Tag Archives: University of Southern California

University of Southern California study: Forty percent of dementia cases could be prevented or delayed by targeting 12 risk factors throughout life

10 Aug

Kathleen Fifield wrote in the AARP Journal article, Dementia vs. Alzheimer’s: Which Is It? How to understand the difference — and why it matters:

What it is

Dementia 

In the simplest terms, dementia is a decline in mental function that is usually irreversible. It’s a syndrome, not a disease, notes neurologist Ron Petersen, director of the Mayo Clinic Alzheimer’s Disease Research Center and the Mayo Clinic Study of Aging in Rochester, Minnesota.

The catchall phrase encompasses several disorders that cause chronic memory loss, personality changes or impaired reasoning, Alzheimer’s disease being just one of them, says Dan G. Blazer, a psychiatrist and professor at Duke University Medical Center.

To be called dementia, the disorder must be severe enough to interfere with your daily life, says psychiatrist Constantine George Lyketsos, director of the Johns Hopkins Memory and Alzheimer’s Treatment Center in Baltimore.

What it’s not? Typical forgetfulness caused by aging — say, having trouble remembering the name of an acquaintance who comes up to you on the street. In fact, the earliest stage of dementia, known as mild cognitive impairment, is considered “forgetfulness beyond what is expected from aging,” Petersen says. With mild cognitive impairment, a person is still functioning normally — paying her bills, driving well enough, doing his taxes — though performing some of those tasks may take longer than they used to. When someone starts to need regular assistance to do such daily activities, “that gets into the dementia range,” Petersen says.

Alzheimer’s

Alzheimer’s is a specific brain disease that progressively and irreversibly destroys memory and thinking skills. Age is the biggest risk factor for the disease. Eventually, Alzheimer’s disease takes away the ability to carry out even the simplest tasks.

To help determine whether patients have this particular brain disease, doctors talk to the patients and their close family members about any recent challenges or changes in behavior or memory. They also administer a mental status exam in an office setting, and possibly do a short neuro-psych evaluation….

How it’s diagnosed

Dementia

A doctor must find that you have two cognitive or behavioral areas in decline to diagnose dementia. These areas are disorientation, disorganization, language impairment, mood change, personality change and memory loss. To make an evaluation, a doctor (often a specialist such as a psychiatrist, neurologist or geriatric medicine physician) typically takes a patient history and administers several mental-skill challenges.

Thanks to growing medical consensus that irritability, depression and anxiety often flag dementia before memory issues do (and official changes to the diagnostic criteria to reflect this), doctors also ask more about changes in mood or personality, Lyketsos notes….

Next, a standard and fairly brief round of memory and thinking tests is given in the same office visit. In the Hopkins Verbal Learning Test, for example, you try to memorize and then recall a list of 12 words — and a few similar words may be thrown in to challenge you. Another test — also used to evaluate driving skills — has you draw lines to connect a series of numbers and letters in a complicated sequence.

Alzheimer’s 

For decades, diagnosing Alzheimer’s disease has been a process of elimination based on looking at a person’s symptoms and mental-test scores, then ruling out other types of dementia, such as Parkinson’s dementia or vascular dementia.

With Alzheimer’s in particular, the progression and timing of symptoms is also important. To identify this degenerative brain disease, doctors are looking for “a gradual, insidious onset that is slowly getting worse,” Petersen says.

Until fairly recently, a conclusive diagnosis was not possible until an autopsy was performed and the brain examined for the physical hallmarks of the disease — beta-amyloid and tau, proteins that look like plaques and tangles in the brain.

Now, a patient can immediately request a PET scan or cerebrospinal fluid sampling that can show, with 95 percent accuracy, whether such plaques or tangles are present. But a high percentage of patients never get such a test, doctors say. PET scans aren’t normally covered by insurance, and treatments based on specifics such as whether you have more amyloid plaques or more tau tangles in your brain aren’t yet available.

What’s more, doctors say they are often confident, based on evidence such as memory tests, a patient’s age and the progression of symptoms, that a patient suffers from Alzheimer’s in particular. Having a PET scan done also doesn’t change the available treatment, which so far consists of only a handful of drugs used to briefly control symptoms of the disease. Without conclusive imaging, doctors will still act on what they call the strong assumption someone has “probable” Alzheimer’s….                                                                                                                    https://www.aarp.org/health/dementia/info-2018/difference-between-dementia-alzheimers.html?CMP=KNC-DSO-Adobe-Bing-Health-DementiaSpotlight&utm_source=bing&utm_medium=cpc&utm_campaign=Health%20%3E%20Dementia%20%3E%20Research%20%3E%20Exact&utm_term=dementia%20versus%20alzheimer%27s&utm_content=Dementia%20or%20Alzheimer&gclid=CJri45bkkesCFUrSfgodFWsCBA&gclsrc=ds

Resources:

Alzheimer’s vs. Dementia                                                                                                            webmd.com/alzheimers/guide/alzheimers-and-dementia-whats-the-difference#1

Alzheimer’s and dementia: What’s the difference?                                                                  https://www.mayoclinic.org/diseases-conditions/alzheimers-disease/expert-answers/alzheimers-and-dementia-whats-the-difference/faq-20396861

Dementia and Alzheimer’s: What Are the Differences?                                                            https://www.healthline.com/health/alzheimers-disease/difference-dementia-alzheimers

See,  https://drwilda.com/tag/dementia/

Science Daily reported in Forty percent of dementia cases could be prevented or delayed by targeting 12 risk factors throughout life:

Modifying 12 risk factors over a lifetime could delay or prevent 40% of dementia cases, according to an updated report by the Lancet Commission on dementia prevention, intervention and care presented at the Alzheimer’s Association International Conference (AAIC 2020).

Twenty-eight world-leading dementia experts added three new risk factors in the new report — excessive alcohol intake and head injury in mid-life and air pollution in later life. These are in addition to nine factors previously identified by the commission in 2017: less education early in life; mid-life hearing loss, hypertension and obesity; and smoking, depression, social isolation, physical inactivity and diabetes later in life (65 and up)….

Dementia affects some 50 million people globally, a number that is expected to more than triple by 2050, particularly in low- and middle-income countries where approximately two-thirds of people with dementia live, according to the report. Women are also more likely to develop dementia than men.

However, in certain countries, such as the United States, England and France, the proportion of older people with dementia has fallen, probably in part due to lifestyle changes, demonstrating the possibility of reducing dementia through preventative measures, Schneider says.

Schneider and commission members recommend that policymakers and individuals adopt the following interventions:

  • Aim to maintain systolic blood pressure of 130 mm Hg or less from the age of 40.
  • Encourage use of hearing aids for hearing loss and reduce hearing loss by protecting ears from high noise levels.
  • Reduce exposure to air pollution and second-hand tobacco smoke.
  • Prevent head injury (particularly by targeting high-risk occupations).
  • Limit alcohol intake to no more than 21 units per week (one unit of alcohol equals 10 ml or 8 g pure alcohol).
  • Stop smoking and support others to stop smoking.
  • Provide all children with primary and secondary education.
  • Lead an active life into mid-life and possibly later life.
  • Reduce obesity and the linked condition of diabetes.

The report also advocates for holistic, individualized and evidenced-based care for patients with dementia, who typically have more hospitalizations for conditions that are potentially manageable at home and are at greater risk for COVID-19. In addition, it recommends providing interventions for family caregivers who are at risk for depression and anxiety…..                                                                                                                                        https://www.sciencedaily.com/releases/2020/07/200730123651.htm

 

Citation:

Forty percent of dementia cases could be prevented or delayed by targeting 12 risk factors throughout life

Date:       July 30, 2020

Source:   University of Southern California – Health Sciences

Summary:

Forty percent of dementia cases could be prevented or delayed by targeting 12 risk factors throughout life, experts say.

Journal Reference:

Gill Livingston, Jonathan Huntley, Andrew Sommerlad, David Ames, Clive Ballard, Sube Banerjee, Carol Brayne, Alistair Burns, Jiska Cohen-Mansfield, Claudia Cooper, Sergi G Costafreda, Amit Dias, Nick Fox, Laura N Gitlin, Robert Howard, Helen C Kales, Mika Kivimäki, Eric B Larson, Adesola Ogunniyi, Vasiliki Orgeta, Karen Ritchie, Kenneth Rockwood, Elizabeth L Sampson, Quincy Samus, Lon S Schneider, Geir Selbæk, Linda Teri, Naaheed Mukadam. Dementia prevention, intervention, and care: 2020 report of the Lancet CommissionThe Lancet, 2020; DOI: 10.1016/S0140-6736(20)30367-6

Here is the press release from the University of Southern California:

NEWS RELEASE 30-JUL-2020

Forty percent of dementia cases could be prevented or delayed by targeting 12 risk factors throughout life

An update to the Lancet Commission on dementia prevention, intervention and care adds excessive alcohol intake, head injury and air pollution to nine previously identified modifiable risks

UNIVERSITY OF SOUTHERN CALIFORNIA – HEALTH SCIENCES

LOS ANGELES — Modifying 12 risk factors over a lifetime could delay or prevent 40% of dementia cases, according to an updated report by the Lancet Commission on dementia prevention, intervention and care presented at the Alzheimer’s Association International Conference (AAIC 2020).

Twenty-eight world-leading dementia experts added three new risk factors in the new report — excessive alcohol intake and head injury in mid-life and air pollution in later life. These are in addition to nine factors previously identified by the commission in 2017: less education early in life; mid-life hearing loss, hypertension and obesity; and smoking, depression, social isolation, physical inactivity and diabetes later in life (65 and up).

“We are learning that tactics to avoid dementia begin early and continue throughout life, so it’s never too early or too late to take action,” says commission member and AAIC presenter Lon Schneider, MD, co-director of the USC Alzheimer Disease Research Center’s clinical core and professor of psychiatry and the behavioral sciences and neurology at the Keck School of Medicine of USC.

Dementia affects some 50 million people globally, a number that is expected to more than triple by 2050, particularly in low- and middle-income countries where approximately two-thirds of people with dementia live, according to the report. Women are also more likely to develop dementia than men.

However, in certain countries, such as the United States, England and France, the proportion of older people with dementia has fallen, probably in part due to lifestyle changes, demonstrating the possibility of reducing dementia through preventative measures, Schneider says.

Schneider and commission members recommend that policymakers and individuals adopt the following interventions:

  • Aim to maintain systolic blood pressure of 130 mm Hg or less from the age of 40.
  • Encourage use of hearing aids for hearing loss and reduce hearing loss by protecting ears from high noise levels.
  • Reduce exposure to air pollution and second-hand tobacco smoke.
  • Prevent head injury (particularly by targeting high-risk occupations).
  • Limit alcohol intake to no more than 21 units per week (one unit of alcohol equals 10 ml or 8 g pure alcohol).
  • Stop smoking and support others to stop smoking.
  • Provide all children with primary and secondary education.
  • Lead an active life into mid-life and possibly later life.
  • Reduce obesity and the linked condition of diabetes.

The report also advocates for holistic, individualized and evidenced-based care for patients with dementia, who typically have more hospitalizations for conditions that are potentially manageable at home and are at greater risk for COVID-19. In addition, it recommends providing interventions for family caregivers who are at risk for depression and anxiety.

The commission members conducted a thorough investigation of all the best evidence in the field, including systematic literature reviews, meta-analyses and individual studies, to reach their conclusions.

###

For more information about Keck Medicine of USC, please visit news.KeckMedicine.org.

Disclaimer: AAAS and EurekAlert! are not responsible for the accuracy of news releases posted to EurekAlert! by contributing institutions or for the use of any information through the EurekAlert system.

Alzheimer’s and Dementia Alliance of Wisconsin described why early detection is important:

Early diagnosis is key.
There are at least a dozen advantages to obtaining an early and accurate diagnosis when cognitive symptoms are first noticed.
1. Your symptoms might be reversible.
The symptoms you are concerned about might be caused by a condition that is reversible. And even if there is also an underlying dementia such as Alzheimer’s disease, diagnosis and treatment of reversible conditions can improve brain function and reduce symptoms.

  1. It may be treatable.
    Some causes of cognitive decline are not reversible, but might be treatable. Appropriate treatment can stop or slow the rate of further decline.
    3. With treatments, the sooner the better.
    Treatment of Alzheimer’s and other dementia-causing diseases is typically most effective when started early in the disease process. Once more effective treatments become available, obtaining an early and accurate diagnosis will be even more crucial.
  2. Diagnoses are more accurate early in the disease process.
    A more accurate diagnosis is possible when a complete history can be taken early in the disease process, while the person is still able to answer questions and report concerns and when observers can still recall the order in which symptoms first appeared. Obtaining an accurate diagnosis can be difficult once most of the brain has become affected.
    5. It’s empowering.
    An earlier diagnosis enables the person to participate in their own legal, financial, and long-term care planning and to make their wishes known to family members.
    6. You can focus on what’s important to you.
    It allows the person the opportunity to reprioritize how they spend their time – focusing on what matters most to them – perhaps completing life goals such as travel, recording family history, completing projects, or making memories with grandchildren while they still can.
    7. You can make your best choices.
    Early diagnosis can prevent unwise choices that might otherwise be made in ignorance – such as moving far away from family and friends, or making legal or financial commitments that will be hard to keep as the disease progresses.
    8. You can use the resources available to you.
    Individuals diagnosed early in the disease process can take advantage of early-stage support groups and learn tips and strategies to better manage and cope with the symptoms of the disease.
    9. Participate or advocate for research.
    Those diagnosed early can also take advantage of clinical trials – or advocate for more research and improved care and opportunities.
    10. You can further people’s understanding of the disease.
    Earlier diagnosis helps to reduce the stigma associated with the disease when we learn to associate the disease with people in the early stages, when they are still cogent and active in the community.
    11. It will help your family.
    An earlier diagnosis gives families more opportunity to learn about the disease, develop realistic expectations, and plan for their future together – which can result in reduced stress and feelings of burden and regret later in the disease process.
    12. It will help you, too.
    Early diagnosis allows the person and family to attribute cognitive changes to the disease rather than to personal failings – preserving the person’s ego throughout the disease process….                           https://alzwisc.org/Importance%20of%20an%20early%20diagnosis.htm

AI’s role in treatment of Alzheimer’s is an example of better living through technology.

CONSULT A COMPETENT MEDICAL PROFESSIONAL FOR DIAGNOSIS AND TREATMENT OF ANY SUSPECTED DECLINE IN MENTAL FACULTIES

Resources:

What Is Alzheimer’s?                                                                           https://www.alz.org/alzheimers-dementia/what-is-alzheimers

Understanding Alzheimer’s Disease: the Basics  https://www.webmd.com/alzheimers/guide/understanding-alzheimers-disease-basics

What’s to know about Alzheimer’s disease? https://www.medicalnewstoday.com/articles/159442.php

Alzheimer’s Disease                                       https://www.cdc.gov/aging/aginginfo/alzheimers.htm

What is Artificial Intelligence?  https://www.computerworld.com/article/2906336/emerging-technology/what-is-artificial-intelligence.html

Artificial Intelligence: What it is and why it matters https://www.sas.com/en_us/insights/analytics/what-is-artificial-intelligence.html

Brain                                                                                                           https://drwilda.com/tag/brain/

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University of Southern California study: Researchers find children who have a plan can overcome adversity

13 Sep

Moi wrote about student motivation in Research papers: Student Motivation: An Overlooked Piece of School Reform https://drwilda.com/2012/05/30/research-papers-student-motivation-an-overlooked-piece-of-school-reform/ One of the citations was Student Motivation: School reform’s missing ingredient:

The summary report and accompanying papers highlight actions that teachers, school leaders, parents, and communities can take to foster student motivation. The following are just a few of the many ideas included in the report:

• Programs that reward academic accomplishments are most effective when they reward students for mastering certain skills or increasing their understanding rather than rewarding them for reaching a performance target or outperforming others.
• Tests are more motivating when students have an opportunity to demonstrate their knowledge through low-stakes tests, performance tasks, or frequent assessments that gradually increase in difficulty before they take a high-stakes test.
• Professional development can help teachers encourage student motivation by sharing ideas for increasing student autonomy, emphasizing mastery over performance, and creating classroom environments where students can take risks without fear of failure
• Parents can foster their children’s motivation by emphasizing effort over ability and praising children when they’ve mastered new skills or knowledge instead of praising their innate intelligence.

Many aspects of motivation are not fully understood, the report and background papers caution, and most programs or studies that have shown some positive results have been small or geographically concentrated. “Because much about motivation is not known, this series of papers should be viewed as a springboard for discussion by policymakers, educators, and parents rather than a conclusive research review,” said Nancy Kober, CEP consultant and co¬author of the summary report…. http://gomasa.org/news/student-motivation-school-reforms-missing-ingredient

Motivation and grit are increasingly becoming research topics.

Science Daily reported in Children overcoming adversity: Researchers find children who have a plan can overcome adversity:

Making a plan can be the difference in overcoming a difficult childhood, while just thinking about those difficulties can drag down the child.

A set of four new studies from researchers at USC and Southwest University in China suggest, contrary to prior belief, children in difficult situations need to do more than dream of a happier and successful future self: They need a strategy for becoming that person.

Two of the studies found eighth graders performed better in school if they had strategies for becoming their future selves, as well as several options for becoming the self that they envision. The other two studies showed that the mere thought of an unhappy childhood was enough to dampen the optimism and the ability of children to plan their escapes.
The set of studies were published online in the Journal Of Adolescence on Aug. 28…. http://www.sciencedaily.com/releases/2015/09/150908135101.htm

Citation:

Children overcoming adversity
Researchers find children who have a plan can overcome adversity
Date: September 8, 2015

Source: University of Southern California

Summary:

A set of four new studies suggest, contrary to prior belief, children in difficult situations need to do more than dream of a happier and successful future self: They need a strategy for becoming that person. Researchers’ findings of ‘left behind’ children in China could apply to children anywhere enduring adverse situations, say authors of a new report.

Journal Reference:

1. Chongzeng Bi, Daphna Oyserman. Left behind or moving forward? Effects of possible selves and strategies to attain them among rural Chinese children. Journal of Adolescence, 2015; 44: 245 DOI: 10.1016/j.adolescence.2015.08.004

Here is the press article from the University of Southern California:

For children overcoming adversity, dreaming big isn’t enough — they need a plan
USC and China researchers’ findings of ‘left-behind’ children in China could apply to children anywhere enduring adverse situations

BY Emily Gersema

September 8, 2015

Making a plan can mean the difference in overcoming a difficult childhood, while just thinking about those difficulties can drag down the child.

A set of four new studies from researchers at USC and Southwest University in China suggest that, contrary to prior scientific belief, children in difficult situations need to do more than dream of a happier and successful future self: They need a strategy for becoming that person.

Two of the studies found that eighth-graders performed better in school if they had strategies for becoming their future selves, as well as several options for becoming the self that they envision. The other two studies showed that the mere thought of an unhappy childhood was enough to dampen the optimism and the ability of children to plan their escape.
The set of studies were published online in the Journal of Adolescence on Aug. 28.

A population with challenges

The scientists had focused on a population with profound social and economic challenges: rural Chinese children labeled “left behind” because their parents have left them, some as young as 5, usually in the care of elderly grandparents while they seek higher-paying urban jobs far from home.

These parents do not take their children with them because Chinese law requires that children attend school in the area where they were born, said Daphna Oyserman, Dean’s Professor of Psychology and co-director of the USC Dornsife Center for Mind and Society.

As a result, an estimated 40 percent of all Chinese children in rural areas — as many as 60 million — are left behind, according to the All-China Women’s Federation.

“Their parents, like parents everywhere, sacrifice the present for hopes for the future. I started the studies wondering if calling a child ‘left behind’ would have negative consequences with the implication that ‘no one loves me,’ ” Oyserman said. “Or are the parents able to instill in their children this narrative?: ‘We are doing this so our family can move forward.’”
“That is what we found: Like their peers, ‘left-behind children’ who focus on their possible future selves and especially on strategies to attain these possible future selves, fulfill their parents’ ‘moving forward’ narrative,” Oyserman said. “Their academic performance improves, they have fewer problems at school and feel better.”

A universal narrative

The narrative could apply to children anywhere, Oyserman noted. U.S. children, for example, may face homelessness, separation from a parent through divorce or endure the instability of foster care placement.

Daphna Oyserman and her colleagues conducted four studies with four separate groups of children. (Photo/Tania Huiny)
“In our studies, even though children who are left by their parents are clearly emotionally stressed, they are not doing worse academically than the others in their classes,” Oyserman said. “They seem to have gotten this message: ‘Life is hard. Pull yourself up.’”

Oyserman and her colleagues conducted four studies with four separate groups of children, all around 14 years old, in the Chongqing region of China, to gauge their feelings about the future and fatalism, and to determine what helps children rise above difficult circumstances.

Hope and fate

In the first study, 144 students were divided into two groups to ask about their optimism and left-behind status. One group of students was first asked whether it was left behind and then asked about its optimism for the future. Children in the other group were asked the same questions but in reverse order.

“We found that by just thinking about the fact that you could be ‘left behind’ had a negative effect on the kids’ optimism for the future, and it increased their fatalism,” said Oyserman, who conducted the study with Southwest University-China professor Chongzeng Bi.

In the second study, 124 students were again divided into two groups. This time, children were asked about their fatalism, about their images of what might be possible for them in the future and their strategies to get there.

“Again, just thinking about the fact that you could be left behind had a negative impact, in this case, increasing fatalism about the future. These feelings that their fate and future were not in their control also dampened the number of images they had of their future selves, as well as the number of strategies they had to become their future selves,” Oyserman said.
Impact at school

In the next two studies, the researchers asked about the effect of possible selves and strategies on outcomes such as school exams and in behavior. In the third study, 176 ninth-graders described their future selves and strategies to attain them, and answered questions about their left-behind status. The researchers obtained teachers’ reports of these students’ in-school behaviors over a 16-week period and their scores on the final examination, which occurred six weeks after they completed the questionnaire.

Students with more images of their future possibilities scored higher on the exam. For left-behind children, though, having possible selves was a double-edged sword, Oyserman said. Those with more future-self images were more likely to have behavior problems in school. But if they had strategies for attainment, they were less likely to have behavior problems, she said.

In the fourth study, 145 ninth-graders answered the same questions about future selves and strategies as the third study. Researchers also obtained their examination scores twice, once eight weeks after students reported on their future selves and strategies, and again a year later. Also at that later point, students were asked to report on their depressive symptoms using a standardized instrument.

The study revealed that those with more strategies to attain their possible selves scored better on their exams a year later, controlling for their prior test score, and showed that they were less likely to be depressed, Oyserman said.
Left-behind children

Prior research has shown that ‘left-behind’ children experience a higher rate of injury and illness compared to others. They face discrimination by teachers, their communities and the media, Oyserman said.
The children spend their week living at school. When they are at home, they are mostly unsupervised, and that carries risks, Oyserman said.

“Part of why I wanted to look at this particular group is that China is an enormous piece of the world both in terms of population and in terms of future trends, and Chinese parents, like any parents, are willing to sacrifice an awful lot in the hope that things will turn out better for their kids,” Oyserman said.

“Taken together, our results imply that while ‘left behind’ is a stereotyped identity that primes children to be accepting of the hand of fate in their lives, this does not mean that children who actually are ‘left behind’ disengage from school,” Oyserman concluded for the study. “On the contrary, they seem to redouble their efforts.”

The School of Psychology at Southwest University in China funded the studies.
More stories about: Psychology, Research
http://news.usc.edu/85905/children-overcoming-adversity-aim-high-but-have-a-plan/

Education and/or vocational training provide the best opportunity for moving individuals into success. Moi often says education is a partnership between the student, the teacher(s) and parent(s). All parties in the partnership must share the load. The student has to arrive at school ready to learn. The parent has to set boundaries, encourage, and provide support. Teachers must be knowledgeable in their subject area and proficient in transmitting that knowledge to students. All must participate and fulfill their role in the education process.

Where information leads to Hope. © Dr. Wilda.com

Dr. Wilda says this about that ©

Blogs by Dr. Wilda:

COMMENTS FROM AN OLD FART©
http://drwildaoldfart.wordpress.com/

Dr. Wilda Reviews ©
http://drwildareviews.wordpress.com/

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University of Southern California study: Teen who receive sexts six times more likely to engage in sex

1 Jul

We live in a society with few personal controls and even fewer people recognize boundaries which should govern their behavior and how they treat others. Common Sense Media has some great resources for parents about teaching children how to use media responsibly. Their information Talking About “Sexting” is excellent.

That picture’s not as private as you think
• 22% of teen girls and 20% of teen boys have sent nude or semi-nude photos of themselves over the Internet or their phones.
• 22% of teens admit that technology makes them personally more forward and aggressive.
• 38% of teens say exchanging sexy content makes dating or hooking up with others more likely.
• 29% of teens believe those exchanging sexy content are “expected” to date or hook up.
• (All of the above are from CosmoGirl and the National Campaign to Prevent Teen Pregnancy, 2009.)
Advice for Parents
• Don’t wait for an incident to happen to your child or your child’s friend before you talk about the consequences of sexting. Sure, talking about sex or dating with teens can be uncomfortable, but it’s better to have the talk before something happens.
• Remind your kids that once an image is sent, it can never be retrieved — and they will lose control of it. Ask teens how they would feel if their teachers, parents, or the entire school saw the picture, because that happens all the time.
• Talk about pressures to send revealing photos. Let teens know that you understand how they can be pushed or dared into sending something. Tell them that no matter how big the social pressure is, the potential social humiliation can be hundreds of times worse.
• Teach your children that the buck stops with them. If someone sends them a photo, they should delete it immediately. It’s better to be part of the solution than the problem. Besides, if they do send it on, they’re distributing pornography — and that’s against the law.
• Check out ThatsNotCool.com. It’s a fabulous site that gives kids the language and support to take texting and cell phone power back into their own hands. It’s also a great resource for parents who are uncomfortable dealing directly with this issue. https://www.commonsensemedia.org/blog/talking-about-sexting?utm_source=newsletter02.17.11&utm_medium=email&utm_campaign=feature1-text

Common Sense Media has other great resources. Parent must monitor their child’s use of technology.

Science Daily reported in the article, Young teens who receive sexts are six times more likely to report having had sex:

A study from USC researchers provides new understanding of the relationship between “sexting” and sexual behavior in early adolescence, contributing to an ongoing national conversation about whether sexually explicit text messaging is a risk behavior or just a technologically-enabled extension of normal teenage flirtation. The latest research, published in the July 2014 issue of the journal Pediatrics, found that among middle school students, those who reported receiving a sext were 6 times more likely to also report being sexually active….. http://www.sciencedaily.com/releases/2014/06/140630094751.htm

Citation:

Sexting and Sexual Behavior Among Middle School Students
1. Eric Rice, PhDa,
2. Jeremy Gibbs, MSWa,
3. Hailey Winetrobe, MPHa,
4. Harmony Rhoades, PhDa,
5. Aaron Plant, MPHb,
6. Jorge Montoya, PhDb, and
7. Timothy Kordic, MAc
+ Author Affiliations
1. aSchool of Social Work, University of Southern California, Los Angeles, California;
2. bSentient Research, Los Angeles, California; and
3. cLos Angeles Unified School District, Los Angeles, California
Abstract
OBJECTIVE: It is unknown if “sexting” (ie, sending/receiving sexually explicit cell phone text or picture messages) is associated with sexual activity and sexual risk behavior among early adolescents, as has been found for high school students. To date, no published data have examined these relationships exclusively among a probability sample of middle school students.
METHODS: A probability sample of 1285 students was collected alongside the 2012 Youth Risk Behavior Survey in Los Angeles middle schools. Logistic regressions assessed the correlates of sexting behavior and associations between sexting and sexual activity and risk behavior (ie, unprotected sex).
RESULTS: Twenty percent of students with text-capable cell phone access reported receiving a sext and 5% reported sending a sext. Students who text at least 100 times per day were more likely to report both receiving (odds ratio [OR]: 2.4) and sending (OR: 4.5) sexts and to be sexually active (OR: 4.1). Students who sent sexts (OR: 3.2) and students who received sexts (OR: 7.0) were more likely to report sexual activity. Compared with not being sexually active, excessive texting and receiving sexts were associated with both unprotected sex (ORs: 4.7 and 12.1, respectively) and with condom use (ORs: 3.7 and 5.5, respectively).
CONCLUSIONS: Because early sexual debut is correlated with higher rates of sexually transmitted infections and teen pregnancies, pediatricians should discuss sexting with young adolescents because this may facilitate conversations about sexually transmitted infection and pregnancy prevention. Sexting and associated risks should be considered for inclusion in middle school sex education curricula.
Key Words:
• sexting
• sexual risk
• middle school
• adolescents
• cell phone
• Accepted April 17, 2014.
• Copyright © 2014 by the American Academy of Pediatrics
1. Published online June 30, 2014

(doi: 10.1542/peds.2013-2991)
1. » AbstractFree
2. Full Text (PDF)Free http://pediatrics.aappublications.org/content/early/2014/06/25/peds.2013-2991.full.pdf+html
Young teens who receive sexts are six times more likely to report having had sex
Date: June 30, 2014
Source: University of Southern California
Summary:
A study provides new understanding of the relationship between ‘sexting’ and sexual behavior in early adolescence, contributing to the ongoing conversation about whether sexually explicit text messaging is a risk behavior or just a technologically enabled extension of normal teenage flirtation. The latest research found that among middle school students, those who reported receiving a sext were six times more likely to also report being sexually active.

Here is the press release from the University of Southern California:

Tweens and teens who receive sexts are 6 times more likely to report having had sex
Study shows that middle school students who send more than 100 texts a day are also more likely to be sexually active
Contact: Suzanne Wu at suzanne.wu@usc.edu or (213) 503-3410; Tanya Abrams at tanyaabr@usc.edu or (213) 740-6973
LOS ANGELES — EMBARGOED UNTIL Sunday, June 29, 9 p.m. PT/Monday, June 30, 12:01 a.m. ET — A study from USC researchers provides new understanding of the relationship between “sexting” and sexual behavior in early adolescence, contributing to an ongoing national conversation about whether sexually explicit text messaging is a risk behavior or just a technologically-enabled extension of normal teenage flirtation. The latest research, published in the July 2014 issue of the journal Pediatrics, found that among middle school students, those who reported receiving a sext were 6 times more likely to also report being sexually active.
While past research has examined sexting and sexual behavior among high school students and young adults, the researchers were particularly interested in young teens, as past data has shown clear links between early sexual debut and risky sexual behavior, including teenage pregnancy, sex under the influence of drugs or alcohol, experience of forced sex and higher risk of sexually transmitted disease.
“These findings call attention to the need to train health educators, pediatricians and parents on how best to communicate with young adolescents about sexting in relation to sexual behavior,” said lead author Eric Rice, assistant professor at the USC School of Social Work. “The sexting conversation should occur as soon as the child acquires a cell phone.”
The study anonymously sampled more than 1,300 middle school students in Los Angeles as part of the Center for Disease Control and Prevention’s Youth Risk Behavior Survey. Respondents ranged in age from 10-15, with an average age of 12.3 years. The researchers found that even when controlling for sexting behaviors, young teens who sent more than 100 texts a day were more likely to report being sexually active. Other key findings:
• Young teens who sent sexts were almost 4 times more likely to report being sexually active.
• Sending and receiving sexts went hand-in-hand: Those who reported receiving a sext were 23 times more likely to have also sent one.
• Students who identified as LGBTQ were 9 times more likely to have sent a sext.
• However, unlike past research on high school students, LGBTQ young adolescents were not more likely to be sexually active, the study showed.
• Youth who texted more than 100 times a day were more than twice as likely to have received a sext and almost 4.5 times more likely to report having sent a sext.
The researchers acknowledge that despite anonymity, the data is self-reported and thus subject to social desirability bias, as well as limitations for geographic area and the diverse demographics of Los Angeles. However, the dramatic correlation between students who sent sexts and reported sexual activity indicates the need for further research and summons attention to the relationship between technology use and sexual behavior among early adolescents, the researchers say.
“Our results show that excessive, unlimited or unmonitored texting seems to enable sexting,” Rice said. “Parents may wish to openly monitor their young teen’s cell phone, check in with them about who they are communicating with, and perhaps restrict their number of texts allowed per month.”
Overall, 20 percent of students with text-capable cell phones said they had ever received a sext, and 5 percent report sending a sext. The researchers defined “sext” in their survey as a sexually suggestive text or photo.
Jeremy Gibbs, Hailey Winetrobe and Harmony Rhoades of the USC School of Social Work were co-authors of the study. The data collection was supported by the Center for Disease Control and Prevention (grant 5U87DP001201-04).
For the embargoed PDF of the study, contact the American Academy of Pediatrics at commun@app.org. To arrange an interview with a researcher, contact USC News at uscnews@usc.edu.

In truth, a close relationship with your child will probably be more effective than spying. Put down that Blackberry, iPhone, and Droid and try connecting with your child. You should not only know who your children’s friends are, but you should know the parents of your children’s friends. Many parents have the house where all the kids hang out because they want to know what is going on with their kids. Often parents volunteer to chauffeur kids because that gives them the opportunity to listen to what kids are talking about. It is important to know the values of the families of your kid’s friends. Do they furnish liquor to underage kids, for example? How do they feel about teen sex and is their house the place where kids meet for sex? See, 10 Tips for Talking to Teens About Sex, Drugs & Alcohol which was posted at the Partnership for A Drug-Free America http://www.drugfree.org/10-tips-for-talking-to-teens-about-sex-drugs-alcohol/

So, in answer to the question should you spy on your Kids? Depends on the child. Some children are more susceptible to peer pressure and impulsive behavior than others. They will require more and possibly more intrusive direction. Others really are free range children and have the resources and judgment to make good decisions in a variety of circumstances. Even within a family there will be different needs and abilities. The difficulty for parents is to make the appropriate judgments and still give each child the feeling that they have been treated fairly. Still, for some kids, it is not out of line for parents to be snoops, they just might save the child and themselves a lot of heartache. https://drwilda.com/2012/06/07/talking-to-your-teen-about-risky-behaviors/

Resources:

Sexting Information: What every parent should know about sexting.
http://www.noslang.com/sexting.php

Social Networking and Internet Safety Information for Parents: Sexting
http://internet-safety.yoursphere.com/sexting/

Teen Sexting Tips
http://www.safeteens.com/teen-sexting-tips/
Related:

New study about ‘sexting’ and teens
https://drwilda.wordpress.com/2011/12/05/new-study-about-sexting-and-teens/

Sexting’ during school hours

Sexting’ during school hours

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Adjunct professors are the new serfs

4 Feb

Moi has posted quite a bit about adjunct professors. In USC study: Adjunct faculty pay disparity can be fixed at reasonable cost, she wrote:
A good basic description of teacher tenure as found at teacher tenure. James gives the following definition:
WHAT IS TENURE?

Tenure is a form of job security for teachers who have successfully completed a probationary period. Its primary purpose is to protect competent teachers from arbitrary nonrenewal of contract for reasons unrelated to the educational process — personal beliefs, personality conflicts with administrators or school board members, and the like.
WHAT PROTECTION DOES TENURE OFFER THE PUBLIC SCHOOL TEACHER?
The type and amount of protection vary from state to state and — depending on agreements with teachers’ unions — may even vary from school district to school district. In general, a tenured teacher is entitled to due process when he or she is threatened with dismissal or nonrenewal of contract for cause: that is, for failure to maintain some clearly defined standard that serves an educational purpose. http://www.ericdigests.org/pre-925/tenure.htm

Time has a good summary of the history of teacher tenure at A Brief History of Tenure http://content.time.com/time/nation/article/0,8599,1859505,00.html https://drwilda.com/2013/09/10/northwestern-university-study-adjunct-faculty-better-teachers-at-one-school/

Joanne Jacobs posted Adjuncts v. Fulltime Faculty at Community College Spotlight:

Retired State Sen. Ken Jacobsen once called Washington state’s community colleges “a chain of academic sweatshops,” Longmate writes.
At Olympic College, full-time faculty average $55,797 a year, while an adjunct who taught full-time would average $27,833.
“The same tension has arisen elsewhere — at Wisconsin’s Madison Area Technical College, for instance, adjuncts filed suit to stop overloads,” notes Inside Higher Ed.
In New Hampshire, community college adjuncts have joined a state employees union.
At Chicago’s Columbia College, experienced, top-scale adjuncts charge they’ve lost class assignments to newly hired part-timers who cost less. http://communitycollegespotlight.org/content/adjuncts-vs-full-time-faculty_3701/

The question is whether colleges can afford to fix the disparity.

Claudio Sanchez reported in the NPR story, Part-Time Professors Demand Higher Pay; Will Colleges Listen?

When you think about minimum-wage workers, college professors don’t readily come to mind. But many say that’s what they are these days.
Of all college instructors, 76 percent, or over 1 million, teach part time because institutions save a lot of money when they replace full-time, tenured faculty with itinerant teachers, better known as adjuncts.

Kathleen Gallagher, a published poet and writer with advanced studies and a master’s degree, spent 20 years as an adjunct English professor at several colleges in Akron, Ohio. The most she’s ever made in a year is $21,000; last year, she made $17,000.
After one college laid her off last summer, Gallagher was desperately short of money, so she sold her plasma.
“It is embarrassing to talk on the radio and say, ‘I think I’ll have to go give some blood,’ ” she says with a sigh. “But I needed gasoline….”
More than half the faculty at the University of Akron teaches part time. Ramsier says he’s sorry some adjuncts are struggling, but they know, or should know, what they’re getting into.
“Part-time work is truly part-time work,” he says. “We’re not expecting, or trying, to take advantage of people.”
Two-year and four-year colleges started replacing full-time faculty with part-time instructors in the mid-1970s. That shift has created lots of tension on college campuses where adjuncts are treated like cheap labor, according to a congressional report released last month.
Initially, part-time teachers were popular because they brought “real-world experience” to the classroom, according to Adrianna Kezar, an expert on workforce issues in higher education and a professor at the University of Southern California. She says things are different today.
“Higher education has begun to adopt corporate management practices,” Kezar says. “Corporations move to more contingent labor because it is a cheaper form of labor.”
It’s certainly cheaper, though the amount depends on the size of the institution and whether it’s public or private. A full-time professor’s salary can average from $72,000 a year up to $160,000; adjuncts average $25,000 to $27,000 a year, and often much less, regardless of where they teach.
‘We Have To Stop Hiding In The Shadows’
At Cuyahoga Community College, just outside Cleveland, 3 out of 4 faculty members are adjuncts, like David Wilder. Now in his late 50s, he has a degree in library sciences and has taught art history at Cuyahoga for 10 years, and 15 years at another school. Despite that, he lives paycheck to paycheck and moonlights in the deli of a nearby hotel. He says the professors are just minimum-wage workers.
“We’re just part of working people starting to step forward,” Wilder says. “We identify with the fast-food workers that are telling their stories, and we want to do the same.”
Some adjuncts here are on food stamps; others struggle to make their car or rent payments…. http://www.npr.org/2014/02/03/268427156/part-time-professors-demand-higher-pay-will-colleges-listen

A University of Southern California study argues colleges can afford to fix the disparity.

Colleen Flaherty reported in the Inside Higher Ed article, Not Too Expensive to Fix:

Or so argues a new paper from the Delphi Project on the Changing Faculty and Student Success, a partnership between the University of Southern California’s Rossier School of Education and the Association of American Colleges and Universities to examine and develop the role of adjunct faculty.
“[Although] leaders in higher education do face budgetary constraints and uncertainty over future funding sources, it is a myth that resources are the sole reason that prevents us from ensuring that all our faculty members are adequately supported so they can provide the highest quality of instruction to their students,” reads Delphi’s “Dispelling the Myths: Locating the Resources Needed to Support Non-Tenure-Track Faculty.”
The paper, written by Adrianna Kezar, director of the Delphi Project and professor of higher education at the University of Southern California, and Dan Maxey, Kezar’s research assistant, outlines a variety of practices institutions may adopt to better support all faculty – not just adjuncts – rated on a scale from “$” (free to marginal in cost) to “$$$$” (indicating a “more substantial” expense).
Some obvious means of supporting adjunct instructors, who make up nearly three-fourths of the higher education work force — better pay, benefits — are costly. But others — such as enhancing data collection efforts to better track adjunct employment on campus, ensuring protections for academic freedom in faculty handbooks, and inviting adjuncts to participate in curricular discussions and governance – aren’t.
That’s the paper’s biggest takeaway, Kezar said, given the many “myths and stereotypes,” coupled with the lack of national data, about the costs of rethinking adjunct employment conditions. It’s based on previous case studies of different campuses’ costs and strategies related to adjunct faculty members.
“This new resource on how to understand the actual costs to support [adjuncts] should be paradigm-shifting for campus leaders,” she said via e-mail. “So many changes cost little or marginal amounts of money. But they do require priority-setting and making this a goal for departments or institutions.”
Inexpensive Ways Institutions Can Support Adjunct Faculty
Cost Practice
$ (marginal) Enhance data collection efforts on adjunct employment on campus
$ Ensure or clarify protections for academic freedom
$ Provide access to instructional materials, resources and support services (library, photocopies, etc.)
$-$$ (some additional expense) Provide access to on-campus professional development opportunities
$-$$ Extend opportunity to participate in departmental meetings, curriculum design and campus life (inclusive in e-mail distribution lists, etc.)
$-$$ Participation in governance
$-$$ Facilitate opportunities for faculty mentoring
$-$$ Ensure access to orientation for new hires
$-$$ Access to administrative staff for support
Maxey said that once institutions begin to make meaningful but inexpensive changes to adjunct working conditions, they can become convinced of the value of such investments.
“Non-tenure-track faculty are committed educators and should be provided proper support and fair compensation,” he said via e-mail. “We see all of the recommendations as important, but by offering this range of choices, campuses can target a few to start with that are within reach. In our experience working with campuses, those that start out with just a few low-cost changes often quickly realize that these changes to better-support the faculty are worth any added expense….”
http://www.insidehighered.com/news/2013/10/16/paper-argues-more-support-adjuncts-wont-cost-much#ixzz2hv2YAHXI

Adjuncts do not want to be overlooked in the discussion of income inequality.

The Chronicle of Higher Education has written several articles about the plight of adjunct teaching faculty:

o ‘Chronicle’ Survey Yields a Rare Look Into Adjuncts’ Work Lives http://chronicle.com/article/Chronicle-Survey-Yields-a/48843/

o Love of Teaching Draws Adjuncts to the Classroom Despite Low Pay http://chronicle.com/article/Love-of-Teaching-Draws/48845/

o Full-Time Instructors Shoulder the Same Burdens That Part-Timers Do http://chronicle.com/article/Full-Time-Instructors-Shoulder/48841/

o At One 2-Year College, Adjuncts Feel Like Outsiders http://chronicle.com/article/At-One-2-Year-College/48844/

o Video: Voices of Adjuncts http://chronicle.com/article/Video-Voices-of-Adjuncts/48868/

Related:

Report: Declining college teaching loads can raise the cost of college https://drwilda.com/2013/04/02/report-declining-college-teaching-loads-can-raise-the-cost-of-college/

USC study: Adjunct faculty pay disparity can be fixed at reasonable cost https://drwilda.com/2013/10/19/usc-study-adjunct-faculty-pay-disparity-can-be-fixed-at-reasonable-cost/

Important statement from American Association of University Professors about cutting adjunct teaching hours in response Obamacare

Important statement from American Association of University Professors about cutting adjunct teaching hours in response Obamacare

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