Factors Associated with Physician Discussion of Health Behaviors with Adolescents

Behaviors developed in adolescence influence health later in life. The purpose of this study was to investigate the frequency of health care provider's discussion of health behaviors with overweight and non-overweight adolescents and identify demographic and health behaviors related to exercise, hours of television viewing, and weight issues associated with these discussions. A Cross sectional survey of urban adolescents was conducted. Trained interviewers administered surveys over a three month period in 2001 at an urban academic pediatric and adolescent clinic. The 252 adolescents surveyed had a mean age of 15 with 49% categorized as being at risk for overweight/overweight and 51% as normal weight using the CDC percentiles for BMI. While 16% of the adolescents reported that their physician or nurse discussed the amount of television they watched, rates of discussion related to exercise (58%), and weight (54%) were much higher. In multivariate analyses, health care provider discussions with adolescents regarding exercise were more common for overweight (O.R.=2.42, 95% C.I. [1.28–4.57]) and at risk for overweight (O.R.=1.98, 95% C.I. [1.03–3.81]) adolescents, whereas physician discussion of television viewing was not associated with weight. Discussions of weight were more common for female (O.R.=2.18, 95% C.I. [1.21–3.95]), African-American (O.R.=2.53, 95% C.I. [1.40–4.57]), and overweight (O.R.=3.92, 95% C.I. [1.97–7.81]) adolescents. Even after adjusting for weight, race and gender strongly influenced the frequency of discussions about weight in physician offices. Although health care providers frequently address weight and exercise with adolescents, more discussions related to sedentary behaviors such as television viewing may be warranted to address adolescent obesity.Received PhD in Epidemiology from University of California, San Diego. Research interests include smoking prevention and cessation among adolescents and health promotion interventions.Received MD from University of Missouri-Kansas City and MPH from Johns Hopkins University. Research interests include health services research and research in support of measurable, systematic improvements in the quality of medical care.Received medical degree from Christian Medical College, Punjab, India and Master of Public Health from University of Kansas School of Medicine. Research interests include diet and physical activity behaviors, role of the environment in obesity and obesity prevention, especially among children and adolescents.Received MBBS from Allama Iqbal Medical College, Punjab University, Lahore, Pakistan and MPH from University of Kansas Medical Center. Research interests include smoking cessation, database design, implementation, data management and analysis, and use of information technology in health care settings.Director, Cancer Prevention, Control, and Population Sciences, Kansas Cancer Institute. Received MD/MPH from Tulane University and MS from Harvard School of Public Health. Research interests include disparities in healthcare; smoking cessation among underserved populations, specifically African Americans; diet, nutrition, obesity, and physical activity.     

体系、社会和国家:理解《美韩自由贸易协定》

2007年6月,美韩双方签署了《美韩自由贸易协定》。美韩之间为什么要签署该协定?该协定对两国国内分别产生了哪些影响?该协定为何至今没能获得美国国会的通过?针对上述问题,本文结合美国贸易政策理论,从体系、国家和社会三个层面对其进行了分析。《美韩自由贸易协定》的签署及其实施,在体系层面上将会为双方带来经济、政治和战略上的多重收益,而在社会层面上却产生了不同的反应。尽管由于国内经济困难和利益集团的掣制使得协定的通过还面临不小的阻力,但基于协定所蕴含的重要价值和两国政府对此认识的高度一致,协定获得通过只是时间上的问题。     

Posttraumatic stress disorder in murderers

Three case histories of men who suffered posttraumatic stress disorders after committing homicides are presented. These men were relatively young and had chaotic childhoods and minimal criminal histories. Each had killed a woman with whom he had a significant but intensely turbulent emotional relationship. The killings all occurred during altered mental states that were unrelated to the use of drugs or alcohol. The clinical significance and some of the medicolegal implications of this phenomenon are discussed.     

Choronology

”Women and Children First: Gender and the Settling of the Electronic Frontier,” by Laura Miller. In James Brook and lain A.Boal, Resisting the Virtual Life: The Culture and Politics of Information, San Francisco: City Lights, 1995.     

浅析韩国的绿色增长战略

绿色增长正在成为世界谋求经济社会可持续发展的重要经济模式,各国都在寻求实现绿色增长的发展战略。1997亚洲金融风暴、2008年以来的世界性经济衰退促使积极探索经济转型新路的韩国加快了战略转型的步伐。韩国政府为此提出并开始实施“低碳绿色增长战略”,制订并发表了“绿色增长国家战略与五年计划”以及相关的法规,详细阐述了韩国推进这一战略计划的长远规划、战略目标、实施计划、政策措施等,并建立了从中央到地方的组织实施机构。韩国积极推动的绿色增长战略充分揭示了其未来经济发展的基本方向,意在谋求实现经济增长方式的转变、构建未来经济长期稳定发展的新增长模式和动力。     

Legal Disciplinary Practices – Who Needs Them?

The recent publication of the government's Review of the Regulatory Framework for Legal Services in England and Walesin March 2004 heralds a new era regarding the way in which legal services are to be delivered to the public. In the wake of the Enron-Arthur Andersen debacle, and growing disenchantment amongst policy-makers and market players with the involvement of 'elite' accountancy firms in the provision of legal services, interest and attention has now shifted away from the formation of Multi-Disciplinary Practices towards a new model of legal services provider– Legal Disciplinary Practices (LDPs), where the focus is at all times on the provision of legal services, albeit widely defined. The purpose of this article is to explore, and subsequently critique, the rationales behind the formation of LDPs and to outline the dangers which the provision of legal services through such business structures is likely to pose not only for the legal profession, but also for society more generally.