Prevalence of multiple cardiovascular disease risk factors among women in the United States, 1992 and 1995: the Behavioral Risk Factor Surveillance System

We sought to examine the prevalence of self-reported multiple cardiovascular disease (CVD) risk factors (hypertension, high blood cholesterol, diabetes, overweight, and current smoking) among women in 1992 and 1995 in the United States using data from the Behavioral Risk Factor Surveillance System. In 1992, 37.5%, 34.4%, and 28.1% of women had zero, one, and two or more of the five risk factors, respectively. In 1995, the respective estimates were 35.5%, 34.3%, and 30%. In both years, the prevalence of two or more risk factors increased with age, decreased with educational level, was higher among black women (lowest among Hispanic women and women of other ethnic groups), and higher among women reporting cost as a barrier to healthcare. The percentage of women with two or more risk factors was higher in 1995 than in 1992 for 35 of 48 states, being statistically significant for 7 states. The percentage of women with at least two risk factors was not significantly lower in 1995 than in 1992 for any state. A higher percentage of women reported having multiple CVD risk factors in 1995 compared with 1992. A multifactorial approach to primary prevention and risk factor reduction should be encouraged to help reduce the prevalence and burden of CVD among women.     

Ratings of the performances of practicing internists by hospital-based registered nurses

PURPOSE: To examine the feasibility and reliability of ratings completed by hospital-based registered nurses of the humanistic qualities, communication skills, and selected aspects of the clinical skills of practicing internists. METHOD: In 1988-1989, registered nurses who worked in the same 175 hospitals as 232 internists with admitting privileges at these hospitals rated the internists' performances. The nurses were selected from medicine floors, specialty floors, and intensive care units and/or critical care units, using lists provided by head nurses. A total of 1,877 rating questionnaires with 13 performance categories were collected (with a mean of 8.01 nurses per internist). The ratings were analyzed to determine measurement characteristics and the relationships of the nurses' demographic characteristics to the ratings. In addition, for each of ten performance categories for 152 of the internists, the average rating each internist received from nurses was compared with the average rating each internist received from peer physicians. Statistical analysis used Pearson correlations, canonical correlations, factor analyses, Student's t-tests, analysis of variance, and stepwise multiple regression. Finally, the internists themselves, including physicians who were not actually rated by the nurses, were asked to complete a brief questionnaire that included questions about their opinions of the use of nurses' ratings. RESULTS: The nurses' ratings correlated moderately strongly with the peer physicians' ratings and had a common structure. However, the nurses' ratings were lower for several humanistic qualities, including respect, integrity, and responsibility, and their ratings were higher for medical knowledge and verbal communications. Across the 13 performance categories, approximately 10-15 ratings from nurses were needed to obtain a reliable assessment of an internist's humanistic qualities and communication skills. Many internists felt that nurses' ratings should be used equally with, or at least as a lesser contribution to, ratings by peer physicians of humanistic qualities and communication skills. CONCLUSION: Nurses' ratings appear to provide a feasible and reliable method of evaluating the internists' communication skills and humanistic qualities, when used in conjunction with ratings by peer physicians.     

The future of behavior therapy.

Predicts the future of behavior therapy, focusing on theoretical development, therapeutic techniques, and empirical research. The importance of cognitive and affective processes in behavior change will attract increasing attention. Already one of the most widely adopted approaches, behavior therapy will be used to treat an expanded range of psychiatric disorders and health problems. Research will focus on comparative outcome studies and provide probes for investigating the nature of specific disorders and the mechanisms of therapeutic change. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

Cognitive treatments for eating disorders.

Cognitive-behavioral therapy (CBT) is applicable to all eating disorders but has been most intensively studied in the treatment of bulimia nervosa (BN). CBT is designed to alter abnormal attitudes about body shape and weight, replace dysfunctional dieting with normal eating habits, and develop coping skills for resisting binge eating and purging. CBT is effective in reducing all core features of BN and shows good maintenance of therapeutic improvement. Although superior to therapy with antidepressant drugs, CBT has not been shown to be consistently superior to alternative psychological treatments. Different hypotheses about CBT's mechanisms of action are discussed. (PsycINFO Database Record (c) 2010 APA, all rights reserved)     

An investigation of grain boundary sliding in superplasticity at high elongations

Experiments were performed on the superplastic Zn-22% Al eutectoid alloy to determine the contribution of grain boundary sliding at both low (35%) and high (235%) elongations. The tests were conducted at two different strain rates in the superplastic Region II, and the results show that, within the accuracy of the measurements, there is a large sliding contribution at both elongations. By taking detailed measurements of both the magnitude of the sliding offset and the type of interface, it is shown that the average offsets are generally a maximum at the Zn-Zn boundaries, there is less sliding at the Zn-Al interfaces, and the offsets are a minimum at the Al-Al boundaries. In addition, the distributions of the magnitudes of the sliding offsets are similar at both the low and high elongations. It is concluded that grain boundary sliding is an important deformation process in the superplastic Region II and that it remains important even when the elongation is very high. The nature of the results indicates also that experimental observations of the deformation behaviour in superplastic materials at low elongations (up to 50%) provide meaningful information on the behaviour at much higher (superplastic) elongations.On leave from Mechanical Engineering Department, Nanjing Aeronautical Institute, Nanjing, Jiang-su 210002, People's Republic of China.     

A talking profile to distinguish identical twins

Identical twins pose a great challenge to face recognition due to high similarities in their appearances. Motivated by the psychological findings that facial motion contains identity signatures and the observation that twins may look alike but behave differently, we develop a talking profile to use the identity signatures in the facial motion to distinguish between identical twins. The talking profile for a subject is defined as a collection of multiple types of usual face motions from the video. Given two talking profiles, we compute the similarities of the same type of face motion in both profiles and then perform the classification based on those similarities. To compute the similarity of each type of face motion, we give higher weights to more abnormal motions which are assumed to carry more identity signature information.     

THE ADHESION OF ISOCYANATE-BASED POLYMERS TO STEEL

Isocyanate-based materials have been used for decades as the basis for high performance adhesives, coatings, and primers. The origin of the excellent adhesion of these materials to metals such as steel has been generally assumed to derive from the condensation of isocyanates with metal hydroxyls to form metal oxide-cyanate esters analogous to urethanes. In this work Fourier transform infrared reflection (FTIR) was used to demonstrate that these esters do indeed form, but that the esterification is preceded by the formation of carbamate salts between the isocyanate and the hydrated metal oxide.

Isocyanate pMDI Polyurethane Steel Adhesion Interface