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Longitudinal analyses make use of the data from serial examinations Cross-sectional analyses are made possible by pooling data for an examination across cohorts Secular trends may be examined by comparing subjects who entered the study at different times Multiple studies have evolved from this 25-year project Several studies illustrate the use of contemporary longitudinal data analysis methods designed to deal with the problem of selective attrition, to control for potential confounds related to comorbidity and hypertension-related diseases, and to use all available data even though not every subject in.

chosen to avoid the failure of the MIM capacitor element. The ESD failure can then be anticipated to be associated with the voltage across the ESD elements, VESD, RL & ' VMIM VESD 1 dIESD L IESD dt IESD

When the application frequency increases for MMIC applications, under a constraint of a constant reactance, the capacitance of the ESD protection will be scaled. At 100 MHz, 1 10 pF of capacitance is the acceptable loading for ESD protection networks. At 1 GHz,

f 0c ( x , y )

5 The patient s communication stylistics (tendencies toward disclosure, social desirability, devaluation when communicating) 6 Characteristics useful for predicting patient adherence, medication abuses, utilization of medical services, preference for more or less detail when receiving medical information, and emotional responses to stressful medical procedures, which in turn can be useful in informing health care management decision making and mental health treatment triaging Awareness of the potential usefulness of this information for maximizing health maintenance and minimizing health care costs provided the impetus for the development of the new instrument, the MBMD (Millon et al, 2001), which is designed to address all of these issues in addition to those already tapped by its predecessor, the MBHI.

Millon and his associates developed the MBMD as an instrument that would expand on the scope of the MBHI by providing a comprehensive set of information on those psychosocial characteristics of medical patients that contemporary behavioral medicine research has identified as potentially influencing several domains of health maintenance and health care delivery: (1) psychiatric indicators, (2) coping style, (3) stress moderators, (4) treatment prognostics, and (5) negative health habits Three additional MBMD scales characterize components of the patients communication style that may affect their test responses as well as the ways in which they interact with health care providers: Disclosure, Desirability, and Debasement scales The Disclosure scale captures the tendency of the patient to be open about sharing personal self-information The Desirability scale characterizes the patient s inclination to present himself or herself in an overly positive light, even at the expense of concealing symptoms.

The Debasement scale describes the patient s tendency to present many minor as well as major symptoms, sensations, and experiences in his or her communications with the health care provider The ability of the health care provider to identify systematic distortions, biases, and preferences in the patient s self-reports can improve the precision of history-taking and symptom monitoring and facilitate patientprovider rapport This could potentially result in improved help-seeking on emergence of new symptoms and better adherence to prescribe pharmacological and self-care regimens Empirical work supporting the use of the MBMD in different medical populations includes patients recruited from comprehensive cancer centers, organ transplant centers, behavioral medicine research centers, diabetes research institutes, and general medical hospitals and clinics.

Unions have a vested interest in maintaining an adversarial relationship between workers and management. Thus instead of being cooperative and committed to organizational goals, union members are inclined to regard management as the enemy. And, incidentally, in unionized plants, I have found that managers are inclined to regard union employees as the enemy a rather poor situation in which to engender cooperation and commitment. . . . [T]he desire of many progressive companies to stay non-union because of the costly work rules often associated with unionism provided for many opportunities for the employment of I/O psychologists. (Herbert H. Meyer, personal communication, July 20, 2000)

This work has included studies using the MBMD to predict posttreatment health-related behaviors and medical utilization; outcomes in inpatients undergoing organ transplant; health behaviors, immune function, and disease outcomes in persons with HIV infection; and glucose control in persons with diabetes mellitus Future research should employ prospective designs to test the viability of the MBMD in predicting patient psychological responses to major medical intervention, the incidence of success and medical complications following medical procedure, the costs of different medical treatments in focused randomized trials, the likelihood of medication abuse in different populations, the self-care abilities in patients with newly diagnosed chronic disease, and utilization and expenditures in large health care systems Ultimately, the MBMD may be useful in the primary care setting for screening of patients at risk of certain medical disease and triaging patients for both psychosocial services and the bestmatched medical intervention for that individual.