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PubMed1978

The 1977 College of American Pathologists Enzymology Survey. Principal findings.

A set of linearly related serum survey specimens was analyzed by more than 200 laboratories on four occasions in 1977 for the five enzymes lactate dehydrogenase, aspartate and alanine aminotransferases, creatine phosphokinase, and alkaline phosphatase. The survey technic, which employs specimens that are designed to have multiple informational redundancies for detecting discrepancies in the survey data, was found to be a feasible approach, as a variety of methodologic biases and analytic problems were readily detected. The specimens were shown to be stable,and the mean results obtained by a reference group of laboratories were quite reproducible. Consequently, changes observed in individual laboratories in successive surveys were attributable to intra-laboratory changes. The survey provides each participant with an objective evaluation of the linearity, precision, and calibration of his methods, in comparison with peer and reference laboratories, as well as information concerning the popularities of various methods, and the performances of various analytic systems. For each enzyme there are a few large peer groups and a large number of small peer groups. Differences among the laboratories within each peer group were due primarily to proportional biases that in some cases were clearly due to instrumental or reagent differences, rather than to methodologic differences.

Alanine Transaminase↗
PubMed2003

Youth culture and smoking: Integrating social group processes and individual cognitive processes in a model of health-related behaviours.

This article assesses four theoretical models proposed to predict future smoking. Young adults were surveyed at three six-month intervals, the first occurring three months after leaving school. Models 1 and 2 were versions of theory of triadic influence (TTI), which links a person's behavioural experience and cognitions to their future behaviour. Model 1 did not fit the data; the fit of model 2 was just adequate. Model 3 combined TTI and self-categorization theory (ST), by allowing norms of the individual's peer group to influence cognitions and future behaviour. It fitted the data well. Model 4, which extended model, provided the best fit. Strength of identification to the peer group was found to enhance the effect of the peer group norm.

Adolescent↗
PubMed1990

Eight-year school performance and growth of preterm, small for gestational age infants: a comparative study with subjects matched for birth weight or for gestational age.

Eight-year school performance and growth outcome are reported for three groups of preterm infants: one group that was small for gestational age (SGA; 36 infants) and two comparison groups that were appropriate in size for gestational age, one matched for birth weight and the other for gestational age. The subjects all had white parents whose mother tongue was English and were matched for gender, mother's height, mother's education, and father's socioeconomic status (Blishen Scale). A comparison peer group of term infants was also studied. The three preterm groups did not differ in school performance or physical growth, with the exception of head circumference, which was smaller in the SGA children. All preterm groups had growth measures, intellectual and visual-motor integration scores, reading and arithmetic grade levels, and behavior rating levels significantly inferior to those of the peer group. Receptive vocabulary scores and spelling grade levels did not differ between the preterm groups and the peer group. On multivariate analyses, mother's education was the primary predictor of academic grade levels for the preterm SGA group, and the only predictor when the disabled children were excluded from analyses. Preterm SGA children without disabilities had academic scores similar to those of their term peers, but their scores indicated more hyperactivity. Intrauterine growth retardation did not appear to impose a disadvantage on the preterm children in this study.

Alberta↗
PubMed1997

Girls, pecking order and smoking.

Against a background of growing concern about the failure to reduce cigarette smoking amongst young people, particularly girls, this paper attempts to unravel the complex interrelationships between smoking, peer group structure and gender. We were particularly intrigued to explore a recent hypothesis in the literature that suggests that girls who smoke, far from lacking self-esteem, are more self-confident and socially skilled than their non-smoking peers. Sociometric and qualitative analyses revealed that smoking behaviour was indeed shaped by gender, and that the psychosocial processes involved in smoking uptake may be different for boys and than for girls. Peer group structure, consistently described by young people as hierarchical, was closely related to smoking behaviour. Girls at the top of the social pecking order who projected an image of high self-esteem were identified as most likely to smoke, while only a small minority of girls fitted the stereotype of the young female smoker who has poor social skills and low self-esteem. Boys of high social status were less vulnerable, since sport and a desire to be fit to some extent protected them. Our findings raise fundamental questions about the meaning of self-esteem in relation to smoking uptake, arguing instead for an exploration of the term "self-worth". They suggest the need for health education programmes which are sensitive both to gender and to peer group structures.

Adolescent↗
PubMed1995

A reconsideration of parental and peer influences on adolescent deviance.

The role of peers in fostering deviant behavior in adolescence is well-documented in the sociological literature, while support for parental influence or "control" theories of deviance is more equivocal. This paper examines the relative influences of parents and peers on adolescent delinquency and marijuana use, using data from a three-wave panel study of youths who were paired with a best friend (N = 435). Covariance structure models based upon polychoric correlations among study variables reveal that friends are indeed the primary source of influence on youths' behavior, but that estimates of influence are grossly overstated in analyses relying upon respondents' perceptions of their friends' behavior. Parental supervision and attachment are weakly related to subsequent delinquency and marijuana use, lending little support to control theories of deviance. Findings reveal that different processes account for the similarities among members of delinquent and drug-using peer groups. Although youths are socialized into delinquent behavior by peers, both selection and socialization influences play important roles in the formation of drug-using peer groups.

Adolescent↗
PubMed2005

Mentoring faculty in academic medicine. A new paradigm?

In this paper, we discuss an alternative structure and a broader vision for mentoring of medical faculty. While there is recognition of the need for mentoring for professional advancement in academic medicine, there is a dearth of research on the process and outcomes of mentoring medical faculty. Supported by the literature and our experience with both formal dyadic and group peer mentoring programs as part of our federally funded National Center of Leadership in Academic Medicine, we assert that a group peer, collaborative mentoring model founded on principles of adult education is one that is likely to be an effective and predictably reliable form of mentoring for both women and men in academic medicine.

Faculty, Medical↗
PubMed1998

Analysis, assessment, and presentation of risk-adjusted statewide obstetrical care data: the StORQS II study in Washington State. Statewide Obstetrics Review and Quality System.

OBJECTIVE: To develop an effective, concise presentation of hospital-specific birth event and delivery-related complication rates, including significant deviations from expected rates calculated using risk-adjusted peer hospital data, for distribution to all Washington State hospitals with delivery services. DATA SOURCES: Complete data for calendar year 1993, including inpatient discharge records for mothers and newborns, birth certificates, and infant death records, for 74 hospitals from Washington state source files. STUDY DESIGN: Institutions were classified into four peer groups based on presence of neonatal intensive care units, number of births, and rural/urban location. Twenty-three clinical indicators of procedure (e.g., cesarean section) and complication rates were analyzed and presented. METHODS: For each indicator, observed and expected rates (adjusted within peer group for categorized baseline risk factors) were calculated and presented by institution. Effective graphic and numeric techniques for presenting significant deviations from expected rates were developed. Results were calculated in terms of numbers of events as well as rates. Approaches applicable to institutions with small numbers of deliveries were selected. PRINCIPAL FINDINGS: Exact confidence intervals (C.I.s) for event rates were superior to binomial or Poisson approximations for small hospitals. For calculating expected rates, indirect adjustment was used due to small numbers within risk factor categories. For all indicators, observed and expected rates along with 95 percent C.I.s for the true rate were presented graphically by institution for each peer group. Transforming C.I.s into "statistically acceptable ranges" allowed hospital personnel to assess their performance in terms of actual numbers of events as well as rates. CONCLUSIONS: Readily available statistical methods and straightforward descriptive approaches allow accurate presentation of outcomes for both large and small institutions.

Adult↗
PubMedDate not supplied

Barriers to and motivators for healthful eating as perceived by rural and urban Costa Rican adolescents.

OBJECTIVE: To assess the perceptions of rural and urban Costa Rican adolescents about their diet and the factors they consider significant to healthful eating. DESIGN: Data were collected in focus group discussions. PARTICIPANTS: The study sample included 108 male and female adolescents aged 12 to 18 years. Adolescents were recruited among 7th to 11th grade students interested in taking part in the study. SETTING: Two urban and one rural high school in San José, Costa Rica. PHENOMENA OF INTEREST: Diet perceptions and barriers to and motivators for healthful eating. ANALYSIS: Data were reviewed for emerging themes, and themes were coded applying content analysis procedures. The conceptual model for understanding adolescent eating behavior, proposed by Story and colleagues, served as the framework for this study. RESULTS: Factors perceived as barriers to adopting healthful eating practices included unavailability of healthful food in the school environment, inadequate food choices within the family diet, and the peer-group notion among males and females that healthful eating by males is effeminate. Factors perceived as motivators included improving the nutritional quality of foods available at school, adoption of healthful eating practices by the entire family, and healthful eating becoming a peer-group social norm. CONCLUSIONS AND IMPLICATIONS: This study suggests that the family, peer group, and school environment are potential targets for nutrition interventions for Costa Rican adolescents, but further studies are needed to confirm this conclusion. Future studies should explore in depth the factors associated with the family's eating pattern and the influence of adolescent socialization patterns (particularly male) in the establishment of a healthful diet.

Adolescent↗
PubMed1996

[Favorite food and influences on food preferences of kindergarten children].

This study was conducted by the Technical University of Munich-Weihenstephan on behalf of the Department of Education of the city of Munich. A total of 82 children as well as their parents and 23 kindergarten teachers in five Munich kindergartens were questioned about their food preferences, and their sociocultural data were gathered. The results showed that the nationality and the religion of the mother were fundamental to the origin and consolidation of the eating habits of the children. Other important und influencing factors were: the peer group and the teachers in the kindergarten, the father's job, the sex and the age of the children. When comparing the food preferences of the children and their role models, it was found that the preferences and aversions were more similar to those of their own mothers/teachers/members of the peer group than to those of children of other peer groups, other parents or other teachers.

Adult↗
PubMed1987

Treatment compliance of older alcoholics: an elder-specific approach is superior to "mainstreaming".

A sample of 24 alcoholics (mean age, 58.8 years) treated in typical mixed-age outpatient groups, is compared to a sample of 25 alcoholics (mean age, 60.2 years) treated in special elderly peer groups. Patients treated in the special peer group program remained in treatment significantly longer and were more likely to complete treatment than those treated in mixed-age groups. These findings support the continued development and evaluation of elder-specific treatment approaches for older alcoholics.

Adult↗
PubMed1991

Patient peer orientation groups: an innovative approach.

Both clients and staff can benefit from a patient orientation program conducted at a state psychiatric facility by a psychologist and a registered nurse. The program cited by the authors utilized a group format to decrease the stress experienced by clients when transferred from a closed to an open ward, and to increase the social skills of clients residing on an open unit. Informal observation and verbal feedback from clients and staff indicated positive reactions to the program and noticeable behavior changes. Recommendations include replication of this program on a large scale with control group comparisons, formal assessment, and statistical analysis of the results.

Hospitals, Psychiatric↗
PubMed1977

Interlaboratory survey of enzymatic analyses. II. Intermediate studies.

A set of six interrelated specimens was analyzed for creatinine, urea, and five enzyme constituents by about 10 laboratories on two occasions. The results from each laboratory were subjected to linear regression analysis and the correlation coefficients, X and Y intercepts, and slopes were calculated. These parameters then were used in various ways to (a) evaluate the composition, linearity and stability of the specimens, (b) assess the analytic precision of each laboratory, (c) assess the accuracy of the laboratories relative to their peer group, and (d) identify systematic differences among peer groups. The results suggest that this technic is a viable approach to the evaluation of laboratory performance in enzymatic analyses.

Alanine Transaminase↗
PubMed1992

A peer supervision group: put countertransference to work.

1. As the nurse-patient relationship evolves through a series of ongoing interactions, both participants become "known" and stir in each other a range of positive and negative emotional reactions. 2. When working with severely psychologically disturbed patients, the nurse's affective and behavioral response can be valuable clues to understanding the patient's early experiences that contribute to the pattern of relatedness and to the formulation of change, enhancing therapeutic interactions. 3. The goals of the countertransference peer supervision group were to recognize unconscious countertransference reactions; unravel the origin and meaning of those countertransference reactions; and collaboratively develop therapeutic nursing interventions.

Countertransference↗