Isadore Newman

Contemporary cardiac rehabilitation: patient characteristics and temporal trends over the past decade.

BACKGROUND Recent and dramatic therapeutic advances, aggressive care of the elderly, and a heightened awareness of secondary prevention have had a significant, albeit incompletely described, impact on cardiac rehabilitation (CR) programs. The authors did a retrospective analysis on 1,848 patients from their phase II CR program that were treated over the past decade. The authors sought to identify and analyze how advances in cardiovascular care might be related to temporal changes in demographics, medical comorbidities, coronary artery disease risk factors, and cardiovascular history among individuals with cardiac disease who have completed the phase II CR program over a 10-year period. METHODS Cardiac rehabilitation records were reviewed from 1986 to 1996 at Akron City Hospital. The data were compiled prospectively by nurses and exercise physiologists and were subsequently analyzed. The charts reviewed were from 1,848 patients who completed outpatient phase II CR. RESULTS The program began in 1986 with 53 patients completing CR and evolved to 309 in 1996. There has been an increase in the number of elderly patients referred to and completing the program. The number of participants older than 65 years of age increased from 28.3% in 1986 to 52.1% in 1996. Cardiac rehabilitation participants reflect the known demographics of patients with clinical coronary artery disease. Men outnumber women and, on average, the female participants are older than the male participants. There has been a statistically significant increase in medical comorbidities over the course of the study. Although the absolute number of patients entering CR after coronary artery bypass graft survey has remained fairly constant, there has been a dramatic increase in the absolute number of patients entering CR after percutaneous tansluminal coronary angioplasty (with the latter recently comprising a majority of CR participants). CONCLUSION There is a significant trend in the attendance and completion of CR programs by older individuals, which suggests a greater awareness of patients and their physicians. The growth of the program is fueled by high-risk patients with more comorbidities who potentially are the group of patients able to obtain the greatest absolute benefit from CR.

From Respite to Transition: Women's Use of Domestic Violence Shelters in Rural New Mexico

Women who flee violence in their intimate relationships often seek sanctuary at domestic violence shelters. Some return to their abusers, whereas others transition to separate living. This study used descriptive and cluster analyses to examine the differential needs of women who indicated they intended to return to their abusive partners versus those who did not. On the basis of the differences between these two groups, a preliminary model of prediction variables was developed to better understand the needs of those who did not specify their future plans after leaving the shelter. Findings revealed differences in the domains of mental health and help-seeking behaviors. Discussion focuses on the meaning and purpose of shelter stay (i.e., for respite or transition) and the role of shelters and their ideology in the decisions made by shelter staff and clients.

Testing the Effectiveness of Bowen's Concept of Differentiation in Predicting Psychological Distress in Individuals Age 62 Years or Older

This study examines the relationship between Bowens concept of differentiation of self and psychological symptom status in individuals age 62 years and older. Specifically, this study examines through regression methods whether the self-reported differentiation dimensions of Emotional Reactivity, “I” Position, Emotional Cutoff, and Fusion with Others (FO) accurately predicted the level of psychological symptom status as measured by a brief symptom check-list. The major hypotheses of this study were found to be supportive of Bowens theory of differentiation, even across the stages of later life (with the exception of the FO dimension). These findings have meaningful implications for the assessment and treatment of older individuals.

Sex Role Expectations of Classroom Teachers, Grades 1–12

The effect of the variables of student sex, grade level, and student achievement on teacher sex role expectations was assessed. Two hundred responses from 70 classroom teachers on the Teacher Sex Role Perception inventory (an adaptation of the Bem Sex Role Inventory) were analyzed. Of the four variables considered, student achievement alone was a highly significant predictor. Teachers classified high-achieving students as androgynous and masculine. Low-achieving students were classified as feminine and undifferentiated. This negative relationship between the feminine sex role and high achievement may be a factor in declining female achievement over grade level.

Faculty Activities and Rewards: Views from Education Administrators in the USA.

ABSTRACT The heads of education divisions of 245 colleges and universities in the USA were surveyed regarding their opinions about faculty activities and reward procedures. Tenure, which was viewed as having the greatest effect on faculty behavior, received significantly more attention from decision‐making bodies in the colleges, and merit pay received significantly less. Education administrators at top universities and larger universities viewed the desire for reputation as more motivating than did other education administrators. The department chairs believed that internal satisfaction was more of a motivating factor than did deans. The deans rated merit pay, contract renewal, promotion and tenure higher as motivators than did the department heads. Although evaluations of teaching were considered the most important for year‐to‐year contract renewal, article and book publication were the most important considerations in merit pay, promotion and tenure. A factor analysis grouped faculty activities into th...

Suggested Inferential Statistical Models for Research in Behavior Modification

Operant Conditioning procedures have diffused to applied educational settings where results are not descriptively obvious. Inferential statistics using Multiple Linear Regression Analysis (MLR) to partial variance to answer specific behavioral modification research questions are presented. Four applications of MLR to typical behavioral modification designs are illustrated. The examples represent the case where the research questions dictate the statistical design. Assumptions regarding individual subject design and repeated measurement problems are presented and are seen as minor sources of difficulty for use of inferential statistics in behavioral modification studies.

The Riso-Hudson Enneagram Type Indicator: Estimates of Reliability and Validity.

Abstract This investigation was conducted 10 estimate the reliability and validity of scores on the Riso-Hudson Enneagram Type Indicator (D. R. Riso di R. Hudson. 1999a). Results of 2H7 participants were analyzed. Alpha suggests an adequate degree of internal consistency Evidence provides mixed support for construct validity using correlational and canonical analyses but strong support for heuristic value.

Validity of the Decisional Process Inventory.

Abstract Empirical research on career indecision has been criticized for lacking theoretical conceptualization. To address this problem we examined the validity of the decisional process inventory (DPI), a measure of career decision making derived from a model based in Gestalt psychotherapy theory. Undergraduate college students (91 women, 110 men) responded to the DPI and criterion measures of career indecision and vocational identity. Results supported hypothesized relations between and among DPI items and subscales, and the ability of the measure to differentiate individuals by expressed career choice status. Significant intercorrelations among DPI subscales and criterion measures supported the concurrent validity of the DPI. Confirmatory maximum likelihood factor analysis of the DPI items did not support the hypothesized structure of the DPI to measure three career decision-making process dimensions: readiness, action, and resistance. Although results supported the basic psychometric properties of the DPI as a brief measure of career decision making, additional research is needed to clarify the underlying factor structure of the instrument.

A binomial test of model fit

An alternative method for determining the goodness of fit of a proposed theoretical model is presented and applied to a simple case to illustrate its 0use. The method is based on the application of the binomial distribution to the number of paths in a model that are supported by the data. This method is a different conceptual approach than those traditionally used in structural equation modeling studies.

The Integrated Co-Occurring Treatment (ICT) Model: A Promising Practice for Youth with Mental Health and Substance Abuse Disorders

Abstract While integrated treatment programs have been developed and researched nationally for adults with co-occurring disorders of substance abuse and mental illness, little movement has been made on developing and field testing integrated programs that address the needs of youth with co-occurring disorders. This article will present one treatment model that has been developed and piloted in Ohio. The Integrated Co-Occurring Treatment (ICT) model focuses on youth with co-occurring disorders of mental health and substance abuse who have also been involved with the juvenile justice system. To date, the use of the ICT model has resulted in positive outcomes for both the youth and their