Leadership When It Matters Most Lessons on Influence from In Extremis Contexts

None of us would study or read about leadership if we did not think that leadership is important to people. Assuming that leadership is, indeed, important to people, it then follows that it is most important when people\u27s lives are at risk. This chapter is a discussion of the most important niche in leadership thinking and analysisleader influence in dangerous contexts. There is social benefit to such a discussion. When one adds up the publicly released figures for numbers of active duty military personnel, law enforcement officers, and firefighters-all people who live and work in dangerous contexts-the total is in the millions. Adding mountain climbers, skydivers, and other extreme sports enthusiasts to the list swells this figure. Not to be overlooked are ordinary individuals suddenly and unexpectedly thrust into a dangerous circumstance (for example, shootings, floods, mine disasters, airline incidents) where leadership matters or could have mattered. Dangerous contexts are ubiquitous, and leadership during them can make a difference

THE MEANING AND IMPACT OF PARTNERS ACCOMPANIMENT ON WOMENS ADJUSTMENT TO ABORTION

The present study examined the meaning of accompaniment to an abortion clinic by a male partner and explored the effects of accompaniment on women's immediate and three-week post-abortion psychological distress. A comparison of accompanied and unaccompanied women revealed few differences in demographic or psychological characteristics, although accompanied women perceived greater levels of social support from their partners and reported that they were in more committed relationships. The effects of accompaniment on women's post-abortion distress were neither universally positive nor universally negative, but depended on the personal characteristics of the women involved. Consistent with Conservation of Resources Theory (Hobfoll, 1988), accompaniment was more beneficial for women who were high in personal coping resources than for women low in these resources

The KORA Eye Study: A Population-Based Study on Eye Diseases in Southern Germany (KORA F4)

PURPOSE. The population-based KORA (Cooperative Health Research in the Region of Augsburg [Germany]) study was used to evaluate the prevalence of eye diseases and potential interactions with general health status, laboratory data, medication, and genetic background. METHODS. In all, 2593 probands, ranging in age from 32 to 71 years (mean: 52 years), were asked in a standardized interview for the presence of cataracts, glaucoma, and corneal or retinal disorders; positive answers were validated and specified by treating ophthalmologists. Additional data came from a questionnaire or from laboratory data. RESULTS. We validated 10 probands with corneal diseases (validation rate: 32%), 26 with retinal diseases (validation rate: 60%), 40 with glaucoma (validation rate: 75%), and 100 participants with cataracts (validation rate: 88%). Glaucoma was significantly associated with increasing age, diabetes and its treatment, and the use of drugs in airway diseases. Cataracts were significantly associated with increasing age, female sex, hypertension, and diabetes. In females, cataracts were particularly associated with the use of ophthalmological corticosteroids, some antihypertensives, and antidiabetics. In contrast, cataracts in males were associated only with the use of angiotensin-converting enzyme inhibitors. We also tested some polymorphic markers; two (GJA8, CRYBB3) were significantly associated with cataracts. CONCLUSIONS. Self-reported ocular diagnoses by questionnaire showed varying degrees of accuracy; this method of data collection is valid, providing confirmation is obtained from treating ophthalmologists. It revealed a similar profile of major risk factors for cataracts (age, female sex, and diabetes) in Germany like that of other international studies. The reported associations between medical treatment and genetic polymorphisms in early-onset cataract merit further functional study. (Invest Ophthalmol Vis Sci. 2011;52:7778 -7786

The KORA eye study: a population-based study on eye diseases in southern Germany (KORA F4)

Purpose: The population-based KORA (Cooperative Health Research in the Region of Augsburg [Germany]) study was used to evaluate the prevalence of eye diseases and potential interactions with general health status, laboratory data, medication, and genetic background. Methods. In all, 2593 probands, ranging in age from 32 to 71 years (mean: 52 years), were asked in a standardized interview for the presence of cataracts, glaucoma, and corneal or retinal disorders; positive answers were validated and specified by treating ophthalmologists. Additional data came from a questionnaire or from laboratory data. Results. We validated 10 probands with corneal diseases (validation rate: 32%), 26 with retinal diseases (validation rate: 60%), 40 with glaucoma (validation rate: 75%), and 100 participants with cataracts (validation rate: 88%). Glaucoma was significantly associated with increasing age, diabetes and its treatment, and the use of drugs in airway diseases. Cataracts were significantly associated with increasing age, female sex, hypertension, and diabetes. In females, cataracts were particularly associated with the use of ophthalmological corticosteroids, some antihypertensives, and antidiabetics. In contrast, cataracts in males were associated only with the use of angiotensin-converting enzyme inhibitors. We also tested some polymorphic markers; two (GJA8, CRYBB3) were significantly associated with cataracts. Conclusions. Self-reported ocular diagnoses by questionnaire showed varying degrees of accuracy; this method of data collection is valid, providing confirmation is obtained from treating ophthalmologists. It revealed a similar profile of major risk factors for cataracts (age, female sex, and diabetes) in Germany like that of other international studies. The reported associations between medical treatment and genetic polymorphisms in early-onset cataract merit further functional study