Applying the PEN-3 Cultural Model to Address HIV/AIDS Prevention in Rural Guatemala

Guatemala has an accelerating HIV rate, where prevalence is three times higher among indigenous than nonindigenous, comprising 21% of all cases. Vulnerability is exacerbated by high poverty, low literacy, and poor access to testing and treatment options. This study develops a community-engaged HIV prevention campaign plan for the Mayan town of Santiago Atitlán. The PEN-3 model of cultural sensitivity frames this formative research project. Assessment domains of the PEN-3 model (Cultural empowerment and Relationships & expectations) identify culturally relevant factors affecting HIV prevention behaviours. The Cultural identity domain is utilized to identify entry points enhancing cultural acceptance and efficacy.     

The Breasts of Virgins: Sexual Reputation and Young Women’s Bodies in Medieval Culture and Society

Many medical texts of the European Middle Ages included advice to young women on breast reduction. These recipes and techniques have not often been discussed by medieval historians, whose interest in meanings of women’s breasts has concentrated mostly on religious or nutritive associations. Highlighting late medieval English texts and culture, this article summarises medical advice on repressing breast growth, notes some ancient and earlier medieval precedents and argues the recipes responded not only to aesthetic preferences but also to beliefs that bust size and texture signified sexual experience. Arguing that breasts were legible flesh, in which an observer could read a young woman’s honour, it contends that breast suppression not only met idealised beauty standards but also protected sexual reputations.     

Breast pain affects the performance of elite female athletes

ABSTRACT

Although breast pain is problematic for many active women, no published research has investigated breast pain experienced by elite female athletes. This study aimed to examine the extent that mastalgia and exercise-induced breast pain affected the sporting performance of elite female athletes during training and competition. A custom-designed online survey with questions related to sport participation, as well as the frequency, severity and perceived performance effects of mastalgia and exercise-induced breast pain, was distributed to sporting organisations, coaches, medical staff and teams/clubs throughout Australia. Five hundred and forty female athletes competing nationally or internationally across 49 different sports participated in the survey. Sixty-three percent of respondents reported experiencing breast pain associated with their menstrual cycle and 33% reported that this pain worsened during activity. Forty-four percent of athletes reported experiencing exercise-induced breast pain during training or competition. Both types of breast pain were also reported to negatively affect sporting performance (20% and 32%, respectively). Mastalgia associated with the menstrual cycle and exercise-induced breast pain should be acknowledged as potential problems affecting the sporting performance of elite female athletes. Awareness around the impact of breast pain and the development and implementation of breast pain management strategies are essential for this population.     

Child and informant influences on behavioral ratings of preschool children

This study investigated relationships among teacher, parent, and observer behavioral ratings of 3‐ and 4‐year‐old children using intra‐class correlations and analysis of variance. Comparisons within and across children from middle‐income (MI; N = 166; mean age = 54.25 months, standard deviation [SD] = 8.74) and low‐income (LI; N = 199; mean age = 51.21 months, SD = 7.22) backgrounds revealed significant agreement between the raters but also considerable differences in both ranking and absolute scores between raters. Teachers and parents consistently rated children from LI classrooms as having more behavioral problems and fewer prosocial behaviors. Results are conceptualized with respect to how differential expectations, comparison groups, and types of interaction with children can affect the evaluation of child behavior. Results point to the need for multiple sources of evaluation when assessing children for behavioral difficulties, particularly children from lower income backgrounds. © 2010 Wiley Periodicals, Inc.     

Motivational Factors Underlying College Students' Decisions to Resume Their Educational Pursuits in the Aftermath of Hurricane Katrina

This study explored college student persistence at a historically Black university affected by Hurricane Katrina. Predictor variables including sex, residence status, Pell Grant status, campus housing status, college grade point average, attendance before Hurricane Katrina, and attendance at the university by parents or another close relative were used to predict educational aspirations, campus environment, and financial aid eligibility status as the reasons college students continued their education after Hurricane Katrina.     

Dietary protein for athletes: from requirements to optimum adaptation

Opinion on the role of protein in promoting athletic performance is divided along the lines of how much aerobic-based versus resistance-based activity the athlete undertakes. Athletes seeking to gain muscle mass and strength are likely to consume higher amounts of dietary protein than their endurance-trained counterparts. The main belief behind the large quantities of dietary protein consumption in resistance-trained athletes is that it is needed to generate more muscle protein. Athletes may require protein for more than just alleviation of the risk for deficiency, inherent in the dietary guidelines, but also to aid in an elevated level of functioning and possibly adaptation to the exercise stimulus. It does appear, however, that there is a good rationale for recommending to athletes protein intakes that are higher than the RDA. Our consensus opinion is that leucine, and possibly the other branched-chain amino acids, occupy a position of prominence in stimulating muscle protein synthesis; that protein intakes in the range of 1.3-1.8 g · kg(-1) · day(-1) consumed as 3-4 isonitrogenous meals will maximize muscle protein synthesis. These recommendations may also be dependent on training status: experienced athletes would require less, while more protein should be consumed during periods of high frequency/intensity training. Elevated protein consumption, as high as 1.8-2.0 g · kg(-1) · day(-1) depending on the caloric deficit, may be advantageous in preventing lean mass losses during periods of energy restriction to promote fat loss.