When should surgical treatment be considered for premenstrual dysphoric disorder?

Premenstrual mood disorders afflict a substantial number of women of reproductive age. Medical treatments provide excellent symptomatic relief to many women but at times a poor therapeutic response or adverse effects attributable to these therapies lead women to seek alternative solutions. Oophorectomy (with concomitant hysterectomy) followed by low-dose estrogen therapy has been shown to be an effective alternative for such cases of menstrual-cycle-related mood disorder.     

The Relationship between Sexual Minority Status and Suicidal Ideations among Urban Hispanic Adolescents

Youth identifying as lesbian, gay, bisexual, transgender, and queer (LGBTQ), and more specifically Hispanic youth identifying as LGBTQ, experience suicidal ideation (SI) at disproportionate rates. Furthermore, adolescents identifying as LGBTQ are likely to experience high rates of bullying, depression, and limited social support, increasing SI. Counselors often have difficulty working with youth at the intersection of sexual and ethnic minority statuses. Using structural equation modeling techniques, the present study examined sexual minority status as a predictor of school bullying, depression, social support, and SI, among urban Hispanic youth (N = 538). The authors also tested social support as a buffering mechanism.     

Forecasting differences in life expectancy by education

Forecasts of life expectancy (LE) have fuelled debates about the sustainability and dependability of pension and healthcare systems. Of relevance to these debates are inequalities in LE by education. In this paper, we present a method of forecasting LE for different educational groups within a population. As a basic framework we use the Li–Lee model that was developed to forecast mortality coherently for different groups. We adapted this model to distinguish between overall, sex-specific, and education-specific trends in mortality, and extrapolated these time trends in a flexible manner. We illustrate our method for the population aged 65 and over in the Netherlands, using several data sources and spanning different periods. The results suggest that LE is likely to increase for all educational groups, but that differences in LE between educational groups will widen. Sensitivity analyses illustrate the advantages of our proposed method.     

If you plant it,they will come: quantifying attractiveness of exotic plants for winter-active flower visitors in community gardens

Urban community gardens are potentially important sites for urban pollinator conservation because of their high density, diversity of flowering plants, and low pesticide use (relative to agricultural spaces). Selective planting of attractive crop plants is a simple and cost-effective strategy for attracting flower visitors to urban green spaces, however, there is limited empirical data about which plants are most attractive. Here, we identified key plant species that were important for supporting flower visitors using a network-based approach that combined metrics of flower visitor abundance and diversity on different crop species. We included a metric of ‘popularity’ which assessed how frequently a particular plant appeared within community gardens. We also determined the impact of garden characteristics such as size, flower species richness, and flower species density on the abundance and diversity of flower visitors. Two plant species, Brassica rapa and Ocimum basilicum were identified as being particularly important species for supporting flower visitor populations. Flower species richness had a strong positive effect on both the abundance and diversity of flower visitors. We suggest that gardeners can maximise the conservation value of their gardens by planting a wide variety of flowering plants including attractive plants such as B. rapa and O. basilicum.

     

Appropriate Therapeutic Care for Families with Pre-Pubescent Transgender/Gender-Dissonant Children

In recent years, a new phenomenon has been observed in U.S. culture, that of pre-pubescent children transitioning socially from one gender role to another, with the support of their families. As this phenomenon becomes more widespread, families, schools and other institutions will turn to mental health care professionals for guidance in navigating new territory. Such children have often been assessed for gender identity disorder; the traditional treatment plan for those so diagnosed included attempts to steer their gender behavior in more “gender-appropriate” directions. Allowing such children to self-actualize, viewing their behavior as indicative of innate identity, is a relatively new approach. This paper will focus on the social worker’s or therapist’s role in helping pre-pubescent children and their families, should the families decide identity actualization is the path they would prefer.