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The lack of legal recognition of same-sex couples can leave partners vulnerable in a crisis or emergency. Advance planning is one strategy couples can use to establish legal rights. Analyses of data collected from both partners in 131 same-sex couples suggested that executing advance-planning documents (wills, powers of attorney for finance and health care, and living wills) was associated with age and couple-level relational variables. Older couples and couples that reported higher commitment levels were more likely to have executed the four documents. Couples who had disclosed their relationship to a higher percentage of their relatives were more likely to have executed wills and living wills. Implications of these findings for public policy and social services affecting same-sex couples are discussed. (Contains 6 tables.)

Objective: Placebo effectiveness and subsequent influence on cognitive performance were investigated in older moderate drinkers (ages 50-69; N = 30; 15 men) following acute alcohol administration. Method: Double-blind, placebo-controlled alcohol administration techniques were designed to produce peak breath alcohol concentration levels consistent with an episode of social drinking (~40 rag/100 ml). Cognitive performance, measured via a covert attentional processing task, was assessed. Participants were also asked to rate their perceived levels of intoxication and impairment. Results: The placebo beverage was effective in older moderate drinkers, with 63% of participants who received placebo reporting that they received alcohol. Placebo beverage effectiveness influenced cognitive performance. Participants who received placebo, but reported they received alcohol, demonstrated slower reaction times on the covert attentional processing task, similar to those receiving alcohol. Placebo effects did not influence accuracy on the covert attentional processing task or self-reported measures of intoxication and impairment. As expected, participants who received alcohol had less accuracy on the covert attentional processing task and more self-reported impairment and intoxication than those who received placebo, regardless of placebo effectiveness. Conclusions: These results suggest that belief of having received a moderate dose of alcohol has an effect on reaction time similar to that of its pharmacological effect in older moderate drinkers. Although placebo effects are not novel, these findings suggest that cognitive processes are differentially affected. The study of moderate doses and more complex real-world tasks is an important next step., REPORTS ON TYPICAL DR1NKING PATTERNS indicate that the majority of the U.S. population drinks occasionally to moderately, including many older adults (~50%) (Gunzerath et al., 2004; Substance Abuse and Mental [...]

Objective: Perceived impairment and psychomotor performance following acute alcohol administration in older (ages 50-74, n = 42; 22 male) and younger (ages 25-35, n - 26; 12 male) adults were investigated in this study. Method: Double-blind, placebo-controlled alcohol administration techniques were designed to produce peak levels of breath alcohol concentration consistent with an episode of social drinking (40 mg/100 ml). Behavioral measures (Trail Making Test, Forms A and B), as well as measures of self-reported perceived intoxication and impairment, were administered on the ascending and descending limbs at common time points after beverage ingestion. Results: Results indicated that psychomotor performance differences did not parallel self-reported levels of perceived impairment. Relative to younger adults, older adults exhibited performance deficits on the ascending limb while simultaneously reporting less perceived impairment. Conversely, on the descending limb, older adults who received alcohol reported more perceived impairment than did those who received placebo, although psychomotor performance between these two groups of older drinkers did not differ. For younger participants, a moderate dose of alcohol facilitated performance on the ascending limb; however, these differences were not reflected on the descending limb. Conclusions: These results reinforce the common knowledge that self-reported measures may not provide an accurate reflection of performance outcomes and, importantly, that older adults may be impaired even under a moderate dose of alcohol, although they may not be aware (i.e., report) of this impairment., THE U.S. BUREAU OF THE CENSUS (2008) predicts that by 2030, the percentage of the population older than age 65 will rise dramatically to comprise one in five U.S. residents. [...]

Cover: water ratios (75:25, 50:50, 25:75) were manipulated in Southern Great Plains Playas and avian response to these patterns in winter was examined. The highest species richness and generally the highest waterfowl densities in the 50:50 cover: water treatment were found.

Patient activation, the perceived capacity to manage one's health, is positively associated with better health outcomes and lower costs. Underlying characteristics influencing patient activation are not completely understood leading to gaps in intervention strategies designed to improve patient activation. We suggest that variability in executive functioning influences patient activation and ultimately has an impact on health outcomes. To examine this hypothesis, 440 chronically ill Medicaid enrollees completed measures of executive functioning, patient activation, and health-related quality of life. Mediation analyses revealed that executive functioning: (a) directly affected patient activation and mental health-related quality of life, (b) indirectly affected mental health-related quality of life through patient activation, and (c) was unrelated to physical health-related quality of life. These data indicate that further study of the relationships among neurocognitive processes, patient activation, and health-related quality of life is needed and reinforces previous work demonstrating the association between patient activation and self-reported outcomes. [ABSTRACT FROM AUTHOR]

Gender, family history, comorbid psychiatric and substance use disorders, and age all influence a person's risk for alcoholism. In addition, these factors interact with alcoholism to influence neurocognitive functioning following detoxification. This article examines these factors and considers how they interact with each other. This complexity reinforces the need for both animal and human studies and suggests multiple factors that may be sensitive to differential prevention, intervention, and treatment efforts. Thus, it is imperative that hypothesisdriven research designs be directed to identifying the relative potency of these factors and their interactions. [ABSTRACT FROM AUTHOR]

The article presents a study on the efficacy of miniature gas chromatograph (mCG) designed by the authors to gauge blood ethanol concentration using exhaled breath. It says that to test the efficacy of the method, samples were collected from eight ethanol-dosed subjects inline with the Widmark criteria and mCG breath testing was administered. The result shows that mCG performs well in gauging ethanol in the blood using exhaled breath with features of portability, smaller size, and lower cost.

Objective: Perceived impairment and psychomotor performance following acute alcohol administration in older (ages 50-74, n = 42; 22 male) and younger (ages 25-3 5, n 26; 12 male) adults were investigated in this study. Method: Double-blind, placebo-controlled alcohol administration techniques were designed to produce peak levels of breath alcohol concentration consistent with an episode of social drinking (40 mg/100 ml). Behavioral measures (Trail Making Test, Forms A and B), as well as measures of self-reported perceived intoxication and impairment, were administered on the ascending and descending limbs at common time points after beverage ingestion. Results: Results indicated that psychomotor performance differences did not parallel self-reported levels of perceived impairment. Relative to younger adults, older adults exhibited performance deficits on the ascending limb while simultaneously reporting less perceived impairment. Conversely, on the descending limb, older adults who received alcohol reported more perceived impairment than did those who received placebo, although psychomotor performance between these two groups of older drinkers did not differ. For younger participants, a moderate dose of alcohol facilitated performance on the ascending limb; however, these differences were not reflected on the descending limb. Conclusions: These results reinforce the common knowledge that self-reported measures may not provide an accurate reflection of performance outcomes and, importantly, that older adults may be impaired even under a moderate dose of alcohol, although they may not be aware (i.e., report) of this impairment. [ABSTRACT FROM AUTHOR]

The dopamine D1 receptor subtype has been implicated in drug reward processes in mammals. Two experiments investigated whether dose-dependent differences in cocaine conditioned place preference (CPP) would be obtained in an avian species and whether these cocaine effects were mediated by the dopamine D1 antagonist R(±)-SCH23390. In Experiment 1, male birds were given intraperitoneal injections of 1, 3, 10, or 30 mg/kg of cocaine hydrochloride, paired with a chamber that contained distinct visual cues. On alternate days, they received saline paired with a chamber containing different visual cues. A CPP test was given after four pairings of cocaine with the distinct chamber. In Experiment 2, 0.0025, 0.025, or 0.25 mg/kg of SCH 23390 or saline was administered 15 min prior to cocaine (3 mg/kg) and placement into the least preferred chamber. CPP was observed at 1, 3, and 10 mg/kg doses of cocaine but not at 30 mg/kg or saline. All doses of SCH 23390 attenuated cocaine-induced CPP. The findings suggest that cocaine administration results in a dose-dependent CPP, and that similar with mammals, it may be mediated by D1 receptors in an avian species. Thus, the avian species may be a beneficial comparative model for drug studies, especially those involving visual cue mechanisms of drug reward. [Copyright &y& Elsevier]

In this chapter, we review existing research regarding sex differences in alcohol's effects on neurobehavioral functions/processes. Drawn largely from laboratory studies, literature regarding acute alcohol administration and chronic alcohol misuse is explored focusing on commonly employed neuropsychologic domains (e.g., executive function, visuospatial skills, learning and memory, gait and balance), neurophysiologic measures (e.g., electroencephalography and event-related potentials), and structural and functional neuroimaging (e.g., magnetic resonance imaging (MRI), functional MRI, diffusion tensor imaging, positron emission tomography, and magnetic resonance spectroscopy). To provide a historical perspective on the development of these questions, we have included reference to early and more recent research. Additionally, specific biases, knowledge gaps, and continuing controversies are noted., (© 2014 Elsevier B.V. All rights reserved.)