In search of a dose-response relationship with radiotherapy in the management of recurrent rectal carcinoma in the pelvis: a systematic review

BACKGROUND: Research on the subject of insight has been hampered by difficulties in definition and reliable measurement. METHODS: We compared several rating scales to measure insight on a group of 33 psychotic patients as well as assessing patients' psychopathology, clinical characteristics and cognitive functioning. RESULTS: Most currently used scales showed a high degree of inter-correlation. Measures of insight related strongly to the presence of delusions; grandiosity (inversely), and depression (positively). Higher insight scores correlated with indices of treatment compliance and inversely with substance abuse. Measures of pre-morbid IQ and impaired executive functioning, including the Wisconsin Card Sorting Test were not associated with poor insight. CONCLUSIONS: The study highlights aspects of psychopathology and clinical variables particularly related to insight and supports the continued use of standardized scales in further research in this area.     

Ozone-induced alterations of lamellar body lipid and protein during alveolar injury and repair

Alveolar Type II cells in the rat respond to severe, acute ozone injury (3 ppm ozone for eight hours) by increasing their intracellular pool of surfactant; however, the newly stored surfactant is abnormal in composition. Lamellar bodies isolated between 24 and 96 hours after ozone exposure contained significantly more cholesterol in relation to phosphatidylcholine than did controls. By contrast, the cholesterol content of surfactant isolated from alveolar lavage remained unchanged throughout an 8-day post-ozone period. The total protein content of lamellar bodies in relation to phosphatidylcholine was significantly decreased at 24 and 48 hours post-ozone. Analysis of lamellar body proteins by sodium dodecyl sulfate-polyacrylamide gel electrophoresis revealed that the amount of a 14 kDa proteolipid was greatly reduced at the end of the eight-hour ozone exposure and remained low for at least 48 hours. This proteolipid appeared to be a specific lamellar body component since it was not detected in extracellular surfactant. The findings indicate that oxidative alveolar stress initiates characteristic alterations in both lipid and protein constituents of stored surfactant, without perturbation in the composition of extracellular surfactant.     

Structured Latent Curve Models for the Study of Change in Multivariate Repeated Measures.

This article considers a structured latent curve model for multiple repeated measures. In a structured latent curve model, a smooth nonlinear function characterizes the mean response. A first-order Taylor polynomial taken with regard to the mean function defines elements of a restricted factor matrix that may include parameters that enter nonlinearly. Similar to factor scores, random coefficients are combined with the factor matrix to produce individual latent curves that need not follow the same form as the mean curve. Here the associations between change characteristics in multiple repeated measures are studied. A factor analysis model for covariates is included as a means of relating latent covariates to the factors characterizing change in different repeated measures. An example is provided. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

The unintended consequences of government policies and programmes for public open spaces in inner-urban Sydney

Sport is important internationally; but in Australia, it is part of the national identity. The enjoyment of public open space for sport is, therefore, an assumed community right. We interviewed key staff from inner Sydney councils about management issues associated with public open space. The greatest concern was sporting fields – formal and informal – which were considered to have exceeded carrying capacity mainly because of the unintended outcomes of government programmes/policies spanning; (1) ‘healthy lifestyles’ which increased public open space use; (2) ‘urban consolidation’ increased inner-city population density with associated increased usage and loss of open space; (3) ‘temporal water restriction’ during drought (not ‘water budgets’) which intensify management issues; and (4) ‘building the education revolution’, meaning that public open space lost from schools results in increased pressure on public open space. Consequences have increased human pressure on public open space without commensurate consideration for the management and/or expansion of these areas.     

Beyond the romantic and naı¨ve: the search for a complex ecological aesthetic design language for landscape architecture in New Zealand

Landscape design is an expression and repository of cultural values and beliefs, and in Aotearoa, New Zealand, the designed landscape faces particular challenges. Globalization is seen as a potential threat to landscape identity, which is even more significant for a country which has built its economy and self-image from its unique natural landscape. The potential for resistance is limited by the small size and youth of the profession of landscape architecture in New Zealand. While traditions of farming and gardening extend back to early European settlement in the mid nineteenth century, and beyond to indigenous Maori practices of land modification, professional landscape design is a relatively recent development (the first tertiary course in landscape architecture began at Lincoln College (now Lincoln University) in 1969). Landscape design in New Zealand draws its vocabulary from the power of the country's natural heritage landscapes, convinced that a naturalistic aesthetic exclusively represents environmental health. Some of the core values of New Zealand society are, however, overlooked by designers. The need to develop a critically informed design language which includes the farming landscape along with the natural one is argued. The invention of such a language, referred to as a complex ecological aesthetic, is seen as a potential source of design expression that is invigorated by the tension between mechanistic and natural landscape aesthetics. It therefore has the potential to promote environmental health, while being regionally grounded, and can help face the challenges that globilization poses to the landscape.     

The irony of cultural psychology research.

Responds to R. E. Erard's comments (see record 2009-13007-011) on the current authors' original article (see record 2008-12151-002) which reviewed a number of studies that identified cultural differences in the use and effect of different types of social support among Asians and Asian Americans and European Americans. Essentially, in his comment, Erard denied the validity of research examining cultural differences. The authors strongly believe that the issues concerning within-culture variation do not nullify the importance of conducting research on culturally based psychological and behavioral patterns. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Pain, depression, and physical functioning following burn injury.

Objective: Little is known about how pain and depression after burn injury may influence long-term outcomes such as physical functioning. This prospective study examined associations between pain, depression, and physical functioning in a sample of burn injury survivors. Design and Participants: Questionnaires assessing pain, depression, and physical functioning were completed by 64 (52% of original sample) adult burn survivors shortly after discharge from burn care and at 1- and 2-year follow-ups. Results: Pain and physical functioning improved over the 2 years of the study, whereas depression levels were stable. Pain and depression were associated with poorer physical functioning over time, but associations varied according to the time span under consideration. Also, the association between pain and physical functioning was strongest among persons with higher depression scores. Conclusions: Pain and depression may contribute independently to compromises in physical functioning. The co-occurrence of pain and depression represents even greater risk for reduced physical functioning over time among burn survivors. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Relationship of early life stress and psychological functioning to blood pressure in the CARDIA study.

[Correction Notice: An erratum for this article was reported in Vol 28(4) of Health Psychology (see record 2009-10284-005). A URL for supplemental materials was included due to a production error. There are no supplemental materials for this article.] Objective: Low childhood socioeconomic status (CSES) and a harsh early family environment have been linked with health disorders in adulthood. In this study, the authors present a model to help explain these links and relate the model to blood pressure change over a 10-year period in the Coronary Artery Risk Development in Young Adults sample. Design: Participants (N = 2,738) completed measures of childhood family environment, parental education, health behavior, and adult negative emotionality. Main Outcome Measures: These variables were used to predict initial systolic and diastolic blood pressure (SBP and DBP, respectively) and the rate of blood pressure change over 10 years. Results: Structural equation modeling indicated that family environment was related to negative emotions, which in turn predicted baseline DBP and SBP and change in SBP. Parental education directly predicted change in SBP. Although African American participants had higher SBP and DBP and steeper increases over time, multiple group comparisons indicated that the strength of most pathways was similar across race and gender. Conclusion: Low CSES and harsh family environments help to explain variability in cardiovascular risk. Low CSES predicted increased blood pressure over time directly and also indirectly through associations with childhood family environment, negative emotionality, and health behavior. (PsycINFO Database Record (c) 2010 APA, all rights reserved)