The majority of pediatric cancer survivors exhibit enduring resilience. The protective factors identified for them-including positive affectivity and strong connectedness to school-may inform targeted prevention strategies for the minority of survivors who are at risk for maladjustment.
Security studies is again reflecting on its origins and debating how best to study in/security. In this article, we interrogate the contemporary evolutionary narrative about (international) security studies. We unpack the myth’s components and argue that it restricts the empirical focus of (international) security studies, limits its analytical insights, and constrains the sorts of interlocutors with whom it engages. We then argue that these limitations can at least partially be remedied by examining the performance of identities and in/securities in everyday life. In order initially to establish the important similarities between (international) security studies and the everyday, we trace elements of the evolutionary myth in Buffy the Vampire Slayer and Angel – which both stand in for, and are, the everyday in our analysis. We then argue that the Buffyverse offers a complex understanding of (identities and) in/security as a terrain of everyday theorizing, negotiation and contestation – what we call the ‘entanglement’ of in/security discourses – that overcomes the shortcomings of (international) security studies and its myth, providing insights fruitful for the study of in/security. In conclusion, we briefly draw out the implications of our analysis for potential directions in (international) security studies scholarship and pedagogy.
The probability that an individual is able to live independently decreases sharply below the threshold score of 57 units on the physical functional performance (PFP-10) test. Purpose To examine the relation between brachial artery flow-mediated dilation (BAFMD) on individual and total scores on the PFP-10. We hypothesized that lower scores on the PFP-10 test would be associated with lower BAFMD. Methods Sixty-four men (age, 84 ± 11 yr) from the Louisiana Healthy Aging Study were studied. Participants were classified by their performance on the PFP-10 test (Class I, score <26; Class II, score between 26 and 57; and Class III, score > 57). BAFMD was assessed after 5 min of forearm occlusion, using high-resolution ultrasonography. Results The average total score on the PFP-10 test and BAFMD were 42.9 ± 22 U and 2.76 ± 2.13%, respectively. The BAFMD was associated with total PFP-10 score (r = 0.45, P = 0.0001) and age (r = −0.36, P = 0.003). BAFMD was significantly different (P = 0.001) between the PFP-10 classes (Class I, 1.44% [95% CI, 0.49–2.39]; Class II, 2.67% [95% CI, 1.95–3.38]; and Class III, 4.01% [95% CI, 3.16–4.85]). Conclusions This study reports significant relationships between BAFMD and individual and combined measures of physical function in elderly men. More specifically, when individuals were categorized based on their PFP-10 total score, those in the highest functional class, exhibited the highest BAFMD, compared to those in the middle class, who had greater vasoreactivity than those in the lowest functional class.
PURPOSE To inform efforts to reduce costly service utilization, the present study examined longitudinal trajectories of mental health-related outpatient and residential service use among at-risk youth with a history of early externalizing problems. METHODS 809 children in the Fast Track project, a multi-site longitudinal study of children at risk for conduct disorder, were followed prospectively from kindergarten through 12th grade. They resided in high-risk areas with high rates of poverty, crime, and violence. Their outpatient and residential service use was assessed annually between 6th through 12th grades through parent report. Growth mixture modeling (GMM) was applied to model individual differences in trajectories of service use during this period. Teacher, parent, and observer-reported childhood predictors of those trajectories were also examined. RESULTS The majority of youths had minimal service use during pre-adolescence into adolescence. However, approximately 31% had moderate probability of using outpatient counseling services, and approximately 8% had elevated probability of seeing a family doctor for mental health needs. For residential services, approximately 6% had moderate to high probability of service use that peaked during transition to high school, whereas close to 5% had service use that dramatically increased during high school. Childhood predictors of these trajectories included earlier externalizing, internalizing, and emotion regulation problems. CONCLUSIONS This study is the first to use person-centered analytic methods to examine longitudinal trajectories in mental health-related service use among at-risk adolescents. Timely treatment for severe externalizing problems, comorbid internalizing problems, and emotion dysregulation during childhood may be crucial for preventing chronic service use.
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