Functional disability among chronic pain patients receiving long-term opioid treatment

This study of 2,163 adult chronic, non-cancer-pain, long-term opioid therapy patients examines the relationship of depression to functional disability by measuring average pain interference, activity limitation days, and employment status. Those with more depression symptoms compared to those with fewer were more likely to have worse disability on all 3 measures (average pain interference score >5, OR = 5.36, p < .0001; activity limitation days ≥ 30, OR = 4.05, p < .0001; unemployed due to health reasons, OR = 4.06, p < .0001). Depression might play a crucial role in the lives of these patients; identifying and treating depression symptoms in chronic pain patients should be a priority.     

Bisphenol A: How the Most Relevant Exposure Sources Contribute to Total Consumer Exposure

Bisphenol A (BPA) is an endocrine disrupting chemical that is found in human urine throughout industrial societies around the globe. Consumer exposure pathways to BPA include packaged food, household dust, air, and dental fillings. To date, information on the relative contribution of the different pathways to total consumer exposure is lacking, but is key for managing substance‐associated risks. We investigated the relative contributions of the pathways known to be most relevant for nine different consumer groups. Our results suggest that the most important pathways for infants and children are the use of polycarbonate (PC) baby bottles and for adults and teenagers the consumption of canned food. Dental surgery can also considerably contribute over a short time directly after the surgery. For infants fed with PC baby bottles with mean dose rates of 0.8 μg/kg_bw/d the highest exposure dose rate was calculated. This dose rate is far below the tolerable daily intake of 50 μg/kg_bw/d. However, it is of the same order of magnitude as recently reported concentrations that caused low‐dose health effects in rodents. We find a pattern of falling exposure levels with rising age that is supported by urinary concentrations of BPA available for selected consumer groups. Similarly, the exposure levels we predict are confirmed by the levels reported in these studies.     

Forcible,Drug-Facilitated,and Incapacitated Rape and Sexual Assault Among Undergraduate Women

Abstract

Objective: To examine the prevalence of drug-related sexual assaults, identify the frequency of assaults that occur following voluntary versus involuntary drug or alcohol consumption, and identify contextual correlates of drug-related assaults. Participants: College-student females (n = 314). Methods: Volunteers reported experiences with forcible and drug-related sexual assaults in the spring semester of 2004. Follow-up queries regarding the most severe drug-related assaults determined whether the assaults followed voluntary or involuntary alcohol or drug consumption. Results: 29.6% (n = 93) of the respondents reported a drug-related sexual assault or rape; 5.4% (n = 17) reported a forcible sexual assault or rape. Voluntary incapacitation preceded 84.6% of drug-related assaults and involuntary incapacitation preceded 15.4% of drug-related assaults. The majority of drug-related assaults (96.1%) involved alcohol consumption prior to assault. Conclusions: Drug-related sexual assaults on college campuses are more frequent than are forcible assaults and are most frequently preceded by voluntary alcohol consumption.     

The logic of preference reconsidered

Preferences are an important object of study in economic theory. Their logico-mathematical study has become prominent with the raise of modern decision theory and with the new conceptions of utility-functions and personalistic probabilities. The ‘basic logic’ at the foundation of the more advanced theories of preference, however, has been relatively little investigated. The pioneer work is Hallden's The Logic of ‘Better’ of the year 1957, followed by von Wright's The Logic of Preference in 1963. The topic has turned out unexpectedly problematic and there is as yet little consensus among logicians about the basic laws of preferring. A reason for this is apparently that there exist several concepts of preference which must be disentangled and kept apart in a logical theory. How this is to be done is discussed in the introductory sections (1–5) of the present paper. In Section 8 is sketched a logic for an asymmetric and connected preference-relation which holds between ‘possible worlds’ within a subject's ‘preference-horizon’ (Section 7). Preferences between states of affairs generally are called holistic when they hold ceteris paribus, i.e., when there is a corresponding preference-relation between any pairs of possible worlds which differ only in those two states and in no others. (Section 6.) Holistic preferences between states are asymmetrical and transitive but they do not form a linear preference order. (Section 9.) Failure to notice this, the author maintains, is responsible for much confusion in the traditional treatment of the subject. In the concluding sections (10–12) the author discusses the mutual relations of the value-absolutes, the good and the bad. Can they be defined in the terms of the relative notion of betterness or preference (and logical constants) alone? The definition which says that the goodness of a state is the holistic preference of it over its contradictory, answers the question affirmatively but conflicts with several deep-rooted axiological intuitions of ours. A more satisfying definition of the value-absolutes requires the additional notion of a value-less state (world) with which all the other states may be compared. In this connection some ideas of G. E. Moore about the notion of an ‘empty’ world can be interestingly exploited.     

Assessing the Moderating Effects of Depressive Symptoms on Antisocial Behavior among Urban Youth in Public Housing

This study assesses whether the influences of attitude towards deviance, exposure to delinquent peers and parental supervision and encouragement on antisocial behavior are moderated by depressive symptoms. Two hundred and thirty eight African American adolescents ages 13–19 from three public housing developments participated in this study. Results indicate that approximately half of the youth did not engage in antisocial behaviors in the last year. Gender, depression, attitudes and peers were significant correlates of antisocial behavior. Parental supervision and encouragement, and age were not related to antisocial behavior. Interaction effects suggest that the relative influences of attitudes towards deviance and delinquent peers on antisocial behaviors depend upon gender and level of depression symptoms. Implications for social work practice and future research are discussed.     

Fishing in Urban New Jersey: Ethnicity Affects Information Sources,Perception, and Compliance

Recreational and subsistence angling are important aspects of urban culture for much of North America where people are concentrated near the coasts or major rivers. Yet there are fish and shellfish advisories for many estuaries, rivers, and lakes, and these are not always heeded. This paper examines fishing behavior, sources of information, perceptions, and compliance with fishing advisories as a function of ethnicity for people fishing in the Newark Bay Complex of the New York–New Jersey Harbor. We test the null hypothesis that there were no ethnic differences in sources of information, perceptions of the safety of fish consumption, and compliance with advisories. There were ethnic differences in consumption rates, sources of information about fishing, knowledge about the safety of the fish, awareness of fishing advisories or of the correct advisories, and knowledge about risks for increased cancer and to unborn and young children. In general, the knowledge base was much lower for Hispanics, was intermediate for blacks, and was greatest for whites. When presented with a statement about the potential risks from eating fish, there were no differences in their willingness to stop eating fish or to encourage pregnant women to stop. These results indicate a willingness to comply with advisories regardless of ethnicity, but a vast difference in the base knowledge necessary to make informed risk decisions about the safety of fish and shellfish. Although the overall median income level of the population was in the $25,000–34,999 income category, for Hispanics it was on the border between $15,000–24,999 and $25,000–34,999.