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The role of the hippocampal system in social odor discrimination and scent-marking in female golden hamsters (Mesocricetus auratus).

Female golden hamsters (Mesocricetus auratus) received aspiration lesions of the parahippocampal region (PARA) or electrolytic lesions of the fimbria-fornix (FNX) and were tested for their (a) discrimination between odors of individual males in a habituation-discrimination task, (b) preference for male over female odors, and (c) scent-marking in response to conspecific odors. Both lesion groups habituated to repeated presentations of a male's odor. However, only FNX females discriminated between scents of individual males, whereas PARA females did not. Neither lesion eliminated female preferences for male odors. Females with FNX lesions showed decreased levels of scent marking, but those with PARA lesions had more subtle deficits. Thus, the PARA, but not the subcortical connections of the hippocampus, is critical for discrimination of the odors of individuals.

Animals↗

Impaired conditional discrimination learning in social phobia.

Eyelid conditional discrimination learning (ECDL) is a test of discriminative aversive conditioning. It places minimal demands on motivation and was shown to selectively test temporal lobe function. Twenty-five unmedicated social phobia (SP) patients (mean age 29.5 +/- 7.0 years), diagnosed according to DSM-IV criteria, and 25 age- and gender-matched healthy controls (HC, mean age 34.0 +/- 8.6 years) were examined with an ECDL paradigm. In the experiment two differently colored stimuli are randomly presented. Only one of the stimuli (reinforced trial) is followed by an aversive airpuff to the cornea, as opposed to unreinforced trials not followed by an airpuff. Conditioned responses (CRs) consist of reflex eyelid closures already upon light presentation. HC as well as SP patients showed a significant difference between reinforced and unreinforced trials. In SP patients, CR frequency did not increase during the ECDL task, while HCs showed appropriate conditional discrimination ability. Thus the results indicate an impairment of adequate behavior modification in an aversive conditioning task in SP.

Adult↗

What we confront with employment of people with epilepsy in Korea.

PURPOSE: To investigate the current status of employability in people with epilepsy (PWE) in Korea. METHODS: Data were collected from 543 adult epilepsy patients. Housewives and students were excluded. Information was obtained from self-completed questionnaires. RESULTS: The unemployment rate for Korean PWE was as high as 31%. This figure was five times higher than that of general population. The unemployed PWE had significantly lower quality of life than the employed PWE. the employability of PWE was significantly affected by certain factors: the frequency and severity of seizures; age at onset; interseizure psychosocial disabilities including self-esteem, personality, and problem-solving style; and social discrimination. Actual discriminatory practices in the employment of the PWE were prevalent in Korea. Overall, 24.5% of respondents believed that they had even been treated unfairly at work or when trying to get a job. More than half of those who disclosed their disease to employers reported that they have been refused a job because of epilepsy. About 75% of the patients surveyed said that they have never disclosed their disease in applying for a job. CONCLUSIONS: In Korea, PWE have faced many difficulties in employment. The discrimination against PWE and negative social attitudes toward epilepsy may play an important role in the employability of PWE. We need active participation in the "Out of the Shadows" world campaign.

Attitude to Health↗

Analysis of discriminative control by social behavioral stimuli.

Visual discriminative control of the behavior of one rat by the behavior of another was studied in a two-compartment chamber. Each rat's compartment had a food cup and two response keys arranged vertically next to the clear partition that separated the two rats. Illumination of the leader's key lights signaled a "search" period when a response by the leader on the unsignaled and randomly selected correct key for that trial illuminated the follower's keys. Then, a response by the follower on the corresponding key was reinforced, or a response on the incorrect key terminated the trial without reinforcement. Accuracy of following the leader increased to 85% within 15 sessions. Blocking the view of the leader reduced accuracy but not to chance levels. Apparent control by visual behavioral stimuli was also affected by auditory stimuli and a correction procedure. When white noise eliminated auditory cues, social learning was not acquired as fast nor as completely. A reductionistic position holds that behavioral stimuli are the same as nonsocial stimuli; however, that does not mean that they do not require any separate treatment. Behavioral stimuli are usually more variable than nonsocial stimuli, and further study is required to disentangle behavioral and nonsocial contributions to the stimulus control of social interactions.

Journal Article↗

Social environment and physical activity: a review of concepts and evidence.

The rapidly growing and evolving literature on the social environment and its influence on health outcomes currently lacks a clear taxonomy of dimensions of the social environment and the differing mechanisms through which each influences health-related behavior. This paper identifies five dimensions of the social environment-social support and social networks, socioeconomic position and income inequality, racial discrimination, social cohesion and social capital, and neighborhood factors-and considers each in the context of physical activity to illustrate important differences between them. Increasing the specificity of terminology and methods in social environmental research on health will enable more systematic inquiry and accelerate the rate of scientific discovery in this important area.

Health Behavior↗

Medical education, women's status, and medical issues' effect on women's health in the Caribbean.

At an international conference in 1992 on women and health, an attempt was made to redefine health concerns for women of the English-speaking Caribbean in the 1990s. Medical practices in developing countries change as advances are made in public health; clinical issues on the islands now resemble those in the United States (e.g. hypertension, cancer, sexually transmitted diseases, domestic violence, and abortion). In the Caribbean, however, these problems exist in a unique socioeconomic context, and women's health there suffers indirectly because of cultural mores. Gender bias in medical education and practice influences treatment of women and obstructs their advancement to policy-making levels in the design and delivery of programs that bear on maternal and child health, among others. The effect of local cultural beliefs and practices on women's health must be considered when setting goals and direction for health policy if aid or educational programs are to be effective.

Abortion, Induced↗

How pervasive are sex differentials in childhood nutritional levels in south Asia?

This paper considers the assumption that there are widespread sex differentials in the household allocation of food in South Asia. From primary field data and a critical review of the existing literature, it concludes that we have no reason to believe that girls in this region invariably get an unfair deal in the matter of nutrition, even in those areas where sex differentials in child mortality are the most acute. Too much of the research to support such a contention starts with the biased view that gender differences in nutritional status must exist. It is pointed out in this paper that a new look at this issue is essential if we are to use scarce resources most effectively to fight gender inequalities. By identifying more precisely the areas in which women are worst discriminated against, action to affect these areas can be focused much better than by spreading efforts into programs where the need is at best marginal.

Breast Feeding↗

Nutrition of the Asian adolescent girl.

A comparison of sex differential mortality rates indicates that women are at increased risk in several countries of Asia, in part due to less access to a variety of services and lower priority for food than their male siblings. Poorer nutritional status becomes apparent during adolescence, with a delay in maturation which may have repercussions for subsequent ability of the biologically immature woman to carry through a normal pregnancy. There is a dearth of information on girls during this vulnerable period of life which is recently being corrected by studies in Nepal, India and the Philippines where the magnitude of dietary risk is being compared with its impact on nutritional status and the sociocultural factors that may be responsible.

Adolescent↗

Misinformation, mistrust, and mistreatment: family planning among Bolivian market women.

Results of an ethnographic study suggest that, despite stereotypes to the contrary, urban Aymara women in Bolivia want to regulate their fertility, and sociocultural norms support fertility regulation. However, the norms also make such regulation difficult to achieve. One barrier is a deep suspicion of modern medicine and medical practitioners, who are not seen as reliable sources of information. This suspicion is reinforced when the quality of health services is inadequate. Among urban Aymara, the level of acceptability of most modern methods of contraception is low. Many would prefer to use traditional methods, even when use of these methods entails considerable sacrifice and risk of conflict with their partners, unwanted pregnancies, and recourse to unsafe abortion.

Abortion, Induced↗

Male bias in health care utilization for under-fives in a rural community in western India.

A cross-sectional survey, in 1991, of 3100 families in 45 contiguous villages in the Pune district of Maharashtra state showed that 456 under-5-year-olds had suffered an acute respiratory infection and/or diarrhoea during the previous 7 days. Significantly more boys (88.9%) than girls (76.5%) were treated by a registered private medical practitioner (odds ratio (OR) = 2.51). Referrals for further treatment were followed by parents significantly more often in the case of their sons (69.2%) than daughters (25%) (OR = 6.75). An average of Rs 35 (US$1 1.16) was spent on the treatment of a son, compared with Rs 23 (US$ 0.76) for a daughter. In general, parents were willing to travel a greater distance (> 2 km) to seek medical treatment for their sons. These differences persisted even after adjusting for severity of illness, parent's income, occupation and education, and the birth order of the child. Intervention programmes directed at under-fives would need to correct the bias against girls if equitable access to health care is to be achieved.

Child, Preschool↗

International human rights and women's reproductive health.

Neglect of women's reproductive health, perpetuated by law, is part of a larger, systematic discrimination against women. Laws obstruct women's access to reproductive health services. Laws protective of women's reproductive health are rarely or inadequately implemented. Moreover, few laws or policies facilitate women's reproductive health services. Epidemiological evidence and feminist legal methods provide insight into the law's neglect of women's reproductive health and expose long-held beliefs in the law's neutrality that harm women fundamentally. Empirical evidence can be used to evaluate how effectively laws are implemented and whether alternative legal approaches exist that would provide greater protection of individual rights. International human rights treaties, including those discussed in this article, are being applied increasingly to expose how laws that obstruct women's access to reproductive health services violate their basic rights.

Cross-Cultural Comparison↗