review paper makes is threefold. First, it analyses the often employed but rarely systematically explored concept ‘identity work’, and argues that it is one metaphor among many that may be useful in the analysis of professional and more generally work identities. Second, it focuses on five fundamental, interconnected debates in contemporary identities research centred on notions of choice, stability, coherence, positivity and authenticity. Third, it outlines the roles that the concept ‘identity work’ may play in bridging levels of analysis and disciplinary boundaries, and sketches some possible future identities‐focused ideas for further research. Under‐specification has meant that ‘identity’ has not always fulfilled its analytical promise in either theoretical explorations of identities issues or in empirical studies of identities in practice; and it is to these ends that this paper seeks to contribute.     

The Effect of Family Member Migration on Education and Work Among Nonmigrant Youth in Mexico

While academic and policy circles have given much attention to the assimilatory experiences of Mexican immigrants in the United States, less is known about those who stay behind—an especially unfortunate oversight given the increasing number of Mexican youth with migrant family members. Of the studies on this topic, most have sought to identify the effect that migration has on youths’ migratory and educational aspirations, often using qualitative methods in individual sending communities. The present article supplements this research in two ways: (1) in addition to assessing educational outcomes, the scope of the analysis is expanded to include nonmigrants’ interaction with another homeland institution of upward mobility: the labor market; and (2) using a large demographic data set, statistical techniques are employed to adjust for unobserved selectivity into the migrant family-member population, thus accounting for a potentially serious source of bias. The results suggest that youth in migrant-sending families are less likely to complete the educational transitions leading up to postsecondary school and have a lower probability of participating in the local economy. The results also indicate that unobserved factors play a “nonignorable” role in sorting youth into migrant and nonmigrant families.     

Population Composition,Public Policy,and the Genetics of Smoking

In this article, we explore the effect of public policy on the extent to which genes influence smoking desistance. Using a sample of adult twins (n _mz = 363, n _dz = 233) from a large population registry, we estimate Cox proportional hazards models that describe similarity in the timing of smoking desistance among adult twin pairs. We show that identical twin pairs are significantly more likely to quit smoking within a similar time frame compared with fraternal twin pairs. Importantly, we then show that genetic factors for smoking desistance increase in importance following restrictive legislation on smoking behaviors that occurred in the early and mid-1970s. These findings support the social push perspective and make important contributions to the social demography and genetic epidemiology of smoking as well as to the gene-environment interaction literatures.