Obese women are at higher risk for the development of both endometrial and ovarian carcinoma. Biochemical mechanisms represent documented causal factors but the role of psycho-social attitudes has received limited attention. This study examined the difference in the frequency of pelvic screening examinations between obese and non-obese women and the effect of physician and patient attitudes toward obesity on examination frequency. A total of 291 women subjects and 1316 physician subjects participated in this study. Data reported in this paper suggest that attitudes and behaviors are negatively influenced by weight. As subjects' weight went up, negative opinions about their appearance and reluctance to obtain pelvic examinations also increased while the likelihood of having annual pelvic examinations decreased. A substantial minority (17%) and an overwhelming majority (83%) of physicians indicated they were reluctant to perform pelvic examinations on obese and reluctant patients respectively. If physicians are more reluctant to perform pelvic examinations on obese and reluctant women and obese women are more reluctant to be examined, there may be a critical delay in detecting adenocarcinomas of the female genital tract.

This study examined age differences in recall for the literal and interpretive meanings of narrative text. Following presentation of one of two stories rich in both literal and interpretive content, younger (mean age = 19.2 years) and older (mean age = 72.2 years) adults were asked to retell and to interpret the story. Response task order was counterbalanced across participants. When asked to retell a story as close to the original as possible, the younger adults recalled more of the literal propositional content than did the older adults in the retell-first, although not in the interpret-first, condition. In addition, both older and younger adults recalled more of the main ideas (gist) relative to the details. When asked to interpret the same story, more older than younger adults produced deep and synthetic representations of the story's interpretive meanings. In addition, there was a clear preference among the older age group for deep-synthetic responding. Although more younger than older adults produced analytic interpretations, within the younger group there was no clear preference for either an analytic or a deep-synthetic style.

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PROBLEM STATEMENT-D i abetes Self-Management Education (DSME) is the cornerstone of care for all individuals with diabetes who want to achieve successful health-related outcomes. The National Standards for DSME are designed to define quality diabetes self-management education that can be implemented in diverse settings and will facilitate improvement in health care outcomes. The dynamic health care process obligates the diabetes community to periodically review and revise these standards to reflect advances in scientific knowledge and health care. Therefore, the Task Force to review the National Standards for DSME was convened to review the current standards for their appropriateness, relevancy, and scientific basis, and to be sure they are specific and achievable in multiple settings.

The story-recall performance of older and younger women was examined within an oral story-retelling context with two listener conditions. Forty-eight older women (M age = 67.81 years; SD = 2.62) and 47 younger women (M age = 20.47 years; SD = 1.53) were asked to learn one of two stories with the goal to retell the story from memory either to an experimenter or to a young child. Did the listener make a difference in story recall? Yes. Although age-group differences in propositional recall favoring the younger women occurred when an experimenter was the listener, there were no age-group differences when a child was the listener. In addition, when a child was listening, both older and younger tellers adapted their narratives by producing more elaborations and repetitions, as well as by simplifying the more complex of the two stories. Across stories, however, the older tellers adjusted the complexity of their retellings to the age of their listeners more than did the younger tellers. Results highlight the importance of considering the social context of remembering in memory-aging research.