Sample records for abuse disclosure considerations

  1. Cultural Issues in Disclosures of Child Sexual Abuse (United States)

    Fontes, Lisa Aronson; Plummer, Carol


    Cultural norms affect the likelihood that child sexual abuse will be discovered by an adult or disclosed by a child. Cultural norms also affect whether abused children's families will report child sexual abuse to authorities. This article explores the ways ethnic and religious culture affect child sexual abuse disclosure and reporting, both in the…

  2. Children's Disclosures of Sexual Abuse: Learning from Direct Inquiry (United States)

    Schaeffer, Paula; Leventhal, John M.; Asnes, Andrea Gottsegen


    Objectives: Published protocols for forensic interviewing for child sexual abuse do not include specific questions about what prompted children to tell about sexual abuse or what made them wait to tell. We, therefore, aimed to: (1) add direct inquiry about the process of a child's disclosure to a forensic interview protocol; (2) determine if…

  3. Health Professionals' Responses to Disclosure of Child Sexual Abuse History: Female Child Sexual Abuse Survivors' Experiences (United States)

    McGregor, Kim; Julich, Shirley; Glover, Marewa; Gautam, Jeny


    This study reports on a postal questionnaire, conducted in 2004, with female survivors of historic child sexual abuse. The questionnaire explored their experiences of health professionals' responsiveness to disclosure of child sexual abuse history. Of 61 participants, aged between 22 and 65, 69% had disclosed to health professionals. Those who had…

  4. Interviewing Children versus Tossing Coins: Accurately Assessing the Diagnosticity of Children's Disclosures of Abuse (United States)

    Lyon, Thomas D.; Ahern, Elizabeth C.; Scurich, Nicholas


    We describe a Bayesian approach to evaluating children's abuse disclosures and review research demonstrating that children's disclosure of genital touch can be highly probative of sexual abuse, with the probative value depending on disclosure spontaneity and children's age. We discuss how some commentators understate the probative value of…

  5. "I Keep That Hush-Hush": Male Survivors of Sexual Abuse and the Challenges of Disclosure (United States)

    Sorsoli, Lynn; Kia-Keating, Maryam; Grossman, Frances K.


    Disclosure is a prominent variable in child sexual abuse research, but little research has examined male disclosure experiences. Sixteen male survivors of childhood sexual abuse were interviewed regarding experiences of disclosure. Analytic techniques included a grounded theory approach to coding and the use of conceptually clustered matrices.…

  6. Talking matters: Abused women's views on disclosure of partner abuse to the family doctor and its role in handling the abuse situation

    NARCIS (Netherlands)

    Wong, S Lo Fo; Wester, F.P.J.; Mol, S.; Romkens, R.; Hezemans, D.; Lagro-Janssen, A.L.M.


    OBJECTIVE: We aimed to explore what women valued most in disclosing partner abuse to their doctor and whether disclosure played a role in handling their abuse situation. METHODS: A qualitative method was used to understand abused women's views and experiences with disclosure to their family doctor.

  7. The Effect of Severe Child Sexual Abuse and Disclosure on Mental Health during Adulthood (United States)

    O'Leary, Patrick; Coohey, Carol; Easton, Scott D.


    This study examined the relationship among severe child sexual abuse, disclosure, and mental health symptoms during adulthood. The sample consisted of 172 adults who were sexually abused in childhood. The multivariate model showed that respondents in their 30s and 40s who were abused by more than one abuser, who were injured by their abusers, who…

  8. Children's Emotional and Behavioral Reactions Following the Disclosure of Extrafamilial Sexual Abuse: Initial Effects. (United States)

    Ligezinska, Malgorzata; And Others


    This study evaluated the emotional and behavioral adjustment of 41 children (ages 5-15) within the first 3 months following disclosure of extrafamilial sexual abuse. Findings indicated that children's perceptions of self-blame and guilt for the abuse and the extent of traumatization predicted their self-reported symptomatology of depression,…

  9. To tell or not to tell? factors influencing young people's informal disclosures of child sexual abuse. (United States)

    McElvaney, Rosaleen; Greene, Sheila; Hogan, Diane


    The aim was to understand the factors influencing informal disclosure of child sexual abuse experiences, taking account of dynamics operating prior to, during, and following disclosure. In-depth semi-structured interviews were conducted with 22 young people who experienced child sexual abuse and 14 parents. Grounded theory methodology informed the study. The key factors identified as influencing the disclosure process included being believed, being asked, shame/self-blame, concern for self and others, and peer influence. Many young people both wanted to tell and did not want to tell. Fear of not being believed; being asked questions about their well-being; feeling ashamed of what happened and blaming themselves for the abuse, for not telling, and for the consequences of disclosure; concern for how both disclosure and nondisclosure would impact on themselves and others; and being supported by and yet pressurized by peers to tell an adult, all illustrate the complex intrapersonal and interpersonal dynamics reflecting the conflict inherent in the disclosure process. These findings build on previous studies that emphasize the dialogic and interpersonal dynamics in the disclosure process. Both intrapersonal and interpersonal influencing factors need to be taken account of in designing interventions aimed at helping children tell. The importance of asking young people about their psychological well-being and the role of peer relationships are highlighted as key to how we can help young people tell.

  10. Client disclosure and therapist response in psychotherapy with women with a history of childhood sexual abuse. (United States)

    Farber, Barry A; Feldman, Sarah; Wright, A Jordan


    This study investigated the perceptions of adult clients (N=98; M age=32) with a history of childhood sexual abuse (CSA) of the costs and benefits of disclosure of this material. Significant benefits of disclosing included a sense of relief from sharing bottled-up emotions, and feeling more accepted and understood by one's therapist; significant negative consequences included feeling emotionally overwhelmed, and feeling uncomfortably vulnerable and exposed. Linear regressions indicated that CSA patients who generally disclose more have a greater tendency to experience both positive and negative effects of disclosure about abuse. In addition, a hierarchical regression analysis indicated that higher levels of symptomatology were predictive of higher levels of anxiety related to disclosure in therapy, suggesting that clinicians need to be cautious in encouraging disclosure about CSA with patients with severe pathology.

  11. Adolescent Drug Abuse: Etiological and Treatment Considerations (United States)

    Amini, Fariboz; And Others


    Issues involved in treating adolescent drug abusers and literature describing abuser personality traits are examined. The Youth Service at Langley Porter Institute and the problems encountered and solutions attempted there are discussed. The importance of residential as opposed to outpatient treatment and honesty in staff-patient relationships is…


    Directory of Open Access Journals (Sweden)

    Ovidiu Maican


    Full Text Available Article 82 (formerly 86 EC contains four essential elements (an undertaking, a dominant position, an abuse of that position and the abuse must affect trade between member states. The term undertakings is subject to the same broad interpretation as that applied to article 81 (formerly 85 EC and covers the same activities, both public and private.The Community interest must be also taken into account. Although it is not clear precisely what this element of article 86 requires, it will clearly curtail the scope of the exception provided under this article. Although abusive behavior of undertakings in a dominant position is prohibited, it must be recalled that merely being in a strong position is not a problem in itself. It is necessary for major players in a market to be aware of their position because practices which would not fall foul of article 82 (formerly 86 EC, where an undertaking is not dominant, will do so where dominance is established. A refusal to deal by a non-dominant undertaking would not be an abuse within article 82 (formerly 86 EC, but it will be so where the undertaking is dominant.

  13. A preliminary mapping of individual, relational, and social factors that impede disclosure of childhood sexual abuse. (United States)

    Collin-Vézina, Delphine; De La Sablonnière-Griffin, Mireille; Palmer, Andrea M; Milne, Lise


    Uncovering the pathways to disclosures of child sexual abuse (CSA) and the factors influencing the willingness of victims to talk about the abuse is paramount to the development of powerful practice and policy initiatives. Framed as a long interview method utilizing a grounded theory approach to analyze data, the objective of the current study was to provide a preliminary mapping of the barriers to CSA disclosures through an ecological systemic lens, from a sample of 67 male and female CSA adult survivors, all of whom had recently received counselling services. The current project led to the identification of three broad categories of barriers that were each comprised of several subthemes, namely: Barriers from Within (internalized victim-blaming, mechanisms to protect oneself, and immature development at time of abuse); Barriers in Relation to Others (violence and dysfunction in the family, power dynamics, awareness of the impact of telling, and fragile social network); and Barriers in Relation to the Social World (labelling, taboo of sexuality, lack of services available, and culture or time period). This study points to the importance of using a broad ecological framework to understand the factors that inhibit disclosure of CSA, as barriers to disclosure do not constrain solely the victims. Results are discussed in light of their implications for research, prevention and intervention programs, and social policies and media campaigns, as the burden is on the larger community to create a climate of safety and transparency that makes the telling of CSA possible.

  14. The effects of perpetrator age and abuse disclosure on the relationship between feelings provoked by child sexual abuse and posttraumatic stress. (United States)

    Cantón-Cortés, David; Cortés, María Rosario; Cantón, José; Justicia, Fernando


    The present study examined the relationship between feelings provoked by child sexual abuse (CSA) and posttraumatic stress disorder (PTSD) symptom scores in a sample of 163 female survivors of CSA. Finkelhor and Browne's traumagenic dynamics model was applied. The interactive effects of provoked feelings with perpetrator age and the existence of abuse disclosure were also studied. Results showed an overall relationship between feelings provoked by CSA and PTSD symptom scores. Feelings of stigma, betrayal, and powerlessness as a result of CSA were associated with PTSD symptom score when the entire group of CSA victims was analyzed. The role of traumatic sexualization was relevant only when analyzed in interaction with the age of the perpetrator and disclosure. The relationship between traumatic sexualization and PTSD symptom scores was only significant when the abuse was committed by an adult perpetrator and when a disclosure was made during the time of abuse, or a short time after the abuse had occurred.

  15. ''A Burden in Your Heart'': Lessons of Disclosure from Female Preadolescent and Adolescent Survivors of Sexual Abuse (United States)

    Staller, Karen M.; Nelson-Gardell, Debra


    Objectives: To enhance understanding of the sexual abuse disclosure process from the perspective of preteen and teenage survivors. To reconsider prominent models of the disclosure process in light of our findings. Methods: We conducted a secondary analysis of data from four focus groups in which 34 preadolescent and adolescent female survivors of…

  16. Disclosure of sexual orientation and subsequent substance use and abuse among lesbian, gay, and bisexual youths: critical role of disclosure reactions. (United States)

    Rosario, Margaret; Schrimshaw, Eric W; Hunter, Joyce


    Research on whether disclosure of sexual orientation promotes lower substance use among lesbian, gay, and bisexual (LGB) individuals has been inconsistent. One reason for this may be that disclosure results in accepting and rejecting reactions. The current report longitudinally examines whether the types of reactions to disclosure are associated with substance use and abuse among 156 LGB youths (ages 14-21). Neither the number of disclosures nor the numbers of accepting or neutral disclosure reactions were associated with substance use or abuse. However, the number of rejecting reactions to disclosure was associated with current and subsequent alcohol, cigarette, and marijuana use, even after controlling for demographic factors, social desirability, and emotional distress. Further, accepting reactions were found to moderate or protect youths from the negative role of rejecting reactions on alcohol use, but not other substances. This research indicates that, rather than disclosure per se, it is the number of accepting and rejecting reactions in response to disclosure that are critical to understanding substance use among LGB youths. Further, the results suggest that to be maximally effective, substance use prevention and treatment efforts should address rejecting reactions. (PsycINFO Database Record (c) 2009 APA, all rights reserved).

  17. Experiences of mothers of sexually abused children in North-West province, post disclosure

    Directory of Open Access Journals (Sweden)

    Gaboipolelwe M. Masilo


    Full Text Available Background: Sexual violence against children is increasing at an alarming rate in South Africa. In 2010 the South African Police Service (SAPS reported 21 538 rape cases of children under 18 years. In the North-West province (NWP 5039 incidents of rape cases were reported in 2009. Mothers often experience emotional pain following child sexual abuse disclosure. It is seldom acknowledged that these mothers experience trauma and need support, post disclosure. The researcher has no known evidence of research conducted on the experiences of these mothers in NWP. Objective: The objective of the study was to explore and describe the experiences of mothers of sexually abused children post disclosure of the abuse. Method: The research design was qualitative, exploratory, descriptive and contextual. Purposive sampling was used to select mothers of sexually abused children aged 23 to 59 years whose children ranged from 0 to 16 years. Permission to conduct the study was sought from the Provincial Department of Health and informed consent was obtained from the mothers. Interviews were conducted with a sample of n = 17 until data saturation. Data were collected through in-depth interviews using a voice recorder and field notes to enhance triangulation. Tesch’s method of open coding was used to analyse data. Results: Findings indicated that mothers experienced emotional pain post sexual abuse. They expressed shock, anger and guilt for not noticing the abuse. They showed significant depression as a result of lack of support by stakeholders. Conclusion: Mothers experienced secondary trauma that poses social and psychological challenges with far-reaching implications.

  18. Psychological and Physical Health of Nonoffending Parents After Disclosure of Sexual Abuse of Their Child. (United States)

    Cyr, Mireille; Frappier, Jean-Yves; Hébert, Martine; Tourigny, Marc; McDuff, Pierre; Turcotte, Marie-Ève


    Disclosure of child sexual abuse can be traumatic for nonoffending parents. Research has shown its impact on mothers' mental health, which includes heightened psychological distress, depression, and post-traumatic stress disorder. Very little is known, however, about its impact on their physical health or on fathers' health. The self-perceived mental and physical health of nonoffending parents after child sexual abuse disclosure was compared to determine gender-related differences in this regard. Interviews were conducted with 109 mothers and 43 fathers of 6- to 13-year-old sexually abused children. Bivariate analyses revealed that a fair proportion of parents reported psychological and physical problems after disclosure. However, proportionally more mothers than fathers reported psychological distress, depression, and use of professional services. Fathers were more likely to resort to health services instead of social services and to use medication for depression. Study findings provide leads for health and social service providers for the development of intervention protocols and referral procedures sensitive to gender issues, and they shed new light on specific needs of nonoffending parents.

  19. Responding to Prenatal Disclosure of Past Sexual Abuse



    The American College of Obstetricians and Gynecologists recommends that physicians elicit a sexual abuse and rape trauma history for every patient. Yet in practice, physicians may still struggle to understand how best to obtain this history and what clinical obligations arise when a physician inquires and a woman discloses a remote history of childhood or adult sexual trauma during the course of her prenatal care. This commentary offers a practical strategy for responding to sexual trauma dis...

  20. 'Negotiating the dance of disclosure': a grounded theory study of psychologists’ experiences of childhood sexual abuse disclosures from clients in adult mental health


    Ross, Emma Margaret Helen


    Hearing disclosures of childhood sexual abuse (CSA) is a clinical reality for many therapists. Psychologists within mental health services are working increasingly with clients who have traumatic histories, including the presence of CSA. Recently there has been a drive towards improving services for adult survivors of CSA, with an emphasis on asking health and social care service-users about abuse. Recent research has demonstrated that the experience of talking about CSA in psy...

  1. Managing Opioid Abuse in Older Adults: Clinical Considerations and Challenges. (United States)

    Loreck, David; Brandt, Nicole J; DiPaula, Bethany


    Opioid use disorder is a public health epidemic. There is increasing attention being given to opioid abuse and overdose in the United States. The overall use of illicit substances by older adults is on the rise and in part can be attributed to the aging of Baby Boomers. Furthermore, much attention is being given to prescription opioid drug overdose, but it is important to note that heroin-related deaths have also increased sharply. Heroin use is part of a larger substance abuse problem, with more than nine in 10 individuals who use heroin also using at least one other drug (e.g., cocaine, prescription opioid medication). The current article highlights treatment approaches, namely buprenorphine, buprenorphine/naloxone, and naltrexone; insurance considerations; and resources to aid in understanding and managing this public health crisis.

  2. Impact of interviewers' supportive comments and children's reluctance to cooperate during sexual abuse disclosure. (United States)

    Lewy, Jennifer; Cyr, Mireille; Dion, Jacinthe


    In the field of child sexual abuse (CSA) disclosure, many studies have been conducted on the impact of interviewers' questioning style, but few have examined the impact of interviewers' supportive comments on children's cooperative and reluctant disclosure of substantive details. This field study used a sample of children ranging from 4 to 13 years of age who have all disclosed CSA. The first objective was to examine if the interviewer's and the child's comments during CSA interviews would vary as a function of the use of the National Institute of Child Health and Human Development (NICHD) Protocol. The second objective was to identify the strongest correlates of the proportion of details disclosed by the children during forensic interviews. A total of 90 matched NICHD Protocol and non-Protocol interviews done by the same interviewers were audio-taped, transcribed, and coded using verbal subscales. The goal was to explore if differences exist between the interviewers' supportive and non-supportive comments as well as children's cooperative and reluctant statements during investigative interviews conducted prior to or after the NICHD Protocol training. Results of a MANCOVA showed that the use of the NICHD Protocol had no influence on interviewers' and children's demeanors. A hierarchical multiple regression analysis controlling for relevant variables (e.g., child's age and NICHD Protocol) showed that children's reluctance and interviewers' non-support were associated with a lesser proportion of details. Overall, these results indicate that in order to promote detailed disclosure of CSA, interviewers should decrease their non-supportive comments and learn to deal more effectively with children's reluctance during forensic interviews. As such, protocols and training should encourage investigative interviewers to devote more time identifying early signs of children's verbal reluctance and to understand the negative impact of non-supportive comments on the disclosure of

  3. Against the Odds: The Impact of Woman Abuse on Maternal Response to Disclosure of Child Sexual Abuse (United States)

    Alaggia, Ramona; Turton, Jennifer V.


    Although the co-occurrence of woman abuse and child sexual abuse is high little research exists exploring the impact of woman abuse on maternal response to child sexual abuse (CSA). Findings from two qualitative studies indicate the form of woman abuse to have differential impact on maternal response. Mothers who were abused in non-physical ways,…

  4. Masculine norms, disclosure, and childhood adversities predict long-term mental distress among men with histories of child sexual abuse. (United States)

    Easton, Scott D


    Child sexual abuse (CSA) can have a profound effect on the long-term mental health of boys/men. However, not all men with histories of CSA experience psychopathology. To improve prevention and intervention services, more research is needed to understand why some male survivors experience mental health problems and others do not. The purpose of this study was to examine factors related to mental distress among a large, non-clinical sample of men with histories of CSA (N=487). Using a cross-sectional design with purposive sampling from three national survivor organizations, data were collected through an anonymous Internet-based survey. Multivariate analyses found that only one of the four CSA severity variables-use of physical force by the abuser-was related to mental distress. Additional factors that were related to mental distress included the number of other childhood adversities, years until disclosure, overall response to disclosure, and conformity to masculine norms. Overall, the final model predicted 36% of the variance in the number of mental health symptoms. Mental health practitioners should include masculine norms, disclosure history, and childhood adversities in assessments and intervention planning with male survivors. To more fully explicate risk factors for psychopathology in this population, future studies with probability samples of men that focus on mediational processes and use longitudinal designs are needed.

  5. Maternal support following childhood sexual abuse: Associations with children's adjustment post-disclosure and at 9-month follow-up. (United States)

    Zajac, Kristyn; Ralston, M Elizabeth; Smith, Daniel W


    Maternal support has been widely cited as an important predictor of children's adjustment following disclosure of sexual abuse. However, few studies have examined these effects longitudinally. The current study examines the relationships between a multidimensional assessment of maternal support rated by both mothers and children and children's adjustment in various domains (internalizing, externalizing, anger, depression, and posttraumatic stress disorder symptoms) concurrently and longitudinally. Participants were 118 mother-child dyads recruited from a Child Advocacy Center where children were determined through a forensic evaluation to be victims of sexual abuse. Child and mother ratings of maternal support and child adjustment were collected shortly after the forensic evaluation and at 9-month follow-up. Results were consistent with findings from past studies that maternal support is significantly related to children's post-disclosure adjustment and extends these findings longitudinally. Additionally, the study sheds light on differential relations between dimensions of maternal support (Emotional Support, Blame/Doubt, Vengeful Arousal, and Skeptical Preoccupation) and child adjustment and suggests the importance of using both child and mother ratings of maternal support in future research.

  6. Substance abuse and crime: considerations for a comprehensive forensic assessment. (United States)

    Esbec, Enrique; Echeburúa, Enrique


    There is a strong link between drug use and crime, but this relationship is complex. Drug use does not necessarily lead to an increase in crimes, such as theft, rape or assault, even among regular users or addicts. However, in cases of individuals who consume drugs excessively and commit crimes, both factors are linked. Poverty, personality disorders, social and cultural variables, relationships with other users and previous incarceration or drug use are all factors. These issues play an important role in understanding the risk of crime and drug use. Most addicts should be held liable for most criminal behaviour motivated by addiction, but that addiction can, in some cases, affect one's capacity for self-control over one's actions. This paper examines the current response of the Spanish Criminal Justice System to various aspects of drug abuse, focusing on court decisions related with the nature and enforcement of drug laws. It also addresses aspects of criminal responsibility for drug abuse and drug-related crimes and suggests legislation on drugs, sentencing alternatives for drug offenses, and drug treatment options. Expert evidence plays a crucial role in this area in the court.

  7. Abuse against Women with Disabilities of Mexican Descent: Cultural Considerations (United States)

    Graf, Noreen M.; Reed, Bruce J.; Sanchez, Rubi


    Although considerable attention has been focused on violence against women with disabilities, environmental and cultural factors that contribute to this violence have received limited attention. This paper examines violence against women of Mexican descent with disabilities. Recommendations are offered to researchers, educators, and service…

  8. 49 CFR 240.119 - Criteria for consideration of data on substance abuse disorders and alcohol/drug rules compliance. (United States)


    ... abuse disorders and alcohol/drug rules compliance. 240.119 Section 240.119 Transportation Other... Process § 240.119 Criteria for consideration of data on substance abuse disorders and alcohol/drug rules.... (b) Fitness requirement. (1) A person who has an active substance abuse disorder shall not...

  9. Practical and ethical considerations for using social media in community consultation and public disclosure activities. (United States)

    Galbraith, Kyle L


    Social media are becoming increasingly integrated into both the clinical and the research dimensions of emergency medicine. They can provide methods for sharing crucial information to targeted individuals or groups in a rapid fashion. As a result, investigators conducting emergency research under the exception from prospective informed consent requirements are beginning to turn to social media platforms as they engage in required community consultation and public disclosure activities before their research begins. At present, there are limited data regarding how effectively social media have been used for performing those consultation and disclosure activities. This article offers investigators four specific areas to consider before using social media in consultation and outreach efforts. First, understand the forms of outreach social media platforms can provide. Second, recognize how those outreach methods relate to the specific goals of community consultation and public disclosure. Third, consider whether or not the intended audiences of community consultation and public disclosure will be available via social media. Finally, think about how social media outreach efforts will be measured and assessed before consultation and disclosure activities are under way.

  10. Explaining mental health disparities for non-monosexual women: abuse history and risky sex, or the burdens of non-disclosure? (United States)

    Persson, Tonje J; Pfaus, James G; Ryder, Andrew G


    Research has found that non-monosexual women report worse mental health than their heterosexual and lesbian counterparts. The reasons for these mental health discrepancies are unclear. This study investigated whether higher levels of child abuse and risky sexual behavior, and lower levels of sexual orientation disclosure, may help explain elevated symptoms of depression and anxiety among non-monosexual women. Participants included 388 women living in Canada (Mean age = 24.40, SD = 6.40, 188 heterosexual, 53 mostly heterosexual, 64 bisexual, 32 mostly lesbian, 51 lesbian) who filled out the Beck Depression and Anxiety Inventories as part of an online study running from April 2011 to February 2014. Participants were collapsed into non-monosexual versus monosexual categories. Non-monosexual women reported more child abuse, risky sexual behavior, less sexual orientation disclosure, and more symptoms of depression and anxiety than monosexual women. Statistical mediation analyses, using conditional process modeling, revealed that sexual orientation disclosure and risky sexual behavior uniquely, but not sequentially, mediated the relation between sexual orientation, depression and anxiety. Sexual orientation disclosure and risky sexual behavior were both associated with depression and anxiety. Childhood abuse did not moderate depression, anxiety, or risky sexual behavior. Findings indicate that elevated levels of risky sexual behavior and deflated levels of sexual orientation disclosure may in part explain mental health disparities among non-monosexual women. Results highlight potential targets for preventive interventions aimed at decreasing negative mental health outcomes for non-monosexual women, such as public health campaigns targeting bisexual stigma and the development of sex education programs for vulnerable sexual minority women, such as those defining themselves as bisexual, mostly heterosexual, or mostly lesbian.

  11. Maternal Support Following Childhood Sexual Abuse: Associations with Children’s Adjustment Post-Disclosure and at 9-month Follow-up


    Zajac, Kristyn; Ralston, M. Elizabeth; Smith, Daniel W.


    Maternal support has been widely cited as an important predictor of children’s adjustment following disclosure of sexual abuse. However, few studies have examined these effects longitudinally. The current study examines the relationships between a multidimensional assessment of maternal support rated by both mothers and children and children’s adjustment in various domains (internalizing, externalizing, anger, depression, and posttraumatic stress disorder symptoms) concurrently and longitudin...

  12. Interventions to Address Parenting and Parental Substance Abuse: Conceptual and Methodological Considerations (United States)

    Neger, Emily N.; Prinz, Ronald J.


    Parental substance abuse is a serious problem affecting the well-being of children and families. The co-occurrence of parental substance abuse and problematic parenting is recognized as a major public health concern. This review focuses on 21 outcome studies that tested dual treatment of substance abuse and parenting. A summary of theoretical conceptualizations of the connections between substance abuse and parenting provides a backdrop for the review. Outcomes of the dual treatment studies were generally positive with respect to reduction of parental substance use and improvement of parenting. Research in this area varied in methodological rigor and needs to overcome challenges regarding design issues, sampling frame, and complexities inherent in such a high-risk population. This area of work can be strengthened by randomized controlled trials, use of mixed-methods outcome measures, consideration of parent involvement with child protective services, involvement of significant others in treatment, provision of concrete supports for treatment attendance and facilitative public policies. PMID:25939033

  13. At the Time of Disclosure: A Manual for Front-Line Community Workers Dealing with Sexual Abuse Disclosures in Aboriginal Communities. Aboriginal Peoples Collection, Technical Series = A l'etape de la divulgation: guide pour les travailleurs communautaires de premiere ligne a qui des actes de violence sexuelle sont divulgues dans les collectivites Autochtones. Collection sur les Autochtones, serie technique. (United States)

    Bopp, Judie; Bopp, Michael

    This manual was developed to assist front-line community workers (including teachers) with issues concerning the disclosure and investigation of sexual abuse allegations in Canadian aboriginal communities. Written in English and French, this document examines the needs of individuals, families, and communities dealing with sexual abuse. Part 1…

  14. HPLC-MS/MS investigation of biochemical markers for the disclosure of erythropoietin abuse in sports (United States)

    Appolonova, S. A.; Dikunets, M. A.; Rodchenkov, G. M.


    The polypeptide hormone erythropoietin (EPO), which is a forbidden doping drug, was determined by high-performance liquid chromatography combined with tandem mass spectrometry (HPLC-MS/MS). The hypothesis about the influence of EPO on the asymmetric dimethylarginine (ADMA)-dimethylargininedime-thylaminohydrolase (DDAH)-NO-synthase system was verified. Changes in this system can serve as indirect biochemical markers of the presence of the forbidden EPO drug in the organism. In the test group, the concentrations of biochemical markers varied from 10 to 40 μg/ml for ADMA and symmetrical DMA (SDMA) and from 0.5 to 10 μg/ml for arginine and citrulline. A single intravenous administration of r-HuEPO (Epocrin, 2000 ME/day) for two volunteers reliably increased ADMA, SDMA, arginine, and citrulline concentrations to 40-270 μg/ml, 40-240μg/ml, 10-60 μg/ml, and 12-140 μg/ml, respectively, with respect to the reference values. The simultaneous increase in arginine, methylarginines, and citrulline contents could be an indirect marker of EPO abuse. The method is recommended for fast screening analysis.

  15. Leader identity as an antecedent of the frequency and consistency of transformational, consideration, and abusive leadership behaviors. (United States)

    Johnson, Russell E; Venus, Merlijn; Lanaj, Klodiana; Mao, Changguo; Chang, Chu-Hsiang


    Drawing from identity-based theories of leadership, we examined relations of leader identity with leader behavior and perceived effectiveness. To do so, we employed multiwave methodology to examine the differential impact of leaders' chronic collective, relational, and individual identities on the frequency and consistency of their subsequent transformational, consideration, and abusive behaviors over a 3-week period. We also examined the relative importance of these leadership behaviors for predicting perceived leader effectiveness as rated by subordinates and peers. Results indicated that leaders' collective and individual identities were uniquely related to transformational and abusive behaviors, respectively. We also observed a significant collective by individual identity interaction, such that abusive behaviors were most frequent when a strong individual identity was paired with a weak collective identity. Frequency of transformational behaviors accounted for the largest proportion of variance in perceived leader effectiveness, followed by frequency of abusive behaviors and consistency of transformational behaviors. We discuss the implications of these findings for leadership theory and development.

  16. Abuse (United States)

    ... basic needs like food, shelter, and love. Family violence can affect anyone. It can happen in any kind of family. Sometimes parents abuse each other, which can be hard for a child to witness. Some parents abuse their kids by using physical or verbal cruelty as a way of discipline. ...

  17. Parental Substance Abuse and Child Well-Being: A Consideration of Parents' Gender and Coresidence (United States)

    Osborne, Cynthia; Berger, Lawrence M.


    Parental substance abuse is associated with adverse health and developmental outcomes for children. Existing research, however, has not fully explored the relative magnitude of the associations between maternal, paternal, and both parents' substance abuse and child outcomes, nor has it examined these associations in regard to substance abuse among…

  18. Ethical Considerations in Mandatory Disclosure of Data Acquired While Caring for Human Trafficking Survivors. (United States)

    Kerr, Patrick L; Dash, Rachel


    Accurate data on the prevalence and psychological effects of human trafficking as well as treatment outcomes for survivors are essential for measuring the impact of interventions and generating better understanding of this phenomenon. However, such data are difficult to obtain. A legal mandate for health care professionals to report trafficking opens opportunities for advancing our work in the field of human trafficking but also poses risks to survivors seeking services. In this article, we provide an analysis of some critical ethical considerations for the development and implementation of a mandatory reporting policy and offer recommendations for the ethical implementation of such a policy.

  19. Abuse (United States)

    ... indicate neglect. Belittling, threats or other uses of power by spouses, family members or others may indicate verbal or emotional abuse. Strained or tense relationships and frequent arguments between ...

  20. Counseling Latino alcohol and other substance users/abusers. Cultural considerations for counselors. (United States)

    Gloria, A M; Peregoy, J J


    This article presents a sociocultural alcohol/drug counseling model for counselors working with Latino users/abusers. Intended to supplement different treatment models, this model addresses pre-treatment issues of Latino users/abusers. A demographic overview of Latinos and a discussion of selected Latino cultural values and issues as they relate to substance use/abuse are included. These cultural values include Simpatía, Personalismo, Familismo, Gender Roles (Machismo and Hembrismo/Marianisimo), Vergüenza, and Espiritismo. Along with identifying misperceptions and issues that may occur within the counseling session, specific recommendations and interventions for counselors are provided.

  1. Forensic, cultural, and systems issues in child sexual abuse cases--part 1: an introduction. (United States)

    Tishelman, Amy C; Geffner, Robert


    This article introduces the first in a two-part special issue focusing on forensic, cultural, and systems issues in child sexual abuse cases. The five articles contained in this issue include a diversity of perspectives on approaches to extended interviews and evaluations of child sexual abuse suspicions, an exploration of the ways culture affects child sexual abuse disclosure and reporting, considerations relevant to the management of a child's mental health needs while forensic process are ongoing, and the use of anatomical dolls in forensic interviews. We call for attention to several practice areas, including (a) prioritizing a child's mental health needs while minimizing disruption of forensic processes, (b) developing best practices and models of child sexual abuse assessment and evaluation when a one-session forensic interview is insufficient, (c) appropriately evaluating child sexual abuse concerns when they occur without a disclosure and/or in children with communication limitations, and (d) the integration of cultural sensitivity into interviews and evaluations.

  2. General considerations on the care to the elderly victim of abuse

    Directory of Open Access Journals (Sweden)

    Juan Rafael Cordero Jiménez


    Full Text Available A clear indicator of the magnitude of the aging world population, of which Cuba is not free, is that the average age of the population tends to grow every day. Despite the scientific and technical progress achieved in the field of medical science and health policy efforts to improve the health and welfare of the population, there are still conditions that generate negative phenomena such as violence and its various manifestations, it also affects the elderly. Many need medical care after an act of violence, but most are not identified as such and act is much less reported to the authorities, for which the perpetrators are not prosecuted by law. It is common to find some resistance in its recognition that comes from the clash of such data or suspicion and social representation of the family classic and institutions for the elderly. The prevention and treatment of abuse of older persons in an aging world is everyone's business. Given what is referred to this work is performed in order to provide general comments on senior citizen care mistreated.

  3. First incest disclosure. (United States)

    Donalek, J G


    Despite the pivotal importance of disclosure to incest treatment and healing, disclosure has never been studied from the victim's perspective. How do incest victims move from keeping the secret to speaking about their abuse? Nine adult women were asked to talk about the first time they each told about the incest. They often spoke, not of "telling" in the commonly understood sense (i.e. giving information to someone who understands one's meaning), but instead of a time when some form of knowledge of the incest first entered an interaction with another person. Colaizzi's (1978) phenomenological method was used to analyze the interviews. Seven themes emerged: (1) living in the silencing home; (2) I am totally and particularly alone; (3) my mother, the focus of need; (4) incest as burden; (5) the secret must be kept; (6) disclosure: trying to balance above a chasm; and (7) disclosure as loss: no matter what, I still lose. The themes were then integrated into an essential description of first incest disclosure. Implications for nursing practice are explored.

  4. Quando o silêncio é rompido: o processo de revelação e notificação de abuso sexual infantil When the silence is broken: the process of disclosure and reporting of child sexual abuse

    Directory of Open Access Journals (Sweden)

    Samara Silva dos Santos


    Full Text Available O objetivo deste artigo é discutir o processo de revelação e notificação de situações de abuso sexual envolvendo crianças e adolescentes, a partir da análise de publicações relacionadas a essa temática. Os estudos indicam que a revelação e a notificação do abuso sexual são momentos difíceis para a vítima e para seus familiares porque geralmente envolvem alguém próximo à criança e apresentam reflexos no sistema familiar, como rompimento de vínculo, culpabilização e perda de suporte financeiro. Vários fatores que podem facilitar ou inibir a revelação e notificação do abuso são discutidos, como, por exemplo, a reação materna. Destaca-se a importância de um trabalho integrado no atendimento às vítimas, no encaminhamento das questões judiciais e no fortalecimento da rede de apoio às famílias.The aim of this article is to discuss the process of disclosure and reporting of cases of sexual abuse involving children and adolescents, based on the analysis of publications related to that topic. Studies suggest that the disclosure and reporting of sexual abuse is a difficult moment for the victims and their families because it usually involves someone close to the child. It provokes changes in the family system, such as disruption of ties, guilt and loss in financial support. Several factors that may facilitate or inhibit the disclosure and reporting of sexual abuse are discussed such as the mother's reaction. It is highlighted the importance of an integrated work in the service that deals with these situations, involving the victims care, in the forwarding of the processes and in the strengthening of the supporting network for families.

  5. Cultural Considerations in the Treatment of Mental Illness among Sexually Abused Children and Adolescents: The Case of Bali, Indonesia (United States)

    Lesmana, Cokorda Bagus J.; Suryani, Luh Ketut; Tiliopoulos, Niko


    Childhood and adolescence sexual abuse can have long-lasting and devastating effects on personal and interpersonal growth and development. Sexually abused children tend to exhibit higher rates of poor school performance, aggressive behavior, PTSD (posttraumatic stress disorder), or depressive symptomatology, as well as social and relational…

  6. Are Some Individuals Diagnosed with ADHD Prone to Alcohol Abuse?: Consideration of Two Possible Mediating Factors for this Susceptibility (United States)

    Maxwell, Allison


    Some studies conducted on ADHD have found a statistically significant relationship between those diagnosed with the disorder and a higher susceptibility to abuse alcohol. However, other studies have found no such correlation, or have found this to be true of only a nonstatistically significant subset of the population of individuals with ADHD.…

  7. Disrupted Disclosure

    DEFF Research Database (Denmark)

    Krause Hansen, Hans; Uldam, Julie

    appearances become challenged through disruptive disclosures in mediaenvironments characterized by multiple levels of visibility, with companies both observing andbeing observed by civil society groups that criticize them; (c) why and how the mobilization aroundtransparency and ensuing practices...

  8. The brave new world of Medicare and Medicaid fraud and abuse enforcement: whistle-blowers, pre-filing agreements, and voluntary disclosure. (United States)

    Manning, M M


    Providers participating in the recent wave of mergers, acquisitions, and affiliations may have unwittingly expanded their false claims exposure because many false claim-type situations are difficult, if not impossible, to identify in pre-closing due diligence. In addition, the possibility of retrospective characterization of ordinary billing mistakes as "false claims" increasingly introduces significant uncertainty to the average provider's financial future. To date, the single most effective approach to this problem is an independent compliance review to identify and resolve any existing exposure, including voluntary disclosure if appropriate, and an ongoing compliance program to communicate to all employees not only the content of applicable rules but also the genuine commitment of management to ensure continuing compliance above other concerns.

  9. The prevention of childhood sexual abuse. (United States)

    Finkelhor, David


    David Finkelhor examines initiatives to prevent child sexual abuse, which have focused on two primary strategies--offender management and school-based educational programs. Recent major offender managment initiatives have included registering sex offenders, notifying communities about their presence, conducting background employment checks, controlling where offenders can live, and imposing longer prison sentences. Although these initiatives win approval from both the public and policy makers, little evidence exists that they are effective in preventing sexual abuse. Moreover, these initiatives, cautions Finkelhor, are based on an overly stereotyped characterization of sexual abusers as pedophiles, guileful strangers who prey on children in public and other easy-access environments and who are at high risk to re-offend once caught. In reality the population is much more diverse. Most sexual abusers are not strangers or pedophiles; many (about a third) are themselves juveniles. Many have relatively low risks for re-offending once caught. Perhaps the most serious shortcoming to offender management as a prevention strategy, Finkelhor argues, is that only a small percentage of new offenders have a prior sex offense record that would have involved them in the management system. He recommends using law enforcement resources to catch more undetected offenders and concentrating intensive management efforts on those at highest risk to re-offend. Finkelhor explains that school-based educational programs teach children such skills as how to identify dangerous situations, refuse an abuser's approach, break off an interaction, and summon help. The programs also aim to promote disclosure, reduce self-blame, and mobilize bystanders. Considerable evaluation research exists about these programs, suggesting that they achieve certain of their goals. Research shows, for example, that young people can and do acquire the concepts. The programs may promote disclosure and help children

  10. Child Sexual Abuse Myths: Attitudes, Beliefs, and Individual Differences (United States)

    Cromer, Lisa DeMarni; Goldsmith, Rachel E.


    Child sexual abuse myths comprise incorrect beliefs regarding sexual abuse, victims, and perpetrators. Relations among myth acceptance, responses to disclosure, legal decisions, and victims' subsequent psychological and health outcomes underscore the importance of understanding child sexual abuse myths. Despite accurate knowledge regarding child…

  11. Substance abuse and HIV: considerations with regard to methamphetamines and other recreational drugs for nursing practice and research. (United States)

    Gorman, E M; Carroll, R T


    Substance use continues to be closely associated with both HIV infection and treatment considerations in all at-risk populations. Among those groups heretofore not well characterized epidemiologically or clinically are those dual-risk men who have sex with other men (MSM) and use and/or inject drugs. Of particular current concern with regard to drug-using MSM is the growth in popularity of a group of recreational or so-called party drugs associated with specific social and sexual environments and networks. Chief among these drugs are hallucinogens, such as MDMA, ketamine, and GHB, and stimulants, such as cocaine, amphetamines, and methamphetamine. Increased methamphetamine use by MSM is particularly alarming because of its reported associations with high-risk injecting and sexual behaviors. Preliminary data are reported from an ethnographic exploration of MSM methamphetamine users in the Pacific Northwest of the United States. Case studies drawn from the data illustrate the complex and variable patterns of methamphetamine use among MSM. Finally, implications for nursing are discussed, and "upstream nursing" is suggested as a means of patient advocacy for HIV nurses working with substance-using populations.

  12. Disclosure by politicians

    NARCIS (Netherlands)

    Djankov, S.; la Porta, R.; Lopez-de-Silanes, F.; Shleifer, A.


    We collect data on the rules and practices of financial and conflict disclosure by politicians in 175 countries. Although two thirds of the countries have some disclosure laws, less than a third make disclosures available to the public. Disclosure is more extensive in richer and more democratic coun

  13. Assessment for self-blame and trauma symptoms during the medical evaluation of suspected sexual abuse. (United States)

    Melville, John D; Kellogg, Nancy D; Perez, Nadia; Lukefahr, James L


    The purpose of this study was to describe behavioural and emotional symptoms and to examine the effect of abuse-related factors, family responses to disclosure, and child self-blame on these symptoms in children presenting for medical evaluations after disclosure of sexual abuse. A retrospective review was conducted of 501 children ages 8-17. Trauma symptoms were determined by two sets of qualitative measures. Abstracted data included gender, ethnicity, and age; severity of abuse and abuser relationship to child; child responses regarding difficulty with sleep, school, appetite/weight, sadness, or self-harm, parent belief in abuse disclosure, and abuse-specific self-blame; responses to the Trauma Symptom Checklist in Children-Alternate; and the parent's degree of belief in the child's sexual abuse disclosure. Overall, 83% of the children had at least one trauma symptom; 60% had difficulty sleeping and one-third had thoughts of self-harm. Child age and abuse severity were associated with 3 of 12 trauma symptoms, and abuse-specific self-blame was associated with 10 trauma symptoms, after controlling for other variables. The children of parents who did not completely believe the initial disclosure of abuse were twice as likely to endorse self-blame as children of parents who completely believed the initial disclosure. Screening for behavioural and emotional problems during the medical assessment of suspected sexual abuse should include assessment of self-blame and family responses to the child's disclosures. In addition, parents should be informed of the importance of believing their child during the initial disclosure of abuse and of the impact this has on the child's emotional response to the abuse.

  14. eSelf Disclosure (United States)

    U.S. Environmental Protection Agency — The initial module incorporated into the application was the eDisclosure module to track regulatory audit disclosure reports that come through EPA's Central Data...

  15. 42 CFR 2.2 - Statutory authority for confidentiality of alcohol abuse patient records. (United States)


    ... HUMAN SERVICES GENERAL PROVISIONS CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS Introduction § 2.2 Statutory authority for confidentiality of alcohol abuse patient records. The restrictions of these regulations upon the disclosure and use of alcohol abuse patient records were initially...

  16. 政府环保网站信息公开的实践与思考%Practice and Consideration on Information Disclosure of the Government Environmental Protection Website

    Institute of Scientific and Technical Information of China (English)



    The government environmental protection website is the first information disclosure platform of the environmental protection department of the government and also is an important channel for community assess to the environmental information.In order to give full play to the function of information disclosure and transfer the governmental voice for the first time to society through the government environmental protection website,the paper discussed four aspects about environmental information disclosure with practical experience:releasing information,organizing environmental information,spreading government environmental information more efficiently,ensuring environmental information disclosure.%政府环保网站是政府环保部门信息公开的第一平台,也是社会获取环境信息的重要渠道。为充分发挥政府环保网站环境信息公开的功能,将政府的声音在第一时间传递给社会,结合实践经验,文章从发布环境信息、整理环境信息、提升环境信息传播能力、保障环境信息公开四个方面给出建议。

  17. Atendimento a mães de vítimas de abuso sexual e abusadores: considerações teóricas e práticas Treatment of mothers of sexual abuse victims and abusers: theoretical and practical considerations

    Directory of Open Access Journals (Sweden)

    Débora Dalbosco Dell'Aglio


    Full Text Available O objetivo deste artigo foi levantar informações sobre o atendimento psicológico prestado às mães de crianças e adolescentes vítimas de abuso sexual, bem como aos autores dessa violência. A literatura mostra a importância de incluir familiares não abusivos no tratamento da vítima, tendo em vista seu envolvimento na situação. Além disso, aponta que a discussão sobre o atendimento psicológico aos perpetradores também é necessário para que se possa intervir no ciclo da violência, prevenindo novas vítimas. Por fim, são discutidos os sentimentos de mães e perpetradores frente à revelação do abuso, objetivos do tratamento em cada caso e os aspectos psicológicos relacionados. São também apresentados alguns estudos nacionais e internacionais sobre experiências de tratamentos e algumas dificuldades práticas para o andamento dos tratamentos e para se realizar estudos sobre essa temática, sobretudo no Brasil.The aim of this article was to gather information about the psychological care provided to mothers of children and adolescent victims of sexual abuse and the perpetrators of such violence. The literature demonstrates the importance of including non abusive relatives in the treatment of victims, due to their involvement with the situation. Discussing psychological support to the perpetrators is also necessary to intervene in the cycle of violence, preventing new victims. The paper focuses on the feelings of mothers and perpetrators at the moment of the abuse disclosure, the goals of the provided care in each case, and related psychological aspects. It also presents some national and international studies that report the experiences of these processes. Some practical barriers in the progress of the psychological care, as well as the difficulties of conducting studies on this topic, especially in Brazil, are reported.

  18. 由幼儿教师虐童案件频发引起的法律思考%Legal Considerations over Rampant Child Abuses at Chinese Kindergartens

    Institute of Scientific and Technical Information of China (English)



    With child abuses happening with increasing frequency in China , and in light of the notorious illegal practices inherent in China ’ s preschool education , this paper presents a discussion on the causes of child abuses and proposes relevant countermeasures to address rampant child abuses in Chinese kindergartens .Such measures include improving the legal system of the protection of children and safeguard children ’ s rights and interests accord-ing to the law, increasing government investment in preschool education and enhancing kindergarten teachers ’ wel-fare and benefits , boosting the overall quality of preschool teachers by introducing pertinent professional training programs, and strengthening legal education on both kindergarten school teachers and children ’s parents.%随着“虐童”事件的频繁发生,看到目前我国幼儿教育违法现象面临的现状,研究探索引起“虐童”事件频繁发生的原因,提出可行性对策:健全儿童保护法律制度,遏制“虐童”思想的萌生;政府加大投资力度,提高幼儿教师待遇;利用幼儿教师职业培训提高幼儿教师队伍整体素质;加强幼儿教师及幼儿家长的法制教育。

  19. Firm Traits and Web Based Disclosures in Top Nigerian Firms

    Directory of Open Access Journals (Sweden)

    Bello Ayuba


    Full Text Available The use of the internet as a medium of dissemination of information to stakeholders is increasingly gaining grounds. This study extends existing literature on web disclosures by investigating the characteristics that predict the extent of web-based disclosures. In this study, corporate websites of top Nigerian firms are used as sources of data, while a regression analysis is employed to examine the extent of prediction. Results indicate that the firm size and industry type are significant determinants of web disclosures. However, other firm traits such as ownership dispersion and financial performance do not significantly explain the extent of internet disclosures. The study recommends that a regulatory template for corporate web disclosures be put in place by government regardless of the size or industry classification of the firm. This is with a view to considerably reduce agency conflicts arising from information asymmetry in publicly listed firms in Nigeria.

  20. [Disclosure of conflicts of interest in the Tijdschrift voor Psychiatrie]. (United States)

    Bergoets, M; Pieters, G


    Between March 2000 and December 2008 authors disclosed conflicts of interest in 9% of articles in the Tijdschrift voor Psychiatrie. For the same period, in the articles dealing with pharmaceuticals, the percentage of articles containing disclosures of conflict of interest was considerably higher, namely 24%. The policy of the journal with regard to the disclosure of conflicts of interest has helped to promote transparency. Further efforts are needed to encourage authors to disclose conflicts of interest.

  1. Financial Disclosure Tracking System (United States)

    US Agency for International Development — USAID's FDTS identifies personal service contractors and local employees who should file disclosure reports. It tracks late filers and identifies those who must take...

  2. Factors affecting disclosure among Israeli children in residential care due to domestic violence. (United States)

    Lev-Wiesel, Rachel; Gottfried, Ruth; Eisikovits, Zvi; First, Maya


    Disclosure of child abuse may enable initiating interventions to end maltreatment and mediate its negative physical and psychological consequences. The present study reviews the field of disclosure and examines factors affecting disclosure among a service population of abused children who were placed in residential care due to various forms of abuse (e.g., physical, sexual, emotional, neglect and witnessing domestic violence). The sample consisted of 286 Israeli (Hebrew and Arabic speaking) children aged 12-17 (mean=14±1). Following approval of the Ethics committee of the University and parents' written consent, participants were administered a self-report questionnaire that included the following measures: a Socio-Demographic Questionnaire, the Childhood Trauma Questionnaire (CTQ), the Juvenile Victimization Questionnaire (JVQ), and the Disclosure of Trauma Questionnaire (DTQ). Results indicated that the three key factors enhancing the likelihood of disclosure were: moral factors, external initiatives and intolerable physical pain. The three key factors inhibiting disclosure were feelings of shame, fear of losing social support and uncertainty as to how and to whom to disclose. Results also showed that children preferred to disclose to their nuclear family members (parents and siblings) in comparison with professionals.

  3. Suspect confession of child sexual abuse to investigators. (United States)

    Lippert, Tonya; Cross, Theodore P; Jones, Lisa; Walsh, Wendy


    Increasing the number of suspects who give true confessions of sexual abuse serves justice and reduces the burden of the criminal justice process on child victims. With data from four communities, this study examined confession rates and predictors of confession of child sexual abuse over the course of criminal investigations (final N = 282). Overall, 30% of suspects confessed partially or fully to the crime. This rate was consistent across the communities and is very similar to the rates of suspect confession of child sexual abuse found by previous research, although lower than that from a study focused on a community with a vigorous practice of polygraph testing. In a multivariate analysis, confession was more likely when suspects were younger and when more evidence of abuse was available, particularly child disclosure and corroborative evidence. These results suggest the difficulty of obtaining confession but also the value of methods that facilitate child disclosure and seek corroborative evidence, for increasing the odds of confession.

  4. Three controversies over item disclosure in medical licensure examinations

    Directory of Open Access Journals (Sweden)

    Yoon Soo Park


    Full Text Available In response to views on public's right to know, there is growing attention to item disclosure – release of items, answer keys, and performance data to the public – in medical licensure examinations and their potential impact on the test's ability to measure competence and select qualified candidates. Recent debates on this issue have sparked legislative action internationally, including South Korea, with prior discussions among North American countries dating over three decades. The purpose of this study is to identify and analyze three issues associated with item disclosure in medical licensure examinations – 1 fairness and validity, 2 impact on passing levels, and 3 utility of item disclosure – by synthesizing existing literature in relation to standards in testing. Historically, the controversy over item disclosure has centered on fairness and validity. Proponents of item disclosure stress test takers’ right to know, while opponents argue from a validity perspective. Item disclosure may bias item characteristics, such as difficulty and discrimination, and has consequences on setting passing levels. To date, there has been limited research on the utility of item disclosure for large scale testing. These issues requires ongoing and careful consideration.


    Directory of Open Access Journals (Sweden)

    Abbas Yavari


    Full Text Available According to the International Olympic Committee, the abuse of anabolic androgenic steroids (AASS is found in over 50% of positive doping tests. AASS abuse is not restricted to the organized sports andwidespread use. It remains as an unsolved public-health problem.Lower black market price, easier access to AASS, bodybuilding clubs and internet advertising are factors of this increasingly misuse. There is not real data about the prevalence of AASS abuse in various populations or countries, because most of athletes or students, due to their prohibition or ethical aspects do not admit to AASS abuse. Often they are aware of the risks of their choice and yet, are eager to put themselves at risk without deeper consideration. The abusers use them to improve their physical fitness and appearance.Present article has been collected to elucidate the risks and adverse effects of AASS and explanation of mechanisms of these events.

  6. Factors Associated with Disclosure of Intimate Partner Violence among Women in Lagos, Nigeria


    Bjarne Jansson; Stephen Lawoko; Leah Okenwa


    Abstract: Background: Though the prevalence of Intimate Partner Violence (IPV) remains high in less developed countries, data suggest that these figures may represent an underestimation considering that many women are unwilling to disclose abuse. This paper aims to determine women's willingness to report abuse, factors determining willingness to disclose IPV, and to whom such disclosure is made. Methods: A total of 911 women visiting reproductive health facility responded to the questionnaire...

  7. Young men's perspectives on family support and disclosure of same-sex attraction. (United States)

    Carpineto, Julie; Kubicek, Katrina; Weiss, George; Iverson, Ellen; Kipke, Michele D


    Young men who have sex with men (YMSM) face myriad challenges when deciding to disclose their sexual orientation to family members. Key to this decision is consideration of how disclosure may influence the support they receive from family. This paper explores a diverse sample of YMSM's (N = 43) perspectives on disclosure of their same-sex attractions to key family members and its impact on family support. Several stages/categories of disclosure are described and some YMSM seemed to continue to move between categories. Additionally, relationships after disclosure included negotiations between the expression of their sexual orientation and the maintenance of family support.

  8. A Case of Treatment Resistant Depression and Alcohol Abuse in a Person with Mental Retardation: Response to Aripiprazole and Fluvoxamine Therapy upon Consideration of a Bipolar Diathesis after Repetitive Failure to Respond to Multiple Antidepressant Trials. (United States)

    Fornaro, Michele; Ciampa, Giovanni; Mosti, Nicola; Del Carlo, Alessandra; Ceraudo, Giuseppe; Colicchio, Salvatore


    Mental Retardation (MR) is a developmental disability characterized by impairments in adaptive daily life skills and difficulties in social and interpersonal functioning. Since multiple causes may contribute to MR, associated clinical pictures may vary accordingly. Nevertheless, when psychiatric disorders as Treatment Resistant Depression (TRD) and/or alcohol abuse co-exist, their proper detection and management is often troublesome, essentially due to a limited vocabulary MR people could use to describe their symptoms, feelings and concerns, and the lack of reliable screening tools. Furthermore, MR people are among the most medicated subjects, with (over) prescription of antidepressants and/or typical antipsychotics being the rule rather than exception. Thus, treatment resistance or even worsening of depression, constitute frequent occurrences. This report describes the case of a person with MR who failed to respond to repetitive trials of antidepressant monotherapies, finally recovering using aripiprazole to fluvoxamine augmentation upon consideration of a putative bipolar diathesis for "agitated" TRD. Although further controlled investigations are needed to assess a putative bipolar diathesis in some cases of MR associated to TRD, prudence is advised in the long-term prescription of antidepressant monotherapies in such conditions.

  9. What Canadian Youth Tell Us about Disclosing Abuse (United States)

    Ungar, Michael; Tutty, Leslie M.; McConnell, Sheri; Barter, Ken; Fairholm, Judi


    Objective: To report findings from a study of anonymous disclosures of abuse experiences among a national sample of youth in Canada who participated in violence prevention programming. Methods: A qualitative analysis was done of a purposeful sample of 1,099 evaluation forms completed following Red Cross RespectED violence prevention programming…

  10. Physical Abuse (United States)

    ... be acquaintances, sons, daughters, grandchildren, or others. Physical abuse that is perpetrated by spouses or intimate partners in order to gain power and control over the victim is described in ...

  11. Financial Disclosure Laws. (United States)

    Merz, Carol


    A study of school board presidents and superintendents in Washington, Missouri, and New Jersey reveals that strict financial disclosure laws tend to reduce the number of professionals on boards; however, board members with professional occupations differ from other board members on a number of measures. (MLF)

  12. 42 CFR 480.140 - Disclosure of quality review study information. (United States)


    ... HUMAN SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF... health when there is substantial risk to the public health; CMS; or to Federal and State fraud and abuse... Accounting Office as necessary to carry out its statutory responsibilities. (g) The QIO must disclose to...

  13. SEC actions compel new focus on disclosure. (United States)

    Jeffery, Heidi H; Bannard, David Y


    Practical steps that healthcare organizations should take in creating disclosure programs that meet the Securities and Exchange Commission's guidelines for disclosure include: Establishing procedures for disclosure of financial and operational data; Conducting an internal audit of disclosure practices; Designating personnel responsible for disclosure and ensuring they receive appropriate training; Reassessing the organization's historic deal pattern; Making effective use of counsel; Establishing clearly defined policies for website disclosure.

  14. Proactive Public Disclosure

    DEFF Research Database (Denmark)

    Boll, Karen; Tell, Michael


    This article discusses proactive public disclosure of taxpayer information and how this may form a new strategy for securing tax compliance by tax administrators. It reports a case study from the Danish Customs and Tax Administration in which consumers of services–over a short period of time...... Governance. The article is innovative in that it combines a legal and organizational approach to analyse a new regulatory strategy within tax administration.......–were informed about businesses’ lack of value-added tax (VAT) registration. Our approach to the case is twofold: First, the article lays out a legal analysis of the disclosure practice, and second, the article presents an organizational analysis of why the practice was initiated. The analyses show that using...

  15. Disclosure of HIV positive result to a sexual partner among adult clinical service users in Kemissie district, northeast Ethiopia. (United States)

    Seid, Mohammed; Wasie, Belaynew; Admassu, Mengesha


    HIV Status disclosure is vital for HIV prevention efforts and the couple's health in the context of accelerated highly active antiretroviral therapy. This study aimed to identify factors associated with disclosure of HIV Status to a sexual partner and its outcomes. A facility based cross-sectional study was conducted at Kemissie Health center on 360 HIV positive individuals selected by systematic random sampling. Data were collected using a structured, interviewer administered questionnaire. The level of disclosure to a sexual partner was 93.1%. Among those who disclosed, 74.5% were accepted, 10.8% minor challenges or suspicion of result and the last 7.8% faced physical abuse and blame. The main reasons for not disclosing were fear of divorce [32%], fear of stigma and discrimination [32%] and fear of physical abuse [16%]. Prior discussion, disclosure to family, smooth relationship and knowing partner status were significantly associated with disclosure. HIV prevention programs and counseling efforts should focus on mutual disclosure of HIV test results, by encouraging discussion, reduction of stigma, for better disclosure and continuing care.

  16. A child sexual abuse research project: a brief endnote. (United States)

    Roberts, Susan; Vanstone, Maurice


    There is a dearth of research on sexual abuse perpetrated by educators. Although the problem is receiving increasing attention, little emphasis has been placed on abuse directed at younger schoolchildren and on offenders' accounts of this form of abuse. Here, we attempt to address this gap in knowledge by exploring the narratives of five convicted, imprisoned male child sexual abusers, each of whom worked with children in educational settings in the United Kingdom. We draw on four themes that emerged from detailed interviews with offenders, namely: the power of reputation, authority and control, the "front of invulnerability," and disclosure of abuse. We conclude by considering the implications of our work for policy and practice.

  17. Design and implementation of website information disclosure assessment system.

    Directory of Open Access Journals (Sweden)

    Ying-Chiang Cho

    Full Text Available Internet application technologies, such as cloud computing and cloud storage, have increasingly changed people's lives. Websites contain vast amounts of personal privacy information. In order to protect this information, network security technologies, such as database protection and data encryption, attract many researchers. The most serious problems concerning web vulnerability are e-mail address and network database leakages. These leakages have many causes. For example, malicious users can steal database contents, taking advantage of mistakes made by programmers and administrators. In order to mitigate this type of abuse, a website information disclosure assessment system is proposed in this study. This system utilizes a series of technologies, such as web crawler algorithms, SQL injection attack detection, and web vulnerability mining, to assess a website's information disclosure. Thirty websites, randomly sampled from the top 50 world colleges, were used to collect leakage information. This testing showed the importance of increasing the security and privacy of website information for academic websites.

  18. Design and implementation of website information disclosure assessment system. (United States)

    Cho, Ying-Chiang; Pan, Jen-Yi


    Internet application technologies, such as cloud computing and cloud storage, have increasingly changed people's lives. Websites contain vast amounts of personal privacy information. In order to protect this information, network security technologies, such as database protection and data encryption, attract many researchers. The most serious problems concerning web vulnerability are e-mail address and network database leakages. These leakages have many causes. For example, malicious users can steal database contents, taking advantage of mistakes made by programmers and administrators. In order to mitigate this type of abuse, a website information disclosure assessment system is proposed in this study. This system utilizes a series of technologies, such as web crawler algorithms, SQL injection attack detection, and web vulnerability mining, to assess a website's information disclosure. Thirty websites, randomly sampled from the top 50 world colleges, were used to collect leakage information. This testing showed the importance of increasing the security and privacy of website information for academic websites.

  19. Voluntary disclosure: Evidence from UK

    NARCIS (Netherlands)

    N.S. Zourarakis (Nicolaos)


    textabstractThis paper investigates the voluntary disclosure of Intellectual Capital (IC) of British firms and provides some evidence on an unexplored area of the literature; that of the association of Corporate Governance (CG) with IC disclosure. Inconsistent with expectations, the results show tha

  20. The Intersection of Medical Child Abuse and Medical Complexity. (United States)

    Petska, Hillary W; Gordon, John B; Jablonski, Debra; Sheets, Lynn K


    Children with medical complexity and victims of medical child abuse may have similar clinical presentations. Atypical or unexplained signs and symptoms due to rare diseases may lead providers to suspect medical child abuse when not present. Conversely, medical child abuse may be the cause of or coexist with medical complexity. Careful consideration of whether or not medical child abuse is present is essential when assessing a child with medical complexity since either diagnosis has significant consequences for children and families.

  1. The consequences of incomplete disclosure

    Energy Technology Data Exchange (ETDEWEB)

    Macfarlane, J.H. [Osler Hoskin and Harcourt, Calgary, AB (Canada)


    The disclosure requirements imposed on Canadian public companies are discussed. The basis of the capital market system in Canada is the integrity of full and true disclosure of all material facts in a prospectus and continuous disclosure of material changes and information, including financial results. Securities regulators have the right to report to the appropriate law enforcement agencies any company director who intentionally files misleading financial statements or press releases. The fundamental policy of Canadian stock exchanges is that all persons investing in securities listed on an exchange have equal access to information that may affect their investment decisions. Canadian stock exchanges have developed by-laws, rules and regulations relating to listed companies disclosure obligations, breach of which may lead to suspension of trading, delisting of the securities of the offending issuer, and substantial fines. Details of civil and criminal liability, current and proposed, for incomplete or inaccurate disclosure under Canadian securities legislation are explained. 59 refs.

  2. Teaching Self-Disclosure through an Activity Exploring Disclosure Research and Online Dating Sites (United States)

    Baker, Nicole Marie; Hastings, Sally O.


    Most interpersonal communication course textbooks include a section or chapter on the topic of self-disclosure. Students are normally introduced to elements of self-disclosure, such as a definition, functions, or reasons for self-disclosure, risks of self-disclosure, and the role of self-disclosure in relationships. Historically, research on…

  3. Disclosure of information in criminal proceedings : a comparative analysis of national and international criminal procedural systems and human rights law

    NARCIS (Netherlands)

    Fiori, Brando


    Disclosure and the procedure regulating it represent a subject matter in which crime control and human rights find their synthesis. Disclosure is a complex subject that covers different branches of law as it involves aspects of a procedural nature as well as considerations that belong to the realm o

  4. 32 CFR 310.25 - Disclosure accounting. (United States)


    ... exempted from the requirement to furnish the disclosure accounting under the provisions of § 310.26(b). (2... 32 National Defense 2 2010-07-01 2010-07-01 false Disclosure accounting. 310.25 Section 310.25....25 Disclosure accounting. (a) Disclosure accountings. (1) Keep an accurate record of all...

  5. Opportunities for computer abuse

    DEFF Research Database (Denmark)

    Willison, Robert Andrew; Backhouse, James


    Systems risk refers to the likelihood that an IS is inadequately guarded against certain types of damage or loss. While risks are posed by acts of God, hackers and viruses, consideration should also be given to the `insider' threat of dishonest employees, intent on undertaking some form of computer...... for the offender. To achieve this goal a model known as the `Crime Specific Opportunity Structure' is advanced. Focussing on the opportunities for computer abuse, the model addresses the nature of such opportunities with regards to the organisational context and the threats posed by rogue employees. Drawing...

  6. Donor type and parental disclosure following oocyte donation

    Institute of Scientific and Technical Information of China (English)

    John Stephenson; Eric Blyth; Wendy Kramer; Jennifer Schneider


    Objective:To ascertain the perspectives of parents of children conceived via oocyte donation regarding donor anonymity and disclosure of the nature of their conception to their children. Methods:Information was gathered by means of an anonymous online survey initiated by theDonorSiblingRegistry, in which108 parents with143 children conceived following oocyte donation and aged between one year and15 yearsparticipated.Results:Parental use of an anonymous or open-identity donor-and regardless of parental choice of donor-makes very little difference to the timing of parental disclosure to their donor-conceived child about their conception.The median age of children at disclosure is about3.5years;UK/Australian parents seem more ready to tell their children at an early stage(median age around two years) thanNorth American parents(median age around4.5 years), although about three quarters of all children have been told by the age of six years.Considerable ambiguity among parents who intend to disclose to their children as to the optimal age of disclosure is evidenced.Conclusions:Parents’ experiences of disclosure to children at different ages need to be more thoroughly examined in order to establisha coherent body of knowledge that may facilitate improved evidence-based parental decision making.

  7. Emotional security in the family system and psychological distress in female survivors of child sexual abuse. (United States)

    Cantón-Cortés, David; Cantón, José; Cortés, María Rosario


    The Emotional Security Theory (EST) was originally developed to investigate the association between high levels of interparental conflict and child maladaptative outcome. The objective of the present study was to analyze the effects of emotional security in the family system on psychological distress among a sample of young female adult survivors of child sexual abuse (CSA). The role of emotional security was investigated through the interactive effects of a number of factors including the type of abuse, the continuity of abuse, the relationship with the perpetrator and the existence of disclosure for the abuse. Participants were 167 female survivors of CSA. Information about the abuse was obtained from a self-reported questionnaire. Emotional security was assessed with the Security in the Family System (SIFS) Scale, and the Symptom Checklist-90-Revised (SCL-90-R) was used to assess psychological distress. In the total sample, insecurity (preoccupation and disengagement) was correlated with high psychological distress scores, whereas no relationship was found between security and psychological distress. The relationship between emotional insecurity and psychological distress was stronger in cases of continued abuse and non-disclosure, while the relationship between emotional security and distress was stronger in cases of extrafamilial abuse and especially isolated or several incidents and when a disclosure had been made. No interactive effect was found between any of the three emotional variables and the type of abuse committed. The results of the current study suggest that characteristics of CSA such as relationship with the perpetrator and, especially, continuity of abuse and whether or not disclosure had been made, can affect the impact of emotional security on psychological distress of CSA survivors.

  8. Effects of disclosure on business compliance: a framework for the analysis of disclosure regimes

    NARCIS (Netherlands)

    J.G. van Erp (Judith)


    textabstractDisclosure of inspection results not only contributes to consumer empowerment, but also affect company compliance. Disclosure stimulates compliance because fear of bad publicity serves as a deterrent for violations. However, excessively stigmatic disclosure can become counter-productive

  9. Prescription Drug Abuse (United States)

    ... Whether they're using street drugs or medications, drug abusers often have trouble at school, at home, with ... a short period of time may make a drug abuser aggressive or paranoid. Although stimulant abuse might not ...

  10. Prevent Child Abuse America (United States)

    ... call the police . Crisis and support contacts For Child Abuse Reporting Numbers in your State please visit: Child ... suspected child abuse and neglect. Parent Resources Prevent Child Abuse America (800) CHILDREN A resource for tips, referrals, ...

  11. The Cycle of Abuse: When Victims Become Offenders. (United States)

    Plummer, Malory; Cossins, Annie


    Various psychological theories exist in the literature to explain the behavior of men who commit child sex offences, including the belief that child sexual abuse (CSA) is a predisposing factor for the transition from victim to offender. These theories are, however, unable to explain the fact that while most victims of CSA are female, most perpetrators of CSA are male. The sex specificity of CSA in terms of victims and offenders suggests that the experience of CSA and its psychosocial effects may be different for boys, compared to girls. We hypothesize that CSA experiences may involve risk factors that affect the development of sexually abusive behavior for boys, rather than girls. Our aim was to determine whether the literature provides evidence of a cycle of abuse from victim to offender, and, if so, to document its characteristics. We undertook a comprehensive literature review of studies on both victims and offenders, including studies which revealed the following: age of onset of CSA, duration of abuse, gender of the abuser, the relationship between victim and abuser, grooming behaviors, the types and severity of abuse, and disclosure of abuse. While we found no evidence for the existence of a cycle of abuse for female CSA victims, we discovered evidence to support the existence of a cycle of abuse for male CSA victims who had experienced particular abuse characteristics. As an original contribution to the literature, we identified four factors that may be associated with a boy's transition from victim to offender as well as the methodological issues to be addressed in future research. Based on criminological theories, we argue that these four factors share a common theme, that is, that they represent experiences of power (for the abuser) and powerlessness (for the victim).

  12. Radiation Alert Immediate Disclosure Project (United States)

    National Aeronautics and Space Administration — Invocon's Radiation Alert Immediate Disclosure (RAID) system is a miniature, low-power, real-time, active radiation badge. It is designed for monitoring personnel,...

  13. Spending Disclosure - Fiscal Year 2012 (United States)

    Montgomery County of Maryland — The purpose of this Spending Disclosure Fiscal Year 12 dataset is to allow the public to search and view summary information on payments made to recipients (referred...

  14. The impact of personalized social cues of immediacy on consumers' information disclosure: a social cognitive approach. (United States)

    Lee, Doohwang; LaRose, Robert


    This study examined how personalized social cues of immediacy can affect two types of information disclosure intentions (embarrassing information and descriptive information) directly and indirectly through two positive outcome expectations (social trust and customization outcome expectations) and two negative outcome expectations (embarrassment and information abuse outcome expectations) in the context of a personal health record (PHR) Web-site service. An online experiment was chosen and 252 participants were directed to visit a newly created PHR Web site. The results showed that, regardless of the two different type of information, participants' exposure to the high-immediacy level on the site increased their information disclosure intentions even when their privacy self-efficacy beliefs were controlled. Further, the results of path analyses suggest that such main effect on information disclosure is mediated by social cognitive variables of positive and negative outcome expectations.

  15. Disclosure of intimate partner violence to informal social support network members: a review of the literature. (United States)

    Sylaska, Kateryna M; Edwards, Katie M


    This article presents a review of the published literature to date on rates, experiences, and correlates of victims' disclosure of or help seeking for intimate partner violence to informal social support network members (e.g., friends, family, classmates, and coworkers). Research indicates that the majority of individuals disclose to at least one informal support and that victims' disclosure is associated with a number of demographic (e.g., victims' sex, age, race), intrapersonal (e.g., victims' feelings of shame/embarrassment, perception of control over abuse), and situational (e.g., violence frequency and severity, if abuse is witnessed) factors. Following disclosure, victims experience a wide range of positive (e.g., believing the victim's reports, validating the victim's experiences) and negative (e.g. disbelieving, blaming the victim) social reactions, with positive reactions rated as the most common and most helpful forms of support by victims. Finally, a review of psychological correlates associated with reactions to disclosure indicates that positive social reactions are associated with more psychological health benefits and fewer negative health symptoms, whereas negative social reactions were associated with increased negative psychological health symptoms. Future research methodologies and implications for violence prevention, intervention, and policy are discussed.

  16. The impact of intellectual capital disclosure on cost of equity capital: A case of French firms

    Directory of Open Access Journals (Sweden)

    Mohamed Ali Boujelbene


    Full Text Available The purpose of this paper is to examine empirically the impact of intellectual capital disclosure (IC on cost of Equity capital. The empirical research is based on companies listed in the French SBF 120 stock market index. The findings confirm our hypotheses that stipulate the existence of a significant and negative association between intellectual capital disclosure with its two components (human capital, structural and the cost of equity. However, the negative impact of the relational capital disclosure is not validated. The results in this paper are of considerable importance to both policy makers and firms. In fact, the understanding of the impact of Intellectual capital disclosure on cost of equity capital helps policy makers in the evaluation of the costs and benefits of disclosure. Moreover, with regard to managers of firms, the results show the benefit of enhanced IC disclosure regarding the reduction in their cost of capital. This study is one of the very first to provide empirical evidence of the association between Cost of equity capital and the level of disclosure in the three individual intellectual capital categories (human; structural and relational capital.

  17. Multiple Forensic Interviews during Investigations of Child Sexual Abuse: A Cost-Effectiveness Analysis (United States)

    Block, Stephanie D.; Foster, E. Michael; Pierce, Matthew W.; Berkoff, Molly C.; Runyan, Desmond K.


    In suspected child sexual abuse some professionals recommend multiple child interviews to increase the likelihood of disclosure or more details to improve decision-making and increase convictions. We modeled the yield of a policy of routinely conducting multiple child interviews and increased convictions. Our decision tree reflected the path of a…

  18. Extended Evaluations in Cases of Child Sexual Abuse: How Many Sessions Are Sufficient? (United States)

    Faller, Kathleen Coulborn; Nelson-Gardell, Debra


    This article provides new findings from a national study involving 18 forensic interview sites of 137 children who were randomly assigned to a four or eight session extended evaluation. Cases assigned to the eight session protocol were significantly more likely to be classified "credible disclosure" of sexual abuse (56.6%) than cases assigned to…

  19. 42 CFR 2.1 - Statutory authority for confidentiality of drug abuse patient records. (United States)


    ... HUMAN SERVICES GENERAL PROVISIONS CONFIDENTIALITY OF ALCOHOL AND DRUG ABUSE PATIENT RECORDS Introduction... this section. (b) Purposes and circumstances of disclosure affecting consenting patient and patient... the injury to the patient, to the physician-patient relationship, and to the treatment services....

  20. 32 CFR 701.111 - Disclosure accounting. (United States)


    ... 32 National Defense 5 2010-07-01 2010-07-01 false Disclosure accounting. 701.111 Section 701.111... THE NAVY DOCUMENTS AFFECTING THE PUBLIC DON Privacy Program § 701.111 Disclosure accounting. Disclosure accounting allows the individual to determine what agencies or persons have been...

  1. Sibling Self-Disclosure in Early Adolescence. (United States)

    Howe, Nina; Aquan-Assee, Jasmin; Bukowski, William M.; Rinaldi, Christina M.; Lehoux, Pascale M.


    Studied sibling-directed self-disclosure of 40 preadolescents through interviews, a questionnaire, and subjects' daily diaries. Found that warmth in sibling relationship was most strongly associated with sibling disclosure, but not with rivalry, conflict, or power. Daily sibling disclosures were more strongly associated with reports of unhappy…

  2. 38 CFR 17.504 - Disclosure methods. (United States)


    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Disclosure methods. 17.504 Section 17.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Confidentiality of Healthcare Quality Assurance Review Records § 17.504 Disclosure methods. (a) Disclosure...

  3. Predictors of delayed disclosure of rape in female adolescents and young adults

    Directory of Open Access Journals (Sweden)

    Iva A. E. Bicanic


    Full Text Available Background: Delayed disclosure of rape has been associated with impaired mental health; it is, therefore, important to understand which factors are associated with disclosure latency. The purpose of this study was to compare various demographics, post-rape characteristics, and psychological functioning of early and delayed disclosers (i.e., more than 1-week post-rape among rape victims, and to determine predictors for delayed disclosure. Methods: Data were collected using a structured interview and validated questionnaires in a sample of 323 help-seeking female adolescents and young adults (12–25 years, who were victimized by rape, but had no reported prior chronic child sexual abuse. Results: In 59% of the cases, disclosure occurred within 1 week. Delayed disclosers were less likely to use medical services and to report to the police than early disclosers. No significant differences were found between delayed and early disclosers in psychological functioning and time to seek professional help. The combination of age category 12–17 years [odds ratio (OR 2.05, confidence intervals (CI 1.13–3.73], penetration (OR 2.36, CI 1.25–4.46, and closeness to assailant (OR 2.64, CI 1.52–4.60 contributed significantly to the prediction of delayed disclosure. Conclusion: The results point to the need of targeted interventions that specifically encourage rape victims to disclose early, thereby increasing options for access to health and police services.

  4. Integrating translational neuroscience to improve drug abuse treatment for adolescents. (United States)

    Boyce, Cheryl Anne; Lynne-Landsman, Sarah D


    Adolescence is an exciting and challenging period of maturation, rapid brain development, and developmental changes in neurobiological, neurocognitive, and neurobehavioral processes. Although behavioral therapies available for adolescent substance abuse have increased, effectiveness research in this area lags considerably behind that of clinical research on treatment for drug-abusing adults. Behavioral treatment approaches show significant promise for treating drug-abusing adolescents, but many have not incorporated innovations in neuroscience on brain development, cognitive processes, and neuroimaging. Linking developmental neuroscience with behavioral treatments can create novel drug abuse interventions and increase the effectiveness of existing interventions for substance-abusing adolescents. Contemporary research on brain development, cognition, and neuroscience is ripe for translation to inform developmentally sensitive drug abuse treatments for adolescents. Neuroscientists and interventionists are challenged to build mutual collaborations for integration of neuroscience and drug abuse treatment for adolescents.

  5. A Note on Quality Disclosure and Competition

    DEFF Research Database (Denmark)

    Jansen, Jos

    Competitive pressure is lower in markets where goods are more differentiated. I analyze how a change in the degree of horizontal product differentiation affects the incentives of duopolists to disclose quality information. If disclosure is costly, then a firm discloses high qualities but conceals...... low qualities in equilibrium. The higher the disclosure cost, the higher the equilibrium threshold below which firms conceal quality information. I show that the effect of product differentiation on quality disclosure depends on the cost of disclosure. For low (high) disclosure costs, a firm discloses...... more (less) quality information if goods become more differentiated....

  6. Childhood Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Evrim Aktepe


    Full Text Available Sexual abuse is defined as use of child or adolescent by the adults for satisfying of sexual urges and needs with forcing, threatening or tricking. Sexual abuse can be in the form of sexual abuse without touch, sexual touch, interfemoral intercourse, sexual penetration, and sexual exploitation. The prevalence of sexual abuse is reported as 10-40%. It is seen in female four times more than in males. Abusers are frequently male, only 5-15% of them are female. The abuse by females is usually towards male child. Thirty-fifty percent of abuse cases among child and adolescent are outside the family including strangers or familiar person. Some features of abusers are introvert personality, pedophilic and antisocial personality. Most of the abusers have a history of sexual abuse or aggression during childhood. Sexual intercourse between two people who are not allowed to marry by law is called as incest. Family pattern of incest is defined globally as disorganized and dysfunctional. The most commonly reported familial pattern is rigid and patriarchal family pattern with a harsh father using force quite frequently. The clinical features and impacts of the sexual abuse on the child varies according to the relation between abusers and the child, form of abuse, duration of abuse, presence of physical assault, developmental phase, child age and psychological development before the abuse. Sexual abuse history may result in psychiatric disorders including anxiety, depression, substance dependence, suicide act, borderline personality disorder, posttraumatic stress disorder. Abuse negatively affects interpersonal relationships and self esteem of abused individuals. Several studies reported close association between risky sexual behaviors in adulthood and a history of of sexual abuse during childhood. Four traumatic dynamics including traumatic sexuality with abuse, feeling of betrayal, weakness, and stigmatization exist in childhood abuse. Trauma can cause

  7. Young Victims Telling their Stories of Sexual Abuse in the Emergency Department. (United States)

    Hassan, Mona; Gary, Faye A; Hotz, Renee; Killion, Cheryl; Vicken, Totten


    Among young children, child sexual abuse is a common type of maltreatment. Child sexual abuse (CSA) is an important national public health problem that has a devastating impact on the emotional and psychological makeup of the child, family, and society. The purpose of this analysis is to explore the young victim's own stories of disclosure of child sexual abuse and is an exploratory case study using reported assault histories of victims of CSA between the ages of 6 and 14, taken in the immediate wake of the assault. The data were extracted from the hospital records of child victims treated in an emergency department between 2006 and 2010. This qualitative research, using thematic analysis, explored the stories of sexual abuse for children as told by them. Two themes emerged regarding the experience of sex abuse and the immediate outcomes on the children: (1) Abuse Circumstances, which included the child's level of awareness of child sexual abuse, predisposing factors, and the perpetrator's preparation (physical, behavioral, and verbal tactics), and (2) Physical/Psychological Suffering associated with disclosure. These have important implications for all service and health care providers.

  8. Home health agencies: targets of anti-fraud and abuse investigations. (United States)

    Richardson, C


    Increased health care fraud and abuse investigations could result in home health agencies, and other targets, becoming politically acceptable casualties of war in the battle to balance the federal budget. To protect themselves, home health agencies would be well advised to conduct internal fraud and abuse audits on an annual basis and to develop corporate compliance plans (see Newsletter, Vol. 9, No. 7, July 1994, at 16, and next month's issue, which will discuss corporate compliance programs as well as the OIG's new voluntary disclosure program). In addition, purchasers of home health agencies should be especially vigilant of fraud and abuse problems during the due diligence phase of the acquisition and, if problems are discovered, should consider whether voluntary disclosure to the OIG and settlement of any resulting claims is an appropriate condition of closing.

  9. Prevalence and Pedagogy: Understanding Substance Abuse in Schools (United States)

    Salm, Twyla; Sevigny, Phil; Mulholland, Val; Greenberg, Hirsch


    This case study examines not only the prevalence of substance abuse in one rural, Canadian high school, but also how teachers understand teaching and learning in relation to substance abuse. Over one third of students reported that they had used marijuana (37%) and alcohol (38%) in the last seven days, a rate considerably higher than typical…

  10. Puppet Play as Interactive Approach in Drug Abuse Prevention (United States)

    Nenadic-Bilan, Diana; Vigato, Teodora


    The national strategies of drug abuse prevention across Europe have come to recognise that the drug abuse problem presents a complex set of issues of which there is no simple solution. There is a considerable increase in investment in prevention, treatment and harm-reduction activities and increased focus on supply reduction. School settings are…

  11. Financial Disclosure : A Closer Look

    NARCIS (Netherlands)

    Ermans, C.J.C.


    The central concern of this paper is the company's financial disclosure process.We briefly discuss this phenomenon.Furthermore, the research in this area is surveyed and discussed.Most of the research so far has been quantitative.Some early studies are discussed including their validity and their sh

  12. Patient Disclosure of Medical Misdeeds (United States)

    Bergen, Clara; Stivers, Tanya


    Modern patients walk a tightrope between respecting medical authority and acting as knowledgeable advocates regarding health issues, with the agency and responsibilities that come with this. This article uses conversation analysis to explore this balance in relation to patient disclosures of medical misdeeds in video-recorded primary care medical…

  13. Sexual orientation, disclosure and earnings

    NARCIS (Netherlands)

    Plug, E.; Berkhout, P.


    Gay/bisexual workers tend to earn less than other men. Does this occur because of discrimination or because of selection? In this paper we address this question and collect new information on workplace disclosure to separate out discrimination effects from selection effects. Using a large sample of

  14. The Role of Theory in Explaining Motivation for Corporate Social Disclosures: Voluntary Disclosures vs ‘Solicited’ Disclosures

    Directory of Open Access Journals (Sweden)

    Sandra van der Laan


    Full Text Available Corporate social disclosures (CSD are primarily voluntary in nature and subsequently provide an area forresearch into motivational aspects of disclosures. The main focus of prior research has been whethercorporate social disclosures constitute a discharge of accountability or are part of a process of legitimation.Prior research, however, ignores the emergence of an alternate style of corporate social disclosure, the‘solicited’ disclosure. Increasingly companies are requested to report on their interactions with society invarious forms. Non-government organisations (NGOs, regulatory agencies, ethical or socially responsibleinvestment fund managers and other researchers are requesting social information from corporations. Thisshift from voluntary information provision to demanded information can be viewed as a natural consequenceof the increasing pressures on corporations to be ‘responsible’, particularly in light of intensified world wideattention on unethical corporate behaviour and corporate collapse. These contemporary variants of socialdisclosure are worthy of scrutiny when considering these ‘solicited’ disclosures potentially reduce acorporation’s power in defining the scope and nature of disclosures. Two theories, which are similar andderived from the broader political economy perspective, are commonly offered as explanations of motivationsfor social disclosures. Stakeholder theory offers an explanation of accountability to stakeholders. Legitimacytheory, on the other hand, suggests voluntary disclosures are part of a process of legitimation. This paperargues that these theoretical perspectives may provide greater insights into managerial motivation fordisclosure if they are linked more explicitly to the nature of corporate social disclosure under examination:voluntary or solicited.

  15. Alcoholism and Alcohol Abuse (United States)

    ... their drinking causes distress and harm. It includes alcoholism and alcohol abuse. Alcoholism, or alcohol dependence, is a disease that causes ... groups. NIH: National Institute on Alcohol Abuse and Alcoholism

  16. Prescription Drug Abuse (United States)

    ... what the doctor prescribed, it is called prescription drug abuse. It could be Taking a medicine that ... purpose, such as getting high Abusing some prescription drugs can lead to addiction. These include opioids, sedatives, ...

  17. What is Elder Abuse? (United States)

    ... Strategic Plan Federal Initiatives Career Opportunities Contact Us Administration on Aging (AoA) What is Elder Abuse? What ... Elder Justice & Adult Protective Services Elder Justice Coordinating Council Prevention of Elder Abuse, Neglect and Exploitation (Title ...

  18. Child abuse - physical (United States)

    ... way Uses harsh discipline Was abused as a child Alcohol or drug problems Emotional problems or mental illness ... Physical abuse - children References Berkowitz CD, Stewart ST. Child maltreatment. In: Marx JA, Hockberger RS, Walls RM, eds. ...

  19. Cough & Cold Medicine Abuse (United States)

    ... A Week of Healthy Breakfasts Shyness Cough & Cold Medicine Abuse KidsHealth > For Teens > Cough & Cold Medicine Abuse ... DXM Why Do People Use Cough and Cold Medicines to Get High? There's an ingredient in many ...

  20. Routes of abuse of prescription opioid analgesics: a review and assessment of the potential impact of abuse-deterrent formulations. (United States)

    Gasior, Maciej; Bond, Mary; Malamut, Richard


    Prescription opioid analgesics are an important treatment option for patients with chronic pain; however, misuse, abuse and diversion of these medications are a major global public health concern. Prescription opioid analgesics can be abused via intended and non-intended routes of administration, both intact or after manipulation of the original formulation to alter the drug-delivery characteristics. Available data indicate that ingestion (with or without manipulation of the prescribed formulation) is the most prevalent route of abuse, followed by inhalation (snorting, smoking and vaping) and injection. However, reported routes of abuse vary considerably between different formulations. A number of factors have been identified that appear to be associated with non-oral routes of abuse, including a longer duration of abuse, younger age, male sex and a rural or socially deprived location. The development of abuse-deterrent formulations of prescription opioid analgesics is an important step toward reducing abuse of these medications. Available abuse-deterrent formulations aim to hinder extraction of the active ingredient, prevent administration through alternative routes and/or make abuse of the manipulated product less attractive, less rewarding or even aversive. There are currently five opioid analgesics with a Food and Drug Administration abuse-deterrent label, and a number of other products are under review. A growing body of evidence suggests that introduction of abuse-deterrent opioid analgesics in the USA has been associated with decreased rates of abuse of these formulations. The availability of abuse-deterrent formulations therefore appears to represent an important step toward curbing the epidemic of abuse of prescription opioid analgesics, while ensuring the availability of effective pain medications for patients with legitimate medical need.

  1. 75 FR 46949 - National Institute on Alcohol Abuse and Alcoholism; Notice of Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute on Alcohol Abuse and Alcoholism; Notice... conducted by the National Institute on Alcohol Abuse and Alcoholism, including consideration of personnel... Alcohol Abuse and Alcoholism, 5635 Fishers Lane, Room 3061, Rockville, MD 20852, 301-443-6076....

  2. Addressing Wife Abuse in Mexican Immigrant Couples: Challenges for Family Social Workers (United States)

    Hancock, Tina


    This article addresses wife abuse in undocumented Mexican immigrant couples and suggests an ecosystems treatment approach that takes into consideration the structural forces of oppression and discrimination on abusive behaviors in the home and combines individual, family and community level interventions to help immigrant men stop the abuse.…

  3. 76 FR 3913 - National Institute on Drug Abuse; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute on Drug Abuse; Notice of Closed Meeting... and projects conducted by the National Institute on Drug Abuse, including consideration of personnel... Research Program, National Institute on Drug Abuse, NIH, Johns Hopkins Bayview Campus, Baltimore, MD...

  4. 76 FR 65517 - National Institute on Drug Abuse Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute on Drug Abuse Notice of Closed Meeting... projects conducted by the National Institute on Drug Abuse, including consideration of personnel..., National Institute on Drug Abuse, NIH, Johns Hopkins Bayview Campus, Baltimore, MD 21223. Contact...

  5. 78 FR 55265 - National Institute on Drug Abuse; Notice of Closed Meeting (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute on Drug Abuse; Notice of Closed Meeting... projects conducted by the National Institute on Drug Abuse, including consideration of personnel... Research Program, National Institute on Drug Abuse, NIH, Johns Hopkins Bayview Campus, Baltimore, MD...

  6. Development and preliminary validation of the Opioid Abuse Risk Screener. (United States)

    Henrie-Barrus, Patricia; Averill, Lynnette A; Sudweeks, Richard R; Averill, Christopher L; Mota, Natalie


    Prescription opioid drug abuse has reached epidemic proportions. Individuals with chronic pain represent a large population at considerable risk of abusing opioids. The Opioid Abuse Risk Screener was developed as a comprehensive self-administered measure of potential risk that includes a wide range of critical elements noted in the literature to be relevant to opioid risk. The creation, refinement, and preliminary modeling of the item pool, establishment of preliminary concurrent validity, and the determination of the factor structure are presented. The initial development and validation of the Opioid Abuse Risk Screener shows promise for effective risk stratification.

  7. Development and preliminary validation of the Opioid Abuse Risk Screener

    Directory of Open Access Journals (Sweden)

    Patricia Henrie-Barrus


    Full Text Available Prescription opioid drug abuse has reached epidemic proportions. Individuals with chronic pain represent a large population at considerable risk of abusing opioids. The Opioid Abuse Risk Screener was developed as a comprehensive self-administered measure of potential risk that includes a wide range of critical elements noted in the literature to be relevant to opioid risk. The creation, refinement, and preliminary modeling of the item pool, establishment of preliminary concurrent validity, and the determination of the factor structure are presented. The initial development and validation of the Opioid Abuse Risk Screener shows promise for effective risk stratification.

  8. Inhalant Abuse and Dextromethorphan. (United States)

    Storck, Michael; Black, Laura; Liddell, Morgan


    Inhalant abuse is the intentional inhalation of a volatile substance for the purpose of achieving an altered mental state. As an important, yet underrecognized form of substance abuse, inhalant abuse crosses all demographic, ethnic, and socioeconomic boundaries, causing significant morbidity and mortality in school-aged and older children. This review presents current perspectives on epidemiology, detection, and clinical challenges of inhalant abuse and offers advice regarding the medical and mental health providers' roles in the prevention and management of this substance abuse problem. Also discussed is the misuse of a specific "over-the-counter" dissociative, dextromethorphan.

  9. 5 CFR 2634.901 - Policies of confidential financial disclosure reporting. (United States)


    ... GOVERNMENT ETHICS EXECUTIVE BRANCH FINANCIAL DISCLOSURE, QUALIFIED TRUSTS, AND CERTIFICATES OF DIVESTITURE Confidential Financial Disclosure Reports § 2634.901 Policies of confidential financial disclosure reporting... financial disclosure to complement the Act's system of public disclosure. The confidential reports...

  10. 22 CFR 1003.1 - General policies, conditions of disclosure, accounting of certain disclosures, and definitions. (United States)


    ..., accounting of certain disclosures, and definitions. 1003.1 Section 1003.1 Foreign Relations INTER-AMERICAN... disclosure, accounting of certain disclosures, and definitions. (a) The Inter-American Foundation will... only where an important public policy need for such exemption has been determined pursuant to...

  11. Are Vulnerability Disclosure Deadlines Justified?

    Energy Technology Data Exchange (ETDEWEB)

    Miles McQueen; Jason L. Wright; Lawrence Wellman


    Vulnerability research organizations Rapid7, Google Security team, and Zero Day Initiative recently imposed grace periods for public disclosure of vulnerabilities. The grace periods ranged from 45 to 182 days, after which disclosure might occur with or without an effective mitigation from the affected software vendor. At this time there is indirect evidence that the shorter grace periods of 45 and 60 days may not be practical. However, there is strong evidence that the recently announced Zero Day Initiative grace period of 182 days yields benefit in speeding up the patch creation process, and may be practical for many software products. Unfortunately, there is also evidence that the 182 day grace period results in more vulnerability announcements without an available patch.

  12. Compliance with Segment Disclosure Initiatives

    DEFF Research Database (Denmark)

    Arya, Anil; Frimor, Hans; Mittendorf, Brian


    Regulatory oversight of capital markets has intensified in recent years, with a particular emphasis on expanding financial transparency. A notable instance is efforts by the Financial Accounting Standards Board that push firms to identify and report performance of individual business units...... (segments). This paper seeks to address short-run and long-run consequences of stringent enforcement of and uniform compliance with these segment disclosure standards. To do so, we develop a parsimonious model wherein a regulatory agency promulgates disclosure standards and either permits voluntary...... compliance or mandates strict compliance from firms. Under voluntary compliance, a firm is able to credibly withhold individual segment information from its competitors by disclosing data only at the aggregate firm level. Consistent with regulatory hopes, we show that mandatory compliance enhances welfare...

  13. HIV-positive parents, HIV-positive children, and HIV-negative children’s perspectives on disclosure of a parent’s and child’s illness in Kenya

    Directory of Open Access Journals (Sweden)

    Grace Gachanja


    Full Text Available HIV disclosure from parent to child is complex and challenging to HIV-positive parents and healthcare professionals. The purpose of the study was to understand the lived experiences of HIV-positive parents and their children during the disclosure process in Kenya. Sixteen HIV-positive parents, seven HIV-positive children, and five HIV-negative children completed semistructured, in-depth interviews. Data were analyzed using the Van Kaam method; NVivo 8 software was used to assist data analysis. We present data on the process of disclosure based on how participants recommended full disclosure be approached to HIV-positive and negative children. Participants recommended disclosure as a process starting at five years with full disclosure delivered at 10 years when the child was capable of understanding the illness, or by 14 years when the child was mature enough to receive the news if full disclosure had not been conducted earlier. Important considerations at the time of full disclosure included the parent’s and/or child’s health statuses, number of infected family members’ illnesses to be disclosed to the child, child’s maturity and understanding level, and the person best suited to deliver full disclosure to the child. The results also revealed it was important to address important life events such as taking a national school examination during disclosure planning and delivery. Recommendations are made for inclusion into HIV disclosure guidelines, manuals, and programs in resource-poor nations with high HIV prevalence.

  14. Solvent abuse: a review. (United States)

    Barnes, G E


    The literature on solvent abuse is reviewed. Methods of use, symptoms of use, and effects of long-term solvent abuse are discussed. Several surveys on solvent use are summarized. The highest prevalence of solvent abuse seems to occur in native peoples undergoing periods of cultural change. Environmental conditions which are postulated as leading to psychological vulnerability and solvent abuse include: low social assets, parental drug use, peer and sibling influence, and acculturative stress. Solvent abuse seems to provide a pharmacological way out of a stressful environment for people who feel helpless to improve their situation in other ways. Methods of intervention that have been proposed for dealing with solvent abuse are discussed. Methods of intervention thus far employed generally have not been evaluated in any systematic fashion. Suggestions for future research are provided.

  15. Iranian EFL teachers' perceptions of teacher self-disclosure

    Directory of Open Access Journals (Sweden)

    Ali Rahimi


    Full Text Available Teacher self-disclosure (TSD as a communication behavior can influence students' learning by increasing their engagement and class participation as well as helping them establish effective interpersonal relationships. Owning to its context-sensitive and culture-dependent nature, however, TSD topics, purposes, and considerations may vary cross-culturally. This study was an attempt to explore Iranian EFL teachers' perceptions of appropriateness of TSD as well as to investigate whether there was a significant difference between male and female teachers' perceptions of appropriateness of TSD. To this end, the Appropriateness of Teacher Self-Disclosure Scale was distributed among 68 Iranian EFL teachers (34 females and 34 males from six language institutes. The results of the study indicated the extent to which the Iranian EFL teachers perceived TSD topics, purposes, and considerations to be appropriate or inappropriate. Furthermore, the study found convergence and divergence between male and female teachers' perceptions in terms of the topics used in TSD, the purposes TSD serves in classroom, and considerations the teachers take into account when practicing TSD. The results of the study suggest that Iranian EFL teachers can practice TSD as a pedagogical tool to enhance learning although they should be wary of its consequences in some aspects as TSD is contingent upon context and culture.

  16. Perspectives on clinical trial data transparency and disclosure. (United States)

    Alemayehu, Demissie; Anziano, Richard J; Levenstein, Marcia


    The increased demand for transparency and disclosure of data from clinical trials sponsored by pharmaceutical companies poses considerable challenges and opportunities from a statistical perspective. A central issue is the need to protect patient privacy and adhere to Good Clinical and Statistical Practices, while ensuring access to patient-level data from clinical trials to the wider research community. This paper offers options to navigate this dilemma and balance competing priorities, with emphasis on the role of good clinical and statistical practices as proven safeguards for scientific integrity, the importance of adopting best practices for reporting of data from secondary analyses, and the need for optimal collaboration among stakeholders to facilitate data sharing.


    Directory of Open Access Journals (Sweden)

    Bano Rubeena


    Full Text Available The epidemic of substance abuse in young generation has assumed alarming dimensions in India. Changing cultural values, increasing economic stress and dwindling supportive bonds are leading to initiation into substance use. Cannabis, heroin, and Indian-produced pharmaceutical drugs are the most frequently abused drugs in India. Drug use, misuse or abuse is also primarily due to the nature of the drug abused, the personality of the individual and the addict’s immediate environment. The processes of industrialization, urbanization and migration have led to loosening of the traditional methods of social control rendering an individual vulnerable to the stresses and strains of modern life.

  18. Elder Abuse and Neglect

    Directory of Open Access Journals (Sweden)

    Muge Gulen


    Full Text Available Abuse and neglect are preventable societal problems that influence elderly individuals physically, spiritually and socially. Elder abuse is neglected for many years and is a growing problem all over the world. The aim of this article is to review the evaluation of elderly individuals who are exposed to abuse and neglect with systematic detailed history and physical examination and to describe individual, familial, and social measures that should be taken to prevent these abuses. [Archives Medical Review Journal 2013; 22(3.000: 393-407

  19. Cough & Cold Medicine Abuse (United States)

    ... Know Getting Rid of Old Medicines Dealing With Addiction Understanding Medications and What They Do Prescription Drug Abuse Bath Salts Depressants Ketamine MDMA (Ecstasy) Contact Us Print Resources ...

  20. 16 CFR 259.2 - Advertising disclosures. (United States)


    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Advertising disclosures. 259.2 Section 259.2... ADVERTISING FOR NEW AUTOMOBILES § 259.2 Advertising disclosures. (a) No manufacturer or dealer shall make any express or implied representation in advertising concerning the fuel economy of any new automobile...

  1. 31 CFR 103.54 - Disclosure. (United States)


    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Disclosure. 103.54 Section 103.54 Money and Finance: Treasury Regulations Relating to Money and Finance FINANCIAL RECORDKEEPING AND REPORTING OF CURRENCY AND FOREIGN TRANSACTIONS General Provisions § 103.54 Disclosure. All reports...

  2. Self-Determination and Disclosure. Cutting Edge. (United States)

    Deschamps, Ann


    The disclosure provisions of the Americans with Disabilities Act raise issues for persons with hidden disabilities in the workplace and classroom regarding if, when, and how much to disclose. Educators should prepare students to address the disclosure issue and secure the accommodations they need. (SK)

  3. 16 CFR 432.2 - Required disclosures. (United States)


    ... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Required disclosures. 432.2 Section 432.2... UTILIZED IN HOME ENTERTAINMENT PRODUCTS § 432.2 Required disclosures. (a) Whenever any direct or indirect... frequency response, in Hertz (Hz), for the rated power output required to be disclosed in paragraph (a)...

  4. 12 CFR 707.4 - Account disclosures. (United States)


    ...) Transaction limitations. Any limitations on the number or dollar amount of withdrawals or deposits. (6...) Early withdrawal penalties. A statement that a penalty will be imposed for early withdrawal, how it is... disclosures within a reasonable time after it receives the request and may provide the disclosures in...

  5. 12 CFR 616.6800 - Disclosure requirements. (United States)


    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Disclosure requirements. 616.6800 Section 616.6800 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM LEASING § 616.6800 Disclosure requirements. (a) Each System institution must give to each lessee a copy of all lease documents signed by...

  6. Child Abuse: The Hidden Bruises (United States)

    ... 5; Updated November 2014 The statistics on physical child abuse are alarming. It is estimated hundreds of thousands ... Physical abuse is not the only kind of child abuse. Many children are also victims of neglect, or ...

  7. Modeling veterans healthcare administration disclosure processes :

    Energy Technology Data Exchange (ETDEWEB)

    Beyeler, Walter E; DeMenno, Mercy B.; Finley, Patrick D.


    As with other large healthcare organizations, medical adverse events at the Department of Veterans Affairs (VA) facilities can expose patients to unforeseen negative risks. VHA leadership recognizes that properly handled disclosure of adverse events can minimize potential harm to patients and negative consequences for the effective functioning of the organization. The work documented here seeks to help improve the disclosure process by situating it within the broader theoretical framework of issues management, and to identify opportunities for process improvement through modeling disclosure and reactions to disclosure. The computational model will allow a variety of disclosure actions to be tested across a range of incident scenarios. Our conceptual model will be refined in collaboration with domain experts, especially by continuing to draw on insights from VA Study of the Communication of Adverse Large-Scale Events (SCALE) project researchers.

  8. Can Lighting Influence Self-Disclosure? (United States)

    Mehta, Veli; Mukherjee, Sumitava; Manjaly, Jaison A.


    With the advent of social networks where people disclose a lot of their information and opinions publicly, this research attempted to re-look at the effect of environmental lighting on willingness and actual disclosure of personal information. Previous literatures mostly addressed counseling setups and the findings were mixed. In order to clarify the effect of lighting on self-disclosure, two experiments were conducted with reported willingness to disclose (Experiment 1) as well as actual disclosure (Experiment 2) on a range of topics like social issues, body, money, work, and personality. While quite a handful of studies have reported differences in disclosure from very subtle environmental lighting manipulations, in both experiments we could not find any effect of ambient room lighting conditions on self-disclosure. These results call for caution both in over-interpreting subtle environmental effects and in increased generalization of perceptual metaphors to actual behavior. PMID:28280474

  9. Abuse deterrent formulations and the Controlled Substances Act (CSA). (United States)

    Sapienza, Frank L


    The Controlled Substances Act (CSA) has reduced the diversion of controlled substances at the manufacturing and distribution levels. Recent increased diversion has occurred at the retail level. Levels of diversion and abuse of controlled substances with similar abuse potential and therapeutic indications often parallel availability for medical use, while rates of diversion and abuse may be influenced by factors related to specific products, including their formulations and risk management plans. Abuse deterrent formulations may reduce abuse and attendant adverse health consequences even if the products are diverted. Their development should consider how, to what extent and by whom products containing the targeted substance are abused. It should take into consideration all potential types of abuse including "as is", multiple doses, alternate routes of administration, physical or chemical separation of the active ingredient, compromised extended release mechanisms and abuse in combination with other substances. Industry incentives for developing abuse-resistant formulations include enhanced corporate image and potentially less restrictive scheduling or risk management plans. Scheduling is substance specific, but the CSA includes products/formulations that are differentially scheduled. Issues to be considered for differential scheduling under the CSA include: (1) whether there is legal authority to do so; (2) application of standard scheduling criteria to individual products; (3) product specific data for "eight factor analyses"; (4) development of predictive data and standards accepted by the scientific and regulatory communities; (5) use of predictive data or post marketing surveillance data; (6) international treaty obligations. These issues must be addressed before differential scheduling can be considered.

  10. 28 CFR 802.20 - Accounting of disclosures. (United States)


    ... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Accounting of disclosures. 802.20 Section... COLUMBIA DISCLOSURE OF RECORDS Privacy Act § 802.20 Accounting of disclosures. (a) We will provide an accounting of all disclosures of a record for five years or until the record is destroyed, whichever...

  11. 41 CFR 51-9.202 - Accounting of disclosures. (United States)


    ... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Accounting of disclosures... RULES 9.2-Disclosure of Records § 51-9.202 Accounting of disclosures. (a) Except for disclosures made pursuant to paragraphs (a) and (b) of § 51-9.201 of this part, an accurate accounting of each...

  12. Child sexual abuse. (United States)

    Hymel, K P; Jenny, C


    Multiple obstacles can hinder the medical evaluation of suspected child sexual abuse in pediatric primary care. The need for diagnostic accuracy is high. Knowledge of sexual abuse risk factors, an understanding of the victimization process, and awareness of the varied clinical presentations of sexual abuse can be of assistance. Open-ended questioning of the suspected victim is the most critical component of the evaluation. Skillful medical interviewing requires time, training, patience, and practice. Pediatricians lacking any of these four requirements should defer interviewing in sexual abuse cases to other professionals. Abnormal physical findings from sexual abuse are uncommon. Colposcopy has assisted pediatricians greatly in reaching consensus regarding diagnostic physical findings. Cases of acute sexual assault require familiarity with the forensic rape examination, STD screening and prophylaxis, and pregnancy prevention. Victimization from sexual abuse continues long after the abusive acts end, often requiring long-term therapeutic intervention. An emerging standard of care for medical evaluations of suspected child sexual abuse recognizes the requirement for patience and compassion while retaining objectivity. The pediatrician's primary concern must be for the child's physical and emotional well-being.

  13. Adolescent Substance Abuse. (United States)

    Thorne, Craig R.; DeBlassie, Richard R.


    Cummings (1979), citing evidence from the National Institute of Drug Abuse, reports that one of every eleven adult Americans suffers from a severe addictive problem. Drug addiction is epidemic among teenagers; one of every six teenagers suffers from a severe addictive problem. This paper focuses on adolescent drug/substance abuse. (Author)

  14. Abuse Potential of Pregabalin

    DEFF Research Database (Denmark)

    Schjerning, Ole; Rosenzweig, Mary; Pottegård, Anton


    BACKGROUND: Several case reports and epidemiological studies have raised concern about the abuse potential of pregabalin, the use of which has increased substantially over the last decade. Pregabalin is, in some cases, used for recreational purposes and it has incurred attention among drug abusers...... for causing euphoric and dissociative effects when taken in doses exceeding normal therapeutic dosages or used by alternative routes of administration, such as nasal insufflation or venous injection. The magnitude of the abuse potential and the mechanism behind it are not fully known. OBJECTIVE: The aim...... of this study was to present a systematic review of the data concerning the abuse potential of pregabalin. METHODS: We performed a systematic literature search and reviewed the preclinical, clinical and epidemiological data on the abuse potential of pregabalin. RESULTS: We included preclinical (n = 17...

  15. Letting the Future In: a therapeutic intervention for children affected by sexual abuse and their carers:An evaluation of impact and implementation


    Carpenter, John; Jessiman, Tricia; Patsios, Demi; Hackett, Simon; Phillips, Josie


    Letting the Future In is a structured guide to therapeutic intervention with children affected by sexual abuse. The guide was developed by the NSPCC and has been implemented by 20 NSPCC teams across England, Wales and Northern Ireland since 2011. It is available to children aged between four and 17 who have made a disclosure and experienced sexual abuse, live with a safe carer with no planned moves and have no diagnosed learning disability. Letting the Future In is grounded in an understandin...

  16. Child sexual abuse and mandatory reporting intervention preservice content preferred by student teachers. (United States)

    Goldman, Juliette D G; Grimbeek, Peter


    The importance of preservice university teacher training about child sexual abuse and its mandatory reporting intervention is addressed in educational literature, although very little is known about student teachers' learning interests and preferences in this area. In this article, student teachers refer to students in university who are training to become teachers whose training includes teaching experiences in schools. This study examines the content about child sexual abuse and its intervention that student teachers believe they should learn. Results based on quantitative analyses show the relative importance of gender in determining responses to questions about university training and, to a lesser extent, the importance of a previous acquaintance with victims of sexual abuse, previous employment, and the length of the university course. Results based on qualitative data show that content knowledge preferred by elementary/primary and secondary school student teachers includes the teacher's role in mandatory reporting of child sexual abuse and signs, experiences, and responses to student disclosure. Student teachers prefer content examples of school professionals' responses and procedures after disclosure and prefer direct learning content from intervening school professionals. These outcomes could usefully guide teachers and educators who design intervention curricula on child sexual abuse for preservice teachers.

  17. Behind the cycle of violence, beyond abuse history: a brief report on the association of parental attachment to physical child abuse potential. (United States)

    Rodriguez, Christina M; Tucker, Meagan C


    Although the concept of a cycle of violence presumes that the transmission of violence is expressed directly across generations, the role of the overall quality of the parent-child relationship may ultimately be more influential in later parenting behavior. This study investigated whether mothers' poorer attachment to their parents was associated with their current increased child abuse potential and dysfunctional disciplinary style independent of a personal history of child abuse. A sample of 73 at-risk mothers raising children with behavior problems reported on their parental attachment, abuse potential, dysfunctional parenting style, and personal abuse history. An at-risk sample, rather than a sample of identified abuse victims or perpetrators, was studied to better examine the potential continuity or discontinuity from history of abuse to current abuse risk, allowing consideration of those who may break the cycle versus those who potentially initiate abuse in the absence of a personal history. Findings indicate that poor attachment significantly predicted both dysfunctional parenting practices and elevated child abuse potential, controlling for personal child abuse history. Such results highlight the importance of the overall quality of the relationship between the parent and child in potentially shaping future abuse risk. Findings are discussed in terms of continuity or discontinuity in the cycle of violence and future directions for research on attachment in relation to the development of later child abuse risk.

  18. Dextromethorphan Abuse in Adolescence (United States)

    Bryner, Jodi K.; Wang, Uerica K.; Hui, Jenny W.; Bedodo, Merilin; MacDougall, Conan; Anderson, Ilene B.


    Objectives To analyze the trend of dextromethorphan abuse in California and to compare these findings with national trends. Design A 6-year retrospective review. Setting California Poison Control System (CPCS), American Association of Poison Control Centers (AAPCC), and Drug Abuse Warning Network (DAWN) databases from January 1, 1999, to December 31, 2004. Participants All dextromethorphan abuse cases reported to the CPCS, AAPCC, and DAWN. The main exposures of dextromethorphan abuse cases included date of exposure, age, acute vs long-term use, coingestants, product formulation, and clinical outcome. Main Outcome Measure The annual proportion of dextromethorphan abuse cases among all exposures reported to the CPCS, AAPCC, and DAWN databases. Results A total of 1382 CPCS cases were included in the study. A 10-fold increase in CPCS dextromethorphan abuse cases from 1999 (0.23 cases per 1000 calls) to 2004 (2.15 cases per 1000 calls) (odds ratio, 1.48; 95% confidence interval, 1.43–1.54) was identified. Of all CPCS dextromethorphan abuse cases, 74.5% were aged 9 to 17 years; the frequency of cases among this age group increased more than 15-fold during the study (from 0.11 to 1.68 cases per 1000 calls). Similar trends were seen in the AAPCC and DAWN databases. The highest frequency of dextromethorphan abuse occurred among adolescents aged 15 and 16 years. The most commonly abused product was Coricidin HBP Cough & Cold Tablets. Conclusions Our study revealed an increasing trend of dextromethorphan abuse cases reported to the CPCS that is paralleled nationally as reported to the AAPCC and DAWN. This increase was most evident in the adolescent population. PMID:17146018

  19. Exploring the Impact of Childhood Abuse on HIV Social and Attitudinal Factors Among Adults With and Without this History in Sub-Saharan Africa: Findings from NIMH Project Accept (HPTN 043). (United States)

    Richter, Linda; Makusha, Tawanda; Komárek, Arnošt; Daniels, Joseph; Coates, Tom


    Using data from four sites in three African countries, this community randomized study examined the association between childhood sexual and/or physical abuse (CSA and/or CPA) and HIV disclosure, HIV-related stigma, stress, and social support among adults with and without a history of abuse. A history of abuse among men was associated with higher levels of adult-reported stress and HIV-related stigma, and with significantly lower rates of HIV test result disclosure to current partners. Women with a history of CSA and/or CPA had significantly higher perceived stigma, discrimination and stress. Although childhood abuse was significantly associated with adult stress and stigmatization, participants with histories of CSA and/or CPA also reported significantly higher perceived social support compared to people without such experiences. These findings may reflect support received in response to disclosure of CSA or CPA or emotional ambivalence in relationships that have been found to be associated with child abuse. We conclude that it is critical for HIV prevention interventions to advocate for the primary prevention of child abuse, for early identification of adolescents and adults who report experiencing childhood abuse, and to address stigma and stress-related attitudinal, behavioral and relationship difficulties experiences as an aftermath of early abuse that increase their risk of HIV.

  20. Typological and Integrative Models of Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Demidova L.Y.,


    Full Text Available We discuss the basic typological and integrative theoretical models that explain the occurrence of child sexual abuse and the differences detected among the perpetrators of crimes against sexual integrity of minors. A comprehensive review of the theoretical concepts of sexual abuse in our country, in fact has not been carried out, and in this paper for the first time we made such an attempt. It is shown that the existing notions of sexual abuse largely overlap each other, but each of the models somehow takes into account the factors not explicitly addressed in other concepts. Systematic consideration of the theoretical models of sexual abuse can generalize and systematize the available data on the mechanisms of pedophile behavior. This review provides an opportunity to develop a new benchmark in the study of sexual abuse, get closer to building the most accurate and comprehensive model. In turn, this may contribute to solving the questions about the factors, dynamics, and the prevention of criminal sexual conduct against children

  1. Methylphenidate and dextroamphetamine abuse in substance-abusing adolescents. (United States)

    Williams, Robert J; Goodale, Leslie A; Shay-Fiddler, Michele A; Gloster, Susan P; Chang, Samuel Y


    The prevalence of methylphenidate and dextroamphetamine misuse and abuse was examined in 450 adolescents referred for substance abuse treatment. Twenty three percent reported nonmedical use of these substances and six percent were diagnosed as methylphenidate or dextroamphetamine abusers. Abuse was more common in individuals who were out of school and had an eating disorder. Methylphenidate and dextroamphetamine abuse appears to be much less common than abuse of most other substances. It does occur, however, and parents and schools need to exert greater control over the dispensing of these medications. Physicians are advised to prescribe non-stimulant medications (eg, bupropion) when treating attention deficit hyperactivity disorder in substance-abusing individuals.

  2. Correlates of Disclosure Cessation After Sexual Assault. (United States)

    Dworkin, Emily R; Allen, Nicole


    Contacts with responders after sexual assault may influence further disclosure, but this possibility has not been explored empirically. Thus, this study investigates associations between survivors' contacts with responders and their decisions to discontinue disclosure. Fifty-four college students with a history of unwanted sexual experiences described 94 ordered contacts with responders. Results indicate that survivors' perceptions of responsiveness were not associated with continued disclosure, but survivors were more likely to continue disclosing when they perceived more rape myth acceptance from responders and when the assault was more recent. These findings highlight survivors' tenacity in meeting their needs, even after problematic responses.

  3. Amelioration of sexual fantasies to sexual abuse cues in an adult survivor of childhood sexual abuse: a case study. (United States)

    Wilson, Jane E; Wilson, Keith M


    Although sexual dysfunction of childhood sexual abuse survivors has received considerable attention, other sexual difficulties experienced by survivors of CSA, such as sexual fantasies to cues of sexual abuse, have received less attention. In this A-B design case study, a young adult female survivor of childhood sexual abuse presented for treatment at a Midwest rape crisis center. After successful treatment of post-traumatic stress disorder, she complained of unwanted sexual fantasies to sexual abuse cues and concomitant guilt and shame. Following baseline data collection, treatment consisted of self-applied aversion therapy to unwanted sexual arousal to sexual abuse cues. Decrease in sexual arousal to these cues was concurrent with the introduction of treatment. A concomitant decrease in guilt and shame occurred while self-ratings of control increased.

  4. Encountering Child Abuse at Camp. (United States)

    Durall, John K.


    Defines child abuse, including the three categories: physical, sexual, and psychological. Presents characteristics and behaviors of each type of abuse, and long-term effects. Discusses how to handle abuse that occurs at camp, and the effects on the camp. Sidebars present abuse statistics, 15 activities that promote psychological wellness, and 8…

  5. Child Abuse and Mandated Reporting (United States)

    Woika, Shirley; Bowersox, Carissa


    Teachers and teachers-in-training are mandated reporters; they are legally required to report any suspected child abuse or neglect. This article describes: (1) How to file a report; (2) How prevalent child abuse is; (3) What abuse is; (4) What it means to be a mandated reporter; (5) When the report should be made; and (6) What to do if abuse is…

  6. Children intoxications: what is abuse and what is not abuse. (United States)

    Dinis-Oliveira, Ricardo Jorge; Magalhães, Teresa


    The curiosity and the natural tendency to explore the environment put young children at an increased risk of poisoning over older children and adults. Poisonings are a significant area of concern from 1 year of age and progressively contribute more to overall rates of morbidity and mortality until children reach adulthood. Particularly, the abuse of children by poisoning is also highly common with thousands of fatalities. A practical strategy is presented that aims to alert health, forensic, and law enforcement professionals to this problem and to demystify the preconception that it is a rare form of abuse or neglect. Compounds that are foreign to a living organism (xenobiotics) and those present within body (endobiotics), mainly involved in children intoxications and contextual examples related to exposure are also reviewed. Particular concern is given to concepts in the field of children poisoning. The described history and the clinical and toxicological evaluation are discussed, and harmonized protocols regarding correct procedures for sample collection to forensic toxicological analysis are proposed. Since children are particularly vulnerable to the toxic effects of high doses of xenobiotics and endobiotics, special consideration on the preparation of the environment that surrounds children in order minimize all possible risks will be also considered.

  7. Enterprise risk management and disclosure

    Directory of Open Access Journals (Sweden)

    Nicoleta Farcane


    Full Text Available Our paper deals with aspects regarding risk and uncertainty. Many risk management methods are today implemented in organizations. This perspective reveals that managers are linked in different forms to the activities they are managing, depending on the conditions and levels of uncertainty they are in. Actually, these multiple levels of uncertainty lead to the conclusion that any situation in an organizational system can be classified in two different models of organizational phenomena: the organizational phenomena that are putting managers and stakeholders in conditions of risk and the organizational phenomena that are putting them in condition of uncertainty. Using content analyze in this paper we survey the disclosure level of risk management information in the annual report of top Romanian listed companies.


    Directory of Open Access Journals (Sweden)

    Cuzdriorean Dan Dacian


    Full Text Available This empirical study extends the study conducted by Vladu, Grosanu and Cuzdriorean (2012 and reached similar conclusions. This particular research was conducted with the scope of assessing the impact of: positive bias, persuasive language, creative visual manipulation and performance comparisons over the unsophisticated users of accounting opinion. We have chosen this particular category since retail investors have been identified as relying on the information provided in corporate annual reports for decision making (Wills, 2008. Based on their relative inexperience and limited knowledge of these investors it is plausible that they can be mislead easily comparing to more sophisticated users of accounting information, as financial analysts. The main argument for conducting such a research is the fact that little research was conducted so far and the effects of creative disclosure on investment decision cannot be assessed so far. Based on this, we conducted a laboratory experiment where participants where provided with an informational set of financial data and required to make an investment decision. Our results document that the users perceptions is strongly affected by creative disclosure, contradictory with previous results documented in the literature, that their opinion cannot be influenced since they relay mostly on numerical information and less on the narrative segments of the financial statements. Even if our sample compressed few participants, we consider the results conclusive. A further research can extend the sample and test if our research hypothesis can be validated. Another possible spring of research can deal with the assessing of the opinion of the users of accounting information that are not considered unsophisticated, as financial analysts.

  9. Overlooked and Unheard: Abuse of Children Who Are Deaf or Hard of Hearing and Their Experience with CPS and Foster Care (United States)

    Lomas, Gabriel I.; Johnson, Harold A.


    Children with hearing loss are considered a low-incidence disability population, yet abuse among this population is up to 4 times that of children who are typically developing. The needs among this population are significant, but resources in communities across the nation are few. The authors discuss barriers to disclosure, school-based concerns,…

  10. Child Sexual Abuse (United States)

    ... sense of self-esteem, cope with feelings of guilt about the abuse, and begin the process of overcoming the trauma. Such treatment can help reduce the ... Child and Adolescent Psychiatrists Teen Suicide ...

  11. Opioid Abuse after TBI (United States)


    AD_________________ Award Number: W81XWH-11-1-0373 TITLE: " Opioid Abuse after TBI...2014 2. REPORT TYPE Annual 3. DATES COVERED 1 July 2013 - 30 June 2014 4. TITLE AND SUBTITLE " Opioid Abuse after TBI" 5a. CONTRACT NUMBER 5b...the brain’s reward circuitry which may make an injured brain more susceptible to the rewarding effects of opioids . We are currently conducting

  12. Vaccines for Drug Abuse (United States)

    Shen, Xiaoyun; Orson, Frank M.; Kosten, Thomas R.


    Current medications for drug abuse have had only limited success. Anti-addiction vaccines to elicit antibodies that block the pharmacological effects of drugs have great potential for treating drug abuse. We review the status for two vaccines that are undergoing clinical trials (cocaine and nicotine) and two that are still in pre-clinical development (methamphetamine and heroin). We also outline the challenges and ethical concerns for anti-addiction vaccine development and their use as future therapeutics. PMID:22130115

  13. Green electricity: Tracking systems for environmental disclosure

    Energy Technology Data Exchange (ETDEWEB)

    Biewald, B.E.; Ramey, J.A. [Synapse Energy Economics, Inc., Cambridge, MA (United States)


    For the first time, electricity consumers in the US are beginning to choose their generation providers. One of the opportunities created by the introduction of retail choice in electricity is the chance for customers to influence the mix of generating resources through their purchasing decisions. Some environmentally aware consumers will want {open_quotes}clean,{close_quotes} {open_quotes}green,{close_quotes} or renewable power. While some suppliers will attempt to differentiate themselves according to their environmental performance, such claims for green electricity can be particularly difficult to verify given the complexity of the interconnected electric system. Because electricity is delivered over an integrated transmission grid and kilowatt-hours at the point of retail sale are indistinguishable from each other; disclosure requires tracking protocols to attribute generation at power plants to sales at the customers` meters. Fortunately, it is possible to implement a workable disclosure system. Some states have already included disclosure requirements in their electric industry restructuring orders and legislation. In this paper, a set of design criteria for an environmental disclosure system are presented along with two methods for disclosure: the company approach and the product approach. In addition, the authors discuss of power pools, data availability issues, and propose a company-based disclosure system using a {open_quotes}wholesale sales first{close_quotes} approach to transaction accounting.

  14. Capital Market Implications of Corporate Disclosure: German Evidence

    Directory of Open Access Journals (Sweden)

    Michael Grüning


    Full Text Available This paper investigates the relationship between annual report disclosure, market liquidity, and capital cost for firms registered on the Deutsche Börse. Disclosure is comprehensively measured using the innovative Artificial Intelligence Measurement of Disclosure (AIMD. Results show that annual report disclosure enhances market liquidity by changing investors’ expectations and inducing portfolio adjustments. Trading frictions are negatively associated with disclosure. The study provides evidence for a capital-costreduction effect of disclosure based on the analysis of investors’ return requirements and market values. Altogether, no evidence is found that the information processing at the German capital market is structurally different from other markets.

  15. 75 FR 7522 - Peer Review, Conflict of Interest and Disclosure Form; Request for the Office of Management and... (United States)


    ... Occupational Safety and Health Administration Peer Review, Conflict of Interest and Disclosure Form; Request... whether or not a conflict of interest exists for a potential peer review panel member. ] DATES: Comments... draft. The selection of participants in a peer review is based on expertise, with due consideration...

  16. Suicide Disclosure in Suicide Attempt Survivors: Does Family Reaction Moderate or Mediate Disclosure's Effect on Depression? (United States)

    Frey, Laura M; Hans, Jason D; Cerel, Julie


    Existing literature has found a link between disclosure of a stigmatized identity and improved mental health; however, research on the impact of suicide disclosure to family members is scarce. Suicide attempt survivors (n = 74) in the United States were examined to assess whether family reaction moderates or mediates the relationship between suicide disclosure and subsequent depression symptoms. Family reaction did not moderate but did mediate the relationship between disclosure and depression symptoms while controlling for time since most recent attempt. Higher rates of disclosure predicted more positive family reactions, which in turn predicted less severe depression symptoms. Findings indicate that family members can play an essential role in the recovery process after an attempt occurs, which has important implications for both researchers and clinicians who seek to decrease stigma for attempt survivors while simultaneously decreasing the likelihood of future attempts.

  17. The complexities of elder abuse. (United States)

    Roberto, Karen A


    Elder abuse is a growing societal concern, affecting at least 1 in 10 older Americans. Researchers and practitioners alike consistently assert that a dramatic discrepancy exists between the prevalence rates of elder abuse and the number of elder abuse cases reported. As a field of study, recognition and understanding of elder abuse is still emerging. Comparing findings of a small, but growing, body of literature on perceived and substantiated cases of elder abuse is challenging because there is no uniform term or agreed-upon definition used among state governments, researchers, health care and service providers, and advocates. This article summarizes current understanding of elder abuse, including what constitutes elder abuse, risk factors for elder abuse, perpetrators of elder abuse, and outcomes of elder abuse. Issues associated with the detection of elder abuse and intervention strategies for victims of abuse are addressed. In the final section, potential roles and contributions of psychologists for advancing elder abuse research, professional practice, and policy development are highlighted. (PsycINFO Database Record

  18. Geriatric forensics - Part 2 "Prevalence of elder abuse and their potential forensic markers among medical and dental patients"

    Directory of Open Access Journals (Sweden)

    Khurshid A Mattoo


    Full Text Available Context: This study is a continuation of the earlier studies and has been extended to investigate the potential forensic markers of elder abuse. Aims: To determine the prevalence of elder abuse in various outpatient departments (OPDs. To study the associated parameters related to the abuser and the abused. To determine the existence of potential forensic markers of elder abuse. Settings and Design: The subjects were randomly selected from the medical and the dental OPDs of the university. Materials and Methods: Eight hundred and thirty two elderly subjects in the age range 40-60 years were interviewed using a questionnaire to determine the existence of elder abuse. The subjects were investigated and examined for weight, nutrition and hydration, vital signs, habits, existing visual and auditory capabilities, medications, disclosure of wills/deeds, signs of depression, and documented cleanliness. The mini-mental state examination, the Geriatric Depression Scale, the Clock drawing test, and the Brief Psychiatric Rating Scale were used to determine the potential forensic markers. Statistical Analysis Used: Mean values in percentage were determined by dividing the number of determined subjects by the total number of subjects for that parameter. Results: About 37% in medical and 41% in dental OPDs were found to have suffered from abuse, mostly in the age group 60-70 years. Females received more abuse and a combination of son and daughter-in-law constituted most abusers. Various potential markers of elder abuse and neglect investigated among the elder abuse victims included depression (89%, signs of improper feeding (83%, changes in personal hygiene (69%, need for medical/dental treatment (78%, medication misuse (67%, changes in wills/deeds (26%, decubiti (10%, bruises (17%, skin tears (27%, and confusion (23%. Conclusions: Elder abuse exists in one or more forms in both medical and dental OPDs among both males and females in all age groups.

  19. Psychosocial Characteristics of Drug-Abusing Women. Services Research Monograph Series. (United States)

    Burt, Marvin R.; And Others

    In recent years considerable attention has been paid to the status of women as drug abusers and as clients in drug treatment programs. A study of drug abusers' characteristics found a significantly higher history of non-medical psychotherapeutic drug use for females than for males; however, males had a higher prevalence of illicit drug use.…

  20. Use of Brief Interventions for Drug Abusing Teenagers within a Middle and High School Setting (United States)

    Winters, Ken C.; Leitten, Willa; Wagner, Eric; Tevyaw, Tracy O'Leary


    Background: Promising and encouraging results have been recently reported on the use of briefer interventions for adolescent drug abusers. Because middle- and high-school-based drug abuse intervention programs have grown in popularity over the past several decades, the use of brief interventions (BIs) in school settings merits consideration.…

  1. Why Do Teachers Choose to Implement or Reject Drug Abuse Prevention Programs? (United States)

    Campbell, James Reed; Swanchak, John

    State and local school systems have developed comprehensive drug abuse prevention programs that appear to have little influence on the rising tide of teenage drug abuse. Classroom teachers, as implementors of such programs, frequently veto them or change them considerably. Forty secondary teachers were selected as research subjects to examine this…

  2. The Child Abuse

    Directory of Open Access Journals (Sweden)

    Hossein abbasnezhadriyabi


    Full Text Available While a large number of children are losing their lives due to poverty, malnutrition, contagious diseases and war, we are witnessing hundreds of children death by reason of misbehaving. Today, "child abuse" as a social-cultural phenomenon which shows crisis in a society, has a growing process in our country. The goal of this research was to investigate the base factors of child abuse that according to the results are consist as follows, poverty, unemployment, addiction, large families, single-parent, Considering the increase of factors such as poverty, addiction, unemployment, divorce, temporary marriage, street children and other effective factors, the hypothesis based on growth of child abuse was proved in Iran.

  3. Substance Abuse Treatment Facilities Locator (United States)

    U.S. Department of Health & Human Services — The Substance Abuse and Mental Health Services Administration (SAMHSA) provides on-line resource for locating drug and alcohol abuse treatment programs. The...

  4. Child Abuse or Osteogenesis Imperfecta? (United States)

    Child Abuse or Osteogenesis Imperfecta? 804 W. Diamond Ave., Ste. 210 Gaithersburg, MD 20878 (800) 981-2663 (301) ... welfare services to report a suspected case of child abuse. The child is taken away from the parents ...

  5. Adolescent Relationship Abuse (ARA) Toolkit (United States)

    U.S. Department of Health & Human Services — The Adolescent Relationship Abuse (ARA) Toolkit provides information and strategies on how to: incorporate abuse prevention into programming; conduct staff training;...

  6. Child neglect and psychological abuse (United States)

    ... or neglect, call 911. Call the Childhelp National Child Abuse Hotline (1-800-4-A-CHILD). Know that ... can/identifying/. Accessed November 21, 2014. Read More Child abuse - physical Review Date 11/20/2014 Updated by: ...

  7. Substance abuse and child maltreatment. (United States)

    Wells, Kathryn


    Pediatricians and other medical providers caring for children need to be aware of the dynamics in the significant relationship between substance abuse and child maltreatment. A caregiver's use and abuse of alcohol, marijuana, heroin, cocaine, methamphetamine, and other drugs place the child at risk in multiple ways. Members of the medical community need to understand these risks because the medical community plays a unique and important role in identifying and caring for these children. Substance abuse includes the abuse of legal drugs as well as the use of illegal drugs. The abuse of legal substances may be just as detrimental to parental functioning as abuse of illicit substances. Many substance abusers are also polysubstance users and the compounded effect of the abuse of multiple substances may be difficult to measure. Often other interrelated social features, such as untreated mental illness, trauma history, and domestic violence, affect these families.

  8. 14 CFR 298.70 - Public disclosure of data. (United States)


    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Public disclosure of data. 298.70 Section... Disclosure of Data § 298.70 Public disclosure of data. (a) Detailed domestic on-flight market data and... available for three years. Industry and carrier summary data may be made public before the end of six...

  9. 14 CFR 291.60 - Public disclosure of data. (United States)


    ... 14 Aeronautics and Space 4 2010-01-01 2010-01-01 false Public disclosure of data. 291.60 Section... PROCEEDINGS) ECONOMIC REGULATIONS CARGO OPERATIONS IN INTERSTATE AIR TRANSPORTATION Public Disclosure of Data § 291.60 Public disclosure of data. (a) Detailed domestic on-flight market data and nonstop segment...

  10. 12 CFR 998.2 - Registration and periodic disclosures. (United States)


    ... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Registration and periodic disclosures. 998.2 Section 998.2 Banks and Banking FEDERAL HOUSING FINANCE BOARD FEDERAL HOME LOAN BANK DISCLOSURES REGISTRATION OF FEDERAL HOME LOAN BANK EQUITY SECURITIES § 998.2 Registration and periodic disclosures....

  11. 4 CFR 83.6 - Accounting of certain disclosures. (United States)


    ... 4 Accounts 1 2010-01-01 2010-01-01 false Accounting of certain disclosures. 83.6 Section 83.6... Accounting of certain disclosures. (a) With respect to each system of personnel records, GAO shall, except for disclosures made under §§ 83.4(a) and 83.4(b), keep an accurate accounting of— (1) The...

  12. 31 CFR 1.25 - Accounting of disclosures. (United States)


    ... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Accounting of disclosures. 1.25... Privacy Act § 1.25 Accounting of disclosures. (a) Accounting of certain disclosures. Each component, with respect to each system of records under its control, shall: (1) Keep an accurate accounting of: (i)...

  13. 49 CFR 10.23 - Accounting of disclosures. (United States)


    ... 49 Transportation 1 2010-10-01 2010-10-01 false Accounting of disclosures. 10.23 Section 10.23... INDIVIDUALS Maintenance of Records § 10.23 Accounting of disclosures. Each operating administration, the... accurate accounting of: (1) The date, nature, and purpose of each disclosure of a record to any person...

  14. 45 CFR 503.4 - Accounting of certain disclosures. (United States)


    ... 45 Public Welfare 3 2010-10-01 2010-10-01 false Accounting of certain disclosures. 503.4 Section... SUNSHINE REGULATIONS Privacy Act Regulations § 503.4 Accounting of certain disclosures. (a) Except for disclosures under § 503.3(a) and (b) of this part, the Administrative Officer will keep an accurate...

  15. 8 CFR 103.30 - Accounting for disclosures. (United States)


    ... 8 Aliens and Nationality 1 2010-01-01 2010-01-01 false Accounting for disclosures. 103.30 Section... DUTIES; AVAILABILITY OF RECORDS § 103.30 Accounting for disclosures. (a) An accounting of each disclosure of information for which accounting is required (see § 103.24 of this part) shall be attached to...

  16. 12 CFR Appendix A to Part 37 - Short Form Disclosures (United States)


    ... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Short Form Disclosures A Appendix A to Part 37... AND DEBT SUSPENSION AGREEMENTS Pt. 37, App. A Appendix A to Part 37—Short Form Disclosures • This... will not receive a refund. • Additional disclosures We will give you additional information before...

  17. 37 CFR 251.32 - Financial disclosure statement. (United States)


    ... 37 Patents, Trademarks, and Copyrights 1 2010-07-01 2010-07-01 false Financial disclosure... PROCEDURE Standards of Conduct § 251.32 Financial disclosure statement. (a) Within 45 days of their... shall file with the Librarian an updated confidential financial disclosure form or, if there are...

  18. 28 CFR 17.42 - Positions requiring financial disclosure. (United States)


    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Positions requiring financial disclosure... financial disclosure. (a) The Assistant Attorney General for Administration, in consultation with the... Department Security Officer: (1) A financial disclosure form developed pursuant to section 1.3(c)...

  19. 39 CFR 10.4 - Financial disclosure reports. (United States)


    ... 39 Postal Service 1 2010-07-01 2010-07-01 false Financial disclosure reports. 10.4 Section 10.4... CONDUCT FOR POSTAL SERVICE GOVERNORS (ARTICLE X) § 10.4 Financial disclosure reports. (a) Requirement of submission of reports. At the time of their nomination, Governors complete a financial disclosure...

  20. 34 CFR 682.205 - Disclosure requirements for lenders. (United States)


    ... loan to another party and, if it does, that the address and identity of the party to which... section; or (ii) The plain language disclosure approved by the Secretary under paragraph (g) of this... or electronic means. (g) Plain language disclosure. The plain language disclosure text, as...

  1. 25 CFR 141.48 - Translation of disclosure statements. (United States)


    ... 25 Indians 1 2010-04-01 2010-04-01 false Translation of disclosure statements. 141.48 Section 141.48 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS... Translation of disclosure statements. Disclosure required by §§ 141.46 and 141.47 shall be made in...

  2. 31 CFR 50.12 - Clear and conspicuous disclosure. (United States)


    ... INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.12 Clear and conspicuous disclosure. (a... circumstances of the disclosure. See § 50.17 for model forms. (b)(1) Description of premium. An insurer may..., consistent with the definition of an act of terrorism as amended by the Terrorism Risk Insurance...

  3. 48 CFR 27.305-4 - Protection of invention disclosures. (United States)


    ... 48 Federal Acquisition Regulations System 1 2010-10-01 2010-10-01 false Protection of invention....305-4 Protection of invention disclosures. (a) The Government will, to the extent authorized by 35 U.S.C. 205, withhold from disclosure to the public any invention disclosures reported under the...

  4. 7 CFR 550.54 - Invention disclosure and utilization reporting. (United States)


    ... 7 Agriculture 6 2010-01-01 2010-01-01 false Invention disclosure and utilization reporting. 550.54... Management of Agreements Reports and Records § 550.54 Invention disclosure and utilization reporting. (a) The Cooperator shall report Invention Disclosures and Utilization information electronically via i-Edison...

  5. 5 CFR 293.406 - Disclosure of records. (United States)


    ... RECORDS Employee Performance File System Records § 293.406 Disclosure of records. Disclosure as used here... of official duties. Disclosure of information from this file system shall be made only as permitted..., only under a routine use published by the Office for the system of records covering these...

  6. How older persons explain why they became victims of abuse

    DEFF Research Database (Denmark)

    Mysyuk, Yuliya; Westendorp, Rudi Gerardus Johannes; Lindenberg, Jolanda


    independently, in residential care facilities and nursing homes. SUBJECTS: six males and 11 females aged 63-90 years. RESULTS: the main causes of abuse identified by older victims themselves were mutual dependency between victim and perpetrator, power and control imbalances, loneliness and a marginalised social...... with the perpetrator. Coping strategies mentioned by victims were seeking informal or professional help and using self-help strategies. CONCLUSION: older victims perceive abuse differently depending on the expected acceptability of the type(s) of abuse experienced and the anticipated stigma associated...... with the perpetrator involved. The effects and chosen coping strategies are influenced by these considerations and therewith also influence their help-seeking behaviour. Healthcare professionals are encouraged to use these findings in practice to prevent, detect and intervene in elder abuse....

  7. Synthetic cathinone abuse

    Directory of Open Access Journals (Sweden)

    Capriola M


    Full Text Available Michael Capriola Thomasville Medical Center, Thomasville, NC, USA Abstract: The abuse of synthetic cathinones, widely known as bath salts, has been increasing since the mid-2000s. These substances are derivatives of the naturally occurring compound cathinone, which is the primary psychoactive component of khat. The toxicity of synthetic cathinones includes significant sympathomimetic effects, as well as psychosis, agitation, aggression, and sometimes violent and bizarre behavior. Mephedrone and methylenedioxypyrovalerone are currently the predominantly abused synthetic cathinones. Keywords: designer drugs/chemistry, street drugs/pharmacology, substance-related disorders/epidemiology, alkaloids/poisoning

  8. Medical confidentiality versus disclosure: Ethical and legal dilemmas.

    LENUS (Irish Health Repository)

    Agyapong, V I O


    A case is described of a fifty year old single man who made disclosures about criminal sexual practices during a psychiatric assessment. In common practice with other professional men, a doctor is under a duty not to disclose, without the consent of his patient, information which he has gained in his professional capacity other than in exceptional circumstances. We discuss the ethical and legal considerations surrounding issues of medical confidentiality and the dilemma that sometimes face clinicians, when they feel obliged, in the public interest, to disclose information they have gained in confidence. Breach of confidences can have deleterious consequences; particularly for the doctor-patient relationship, but failure to disclose in some situations could have serious implications for the well-being of the wider society. Doctors should be aware of the basic principles of confidentiality and the ethical and legal framework around which they are built.

  9. Problems in Universities' Financial Information Disclosure and Countermeasures%高校财务信息公开所面临的问题及对策

    Institute of Scientific and Technical Information of China (English)

    李云; 兰莹


    Financial information disclosure in universities is an important component in universities' information disclosure.In this article,the necessity and some problems in universities' financial information disclosure are analyzed.Taking the actual financial situation in universities into consideration,it puts forward some suggestions which aim to improve financial information disclosure.%高校财务公开是高等学校信息公开的重要组成部分,在信息公开中处于重要地位。分析了高校财务信息公开的必要性,存在的问题,以及提出结合各自高校实际,推进财务信息公开的建议。

  10. Corporate compliance and voluntary disclosure. (United States)

    Schiff, A B


    In any event, the decision to institute a corporate compliance program is a relatively simple one. In view of the ambiguity surrounding certain fraud and abuse provisions, and the corporate "death sentence" that may result from program exclusion, a compliance program is always sound corporate policy. To be sure, if the compliance program is administered improperly, it can actually increase the likelihood of whistleblower actions and create a body of potentially hurtful documentation. But these dangers can be minimized by structuring the program to protect the self-evaluative process through relevant privileges. The risks also pale in comparison to the exposure to criminal or exclusionary sanctions when improper conduct goes undetected by an organization.

  11. The Drug-Abuse Questionnaire. (United States)

    Ferneau, E.; Mueller, S.

    The drug-abuse questionnaire used to survey college student attitudes on the subject is provided. It is identical to the alcoholism questionnaire except for word changes appropriate to the subject matter. The questionnaire consists of 40 statements about drug abuse and drug abusers, with 7 possible responses: (1) completely disagree; (2) mostly…

  12. Recognizing the adolescent drug abuser. (United States)

    MacKenzie, R G; Jacobs, E A


    Adolescents are at high risk for using and abusing illicit drugs. Guidelines for recognizing drug abusers are presented as well as a staging process for progression of drug use. The family physician is in an ideal position to identify young users/abusers and to assist them and their families in obtaining much needed assistance.

  13. Drug Abuse in Southeast Asia. (United States)

    Scorzelli, James F.

    This report examines the incidence of drug abuse and the methods of treatment and prevention of drug abuse used in Southeast Asia. Countries studied include Malaysia, Singapore, Thailand, Indonesia, and the Philippines. Because of Malaysia's intensive effort to eliminate its drug abuse problem, emphasis is placed on this country's treatment and…

  14. Geriatric Alcoholism and Drug Abuse (United States)

    Schuckit, Marc A.


    This paper reviews the literature and presents new data on alcohol and drug problems in older individuals. Drug abusers include users of opiates, inadvertent misusers, and deliberate abusers of nonopiates. Two to 10 percent of the elderly are alcoholic, and these are usually individuals beginning alcohol abuse after age 40. (Author)

  15. Substance abuse and criminal behavior. (United States)

    Bradford, J M; Greenberg, D M; Motayne, G G


    As forensic psychiatry develops as a clinical subspecialty, clinical skill in understanding, treating, and predicting violent behavior will become more important. This article addresses the importance of understanding the relationship between substance abuse and violent behavior. This article also discusses morbidity and mortality in substance abuse, the demographics of substance abuse and criminality, and the clinical aspects of the forensic psychiatric evaluation.

  16. Determinants of The Islamic Social Reporting Disclosure

    Directory of Open Access Journals (Sweden)

    Uun Sunarsih


    Full Text Available The issue of corporate responsibility was a warm up for discussion. This study aimed to analyze the influence of company issuing sukuk, size, and profitability on the disclosure of Islamic Social Reporting. This study uses secondary data obtained through the site and by using purposive sampling. The results showed that only size that affect the disclosure of ISR, so the larger the total assets of the greater disclosure of Islamic Social Reporting. Sukuk issuance has no effect because the ownership structure of companies in Asia, including Indonesia tends to family ownership concentration. Profitability has no effect because the company has a perspective that is different to the Islamic Social Reporting.DOI: 10.15408/aiq.v9i1.3771

  17. Effects of sponsorship disclosure timing on the processing of sponsored content: a study on the effectiveness of European disclosure regulations

    NARCIS (Netherlands)

    Boerman, S.C.; van Reijmersdal, E.A.; Neijens, P.C.


    This study investigates whether the timing of sponsorship disclosure affects viewers’ processing of sponsored content, and whether a disclosure influences the persuasive effect of the sponsored content. A model is proposed in which sponsorship disclosure enhances the recognition of sponsored televis

  18. Interpersonal types among alcohol abusers: a comparison with drug abusers. (United States)

    Turner, J A; Mayr, S


    Interpersonal types among alcohol abusers were examined with Calsyn, Roszell, and Anderson's (1988) nine-type system for classifying FIRO-B profiles. The frequencies of the nine FIRO-B types among a sample of 135 male veteran alcohol abusers were compared with Calsyn et al.'s (1988) previously published data for a sample of male veteran drug abusers, a normative veteran sample, and a general population sample. The alcohol abusers, like Calsyn et al.'s sample of drug abusers, were more likely to be categorized as "loners," "rebels," and "pessimists" than was the general population sample. While exhibiting preferences for interpersonal types that emphasized social withdrawal, avoidance of responsibility, and mistrust of others, both the alcohol abusers and the drug abusers were heterogeneous groups whose members demonstrated a variety of interpersonal types.

  19. Strategic Disclosure of Demand Information by Duopolists

    DEFF Research Database (Denmark)

    Jansen, Jos; Pollak, Andreas

    We study the strategic disclosure of demand information and product-market strategies of duopolists. In a setting where firms may fail to receive information, we show that firms selectively disclose information in equilibrium in order to influence their competitor's product-market strategy....... Subsequently, we analyze the firms' behavior in a laboratory experiment. We find that subjects often use selective disclosure strategies, and this finding appears to be robust to changes in the information structure, the mode of competition, and the degree of product-market conduct that is largely consistent...

  20. Non-heterosexual disclosure at the workplace

    DEFF Research Database (Denmark)

    Voergård-Olesen, Rikke Karen; Eskerod, Pernille


    informants and across situations in the working life, e.g. at the job-interview, dealing with customers, at lunch breaks, at workplace-related parties. The empirical study shows that disclosure is not a matter of ‘once and for all’. Non-heterosexuals are on a continuous basis confronted with choice...... non-heterosexual women, 34-44 years old, working in Denmark, open (to some degree) about their sexual orientation, and representing more industries and educational backgrounds. Even though the informants claimed openness, significant differences concerning disclosure were identified - across...

  1. Intellectual capital disclosure and dividend policy

    DEFF Research Database (Denmark)

    Nielsen, Christian; Farooq, Omar


    not only have high payout ratios, but also have a greater likelihood of increasing and paying dividends. Our findings are consistent with our hypothesis that lower information asymmetries of firms with high intellectual capital disclosure lead to more favourable dividend policies. In opposition...... financial reports, while data on dividend policies was retrieved from Worldscope. This paper defines dividend policies by three variables: (1) Dividend payout ratio, (2) Decision to pay dividend, and (3) Increase in dividend payout. The results show that firms with higher intellectual capital disclosures...

  2. Profiles of pregabalin and gabapentin abuse by postmortem toxicology. (United States)

    Häkkinen, Margareeta; Vuori, Erkki; Kalso, Eija; Gergov, Merja; Ojanperä, Ilkka


    Pregabalin (PRG) and gabapentin (GBP) are used in the treatment of neuropathic pain and epilepsy, and PRG also in generalized anxiety disorder. There is increasing evidence that PRG possesses considerable abuse potential. PRG may have a higher addiction potential than GBP due to its rapid absorption and faster onset of action. Our objective is to estimate the proportion of all PRG- and GBP-related fatalities attributable to PRG and GBP abuse. We investigated all medico-legal death cases in Finland in which PRG or GBP was found in postmortem toxicology during 2010-2011. PRG was found in 316 cases and GBP in 43 cases. Drug abuse was associated with 48.1% of the PRG and 18.6% of the GBP findings. PRG poisoning accounted for 10.1% of all PRG cases and GBP poisoning for 4.7% of all GBP cases. In the drug abuser cases, PRG poisoning represented 19.1%, and GBP poisoning 12.5%. The median blood concentration of PRG was 15 mg/L in the abuser group and 5.8 mg/L in the other cases. For GBP, these concentrations were 12 mg/L and 8.3mg/L, respectively. In the PRG abuser group, 91.4% of cases showed concomitant opioid use, while in the rest of these cases neither alcohol nor opioids were detected, but other central nervous system acting drugs were found in each abuser case. In the GBP abuser group, 87.5% of cases showed concomitant opioid use. PRG abuse with high doses is increasingly common and can be fatal when combined with opioids.

  3. Treatment for Child Abusers (United States)

    Tracy, James J.; Clark, Elizabeth H.


    Staff of a child abuse program in a Philadelphia hospital worked with parents in their own homes to help them develop greater competence as adults and as parents. This article describes the use of social learning theory, with some techniques of behavior therapy, as the basis for treatment. (Author)

  4. Other Drugs of Abuse (United States)

    ... OtherDrugsofAbuse_012017.pdf Previous Index Español English Español PDF Version Download Treatment & Recovery Information Treatment and Recovery ... the U.S. Department of Health and Human Services . PDF documents require the free Adobe Reader . Microsoft Word ...

  5. Drug abuse in athletes

    Directory of Open Access Journals (Sweden)

    Reardon CL


    Full Text Available Claudia L Reardon, Shane Creado Department of Psychiatry, University of Wisconsin School of Medicine and Public Health, Madison, WI, USA Abstract: Drug abuse occurs in all sports and at most levels of competition. Athletic life may lead to drug abuse for a number of reasons, including for performance enhancement, to self-treat otherwise untreated mental illness, and to deal with stressors, such as pressure to perform, injuries, physical pain, and retirement from sport. This review examines the history of doping in athletes, the effects of different classes of substances used for doping, side effects of doping, the role of anti-doping organizations, and treatment of affected athletes. Doping goes back to ancient times, prior to the development of organized sports. Performance-enhancing drugs have continued to evolve, with “advances” in doping strategies driven by improved drug testing detection methods and advances in scientific research that can lead to the discovery and use of substances that may later be banned. Many sports organizations have come to ban the use of performance-enhancing drugs and have very strict consequences for people caught using them. There is variable evidence for the performance-enhancing effects and side effects of the various substances that are used for doping. Drug abuse in athletes should be addressed with preventive measures, education, motivational interviewing, and, when indicated, pharmacologic interventions. Keywords: doping, athletes, steroids, drug abuse, mental illness

  6. Prescription Drug Abuse (United States)

    ... an opportunity to confront the person about the consequences of addiction and ask him or her to accept treatment. Think of an intervention as giving your loved one a clear opportunity to make changes before things get really bad. Prescription drug abuse may occur in people who ...

  7. Infant crying and abuse

    NARCIS (Netherlands)

    Reijneveld, S.A.; van der Wal, M.F.; Brugman, E.; Hira Sing, R.A.; Verloove-Vanhorick, S.P.


    Child abuse and neglect are important causes of child morbidity and death. We assessed potentially detrimental parental actions induced by infant crying in 3259 infants aged 1-6 months, in the Netherlands. In infants aged 6 months, 5.6% (95% CI 4.2-7.0) of parents reported having smothered, slapped,

  8. New drugs of abuse. (United States)

    Rech, Megan A; Donahey, Elisabeth; Cappiello Dziedzic, Jacqueline M; Oh, Laura; Greenhalgh, Elizabeth


    Drug abuse is a common problem and growing concern in the United States, and over the past decade, novel or atypical drugs have emerged and have become increasingly popular. Recognition and treatment of new drugs of abuse pose many challenges for health care providers due to lack of quantitative reporting and routine surveillance, and the difficulty of detection in routine blood and urine analyses. Furthermore, street manufacturers are able to rapidly adapt and develop new synthetic isolates of older drugs as soon as law enforcement agencies render them illegal. In this article, we describe the clinical and adverse effects and purported pharmacology of several new classes of drugs of abuse including synthetic cannabinoids, synthetic cathinones, salvia, desomorphine, and kratom. Because many of these substances can have severe or life-threatening adverse effects, knowledge of general toxicology is key in recognizing acute intoxication and overdose; however, typical toxidromes (e.g., cholinergic, sympathomimetic, opioid, etc.) are not precipitated by many of these agents. Medical management of patients who abuse or overdose on these drugs largely consists of supportive care, although naloxone may be used as an antidote for desomorphine overdose. Symptoms of aggression and psychosis may be treated with sedation (benzodiazepines, propofol) and antipsychotics (haloperidol or atypical agents such as quetiapine or ziprasidone). Other facets of management to consider include treatment for withdrawal or addiction, nutrition support, and potential for transmission of infectious diseases.

  9. Drugs and Drug Abuse. (United States)

    Anastas, Robert, Comp.; And Others.

    GRADES OR AGES: Secondary grades. SUBJECT MATTER: Drugs and drug abuse. ORGANIZATION AND PHYSICAL APPEARANCE: The guide is divided into several sections, each of which is in outline or list form. It is xeroxed and spiral-bound with a paper cover. OBJECTIVES AND ACTIVITIES: No objectives are mentioned. The major portion of the guide contains a…

  10. A Method of Eliminating Information Disclosure in View Publishing

    Institute of Scientific and Technical Information of China (English)

    LIU Guohua; GAO Shihong


    Although it is convenient to exchange data by publishing view, but it may disclose sensitive information. The problem of how to eliminate information disclosure becomes a core problem in the view publishing process. In order to eliminate information disclosure, deciding view security algorithm and eliminating information disclosure algorithm are proposed, and the validity of the algorithms are proved by experiment. The experimental results showing, deciding view security algorithm can decide the safety of a set of views under prior knowledge, and eliminating information disclosure algorithm can eliminate disclosure efficiently.

  11. Factors Associated with Disclosure of Intimate Partner Violence among Women in Lagos, Nigeria.

    Directory of Open Access Journals (Sweden)

    Bjarne Jansson


    Full Text Available Background: Though the prevalence of Intimate Partner Violence (IPV remains high in less developed countries, data suggest that these figures may represent an underestimation considering that many women are unwilling to disclose abuse. This paper aims to determine women’s willingness to report abuse, factors determining willingness to disclose IPV, and to whom such disclosure is made.Methods:A total of 911 women visiting reproductive health facility responded to the questionnaire, and the collected data was analyzed using multivariate analysis. Results: About 54% (n=443 of the participating women reported that would not disclose IPV. Among those willing to disclose abuse, 68% (n=221 would opt to disclose to close relatives in contrast to 32% (n=103 who would disclose to some form of institutions (i.e. religious leaders, law enforcement officers. Ethnicity, woman’s own use of alcohol and autonomy in decision making such as having a say on household purchases, money use and visitation, independently predicted willingness to disclose IPV. Conclusions:The role of family is still important in the Nigeria context and the implications for research and intervention are discussed.

  12. Factors Associated with Disclosure of Intimate Partner Violence among Women in Lagos, Nigeria (United States)

    Okenwa, Leah; Lawoko, Stephen; Jansson, Bjarne


    Abstract: Background: Though the prevalence of Intimate Partner Violence (IPV) remains high in less developed countries, data suggest that these figures may represent an underestimation considering that many women are unwilling to disclose abuse. This paper aims to determine women's willingness to report abuse, factors determining willingness to disclose IPV, and to whom such disclosure is made. Methods: A total of 911 women visiting reproductive health facility responded to the questionnaire, and the collected data was analyzed using multivariate analysis. Results: About 54% (n=443) of the participating women reported that would not disclose IPV. Among those willing to disclose abuse, 68% (n=221) would opt to disclose to close relatives in contrast to 32% (n=103) who would disclose to some form of institutions (i.e. religious leaders, law enforcement officers). Ethnicity, woman's own use of alcohol and autonomy in decision making such as having a say on household purchases, money use and visitation, independently predicted willingness to disclose IPV. conclusions: The role of family is still important in the Nigeria context and the implications for research and intervention are discussed. PMID:21483190

  13. Hospitalizations among homeless women: are there ethnic and drug abuse disparities? (United States)

    Gelberg, Lillian; Andersen, Ronald; Longshore, Douglas; Leake, Barbara; Nyamathi, Adeline; Teruya, Cheryl; Arangua, Lisa


    This paper explores associations among the vulnerabilities of being female, being a member of a minority group, and being a drug abuser in homeless women's hospitalizations. It uses a 1997 probability survey of 974 homeless females age 15-44 in Los Angeles. In unadjusted analyses, whites were more likely than other ethnic minority groups to be hospitalized, and drug abusers were more likely to be hospitalized than non-drug abusers. Multiple logistic regression analyses indicated that factors associated with hospitalization differed considerably among the ethnic and drug-abuse subgroups. For example, ethnic disparities in inpatient health care were found for drug-abusing women, but not for those who did not abuse drugs. Pregnancy was the only important determinant of hospitalization in all subgroups (OR, 2.9-17.4). Preventing unintended pregnancy appears to be the most inclusive means of reducing hospitalization and attendant costs among homeless women.

  14. The Comparison of Identity Formation Styles in Teenagers with/without Substance Abuse

    Directory of Open Access Journals (Sweden)

    Frarid Ahmadi


    Full Text Available Aims: The aim of this research was the study of the role of identity formation styles on substance abuse behavior of referred people to addiction withdrawal and DIC centers of Tehran city and its comparison with non addicted people. Method: The research design was causal effect research method, which 100 substance abusers compared with 100 non substance abusers. The sampling method was cluster random sampling and both groups were matched in consideration of age. Bersinesky’s identity making questionnaire administered in two samples. Results: The results showed that substance abusers were scored higher on normative and confused/avoidant identity formation also the non substance abusers were scored higher on information identity formation style. Conclusion: With different kind of intervention-training trials the parents and people who are effective on children’s identity formation can be mobilized, in order to prevention of identity formation styles which can planning teenagers’ substance abusing.

  15. 75 FR 9725 - Free Annual File Disclosures (United States)


    .... Further, when a consumer uses an Internet search engine to locate the website for free annual file disclosures, the search engine will usually list ``sponsored'' links - again, selling products and services.... People should be able to get their reports and exit the Web site without having to go through a...

  16. A Note on Quality Disclosure and Competition

    DEFF Research Database (Denmark)

    Jansen, Jos


    Competitive pressure is lower in markets where goods are more differentiated. I analyze how a change in the degree of horizontal product differentiation affects the incentives of duopolists to disclose quality information. If disclosure is costly, then a firm discloses high qualities but conceals...

  17. 50 CFR 600.235 - Financial disclosure. (United States)


    ... entities is covered by 18 U.S.C. 208, the Federal conflict-of-interest statute. (b) Reporting. (1) The... disclosure. Link to an amendment published at 75 FR 59152, Sept. 27, 2010. (a) Definitions. For purposes of... ownership interests in, or employment with, any company, business, fishing vessel, or other entity...

  18. Is Financial Disclosure in Your Future? (United States)

    American School Board Journal, 1985


    The New York City Board of Education is enforcing a requirement that all community school board members file detailed financial disclosure statements. This requirement is being challenged by the president of the New York City School Boards Association, who claims that it invades privacy. (TE)

  19. The many faces of information disclosure

    NARCIS (Netherlands)

    Boot, A.W.A.; Thakor, A.V.


    In this article we ask: what kind of information and how much of it should firms voluntarily disclose? Three types of disclosures are considered. One is information that complements the information available only to informed investors (to-be-processed complementary information). The second is inform

  20. 77 FR 30928 - Target Date Disclosure (United States)


    .../comments/s7-12-10/s71210-58.pdf . \\5\\ See 77 FR 20749 (April 6, 2012). As the results of this research also... amendments.\\2\\ \\1\\ See 75 FR 73987 (Nov. 30, 2010), proposing to amend the Department's qualified default investment alternative regulation, 72 FR 60452 (Oct. 24, 2007), and participant-level disclosure...

  1. The Truth behind Higher Education Disclosure Laws (United States)

    Carey, Kevin; Kelly, Andrew P.


    Recognizing that higher education is a market driven by consumer choice and reluctant to regulate college behavior directly, state and federal policymakers have created a host of college information disclosure and reporting requirements. Armed with better data, the theory goes, students and parents will vote with their wallets, putting pressure on…

  2. 28 CFR 80.14 - Disclosure. (United States)


    ... Disclosure. (a) Any document or other material which is provided to, received by, or prepared in the... the identity of the requesting issuer or domestic concern, the identity of the foreign country in... release shall not disclose either the identity of any foreign sales agents or other types of...

  3. Disclosure of price-sensitive information

    DEFF Research Database (Denmark)

    Schaumburg-Müller, Peer; Werlauff, Erik


    “on its own responsibility” in order not to damage the company’s legitimate interests – cf. on this Article 6(2) of Directive 2003/6/EC, which provides that “An issuer may, on his own responsibility, delay the public disclosure of inside information … so as not to prejudice his legitimate interests...

  4. Disclosure with an emotional intelligent synthetic partner

    NARCIS (Netherlands)

    Meijerink, F.; Maanen, van P.-P.; Vliet, van A.J.; Nijholt, A.; Solodilova-Whiteley, I.


    To talk and write about one’s feelings has a beneficial effect on one’s physical and psychological health. More specifically, conversation evoking disclosure of emotions and traumatic events has a positive effect on one’s health, rather than chitchat. Astronauts on a mission are exposed to stressful

  5. 76 FR 81761 - Mine Safety Disclosure (United States)


    ...-9164, 34-63548 (December 15, 2010) [75 FR 80374] (the ``Proposing Release''). \\12\\ Public Law 111-203... existing XBRL rules is to facilitate financial analysis by investors, and therefore asserted that requiring... that the disclosure be tagged in XBRL.\\72\\ \\69\\ See letters from AngloGold, Chevron, Cleary, DGS...

  6. Corporate Risk Disclosure and Corporate Governance

    Directory of Open Access Journals (Sweden)

    Kaouthar Lajili


    Full Text Available To date, research which integrates corporate governance and risk management has been limited. Yet, risk exposure and management are increasingly becoming the core function of modern business enterprises in various sectors and industries domestically and globally. Risk identification and management are crucial in any business strategy design and implementation. From the investors’ point of view, knowledge of the risk profile, risk appetite and risk management are key elements in making sound portfolio investment decisions. This paper examines the relationships between corporate governance mechanisms and risk disclosure behavior using a sample of Canadian publicly-traded companies (TSX 230. Results show that Canadian public companies are more likely to disclose risk management information over and above the mandatory risk disclosures, if they are larger in size and if their boards of directors have more independent members. Minority voting control ownership structures appear to negatively impact risk disclosure and CEO incentive compensation shows mixed results. The paper concludes that more research is needed to further assess the impact of various governance mechanisms on corporate risk management and disclosure behavior.

  7. The effect of pretreatment with clonidine on propofol consumption in opium abuser and non-abuser patients undergoing elective leg surgery

    Directory of Open Access Journals (Sweden)

    Morteza Jabbari Moghadam


    Full Text Available Objective: Clonidine, an alpha-2 adrenergic agonist, increases the quality of perioperative sedation and analgesia with a few side effects. This study was designed to assess the effect of clonidine premedication on the anesthesics used for elective below knee surgeries in opium abusers and non-abusers. Materials and Methods: In a randomized clinical trial, 160 patients were selected and assigned into four groups. Eighty patients among the opium abusers were divided randomly into clonidine and no clonidine groups, with 40 patients in each, and 80 among the non-abusers were again divided randomly into clonidine and no clonidine groups, with 40 patients in each group. All were anesthetized for elective orthopedic operation using the same predetermined method. The total administered dose of propofol and other variables were compared. Results: The total propofol dose in a decreasing order was as follows: Abuser patients receiving placebo (862 ± 351 mg, non-abuser patients receiving placebo (806 ± 348 mg, abuser patients receiving clonidine (472 ± 175 mg, and non-abuser patients receiving clonidine (448 ± 160 mg. Hence, a statistically significant difference was observed among the four study groups (P value for ANOVA = 0.0001. Conclusion: Adding clonidine as a preoperative medication decreases the patient′s anesthetic needs; this decrease was even more considerable on the anesthetic needs than the effect of opium abuse history on anesthetic dose.

  8. Abuse Tolerance Improvements

    Energy Technology Data Exchange (ETDEWEB)

    Orendorff, Christopher J. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Nagasubramanian, Ganesan [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Fenton, Kyle R. [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States); Allcorn, Eric [Sandia National Lab. (SNL-NM), Albuquerque, NM (United States)


    As lithium-ion battery technologies mature, the size and energy of these systems continues to increase (> 50 kWh for EVs); making safety and reliability of these high energy systems increasingly important. While most material advances for lithium-ion chemistries are directed toward improving cell performance (capacity, energy, cycle life, etc.), there are a variety of materials advancements that can be made to improve lithium-ion battery safety. Issues including energetic thermal runaway, electrolyte decomposition and flammability, anode SEI stability, and cell-level abuse tolerance continue to be critical safety concerns. This report highlights work with our collaborators to develop advanced materials to improve lithium-ion battery safety and abuse tolerance and to perform cell-level characterization of new materials.

  9. PTSD and Substance Abuse (United States)


    Psychological Association’s addiction syndrome handbook. Washington, DC: American Psychological Association. 35. Najavits, L.M., Highley, J., Dolan, S., Fee...Version (total and criterion D); and the Trauma Symptom Checklist-40 (sexual abuse trauma index and anxiety subscale); functioning on the Sheehan ...months (scaled 0-4). Functioning. The Sheehan Disability Scale [15] has 5 items assessing functioning in work/school, social life, and family life

  10. The misuse and abuse of statistics in biomedical research. (United States)

    Thiese, Matthew S; Arnold, Zachary C; Walker, Skyler D


    Statistics are the primary tools for assessing relationships and evaluating study questions. Unfortunately, these tools are often misused, either inadvertently because of ignorance or lack of planning, or conspicuously to achieve a specified result. Data abuses include the incorrect application of statistical tests, lack of transparency and disclosure about decisions that are made, incomplete or incorrect multivariate model building, or exclusion of outliers. Individually, each of these actions may completely invalidate a study, and often studies are victim to more than one offense. Increasingly there are tools and guidance for researchers to look to, including the development of an analysis plan and a series of study specific checklists, in order to prevent or mitigate these offenses.

  11. 76 FR 30175 - Draft Guidance for Clinical Investigators, Industry, and FDA Staff: Financial Disclosure by... (United States)


    ... Investigators, Industry, and FDA Staff: Financial Disclosure by Clinical Investigators; Availability AGENCY... FDA Staff: Financial Disclosure by Clinical Investigators.'' This draft guidance is intended to assist... governing financial disclosure by clinical investigators. This guidance provides FDA's responses to the...

  12. 76 FR 10393 - Agency Information Collection Activities; Submission for OMB Review; Comment Request; Disclosures... (United States)


    ...; Disclosures to Workers Under the Migrant and Seasonal Agricultural Worker Protection Act ACTION: Notice... information collection request (ICR) titled, ``Disclosures to Workers under the Migrant and Seasonal... is for the Migrant and Seasonal Agricultural Worker Protection Act (MSPA) required disclosure...

  13. Abusive Head Trauma (Shaken Baby Syndrome) (United States)

    ... Your 1- to 2-Year-Old Abusive Head Trauma (Shaken Baby Syndrome) KidsHealth > For Parents > Abusive Head ... babies tend to cry the most. How These Injuries Happen Abusive head trauma results from injuries caused ...

  14. Emotional inhibition: a discourse analysis of disclosure. (United States)

    Ellis, Darren; Cromby, John


    Evidence generated within the emotional disclosure paradigm (EDP) suggests that talking or writing about emotional experiences produces health benefits, but recent meta-analyses have questioned its efficacy. Studies within the EDP typically rely upon a unidimensional and relatively unsophisticated notion of emotional inhibition, and tend to use quantitative forms of content analysis to identify associations between percentages of word types and positive or negative health outcomes. In this article, we use a case study to show how a qualitative discourse analysis has the potential to identify more of the complexity linking the disclosure practices and styles that may be associated with emotional inhibition. This may illuminate the apparent lack of evidence for efficacy of the EDP by enabling more comprehensive theorisations of the variations within it.

  15. Avoiding Disclosure of Individually Identifiable Health Information

    Directory of Open Access Journals (Sweden)

    Sergio I. Prada


    Full Text Available Achieving data and information dissemination without harming anyone is a central task of any entity in charge of collecting data. In this article, the authors examine the literature on data and statistical confidentiality. Rather than comparing the theoretical properties of specific methods, they emphasize the main themes that emerge from the ongoing discussion among scientists regarding how best to achieve the appropriate balance between data protection, data utility, and data dissemination. They cover the literature on de-identification and reidentification methods with emphasis on health care data. The authors also discuss the benefits and limitations for the most common access methods. Although there is abundant theoretical and empirical research, their review reveals lack of consensus on fundamental questions for empirical practice: How to assess disclosure risk, how to choose among disclosure methods, how to assess reidentification risk, and how to measure utility loss.

  16. Problems of substance abuse: exploitation and control. (United States)

    Ray, L


    The notion of substance abuse is highly problematic. There is considerable disagreement amongst 'experts' as to the relative hazards and addictive properties of both legally and illegally available substances. There are also widely divergent sub-cultural attitudes to the harmfulness or benefit of drug use. One can assume no social consensus as to the nature of the contemporary 'drug problem', nor about the most appropriate means of dealing with it. There is, however, considerable evidence that criminalization of drug use, and harsh penalties against users and suppliers, are ineffective and counter-productive. Other models of control need to be considered, and in particular the merits and de-merits of the medicalization of drug abuse require examination. However, this is only one aspect of the problem. On the other side are the national and international corporations and syndicates, both legitimate and criminal, that earn vast profits from trade in toxic substances. Tobacco is legally available in every country in the world, and the industry is rarely subject to strict control. Thus the issue of substance abuse and control should be seen in a global context, in which account is taken of both legitimate and underworld operations. In attempts to control international trade in toxic substances, the limited success and the problems of already existing legal controls should be acknowledged. Local awareness and regulation of trade in substances is essential, but not sufficient. Amongst other avenues to be explored is the possibility of diverting presently illicitly grown narcotics into indigenous pharmaceutical industries in the Third World. Some problems with this strategy are noted.(ABSTRACT TRUNCATED AT 250 WORDS)

  17. Ongoing incestuous abuse during adulthood. (United States)

    Middleton, Warwick


    Individual cases of adult incestuous abuse have surfaced repeatedly in the lay and professional literature of the past 1.5 centuries without it occasioning systematic investigation, such as the reporting of a case series of individuals subjected to such extreme abuse. Yet substantial numbers of patients with dissociative identity disorder at the time of presentation report incestuous abuse continuing into the adult years, and for many the abuse is ongoing. Data relating to a series of 10 such incestuously abused women are presented. These patients were sexually abused from a very early age (typically from before age 3), with the manipulation of their sexual response a key component in conditioning an enduring sexualized attachment. Shame and fear were also used to ensure compliance and silence. The women, when able to speak of it, describe the induction by their paternal abuser of orgasm at an early age, typically around the age of 6. The women have high indices of self-harm and suicidality and are prone to placing themselves in dangerous reenactment scenarios. The average duration of incestuous abuse for this group of women was 31 years, and the average estimate of total episodes of sexual abuse was 3,320. Most women do not feel that they own their body and experience being "fused" to their father. Their mother was reported as an active participant in the sexual abuse or as having done nothing to protect their daughter despite seeing obvious evidence of incest. The fathers, despite a propensity to use or threaten violence, were generally outwardly productively employed, financially comfortable, and stably married and half had close church involvement. However, suicide and murder occurred within the 1st- or 2nd-degree relatives of these women at a high frequency. All 10 had been sexually abused by various groupings of individuals connected to their fathers.

  18. Disclosure with an emotional intelligent synthetic partner


    Meijerink, F.; van Maanen; Van, Vliet, A.; A. Nijholt; Solodilova-Whiteley, I.


    To talk and write about one’s feelings has a beneficial effect on one’s physical and psychological health. More specifically, conversation evoking disclosure of emotions and traumatic events has a positive effect on one’s health, rather than chitchat. Astronauts on a mission are exposed to stressful situations, without the presence of a therapist or even comfortable communication with home base. Given that it is important one is able to express one’s feelings regularly, this situation clearly...

  19. Loperamide dependence and abuse. (United States)

    MacDonald, Ryan; Heiner, Jason; Villarreal, Joshua; Strote, Jared


    Loperamide is a common over-the-counter antidiarrheal considered safe in a broad range of dosages and thought devoid of abuse potential. We describe the first case of a patient with loperamide dependence due to misuse of its opiate-like effects achieved by chronic massive oral ingestions. A 26-year-old man who was taking 800 mg of loperamide per day presented requesting detoxification referral. Loperamide has potential for euphoric effects and information on how to facilitate such effects is easily available. It is important for physicians to be aware of the potential for misuse of and dependence on loperamide, with symptoms mimicking opiate use.

  20. Abusing National Privilege

    Institute of Scientific and Technical Information of China (English)


    As U.S. mortgage finance giants-Fannie Mae and Freddie Mac-try to sell their huge backlog of foreclosed homes, they face foreclosures themselves as the U.S. Government contemplates cutting their government-backed support as indicated by a white paper issued by the Obama administration in February. Zhang Monan, an associate research fellow with the State Information Center, said the downfall of Fannie Mae and Freddie Mac is the result of abuses of privileges the two companies have enjoyed since their inception.

  1. 76 FR 32367 - Draft Guidance for Clinical Investigators, Industry, and FDA Staff: Financial Disclosure by... (United States)


    ... Staff: Financial Disclosure by Clinical Investigators; Correction AGENCY: Food and Drug Administration...: Financial Disclosure by Clinical Investigators.''The document was published with an incorrect docket...

  2. Sexual Grooming of Children: Review of Literature and Theoretical Considerations (United States)

    Craven, Samantha; Brown, Sarah; Gilchrist, Elizabeth


    The current review aims to outline the existing understanding of sexual grooming. Issues of poor definition, the adoption of the term "grooming" and the prevalence of sexual grooming will be discussed. Consideration will be given to how prominent theories of child sexual abuse often neglect sexual grooming. This will be followed by a detailed…

  3. Suicide Attempts among Drug Abusers. (United States)

    Harrsi, Rachel; And Others


    The relationship between substance abuse and suicide is indicated by high rate of attempted suicide among alcoholics and drug abusers, as well as increased likelihood of repeated attempts in these populations. This study reports on psychological characteristics of male drug suicide attempters who are in treatment for their addiction problem.…

  4. Counseling with the Drug Abuser. (United States)

    Demos, George D.

    Counselors, in the past few years, have had to work with a great many drug abusers. While successes are difficult to evaluate, the failures are glaringly evident. In a search for a more effective method of working with drug abusers, 12 questions were devised. These are self-evaluative and directed at the counselor. If a counselor can openly and…

  5. Child Abuse: The Educator's Responsibilities. (United States)

    California State Office of the Attorney General, Sacramento. School Safety Center.

    Addressing educators and citing the California Penal Code, this booklet discusses the legal responsibilities of persons in child care situations regarding incidents of suspected child abuse. Included are: (1) a definition of child abuse and neglect; (2) reporting procedures including liability of failure to report and immunity of the reporting…

  6. Elder abuse in the Netherlands

    NARCIS (Netherlands)

    Inger Plaisier; Mirjam de Klerk


    Original title: Ouderenmishandeling in Nederland It is twenty years since the last study was carried out on the number of older persons in the Netherlands who are deliberate or accidental victims of abuse in the form of verbal, physical or sexual violence, financial abuse and/or neglect by those o

  7. Lead - nutritional considerations (United States)

    Lead poisoning - nutritional considerations; Toxic metal - nutritional considerations ... Markowitz M. Lead poisoning. In: Kliegman RM, Behrman RE, Jenson HB, ... Emergency Medicine: Concepts and Clinical Practice . 8th ed. ...

  8. Child abuse by drowning. (United States)

    Griest, K J; Zumwalt, R E


    Drowning as a form of subtle fatal child abuse is difficult to distinguish from accidental immersion or from sudden unexpected natural death when the circumstances of immersion are concealed. Homicidal drownings are unwitnessed, usually occurring in the home, and the victims are young, either infants or toddlers. Accidental drownings are more likely to involve toddlers or older children in public areas such as swimming pools, drainage ditches, lakes, and rivers. This is especially true in rural areas. In cities, bathtubs remain a major site of accidental childhood drownings. Perpetrators of deliberate drownings often fit the sociopathologic profile of a child abuser. Because there is often a survival interval between immersion and death, pathologic findings consistent with postimmersion syndrome suggest the cause of death. Foreign material in the lungs, if immersion was other than in clear tap water, and injuries of the face are other positive correlating factors. A thorough investigation of the circumstances and cooperation between the investigating agency and the pathologist are essential to determine the correct manner of death in these cases.

  9. The Experience of Mothers Exposed to the Abuse of Their Daughters by an Intimate Partner: "There Is No Definition for It". (United States)

    Peled, Einat; Gueta, Keren; Sander-Almoznino, Nili


    This qualitative study illuminates the experience of mothers exposed to the intimate partner violence (IPV) of their daughters. In-depth interviews with 11 exposed mothers were conducted. The findings reveal four semi-chronological phases in the participants' experiences: pre-disclosure of the daughter's abuse, the first definitive encounter with the daughter's abuse, living with continued exposure to the daughter's IPV, and the aftermath of the daughter's IPV. A recurrent theme in the mothers' experiences was their dual positioning as a forgotten victim of IPV and as a caregiver of their daughter shaped by prevalent motherhood ideologies. Possible implications for intervention are discussed.

  10. Towards malecentric communication: sensitizing health professionals to the realities of male childhood sexual abuse survivors. (United States)

    Teram, Eli; Stalker, Carol; Hovey, Angela; Schachter, Candice; Lasiuk, Gerri


    This article extends earlier reports of an ongoing qualitative inquiry on childhood sexual abuse survivors' experiences with health professionals. In this paper, we aim to enhance understanding of male survivors' experience. While male and female participants express similar anxieties and fears about their encounters with health professionals, there are gender-based differences related to the perceptions of victimhood and manhood; guilt and shame; homophobia; disclosure of abuse; and the expression of vulnerability. The implications of these differences for sensitive health care practice are analyzed within the context of gender relationships and the differential socialization of men. Malecentric communication is proposed as a method for addressing the specific experiences of male survivors in their encounters with health professionals.

  11. The influence of child sexual abuse on the self from adult narrative perspectives. (United States)

    Krayer, Anne; Seddon, Diane; Robinson, Catherine A; Gwilym, Hefin


    The impact of child sexual abuse on the adult self is not yet clearly understood. We explored adult perspectives through the use of narrative interviews (N = 30). Three key themes or views of self were identified in all narratives to varying degrees: the worthless self, the self as unknown, and the potential/developing self. Ambivalence and tension were present in all narratives. Individuals were challenged to integrate the sexual abuse experience in a constructive way and develop a more coherent perception of the self. The narrative method highlighted the dynamic nature of peoples' experiences at the same time recognizing that the narratives themselves are in progress. Reactions to disclosure, social support, and interpersonal connections are crucial at every turn.

  12. The Impact of High-Profile Sexual Abuse Cases in the Media on a Pediatric Emergency Department. (United States)

    Flannery, Dustin D; Stephens, Clare L; Thompson, Amy D


    High-profile media cases of sexual abuse may encourage disclosures of abuse from victims of unrelated assaults and also influence parental concerns, leading to increased emergency department visits. In the region of the study authors' institution, there are two recent high-profile sexual abuse cases with media coverage: Earl Bradley, a Delaware pediatrician, and Jerry Sandusky, a Pennsylvania college football coach. This is a retrospective cohort study of children evaluated for sexual abuse at a pediatric emergency department. Patients were classified as either presenting during a media period or non-media period. The media periods were one-month periods immediately following breaking news reports, when the cases were highly publicized in the media. The non-media periods were the 12-month periods directly preceding the first reports. The median number of emergency department visits per month during a non-media period was 9 visits (interquartile range 6-10). There were 11 visits in the month following the Sandusky case and 13 visits following the Bradley case. There was no statistical difference in number of emergency department visits for sexual abuse between the periods (p = .09). These finding have implications regarding use of resources in pediatric EDs after high-profile sexual abuse cases.

  13. Drug abuse among the students

    Directory of Open Access Journals (Sweden)

    Muhammad Zaman


    Full Text Available ABSTRACT:Drug abuse is the willful misuse of either licit or illicit drugs for the purpose of recreation, perceived necessity or convenience. Drug abuse is a more intense and often willful misuse of drugs often to the point of addiction. In the eastern world the incidence shows a decline or a static pattern but the number of drug addicts is still enormous.. The major drug of abuse are heroin and marijuana but designer drugs are shown to be on the increase. The aim of the study is to determine the ratio of the drug abuse in student. For this purpose we selected different institutions including “the university of Lahore”, “Forman Christian college”(private sector and Punjab university(Govt sector and conducted survey in 500 student. High proportion of students was found abusing drugs. From this study, we came across multiple factors which are the main cause of drug abuse in medical student including depression, anxiety, schizophrenia, as well as personality disorder like antisocial personality disorder. The most commonly abused drugs include stimulants, opioids, and benzodiazepines, antihistamines. Although survey have indicated high rate of illicit and prescription drugs misuse among college students, few have assessed the negative consequences, personel concerns, or interest in intervention for drugs use. Drug abuse although regarded as a personality disorder, may also be seen as worldwide epidemic with evolutionary genetic, physiology and environmental influences Controlling and affecting human behavior. Globally, the use has reached all time high. The study showed males are more drug abusers as compared to females. The drug abuse ratio in students of private sector is more as compared to Govt sector.

  14. [Child abuse in the family]. (United States)

    De Almeida, Helena Nunes; André, Isabel Margarida; De Almeida, Ana Nunes


    The objective of this study is to carry out a current survey of the situation of child abuse in the family. It is based on a national survey conducted in 1996, which was addressed to childcare professionals (in the areas of health, education and social services). This survey was based, on the one hand, on a wide-ranging definition of child abuse, including within it not just active forms of physical and psychic violence against the child, but also forms of (both material and affective) privation, omission or negligence which affect the child's growth and development. On the other hand, this study also favoured a contextual approach to child abuse. 1,126 institutions in Portugal were contacted and 755 valid survey responses were received. This report outlines some of the results obtained, namely by providing a description of the sample of the 755 child abuse victims, the respective social and family contexts to which they and the aggressors belong, as well as the types of abuse which have been committed against them; and a typology of forms of abuse and negligence, describing not just the internal aspects that make up child abuse directly, but also its relationship to the child's social and family contexts of belonging. The typology was derived from the statistical handling of the data gathered (factorial analysis of multiple matches, followed by a hierarchical analysis into clusters). A number of key concepts are summarised in the conclusion. Children of all age groups and of both sexes, and from all types of families and social backgrounds, regardless of their place in the phratry, are subject to abuse in Portugal. But different types of abuse and negligence are associated with the contexts to which the children and their families belong. Healthcare professionals are irreplaceable when it comes to detecting the wide variety of types of child abuse, and are an essential look-out post for two types of abuse which often slip through the net of other professionals

  15. Disclosing HIV diagnosis to children in Odi district, South Africa: Reasons for disclosure and non-disclosure

    Directory of Open Access Journals (Sweden)

    Johanna M. Mahloko


    Full Text Available Background: The increasing access to antiretroviral therapy (ART and survival of HIV- infected children has posed challenges to caregivers on disclosing the HIV diagnosis to children. Objectives: The objectives of this study was to determine the reasons of caregivers for the disclosure and non-disclosure of the HIV diagnosis to children on ART and to determine the caregivers’ perceptions of children’s reaction to disclosure. Method: A cross-sectional study was conducted amongst 149 caregivers of children between 4–17 years who receive ART from a district hospital in South Africa. Descriptive and inferential statistics were used in the analysis of data. Results: The prevalence of disclosure was 40% and the mean age of disclosure was 9.3 years. Reasons for disclosure included that the child was not adhering to treatment (n = 59; 39%; the child was consistently asking questions about the treatment and nature of the disease (n = 59; 39%. Reasons for non-disclosure were that the child was too young (n = 90; 72%; the child would tell others about diagnosis (n = 90; 21.1%; the child would be socially rejected (n = 90; 18.6%; fear of negative consequences for the child (n = 90; 13.3%; and caregivers do not know how to tell or approach disclosure (n = 90; 8.9%. Conclusion: Caregivers disclosed the diagnosis so that their child would adhere to ART medication; non-disclosing caregivers delayed disclosure because their children were too young to understand the HIV diagnosis. Disclosure of HIV to children should be integrated into regular discussions with caregivers of children in ART settings to improve their knowledge and skills to manage disclosure.

  16. Disclosure: What is the point and for whom?

    DEFF Research Database (Denmark)

    Korsbek, Lisa


    Background Today mental health is embedded in a discourse of disclosure. Many people with lived experience of mental illness have decided to move out of the closet to talk about their personal experiences. Aims To look at the context of disclosure and on the questions of why disclose and for whom...

  17. 10 CFR 603.420 - Disclosure of information. (United States)


    ... 10 Energy 4 2010-01-01 2010-01-01 false Disclosure of information. 603.420 Section 603.420 Energy DEPARTMENT OF ENERGY (CONTINUED) ASSISTANCE REGULATIONS TECHNOLOGY INVESTMENT AGREEMENTS Competition Phase § 603.420 Disclosure of information. The announcement should tell potential proposers that: (a) For...

  18. Determinants of voluntary CSR disclosure: Empirical evidence from Germany

    NARCIS (Netherlands)

    R. Gamerschlag (Ramin); K. Möller (Klaus); F.H.M. Verbeeten (Frank)


    textabstractCurrently, companies spend a great deal of effort on Corporate Social Responsibility (CSR) disclosures. CSR disclosure relates to the provision of information on companies' environmental and social performance. From an economic perspective, companies might disclose this information to av

  19. 77 FR 8721 - Home Mortgage Disclosure (Regulation C) (United States)


    ... PROTECTION 12 CFR Part 1003 RIN 3170-AA06 Home Mortgage Disclosure (Regulation C) AGENCY: Bureau of Consumer... requirements of Regulation C (Home Mortgage Disclosure) to reflect a change in the asset-size exemption... 1975, as amended (HMDA; 12 U.S.C. 2801 et seq.) requires most mortgage lenders located in...

  20. 76 FR 78465 - Home Mortgage Disclosure (Regulation C) (United States)


    ... Federal Regulations, which is published #0;under 50 titles pursuant to 44 U.S.C. 1510. #0; #0;The Code of... Part 1003 RIN 3170-AA06 Home Mortgage Disclosure (Regulation C) AGENCY: Bureau of Consumer Financial... establishing a new Regulation C (Home Mortgage Disclosure). This interim final rule does not impose any...

  1. 46 CFR 14.105 - Disclosure and privacy. (United States)


    ... OF MERCHANT MARINERS General § 14.105 Disclosure and privacy. The Coast Guard makes information available to the public in accordance with 49 CFR part 7, including appendix B. ... 46 Shipping 1 2010-10-01 2010-10-01 false Disclosure and privacy. 14.105 Section 14.105...

  2. 18 CFR 3b.226 - Accounting of disclosures. (United States)


    ... 18 Conservation of Power and Water Resources 1 2010-04-01 2010-04-01 false Accounting of... IDENTIFIABLE PERSONAL INFORMATION Rules for Disclosure of Records § 3b.226 Accounting of disclosures. (a) The....225(b) (5) and (7). (b) Each system manager will retain the accounting made under paragraph (a)...

  3. 21 CFR 1304.45 - Internet Web site disclosure requirements. (United States)


    ... 21 Food and Drugs 9 2010-04-01 2010-04-01 false Internet Web site disclosure requirements. 1304.45... OF REGISTRANTS Online Pharmacies § 1304.45 Internet Web site disclosure requirements. (a) Each online... the following information on the homepage of each Internet site it operates, or on a page...

  4. 76 FR 18635 - Disclosure of Records or Information (United States)


    ... correction of records. 304.26 Requests for an accounting of record disclosures. 304.27 Fees. 304.28 Notice of.... A publication contract would present a solid basis for such an expectation; the agency may also... informative value of the information to be disclosed: Whether the disclosure is ``likely to contribute'' to...

  5. 25 CFR 700.269 - Accounting for disclosures. (United States)


    ... 25 Indians 2 2010-04-01 2010-04-01 false Accounting for disclosures. 700.269 Section 700.269... Privacy Act § 700.269 Accounting for disclosures. (a) Maintenance of an accounting. (1) Where a record is...), an accounting shall be made. (2) The accounting shall record (i) the date, nature, and purpose...

  6. Factors Assisting Female Clients' Disclosure of Incest during Counseling. (United States)

    Josephson, Gilda S.; Fong-Beyette, Margaret L.


    Explored specific behaviors and characteristics of counselors that relate to adult, female clients' disclosure of incest during counseling. Suggests that factors related to initial disclosure and exploration of incest are client readiness, direct questioning by the counselor, specific counselor characteristics, and positive counselor reactions to…

  7. Going-Public and the Influence of Disclosure Environment

    NARCIS (Netherlands)

    Marra, T.A.; Suijs, J.P.M.


    This paper analyzes how differences in disclosure environments affect the firms choice between private and public capital. Disclosure regulations prescribe to what extent the firm has to release confidential information that may lead to the firm incurring proprietary cost. We examine which firms go

  8. 29 CFR 500.75 - Disclosure of information. (United States)


    ... Regulations Relating to Labor (Continued) WAGE AND HOUR DIVISION, DEPARTMENT OF LABOR REGULATIONS MIGRANT AND... Migrant Agricultural Workers § 500.75 Disclosure of information. (a) Where disclosure is required... migrant agricultural worker shall ascertain to the best of his ability and disclose, in writing to...

  9. 12 CFR 615.5250 - Disclosure requirements for borrower stock. (United States)


    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Disclosure requirements for borrower stock. 615.5250 Section 615.5250 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM FUNDING AND... Disclosure requirements for borrower stock. (a) For sales of borrower stock, which for this subpart...

  10. Self-Disclosure Patterns in Clinical and Nonclinical Couples. (United States)

    Chelune, Gordon J.; And Others


    Presents two articles which examine the relationship between intimacy and self-disclosure in 10 clinical and 10 nonclinical couples using the Self-Disclosure Coding System (SDCS). Results suggested positive self-statements, time spent talking, and affective manner discriminated between the two groups and were related to intimacy. (JAC)

  11. 28 CFR 0.78 - Implementation of financial disclosure requirements. (United States)


    ... 28 Judicial Administration 1 2010-07-01 2010-07-01 false Implementation of financial disclosure requirements. 0.78 Section 0.78 Judicial Administration DEPARTMENT OF JUSTICE ORGANIZATION OF THE DEPARTMENT OF JUSTICE Justice Management Division § 0.78 Implementation of financial disclosure requirements....

  12. Ethical Dilemmas Associated with Self-Disclosure in Student Writing (United States)

    Haney, Michelle R.


    Personal and reflective writing assignments in psychology courses may prompt self-disclosure that presents ethical dilemmas. The literature discusses responsibilities of the psychologist in instances such as disclosure of suicidal ideation or threats of harming others within the context of the therapist-client relationship, but significantly less…

  13. 12 CFR 228.42 - Data collection, reporting, and disclosure. (United States)


    ... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Data collection, reporting, and disclosure. 228... Requirements § 228.42 Data collection, reporting, and disclosure. (a) Loan information required to be collected... data collection and maintenance—(1) Consumer loans. A bank may collect and maintain in machine...

  14. 12 CFR 25.42 - Data collection, reporting, and disclosure. (United States)


    ... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Data collection, reporting, and disclosure. 25... Requirements § 25.42 Data collection, reporting, and disclosure. (a) Loan information required to be collected... prescribed by the OCC) until the completion of its next CRA examination, the following data for each...

  15. 12 CFR 345.42 - Data collection, reporting, and disclosure. (United States)


    ... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Data collection, reporting, and disclosure. 345... Data collection, reporting, and disclosure. (a) Loan information required to be collected and... data collection and maintenance—(1) Consumer loans. A bank may collect and maintain in machine...

  16. 38 CFR 1.514a - Disclosure to private psychologists. (United States)


    ... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Disclosure to private psychologists. 1.514a Section 1.514a Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS GENERAL PROVISIONS Release of Information from Department of Veterans Affairs Claimant Records § 1.514a Disclosure to private psychologists....

  17. When the silence is broken: the process of disclosure and reporting of child sexual abuse


    Samara Silva dos Santos; Débora Dalbosco Dell'Aglio


    O objetivo deste artigo é discutir o processo de revelação e notificação de situações de abuso sexual envolvendo crianças e adolescentes, a partir da análise de publicações relacionadas a essa temática. Os estudos indicam que a revelação e a notificação do abuso sexual são momentos difíceis para a vítima e para seus familiares porque geralmente envolvem alguém próximo à criança e apresentam reflexos no sistema familiar, como rompimento de vínculo, culpabilização e perda de suporte financeiro....

  18. Designing Opioids That Deter Abuse

    Directory of Open Access Journals (Sweden)

    Robert B. Raffa


    Full Text Available Prescription opioid formulations designed to resist or deter abuse are an important step in reducing opioid abuse. In creating these new formulations, the paradigm of drug development target should be introduced. Biological targets relating to the nature of addiction may pose insurmountable hurdles based on our current knowledge and technology, but products that use behavioral targets seem logical and feasible. The population of opioid abusers is large and diverse so behavioral targets are more challenging than they appear at first glance. Furthermore, we need to find ways to correlate behavioral observations of drug liking to actual use and abuse patterns. This may involve revisiting some pharmacodynamic concepts in light of drug effect rather than peak concentration. In this paper we present several new opioid analgesic agents designed to resist or deter abuse using physical barriers, the inclusion of an opioid agonist or antagonist, an aversive agent, and a prodrug formulation. Further, this paper also provides insight into the challenges facing drug discovery in this field. Designing and screening for opioids intended to resist or deter abuse is an important step to meet the public health challenge of burgeoning prescription opioid abuse.

  19. Child abuse, a case report

    Directory of Open Access Journals (Sweden)

    Andri M.T. Lubis


    Full Text Available Child abuse is a pervasive social and medical problem that remains a major cause of disability and death among children. The annual incidence of abuse is estimated to be 15 to 42 cases per 1,000 children and appears to be increasing. Fractures are the second most common presentation of physical abuse after skin lesions, and approximately one third of abused children will eventually be seen by an orthopedic surgeon. We report a 7-month-old boy who was suspected to be abused. Our diagnosis was based on findings of multiple fractures, delay in seeking medical treatment and discrepancy between the history of illness and the clinical findings. He sustained multiple fractures in variety of healing, namely fractures on left supracondylar humeri, left radius and ulna, right radius and ulna, both femora, right tibia, and left tibia and fibula. Radiological examination was an important modality in revealing the possibility of abuse on this child. He had received medical treatment, protection, consultation team for the parents and an underway police investigation. (Med J Indones 2004; 13: 59-65 Keywords: child, abuse

  20. Family of Origin Violence and Courtship Abuse. (United States)

    Marshall, Linda L.; Rose, Patricia


    Responses from 336 undergraduates revealed 75 percent of respondents had expressed threats or actual violence and 64 percent had received abuse in intimate relationship. In the sample, 30 percent had parents who abused each other; less often the mother or father had been sole abuser. Multiple regression indicated being abused as child predicted…

  1. Sexual abuse in children -- what to know (United States)

    ... Sexual abuse - children Signs of sexual abuse in children Suspect sexual abuse when children: Tell you that they are being ... A.M. Editorial team. Related MedlinePlus Health Topics Child Sexual Abuse Browse the Encyclopedia A.D.A.M., Inc. ...

  2. Elder Abuse: The Status of Current Knowledge. (United States)

    Pedrick-Cornell, Claire; Gelles, Richard J.


    Discusses problems of definition of elderly abuse. Examines data and research on the rates of elderly abuse and factors found related to elderly abuse. Critiques theories developed to explain the abuse of the elderly. Presents recommendations for research and practice. (RC)

  3. Women and Drugs: The Heroin Abuser and the Prescription Drug Abuser. (United States)

    Gutierres, Sara E.; And Others


    Reviewed the literature on female drug use/abuse and derived descriptions of the female heroin abuser and the female prescription drug abuser. Researchers suggest that problems of female drug abusers should be viewed in terms of the feminine role as well as the role of drug abuser. (BH)

  4. Self-Esteem and Attitudes toward Love in Abused and Non-Abused Women. (United States)

    Chambliss, Catherine; And Others

    This study sought to identify personality differences in abused versus non-abused women. Abused women (N=25) were from several centers for abused women and non-abused women (N=39) were students in evening psychology classes. All subjects completed Rubin's Love Scale, the abbreviated Dominance and Romanticism Scale, Rosenberg's Self-Esteem Scale,…

  5. Disclosure of information on intellectual capital in Danish IPO prospectuses

    DEFF Research Database (Denmark)

    Bukh, Per Nikolaj; Nielsen, Christian; Gormsen, P.;


    factors can explain the amount of disclosure in the prospectuses. Design/methodology/approach - The paper uses content analysis to compile a measure of disclosure on each prospectus and statistical analysis to test whether there is an association between disclosure and company type, the existence...... of managerial ownership before the IPO, the size of the company or the age of the firm. Findings - Based on statistical analysis, it is concluded that the extent of managerial ownership prior to the IPO and industry type affects the amount of voluntary intellectual capital disclosure, while company size and age...... do not affect disclosure. The results are interpreted in the light of the increasing importance of disclosing information on value drivers, strategy and intellectual capital to the capital market and constitute a contribution to the ongoing debate on corporate reporting practices. Practical...

  6. Meth abuse and oral health

    Directory of Open Access Journals (Sweden)

    Deviprasad Makonahally


    Full Text Available Methamphetamine abuse is spreading its roots in India due to its widespread appeal, ease of manufacture and low cost compared with other stimulant drugs. Methamphetamine-induced caries is a characteristic finding among methamphetamine abusers. Thus, it is important to understand the typical clinical manifestations inclusive of cervical and proximal caries, elicit proper case history and develop a comprehensive treatment plan to help patients in a complete rehabilitation. We present a series of cases of "meth" abuser for dental professionals to help ensure successful treatment and prevention of disease progression.

  7. Drug abuse among the students



    ABSTRACT:Drug abuse is the willful misuse of either licit or illicit drugs for the purpose of recreation, perceived necessity or convenience. Drug abuse is a more intense and often willful misuse of drugs often to the point of addiction. In the eastern world the incidence shows a decline or a static pattern but the number of drug addicts is still enormous.. The major drug of abuse are heroin and marijuana but designer drugs are shown to be on the increase. The aim of the study is to determine...

  8. Advancing methodology in the study of HIV status disclosure: The importance of considering disclosure target and intent

    NARCIS (Netherlands)

    Dima, A.L.; Stutterheim, S.E.; Lyimo, R.; de Bruin, M.


    Disclosure of HIV status has been the focus of three decades of research, which have revealed its complex relations to many behaviors involved in HIV prevention and treatment, and exposed its central role in managing the HIV epidemic. The causes and consequences of disclosure acts have recently been

  9. Abused Sexuality- Experience of Sexuality Post Experiences of Sexual Abuse


    Sunanda Jalote


    Sexual abuse has been happening from times immemorial and is that brutal aspect of society which also talk about spirituality, peace and harmony in the same breath. Youth gets irrevocably scarred by such childhood traumas which linger on in their adult life too. In the present study, an effort was made to study and understand how heterosexual and queer youth in contemporary middle class in Delhi explore the relationship sexual abuse survivors have with their own sexuality and how their negoti...

  10. Corporate Social Disclosures in Southeast Asia: A Preliminary Study

    Directory of Open Access Journals (Sweden)

    Juniati Gunawan


    Full Text Available The issue of Corporate Social Disclosure (CSD has been growing remarkably both in business and academic world.  Inevitably, this topic is also exposed in Southeast Asia, a big region that plays important role in global economic issue. Applying a content analysis method, this paper aims to provide preliminary findings in CSD practices throughout the companies‟ annual reports in 2007 and 2008 for countries located in Southeast Asia.  Samples were selected for listed and unlisted various type of industries, based on the information availability internet searching. The sample collection and the subjectivity during the content analysis process are the limitations in conducting this study. In general, the results show that „human resources‟ are the main information disclosed, while in contrast, „energy‟ is the main least issue disclosed in the annual reports.  However, the findings need to be interpreted with considerations since there are limited in samples. Basically, the outcomes support the major prior studies and enhancing the discussion of CSD conducting in developing countries, while at the same time describing some countries which obtained very limited in exposures. To respond the vast increasing issues of CSD practice, this preliminary study has provided a basis to see the role of every country in CSR reporting and how they could support the sustainability development globally.

  11. Information Acquisition and Strategic Disclosure in Oligopoly

    DEFF Research Database (Denmark)

    Jansen, Jos


    I study the incentives of oligopolists to acquire and disclose information on a common demand intercept. Because firms may fail to acquire information even when they invest in information acquisition, firms can credibly conceal unfavorable news while disclosing favorable news. Firms may earn higher...... expected profits under such a selective disclosure regime than under the regimes where firms commit to share all or no information. In particular, this holds under both Cournot and Bertrand competition, if the firms have sufficiently flat information acquisition cost functions. For steeper cost functions...

  12. The dark side of family communication: a communication model of elder abuse and neglect. (United States)

    Lin, Mei-Chen; Giles, Howard


    To further address the potential factors that lead up to elder abuse in domestic settings, this paper proposes a model from a communication approach to explain dyadic influences between the family caregiver and the elderly care receiver that give rise to the abuse. That is, dysfunctional communication between the caregivers and care receivers may, therefore, increase the likelihood of elder abuse. Grounded in Bugental and her colleagues' work (1993, 1999, 2002) on child abuse, we propose a power-oriented communication model based, in part, on research in the fields of family violence and intergenerational communication to explain the likelihood of occurrence of elder abuse in family caregiving situations. We argue that certain risk factors pertaining to caregivers' characteristics--those who perceive high stress in caregiving, have mental health issues, have a history of substance abuse, and/or display verbal aggressiveness--may be more likely to attribute considerable power to those elderly under their custodianship. At the same time, such caregivers tend to feel powerless and experience loss of control when interacting with their elderly counterparts. When an elderly care receiver displays noncompliant behaviors, caregivers may be prone to employ abusive behaviors (in our model, it refers to physical abuse, verbal abuse, or communication neglect) to seek such compliance. Consequences of such abuse may result in lower self-esteem or lower confidence in one's ability to manage his/her life. It is suggested that researchers and practitioners investigate both parties' interactions closely and the role of elderly care receivers in order to detect, intervene, and prevent elder abuse.

  13. HIV stigma among substance abusing people living with HIV/AIDS: implications for HIV treatment. (United States)

    Levi-Minzi, Maria A; Surratt, Hilary L


    HIV-related stigma has a major impact on quality of life and health among people living with HIV and AIDS (PLWHA). This study examines demographic, mental health, behavioral, contextual, and HIV care-related correlates of HIV stigma among 503 substance abusing PLWHA. Stigma was measured with the HIV Internalized Stigma Measure which has four subscales: stereotypes about HIV, self-acceptance, disclosure concerns, and social relationships. Severe substance dependence (55.3%) and depression (54.7%) were associated with higher HIV stigma across all domains. 49.9% of the sample reported antiretroviral (ARV) medication diversion (the unlawful sale and trading of ARV medications); diverters endorsed significantly higher stigma related to disclosure. 54.1% of the sample reported ≥95% ARV adherence; these individuals reported significantly lower stigma for self-acceptance, disclosure, and social relationships. Multivariate linear regression showed that depression and social support demonstrated significant main effects across stigma domains. Findings suggest that interventions to decrease HIV related stigma may be an important component of initiatives to increase engagement in HIV care.

  14. Cough and Cold Medicine Abuse (United States)

    ... and Over-the-Counter Medications Stimulant ADHD Medications: Methylphenidate and Amphetamines Synthetic Cannabinoids Synthetic Cathinones ("Bath Salts") Effects of Drug Abuse Comorbidity: Addiction and Other Mental Disorders Drug Use ...

  15. Alcohol abuse and postoperative morbidity

    DEFF Research Database (Denmark)

    Tønnesen, Hanne


    precise identification of alcohol abuse. However, the inability of the questionnaires to detect short-term changes in intake and abuse without dependence, the inconsistent predictive values of the biological markers, and the lack of evidence of an association to postoperative morbidity reduces......Patients who drink too much have more complications after surgery. The aim of this thesis was to evaluate the evidence, possible mechanisms, and prevention of the increased postoperative morbidity in alcohol abusers, defined by a consumption of at least five drinks per day. The literature could...... be criticised for several methodological flaws. Nevertheless, the results are in agreement showing moderate to strong evidence of increased postoperative morbidity after surgical procedures on alcohol abusers. There is weak to moderate evidence of increased postoperative mortality, hospital stay, and re...

  16. The Abuse of Drug Information (United States)

    Hammond, Peter G.


    Today's drug information programs may be responsible for increasing drug abuse. A large percentage of existing materials are inaccurate, moralistic and ineffective. This article discusses these points and recommends materials that avoid them. (40 references) (DH)

  17. Childhood Deaths from Physical Abuse. (United States)

    Kasim, Mohd. Sham; and Others


    This paper describes 30 cases of childhood deaths caused by physical abuse in Kuala Lumpur, Malaysia. Data presented include ethnic origins, age, causes of death, identity of perpetrators, and marital situation of parents. (DB)

  18. Meth abuse and oral health


    Deviprasad Makonahally; Vaibhav Gupta; Pushpanjali Krishnappa


    Methamphetamine abuse is spreading its roots in India due to its widespread appeal, ease of manufacture and low cost compared with other stimulant drugs. Methamphetamine-induced caries is a characteristic finding among methamphetamine abusers. Thus, it is important to understand the typical clinical manifestations inclusive of cervical and proximal caries, elicit proper case history and develop a comprehensive treatment plan to help patients in a complete rehabilitation. We present a series o...

  19. An implementation assessment of China's Environmental Information Disclosure Decree

    Institute of Scientific and Technical Information of China (English)

    Lei Zhang; Arthur P.J Mol; Guizhen He; Yonglong Lu


    China's 2007 Open Government Information Regulations is widely considered as a milestone in the country's information policy history and is praised as a "sunshine program".The Environmental Information Disclosure Decree was the first to operationalize these general regulations into a sectoral information disclosure system on environment.This study assessed the implementation of the environmental information disclosure system about six months after the Decree took effect on May 1,2008.Through reviewing the websites of all 31 provincial Environmental Protection Bureaus and the Ministry of Environmental Protection,conducting an experiment with actual information disclosure request,and through interviews with all provincial Environmental Protection Bureaus,this article concluded that the implementation of the environmental information disclosure system still falls short.Future improvements should focus on further publicity of the regulations and decree to enhance public participation,the establishment of an independent evaluation and supervision system for information disclosure,the exchange of experiences and best practices among provincial Environmental Protection Bureaus,and on strengthening the legal status of environmental information disclosure.

  20. Immunotherapy for Drug Abuse (United States)

    Shen, Xiaoyun; Kosten, Thomas R.


    Substance use disorders continue to be major medical and social problems worldwide. Current medications for substance use disorders have many limitations such as cost, availability, medication compliance, dependence, diversion of some to illicit use and relapse to addiction after discontinuing their use. Immunotherapies using either passive monoclonal antibodies or active vaccines have distinctly different mechanisms and therapeutic utility from small molecule approaches to treatment. They have great potential to help the patient achieve and sustain abstinence and have fewer of the above limitations. This review covers the cocaine vaccine development in detail and provides an overview of directions for developing anti-addiction vaccines against the abuse of other substances. The notable success of the first placebo-controlled clinical trial of a cocaine vaccine, TA-CD, has led to an ongoing multi-site, Phase IIb clinical trial in 300 subjects. The results from these trials are encouarging further development of the cocaine vacine as one of the first anti-addiction vaccines to go forward to the U.S. Food and Drug Administration for review and approval for human use. PMID:22229313

  1. Fighting Child Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Pesanayi Gwirayi


    Full Text Available This study investigated secondary school pupils’ views on strategies that can be used to prevent child sexual abuse (CSA. A survey design was adopted as the operational framework for data gathering. Data were collected from three secondary schools, all in the Gweru district of Zimbabwe. The sample comprised 268 secondary pupils (50% female; M age = 15.42, SD = 1.376. Each participant was asked to write down three main strategies that can be used to fight CSA on a given questionnaire. The responses were then analyzed using the thematic content analysis technique. The study revealed that most pupils believed that CSA can be prevented through teaching them about it and also reporting to the police. Another significant finding was that pupils’ responses tended to vary with gender and level of education. Whereas female respondents suggested that CSA can be fought by avoiding strangers, saying no to sexual advances, and having reliable friends, their male counterparts suggested teaching the community about CSA, forming new clubs, and enacting life imprisonment for perpetrators, among other suggestions. In terms of level of education, Form 2 participants suggested avoiding strangers, staying home at night, whereas their Form 4 counterparts suggested lessons for Guidance and Counseling, saying no to sexual advances, and having reliable friends. These findings unequivocally demonstrate the need to vigorously engage secondary school pupils in activities aimed at fighting CSA to safeguard their inalienable human rights.

  2. Erythropoietin use and abuse

    Directory of Open Access Journals (Sweden)

    M Joseph John


    Full Text Available Recombinant human erythropoietin (rhEPO is arguably the most successful therapeutic application of recombinant DNA technology till date. It was isolated in 1977 and the gene decoded in 1985. Since then, it has found varied applications, especially in stimulating erythropoiesis in anemia due to chronic conditions like renal failure, myelodysplasia, infections like HIV, in prematurity, and in reducing peri-operative blood transfusions. The discovery of erythropoietin receptor (EPO-R and its presence in non-erythroid cells has led to several areas of research. Various types of rhEPO are commercially available today with different dosage schedules and modes of delivery. Their efficacy in stimulating erythropoiesis is dose dependent and differs according to the patient′s disease and nutritional status. EPO should be used carefully according to guidelines as unsolicited use can result in serious adverse effects. Because of its capacity to improve oxygenation, it has been abused by athletes participating in endurance sports and detecting this has proved to be a challenge.

  3. Psychologic aspects of sexual abuse in adolescence. (United States)

    Jeffrey, T B; Jeffrey, L K


    This paper reviews psychologic aspects of sexual abuse in female adolescents. It documents that sexual abuse is widespread, occurring at an alarming rate at all socioeconomic levels of society. It is perpetrated principally by adult men in the victim's family. Often its effects are tragic. Adolescent female sexual abuse victims are at high risk for subsequent acting out behavior, sexual promiscuity, physical and sexual abuse, anxiety, depression, low self-esteem, alcohol and drug abuse or dependence, chronic sleep disturbance, dissociative disorders, eating disorders, emotional numbing, dissociation, guilt, shame, hyperalertness, suicidal ideation, and multiple associated psychiatric disorders. Although it may appear at a surface level that sexual abuse victims recover from such abuse, follow-up studies suggest that many remain disabled long after the abuse has ended. Health care professionals should be especially cognizant of the magnitude of the impact of sexual abuse on adolescent girls and recognize the need of these patients for psychologic and medical services.

  4. Development of the scale of economic abuse. (United States)

    Adams, Adrienne E; Sullivan, Cris M; Bybee, Deborah; Greeson, Megan R


    Economic abuse is part of the pattern of behaviors used by batterers to maintain power and control over their partners. However, no measure of economic abuse exists. This study describes the development of the Scale of Economic Abuse, which was designed to fill this gap. Interviews were conducted with 103 survivors of domestic abuse, each of whom responded to measures of economic, physical, and psychological abuse as well as economic hardship. Results provide evidence for the reliability and validity of the scale. This study is an important first step toward understanding the extent and impact of economic abuse experienced by survivors.

  5. Child sexual abuse: consequences and implications. (United States)

    Hornor, Gail


    Sexual abuse is a problem of epidemic proportions in the United States. Given the sheer numbers of sexually abused children, it is vital for pediatric nurse practitioners to understand both short-term and long-term consequences of sexual abuse. Understanding consequences of sexual abuse can assist the pediatric nurse practitioner in anticipating the physical and mental health needs of patients and also may assist in the identification of sexual abuse victims. Sexual abuse typically does not occur in isolation. Implications for practice will be discussed.

  6. Essays on information disclosure and the environment (United States)

    Mathai, Koshy

    The essays in this dissertation study information disclosure and environmental policy. The first chapter challenges the longstanding result that firms will, in general, voluntarily disclose information about product quality, in light of the unrealism of the assumption, common to much of the literature, that consumers are identical. When this assumption is relaxed, an efficiency-enhancing role may emerge for disclosure regulation, insofar as it can improve information provision and thus help protect consumers with "moderately atypical" preferences. The paper also endogenizes firms's choice of quality and suggests that disclosure regulation may also raise welfare indirectly, by inducing firms to improve product quality. The second chapter explores the significance of policy-induced technological change (ITC) for the design of carbon-abatement policies. The paper considers both R&D-based and learning-by-doing-based knowledge accumulation, examining each specification under both a cost-effectiveness and a benefit-cost policy criterion. We show analytically that the presence of ITC generally implies a lower profile of optimal carbon taxes, a shifting of abatement effort into the future (in the R&D scenarios), and an increase in the scale of abatement (in the benefit-cost scenarios). Numerical simulations indicate that the impact of ITC on abatement timing is very slight, but the effects on costs, optimal carbon taxes, and cumulative abatement can be large. The third chapter uses a World Bank dataset on Chinese state-owned enterprises to estimate price elasticities of industrial coal demand. A simple coal-demand equation is estimated in many forms, and significant price sensitivity is almost always found: the own-price elasticity is estimated to be roughly -0.5. A cost-function/share-equation system is also estimated, and although the function is frequently ill-behaved, indicating that firms may not be minimizing costs, the elasticity estimates again are large and

  7. Proses Pengungkapan Diri(Self Disclosure) Kaum Gay (Studi Kasus Tentang Pengungkapan Diri(Self Disclosure) Kaum Gay Di Kota Medan)


    Pasaribu, Rotua E.


    This study titled Gay Self Disclosure Process (Case Study About Disclosure Self (Self Disclosure) Gay in Medan). This study aims to determine how the process of self-disclosure gays with family, friends and the environment, any obstacles encountered when communicating with his family and friends, and to investigate the verbal and non-verbal communication among gays. The theory is considered relevant by the researchers for this study are: Communication, komunikai Inter-Personal, Penetration Th...

  8. New challenges and opportunities in managing substance abuse in Malaysia. (United States)

    Mazlan, Mahmud; Schottenfeld, Richard S; Chawarski, Marek C


    Until recently, Malaysia has lagged behind in the treatment of drug addiction and related disorders, despite experiencing severe drug problems. By the end of 2004, 234,000 heroin users or heroin-dependent individuals had been registered in the official government registry, but other estimates exceed 500,000 for heroin abusers in the country. Amphetamine-type stimulant abuse is also increasing and of considerable public and government concern. Among the population of drug users, HIV and other infectious diseases rates are very high. In the Western Pacific regions, Malaysia has the second highest HIV prevalence (after Vietnam) among adult populations (0.62%) and the highest proportion of HIV cases resulting from injection drug use (76.3%). Drug use and related disorders exert a heavy burden on the country's health care and legal systems. Historically, drug abusers were rehabilitated involuntarily in correctional, rather than health-care, facilities. This primarily criminal treatment approach had limited effectiveness which led to widespread public dissatisfaction and the recent introduction of medical treatments for addiction. Naltrexone was introduced in 1999; buprenorphine was introduced in 2001 and methadone in 2003. Agonist maintenance programmes were embraced rapidly by the medical community in Malaysia. Currently, over 30,000 opiate-dependent patients are treated with agonist maintenance treatments by more than 500 medical practitioners in Malaysia. Despite these recent advances, treatments for amphetamine-type stimulant abuse or dependence are underdeveloped, and diversion of agonist medications is an emerging concern.

  9. Substance abuse as a precipitant of wife abuse victimizations. (United States)

    Kantor, G K; Straus, M A


    This study examines the question of whether drug and alcohol use by victims constitutes a risk factor increasing the chances of their being assaulted by their partners. Data from a subsample of the 1985 National Family Violence Survey consisting of the 2,033 female respondents who were currently married or living in a male-female couple relationship are used as the basis of the analysis. The logistic analysis revealed that, of the ten variables in the model, the most important for distinguishing abused from nonabused women are husband's drug use, a history of paternal violence in womens' family or origin, husband's drunkenness, low income, and wife's drunkenness. Women who abuse alcohol are more likely to be victims of minor marital violence, but female substance abuse of any type is not a significant factor in severe violence.

  10. Benzodiazepine use, abuse, and dependence. (United States)

    O'brien, Charles P


    Although benzodiazepines are invaluable in the treatment of anxiety disorders, they have some potential for abuse and may cause dependence or addiction. It is important to distinguish between addiction to and normal physical dependence on benzodiazepines. Intentional abusers of benzodiazepines usually have other substance abuse problems. Benzodiazepines are usually a secondary drug of abuse-used mainly to augment the high received from another drug or to offset the adverse effects of other drugs. Few cases of addiction arise from legitimate use of benzodiazepines. Pharmacologic dependence, a predictable and natural adaptation of a body system long accustomed to the presence of a drug, may occur in patients taking therapeutic doses of benzodiazepines. However, this dependence, which generally manifests itself in withdrawal symptoms upon the abrupt discontinuation of the medication, may be controlled and ended through dose tapering, medication switching, and/or medication augmentation. Due to the chronic nature of anxiety, long-term low-dose benzodiazepine treatment may be necessary for some patients; this continuation of treatment should not be considered abuse or addiction.

  11. 77 FR 67329 - Information Collection: Agricultural Foreign Investment Disclosure Act (United States)


    ...; ] DEPARTMENT OF AGRICULTURE Farm Service Agency Information Collection: Agricultural Foreign Investment... ADDRESSES. FOR FURTHER INFORMATION CONTACT: Lesa A. Johnson, Agricultural Foreign Investment Disclosure Act... technological collection techniques or other forms of information technology. All comments received in...

  12. 17 CFR 229.1202 - (Item 1202) Disclosure of reserves. (United States)


    ...) Synthetic oil; (iv) Synthetic gas; and (v) Sales products of other non-renewable natural resources that are... ENERGY POLICY AND CONSERVATION ACT OF 1975-REGULATION S-K Disclosure by Registrants Engaged in Oil...

  13. 16 CFR 23.22 - Disclosure of treatments to gemstones. (United States)


    ... JEWELRY, PRECIOUS METALS, AND PEWTER INDUSTRIES § 23.22 Disclosure of treatments to gemstones. It is...; except that where a jewelry product can be purchased without personally viewing the product,...

  14. Sexual disclosures: connections to relational satisfaction and closeness. (United States)

    Coffelt, Tina A; Hess, Jon A


    This study examines sexual communication by describing the content of sexual disclosures within marital relationships and assessing the association between sexual disclosures and relational outcomes, specifically relational satisfaction and closeness. A survey administered to 293 married individuals (58% female) who had an average age of 40 years (range = 20-73), 13.7 years of marriage (range = 1 month to 54 years), and who reported high levels of relational satisfaction assessed the relation between the content of sexual disclosures and satisfaction and closeness. While sexual disclosures are made infrequently, positive affect and sexual preferences are disclosed more than negative topics and disclosing sexual information is positively related to relationship satisfaction, rρ(280) =.26, p sexual information and relationship satisfaction and closeness, as reported by individuals experiencing relationship satisfaction.

  15. 12 CFR 226.20 - Subsequent disclosure requirements. (United States)


    ... RESERVE SYSTEM TRUTH IN LENDING (REGULATION Z) Closed-End Credit § 226.20 Subsequent disclosure... premiums for continuation of insurance of the types described in § 226.4(d). (5) The renewal of...

  16. Efficient estimation under privacy restrictions in the disclosure problem

    NARCIS (Netherlands)

    Albers, Willem


    In the disclosure problem already collected data are disclosed only to such extent that the individual privacy is protected to at least a prescribed level. For this problem estimators are introduced which are both simple and efficient.

  17. 16 CFR 436.7 - Instructions for updating disclosures. (United States)


    ... revised disclosure document, after which a franchise seller may distribute only the revised document and..., the franchise seller shall notify the prospective franchisee of any material changes that the...

  18. Corporate Governance and Environmental Disclosure in the Indonesian Mining Industry

    Directory of Open Access Journals (Sweden)

    Terri Trireksani


    Full Text Available Sustainability and corporate governance issues are now considered to be important and integral aspects of company performance. Both have established themselves as well-studied topics in the organisational and accountability areas. While there has been a growing interest to study the relationship between these two areas, research publication in this topic is still mainly focused on the Western societies. This study focuses on the corporate governance and sustainability disclosure practices in one of the emerging economies, Indonesia, and assesses the relationships between corporate governance variables and the extent of environmental disclosures made by the mining companies listed in the Indonesia Stock Exchange (IDX in their annual reports. The main findings of this study show that the extent of environmental disclosure made by these companies was moderate, and that there is a significant positive relationship between the size of board of directors and the extent of environmental disclosure.

  19. Toward accommodating physicians' conscientious objections: an argument for public disclosure. (United States)

    Harter, Thomas D


    This paper aims to demonstrate how public disclosure can be used to balance physicians' conscientious objections with their professional obligations to patients--specifically respect for patient autonomy and informed consent. It is argued here that physicians should be permitted to exercise conscientious objections, but that they have a professional obligation to provide advance notification to patients about those objections. It is further argued here that public disclosure is an appropriate and ethically justifiable limit to the principle of advance notification. The argument for publicly disclosing physicians' conscientious objections is made in this paper by discussing three practical benefits of public disclosure in medicine, and then addressing how publicly disclosing physicians' conscientious objections is not an undue invasion of privacy. Three additional concerns with public disclosure of physicians' conscientious objections are briefly addressed--potential harassment of physicians, workplace discrimination, and mischaracterising physicians' professional aptitude--concluding that each of these concerns requires further deliberation in the realm of business ethics.

  20. 42 CFR 480.136 - Disclosure to intermediaries and carriers. (United States)


    ... SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY... practitioner if the QIO and the intermediary or carrier (or CMS if the QIO and the intermediary or...

  1. 42 CFR 480.120 - Information subject to disclosure. (United States)


    ... SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations... subcontracts under those contracts (except for proprietary or business information); (3) Copies of...

  2. Perceived impact of the disclosure of a schizophrenia diagnosis. (United States)

    Pandya, Anand; Bresee, Catherine; Duckworth, Ken; Gay, Katrina; Fitzpatrick, Michael


    Stigma against those with schizophrenia has demonstrated deleterious effects. However, less is known about the experience of individuals who disclose this diagnosis and how such disclosures differ by social situations. This study examines diagnosis disclosure in different contexts. A convenience sample of 258 adults with schizophrenia recruited via the internet and e-mail lists completed an online survey. Subjects were more open about their diagnosis with doctors, parents and friends than with employers or police. Those who report very good current mental health or who had fewer types of relationships were more open overall. Although reactions to disclosure varied, many report worse treatment by police and better treatment by parents after disclosure. Many also experienced worse treatment for medical problems after disclosing their schizophrenia diagnosis. These results support targeted anti-stigma interventions. It also suggests that stigma must be understood through individual experience in specific contexts rather than as a unitary experience.

  3. Regional variations in HIV disclosure in Thailand: implications for future interventions. (United States)

    Lee, S-J; Li, L; Jiraphongsa, C; Iamsirithaworn, S; Khumtong, S; Rotheram-Borus, M J


    People living with HIV (PLH) in Thailand face tremendous challenges, including HIV disclosure. With the advent of antiretroviral (ARV) therapy in Thailand, the positive benefits of HIV disclosure are becoming more salient. However, there are regional variations in the levels of HIV disclosure in Thailand. We examined and compared the levels of HIV disclosure in Northern and Northeastern Thailand. PLH (N = 410) were recruited from four district hospitals in the North and the Northeast. More PLH in the North reported disclosing HIV status to at least one family member in the household. PLH in the Northeast reported significantly lower levels of HIV disclosure within family and outside of family. HIV disclosure remains a significant challenge in Thailand, especially in the Northeast. We propose future interventions focusing on HIV disclosure to address the specific concerns and barriers to HIV disclosure, taking into account the regional differences in HIV disclosure.


    Directory of Open Access Journals (Sweden)

    Cirstea Andreea


    Full Text Available The purpose of this article is to analyze the current state of consolidated reporting practice harmonization concerning the choice of presenting the income statement, the changes in equity, the methods used for presenting the cash flow statement, the extant methods for evaluating and reporting goodwill, the extant methods in which jointly controlled entities are accounted in the consolidated financial statements, or the choice for recognizing investments in subsidiaries, jointly controlled entities and associates in the separate statements of the parent company. In order to achieve our goal we selected the first 10 groups, in order of their capitalization value, that were listed on each of the following capital markets: London Stock Exchange, NYSE Euronext (Paris Stock Exchange and Deutsche Börse (Frankfurt Stock Exchange and we analyzed, in a qualitative and in a quantitative manner, for a period of six years starting with 2007, their consolidated financial statements with the design to establish exactly which of the aspects stated in the International Financial Reporting Standards were being used for the items presented above. In order to complete the empirical research part of the paper that addresses from a comparative perspective the evaluation of the degree of material harmony between the reporting practices of groups listed on the three stock exchanges above-mentioned, we used statistical and mathematical methods represented by the I Index first described by Van der Tas. Taking into account the fact that since 2005 all listed companies on the European stock exchanges were required to adopt the international accounting standards for their consolidated financial disclosures, the degree of material harmony was studied only in reference to those requirements that presented two methods or possibilities of disclosure.Our findings suggest that the groups analyzed present a high degree of material harmonization with respect to the reporting

  5. The concept of disclosure in the notes to financial statements


    A.V. Ozeran


    The notes to Financial Statements are one of the most powerful sources of information for management decisions concerning a business entity. The tendency to overload informative notes causes rethinking of their role and content. The aim of the study is to discuss a number of ideas that set the requirements for disclosure in the notes to financial statements in order to prevent duplication of information in financial reporting as a whole and eliminate irrelevant disclosure to achieve clarity, ...

  6. Critical social theory approach to disclosure of genomic incidental findings. (United States)

    Bevan, Jeffrey L; Senn-Reeves, Julia N; Inventor, Ben R; Greiner, Shawna M; Mayer, Karen M; Rivard, Mary T; Hamilton, Rebekah J


    Technology has expanded genomic research and the complexity of extracted gene-related information. Health-related genomic incidental findings pose new dilemmas for nurse researchers regarding the ethical application of disclosure to participants. Consequently, informed consent specific to incidental findings is recommended. Critical Social Theory is used as a guide in recognition of the changing meaning of informed consent and to serve as a framework to inform nursing of the ethical application of disclosure consent in genomic nursing research practices.

  7. Perceived Impact of the Disclosure of a Schizophrenia Diagnosis



    Stigma against those with schizophrenia has demonstrated deleterious effects. However, less is known about the experience of individuals who disclose this diagnosis and how such disclosures differ by social situations. This study examines diagnosis disclosure in different contexts. A convenience sample of 258 adults with schizophrenia recruited via the internet and e-mail lists completed an online survey. Subjects were more open about their diagnosis with doctors, parents and friends than wit...

  8. Alcohol abuse and postoperative morbidity

    DEFF Research Database (Denmark)

    Tønnesen, Hanne


    Patients who drink too much have more complications after surgery. The aim of this thesis was to evaluate the evidence, possible mechanisms, and prevention of the increased postoperative morbidity in alcohol abusers, defined by a consumption of at least five drinks per day. The literature could...... be criticised for several methodological flaws. Nevertheless, the results are in agreement showing moderate to strong evidence of increased postoperative morbidity after surgical procedures on alcohol abusers. There is weak to moderate evidence of increased postoperative mortality, hospital stay, and re......-operation. The personal and economic consequences are tremendous. The incidence of alcohol abusers undergoing surgery was 7% to 49%, according to gender and diagnosis. They have been identified by a self-reported alcohol intake, which implies the possibility of underestimation. Alcohol markers could be used for a more...

  9. Misuse and abuse of quetiapine

    Directory of Open Access Journals (Sweden)

    Agnieszka Piróg-Balcerzak


    Full Text Available Quetiapine is an atypical antipsychotic agent, frequently used in psychiatry, often for symptomatic treatment against a number of mental disorders differing from the registration indications. One of the use is to soothe the clinical conditions caused by the use of various psychoactive substances. The paper presents and discusses the reports of quetiapine misuse, abuse, and even mental addiction, as well as symptoms similar to the so-called discontinuation syndrome, often mixed with withdrawal syndrome occurring in the course of addiction. Most reports concern males, and especially those with a history of other psychoactive substance abuse, and personality disorders, often in conflict with the law. Therefore, clinicians should be cautious when prescribing quetiapine to such patients. The article discusses potential mechanisms responsible for quetiapine abuse. This is probably related to its sedative and anxiolytic activity which results in the frequent use with stimulants. Also, high affinity for the H1 receptor, as antihistamines agents causes rewarding action.

  10. Cough and Cold Medicine Abuse (For Parents) (United States)

    ... Old Feeding Your 1- to 2-Year-Old Cough and Cold Medicine Abuse KidsHealth > For Parents > Cough ... cough and cold medicine. Why Do Kids Abuse Cough and Cold Remedies? Before the U.S. Food and ...

  11. Abuse of rights in Community Law

    DEFF Research Database (Denmark)

    Sørensen, Karsten Engsig


    The article analyses the case law of the ECJ on abuse of rights with the aim to determine the extent to which EU law allows Member States and others to take measures to prevent abuse of Community rights...

  12. Child Abuse May Shorten Some Women's Lives (United States)

    ... page: Child Abuse May Shorten Some Women's Lives Extreme stress may ... 300 middle-aged U.S. adults, female survivors of child abuse were more likely to die over the next ...

  13. Psychophysiological aspects of amphetamine-methamphetamine abuse. (United States)

    Murray, J B


    Abuse of amphetamines-methamphetamines has increased worldwide. Profiles of abusers, effects of different methods of administration, and research on amphetamine psychosis are reviewed, along with research on psychophysiological mechanisms, addictive potential, and psychotherapeutic strategies.

  14. Inhalant Abuse: Is Your Child at Risk? (United States)

    ... can be valuable as well. With help, your child can end inhalant abuse and learn how to make healthy choices for a lifetime. References Baydala L. Inhalant abuse. Paediatrics and Child Health. 2010;15:443. Results from the 2013 ...

  15. Child Abuse - Multiple Languages: MedlinePlus (United States)

    ... Are Here: Home → Multiple Languages → All Health Topics → Child Abuse URL of this page: ... V W XYZ List of All Topics All Child Abuse - Multiple Languages To use the sharing features on ...

  16. Hidden Abuse within the Home: Recognizing and Responding to Sibling Abuse (United States)

    Stutey, Diane; Clemens, Elysia V.


    Sibling abuse is a serious phenomenon in our society that often goes unaddressed. Victims of sibling abuse experience psychological effects similar to those of child abuse (Caspi, 2012; Wiehe, 2002). The purpose of this article is to provide school counselors with a definition of sibling abuse and a five-step model to recognize and respond. A…

  17. Neighborhood Crime Rates among Drug Abusing and Non-Drug Abusing Families. (United States)

    Davis, Norris; And Others


    Examines the relationship between paternal drug abuse status and neighborhood crime rates. Although paternal drug abusing families resided in neighborhoods with higher crime rates than parental non-drug abusing families, when controlling for socioeconomic status, ethnicity, and domicile, drug abuse status was not associated with neighborhood crime…

  18. Elder abuse: speak out for justice. (United States)

    Olson, Jenna M; Hoglund, Barbara A


    It is estimated that 1 in 10 older adults experience abuse, but only 1 in 5 to as little as 1 in 24 cases are reported. Elder abuse is expected to increase as the population ages. Nurses are in a prime position to identify, assess, manage, and prevent elder abuse. This article explores elder abuse and its prevalence, potential causes, and risk factors offering case studies, assessment tools, resources, and interventions.

  19. Measuring Economic Abuse in the Lives of Survivors: Revising the Scale of Economic Abuse. (United States)

    Postmus, Judy L; Plummer, Sara-Beth; Stylianou, Amanda M


    Recent attention has been given by researchers to understanding how abusers use economic abuse strategies. Unfortunately, limited measures are available to accurately understand the prevalence of economic abuse in the lives of survivors. Recently, researchers created the 28-item Scale of Economic Abuse (SEA) but further validation is needed. This article describes the psychometric evaluation of the SEA through confirmatory and exploratory factor analyses using data collected with 120 survivors of abuse. The findings provide evidence for the reliability and validity of the SEA-12 as a shorter instrument to measure economic abuse as a distinct form of abuse.

  20. Establishing "abuse-deterrence equivalence" for generic abuse-deterrent opioid formulations: A proposed development framework. (United States)

    Setnik, Beatrice; Cone, Edward J


    Abuse-deterrent formulations are one strategy for mitigating the epidemic of prescription opioid abuse. Regulatory guidance documents describe the requirements for developing abuse-deterrent formulations of novel drugs and formulations; however, they do not address "abuse-deterrence equivalence" for generic formulations. As generics may be produced with different excipients and formulations compared to reference drugs, differences in their properties may impact their abuse-deterrent features. Currently, it is unclear what specific studies are needed to support generic abuse-deterrence claims. This commentary outlines several recommendations on the in vitro and in vivo testing required, including the conditions for conducting a human abuse potential study.

  1. Attitudes of Psychologists Toward Drug Abusers (United States)

    Knox, Wilma J.


    The present survey sought to define drug abuse, its causes, recommended treatments, treatment settings, prognosis, and personal commitment to treating drug abusers. The use of prison and courts was contrasted with hospitals, and willingness to treat drug abusers was contrasted with alcoholics. (Author)

  2. An unusual case of baclofen abuse

    Directory of Open Access Journals (Sweden)

    Soumitra Das


    Full Text Available Baclofen was initially used for the treatment of spastic conditions. Last decade has seen its emergence as a treatment of profound interest in alcohol dependence, opiates and cocaine abuse, and tobacco addiction. However, the published literature on baclofen abuse is sparse. Here, we report a patient with baclofen abuse.

  3. Concealment of Child Sexual Abuse in Sports (United States)

    Hartill, Mike


    When the sexual abuse of children is revealed, it is often found that other nonabusing adults were aware of the abuse but failed to act. During the past twenty years or so, the concealment of child sexual abuse (CSA) within organizations has emerged as a key challenge for child protection work. Recent events at Pennsylvania State University (PSU)…

  4. What Is Child Abuse and Neglect? (United States)

    US Department of Health and Human Services, 2006


    Each State provides its own definitions of child abuse and neglect based on minimum standards set by Federal law. This fact sheet provides the answers to the following questions: (1) How is child abuse and neglect defined in Federal law?; and (2) What are the major types of child abuse and neglect? Additional resources are listed. (Contains 2…

  5. Acculturation and polysubstance abuse in Arab-American treatment clients. (United States)

    Arfken, Cynthia L; Kubiak, Sheryl P; Farrag, Mohamed


    Acculturation to U.S. culture by Latinos and Asian Americans has been associated with increased prevalence of substance abuse. However, little is known about the association between acculturation and substance use among Arab Americans, or more specifically, among Arab-American treatment clients. In 156 Arab-American male treatment clients, we found that higher levels of U.S. acculturation were positively associated with increased prevalence of polysubstance abuse. This first report on a large series of Arab-American clients also found considerable within-group variability. These results can be used to develop treatment plans and work-force training on the importance of U.S. acculturation and variability within Arab Americans.

  6. [Therapist self-disclosure in cognitive-behavioral therapy]. (United States)

    Panagiotidou, K; Zervas, I


    Social changes and developments in medical science prompted mental health professionals to adopt new roles in relation to their self-disclosure practices. The physician-patient relationship has balanced on a different level, promoting the equity and the autonomy of the second. The contemporary patient is better informed, asks more questions and requires more answers. The boundaries between "professional" and "personal" are less strict and patients believe that they have a right to know whether the personal experiences (educational, clinical, research) of their therapists enable them to understand and help them. Although the latest version of the American Psychological Association's Ethics Code (APA, 2002) offers no explicit guidance on therapist self-disclosure, it incorporates an implicit message that therapists can no longer choose non-disclosure without having considered the issue carefully. Non-disclosure is no longer the easy answer, as it may affect adversely the therapeutic relationship and the therapeutic effect. These new circumstances prompted representatives of all psychotherapeutic orientations to reconsider traditional positions on therapist self-disclosure, to adapt to the diverse needs of the patients and the modern requirements of the therapeutic process and to define the framework within which its conduct is not only safe but also effective. This review attempts to describe the concept of therapist self-disclosure and its use and its functions in Cognitive-Behavioral Therapy, following a history of the term in other major therapeutic schools (psychoanalytic, client-centered and systemic). As the focus of any psychotherapy is the patient himself, we added reports of patients' experiences by their therapists' disclosures. Those descriptions reveal clearly not only the benefits of therapist self-disclosure but also the dangers posed by improper use. Finally, we attempt to set a framework in the form of proposals, as these result from existing

  7. Adolescent HIV disclosure in Zambia: barriers, facilitators and outcomes

    Directory of Open Access Journals (Sweden)

    Gitau Mburu


    Full Text Available Introduction: As adolescents living with HIV gain autonomy over their self-care and begin to engage in sexual relationships, their experiences of being informed about their HIV status and of telling others about their HIV status may affect their ability to cope with having the disease. Methods: In 2010, we conducted a qualitative study among adolescents aged 10–19 living with HIV in Zambia, and with their parents and health care providers. Through interviews and focus group discussions, we explored the disclosure of HIV status to adolescents living with HIV; adolescents’ disclosure of their status to others; and the impact of both forms of disclosure on adolescents. Results: Our study identified three main barriers to disclosure of HIV status: local norms that deter parents from communicating with their children about sexuality; fear of HIV stigma; and an underlying presumption that adolescents would not understand the consequences of a HIV diagnosis on their lives and relationships. With regard to adolescents’ disclosure of their HIV status to their sexual partners, our study identified fear of rejection as a common barrier. In rare cases, open family conversations about HIV helped adolescents come to terms with a HIV diagnosis. Findings indicated that disclosure had various outcomes at the individual and interpersonal levels. At the individual level, some adolescents described being anxious, depressed and blaming themselves after being told they had HIV. At the interpersonal level, disclosure created opportunities for adolescents to access adherence support and other forms of psychosocial support from family members and peers. At the same time, it occasionally strained adolescents’ sexual relationships, although it did not always lead to rejection. Conclusions: There is a need for public health interventions that guide adolescents living with HIV, their parents and families through the disclosure process. Such interventions should help

  8. A case of error disclosure: a communication privacy management analysis. (United States)

    Petronio, Sandra; Helft, Paul R; Child, Jeffrey T


    To better understand the process of disclosing medical errors to patients, this research offers a case analysis using Petronios's theoretical frame of Communication Privacy Management (CPM). Given the resistance clinicians often feel about error disclosure, insights into the way choices are made by the clinicians in telling patients about the mistake has the potential to address reasons for resistance. Applying the evidenced-based CPM theory, developed over the last 35 years and dedicated to studying disclosure phenomenon, to disclosing medical mistakes potentially has the ability to reshape thinking about the error disclosure process. Using a composite case representing a surgical mistake, analysis based on CPM theory is offered to gain insights into conversational routines and disclosure management choices of revealing a medical error. The results of this analysis show that an underlying assumption of health information ownership by the patient and family can be at odds with the way the clinician tends to control disclosure about the error. In addition, the case analysis illustrates that there are embedded patterns of disclosure that emerge out of conversations the clinician has with the patient and the patient's family members. These patterns unfold privacy management decisions on the part of the clinician that impact how the patient is told about the error and the way that patients interpret the meaning of the disclosure. These findings suggest the need for a better understanding of how patients manage their private health information in relationship to their expectations for the way they see the clinician caring for or controlling their health information about errors. Significance for public healthMuch of the mission central to public health sits squarely on the ability to communicate effectively. This case analysis offers an in-depth assessment of how error disclosure is complicated by misunderstandings, assuming ownership and control over information

  9. Childhood abuse, adult interpersonal abuse, and depression in individuals with extreme obesity. (United States)

    Salwen, Jessica K; Hymowitz, Genna F; Vivian, Dina; O'Leary, K Daniel


    This study sought to examine (a) a mediational model of childhood abuse, adult interpersonal abuse, and depressive symptoms and (b) the impact of weight-related teasing on rates and correlates of childhood abuse. Charts of 187 extremely obese individuals seeking psychological clearance for bariatric (weight-loss) surgery were retrospectively examined. Among the participants, 61% reported a history of childhood abuse, 30.5% reported adult interpersonal abuse, and 15% reported clinically significant depressive symptoms. Initially, the relationship between childhood abuse and current depressive symptoms was significant (pinterpersonal abuse as a mediator in the model reduced the magnitude of its significance (Sobel's test p=.01). The associations between childhood abuse and adult interpersonal abuse and between adult interpersonal abuse and depressive symptoms were significant (prelationship between childhood and adult interpersonal abuse. Bariatric surgery patients report elevated rates of childhood abuse that are comparable to rates in psychiatric populations (e.g., eating disorders, depression), and higher than those in community samples and other medical populations. The relationship between child abuse and depressive symptomatology may be partially explained by the presence of adult interpersonal abuse; additionally, the relationship between childhood and adult interpersonal abuse was stronger for those who did not endure weight-related teasing than for those who did.

  10. Domestic abuse as a transgressive practice: understanding nurses' responses through the lens of abjection. (United States)

    Bradbury-Jones, Caroline; Taylor, Julie


    Domestic abuse is a worldwide public health issue with long-term health and social consequences. Nurses play a key role in recognizing and responding to domestic abuse. Yet there is considerable evidence that their responses are often inappropriate and unhelpful, such as trivializing or ignoring the abuse. Empirical studies have identified several reasons why nurses' responses are sometimes wanting. These include organizational constraints, e.g. lack of time and privacy; and interpersonal factors such as fear of offending women and lack of confidence. We propose, however, that these factors present only a partial explanation. Drawing on the work of Julia Kristeva, we suggest that alternative understandings may be derived through applying the concept of abjection. Abjection is a psychological defence against any threat (the abject) to the clean and proper self that results in rejection of the abject. Using examples from our own domestic abuse research, we contend that exposure of nurses to the horror of domestic abuse evokes a state of abjection. Domestic abuse (the abject) transgresses established social boundaries of clean and proper. Thus when exposed to patients' and clients' experiences of it, some nurses subconsciously reject domestic abuse as a possibility (abjection). They do this to protect themselves from the horror of the act, but in so doing, render themselves unable to formulate appropriate responses. Rather than understanding the practice of some nurses as wilfully neglectful or ignorant, we argue that through a state of abjection, they are powerless to act. This does not refute existing evidence about nurses' responses to domestic abuse. Rather, as a relatively unknown concept in nursing, abjection provides an additional explanatory layer that accounts for why some nurses respond the way they do. Crucially, it elucidates the need for nurses to be supported emotionally when faced with the transgressive practice of abuse.

  11. Substance Abuse by Anesthesiology Residents. (United States)

    Lutsky, Irving; And Others


    The analysis of 183 responses to a survey of former anesthesiology residents of the Medical College of Wisconsin found that 29 had been self-administered problematic substance abusers during their residencies, 23 had been alcohol dependent, and 6 had been drug dependent. More than 85 percent of respondents considered the drug policy information…

  12. Growth Hormone: Use and Abuse (United States)

    Fact Sheet & Growth Hormone: Use Abuse What is huma n gr owth hormone? Human growth hormone (GH) is a substance that controls your body’s ... too little GH, they may have health problems. Growth hormone deficiency (too little GH) and some other health ...

  13. Childhood Sexual Abuse and Suicide (United States)

    ... 5 1 Molnar, B., Berkman, L., & Buka, S. (2001). Psychopathology, childhood sexual abuse, and other childhood adversities: Relative links ... 4 Shapiro, S. (1992). Suicidality and the sequelae of childhood victimization. In S. ... and psychopathology. NY: Lexington Books. 56 Goldsmith et al., (2000). ...

  14. Spontaneous pneumomediastinum and Ecstasy abuse.


    Pittman, J A; Pounsford, J C


    Ecstasy is an illegal recreationally used drug. A case of a young woman who had taken this drug and was found to have a spontaneous pneumomediastinum is reported. The association of spontaneous pneumomediastinum with drug abuse is discussed. The possible mechanism for this complication of Ecstasy, which has not been previously reported, is discussed.

  15. Financial Fraud and Child Abuse (United States)

    Little, Allison Dare


    A modern form of abuse of children by parents and foster parents is to use the identity of children in their care for their own financial benefit, such as accessing their unused social security numbers to secure credit. This article reviews examples and implications of this identity theft.

  16. Crime, Abuse, and Hacker Ethics. (United States)

    Johnson, Deborah G.


    Discusses computer ethics and the use of computer networks. Topics addressed include computer hackers; software piracy; computer viruses and worms; intentional and unintentional abuse; intellectual property rights versus freedom of thought; the role of information in a democratic society; individual privacy; legislation; social attitudes; and the…

  17. 76 FR 36557 - Center for Substance Abuse Prevention; Notice of Meeting (United States)


    ... Abuse and Mental Health Services, Administration's Center for Substance Abuse Prevention Drug Testing... HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse... Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Substance Abuse......

  18. A case of error disclosure: a communication privacy management analysis

    Directory of Open Access Journals (Sweden)

    Sandra Petronio


    Full Text Available To better understand the process of disclosing medical errors to patients, this research offers a case analysis using Petronios’s theoretical frame of Communication Privacy Management (CPM. Given the resistance clinicians often feel about error disclosure, insights into the way choices are made by the clinicians in telling patients about the mistake has the potential to address reasons for resistance. Applying the evidenced-based CPM theory, developed over the last 35 years and dedicated to studying disclosure phenomenon, to disclosing medical mistakes potentially has the ability to reshape thinking about the error disclosure process. Using a composite case representing a surgical mistake, analysis based on CPM theory is offered to gain insights into conversational routines and disclosure management choices of revealing a medical error. The results of this analysis show that an underlying assumption of health information ownership by the patient and family can be at odds with the way the clinician tends to control disclosure about the error. In addition, the case analysis illustrates that there are embedded patterns of disclosure that emerge out of conversations the clinician has with the patient and the patient’s family members. These patterns unfold privacy management decisions on the part of the clinician that impact how the patient is told about the error and the way that patients interpret the meaning of the disclosure. These findings suggest the need for a better understanding of how patients manage their private health information in relationship to their expectations for the way they see the clinician caring for or controlling their health information about errors.

  19. Recent trends in drug abuse in China

    Institute of Scientific and Technical Information of China (English)

    Yu-xia FANG; Yan-bo WANG; Jie SHI; Zhi-min LIU; Lin LU


    Drug abuse has spread quickly since reemerging as a national problem in China in the late 1980s. The number of registered drug abusers increased from 70 000 in1990 to more than one million by the end of 2004. In addition to opioids, abuse of "new" types of drugs including 3,4-methylenedioxymethamphetamine (MDMA)and ketamine has spread since 1997. Illicit drug trafficking and production have swept most of southern China, and throughout the country drug abuse has caused many problems for both abusers and the community. One major drug-related problem is the spread of HIV, which has caused major social and economic damage in China. In response, the Chinese government has begun an anti-drug campaign, including legislative measures to control drug abuse. However, changing the public' s attitudes toward drug abusers and breaking the link between drug use and HIV spread are equally important.

  20. Forensic odontology, part 5. Child abuse issues. (United States)

    Hinchliffe, J


    Child abuse, child maltreatment, non-accidental injury and child homicide: all terms that are hard to believe exist in the 21st civilised century, but non-accidental injury of children is a major problem, crossing all socioeconomic, ethnic and educational groups, and is happening all over the world. Available statistics on child abuse and deaths related to abuse are frightening, and as many cases are not reported, actual numbers are likely to be much higher. This paper aims to increase understanding of child abuse issues and encourage the dental team to be alert to the possibility of abuse, recognise the physical injuries and make referrals to the appropriate agency if necessary. In child abuse cases physical injuries to the head and facial area are common while other types of abuse are less visible but are damaging to a vulnerable child in other ways. Keeping children safe is a shared responsibility and a top priority for all of us.

  1. Client Abuse to Public Welfare Workers

    DEFF Research Database (Denmark)

    Strøbæk, Pernille Solveig; Korczynski, Marek


    market economy – in which workers are accorded power and resources, in which workers tend to frame the abuse as the outcome of a co-citizen caught in system failure and in which workers demonstrate some resilience to abuse. Another expectation is that New Public Management reforms push the case to follow......We analyse a case study of workers’ experience of client abuse in a Danish public welfare organisation. We make an original contribution by putting forward two different theoretical expectations of the case. One expectation is that the case follows a pattern of customer abuse processes in a social...... patterns of customer abuse associated with a liberal market economy – in which the customer is treated as sovereign against the relatively powerless worker, and in which workers bear heavy emotional costs of abuse. Our findings show a greater match to the social processes of abuse within a social market...

  2. Drugs of abuse and Parkinson's disease. (United States)

    Mursaleen, Leah R; Stamford, Jonathan A


    The term "drug of abuse" is highly contextual. What constitutes a drug of abuse for one population of patients does not for another. It is therefore important to examine the needs of the patient population to properly assess the status of drugs of abuse. The focus of this article is on the bidirectional relationship between patients and drug abuse. In this paper we will introduce the dopaminergic systems of the brain in Parkinson's and the influence of antiparkinsonian drugs upon them before discussing this synergy of condition and medication as fertile ground for drug abuse. We will then examine the relationship between drugs of abuse and Parkinson's, both beneficial and deleterious. In summary we will draw the different strands together and speculate on the future merit of current drugs of abuse as treatments for Parkinson's disease.

  3. Understanding cycles of abuse: A multimotive approach. (United States)

    Simon, Lauren S; Hurst, Charlice; Kelley, Ken; Judge, Timothy A


    Fundamental to the definition of abusive supervision is the notion that subordinates are often victims of a pattern of mistreatment (Tepper, 2000). However, little research has examined the processes through which such destructive relational patterns emerge. In this study, we draw from and extend the multimotive model of reactions to interpersonal threat (Smart Richman & Leary, 2009) to formulate and test hypotheses about how employees' emotional and behavioral responses may ameliorate or worsen supervisors' abuse. To test this model, we collected 6 waves of data from a sample of 244 employees. Results revealed reciprocal relationships between abusive supervision and both supervisor-directed counterproductive behavior and supervisor-directed avoidance. Whereas the abusive supervision--counterproductive behavior relationship was partially driven by anger, the abusive supervision--avoidance relationship was partially mediated by fear. These findings suggest that some may find themselves in abusive relationships, in part, because their own reactions to mistreatment can, perhaps unknowingly, reinforce abusive behavior.

  4. Client Abuse to Public Welfare Workers:

    DEFF Research Database (Denmark)

    Strøbæk, Pernille Solveig; Korczynski, Marek


    We analyse a case study of workers’ experience of client abuse in a Danish public welfare organisation. We make an original contribution by putting forward two different theoretical expectations of the case. One expectation is that the case follows a pattern of customer abuse processes in a social...... market economy – in which workers are accorded power and resources, in which workers tend to frame the abuse as the outcome of a co-citizen caught in system failure and in which workers demonstrate some resilience to abuse. Another expectation is that New Public Management reforms push the case to follow...... patterns of customer abuse associated with a liberal market economy – in which the customer is treated as sovereign against the relatively powerless worker, and in which workers bear heavy emotional costs of abuse. Our findings show a greater match to the social processes of abuse within a social market...

  5. Celiac disease - nutritional considerations (United States)

    ... this page: // Celiac disease - nutritional considerations To use the sharing features on this page, please enable JavaScript. Celiac disease is an immune disorder passed down through families. ...

  6. Dental Treatment Considerations (United States)

    ... ask about Dental Treatment Considerations Myasthenia gravis (MG) is an autoimmune neuromuscular disorder that presents ... diagnosis and optimal care of individuals affected by myasthenia gravis and closely related disorders and to improve their ...

  7. Too little power, too much information! Power, narcissism, and adolescents' disclosures on social networking sites

    NARCIS (Netherlands)

    Hawk, Skyler T.; Ter Bogt, Tom F M; Van Den Eijnden, Regina J J M; Nelemans, Stefanie A.


    From a self-image failure perspective, narcissistic adolescents who feel socially disempowered might engage in exhibitionistic disclosures on Social Networking Sites (SNSs). Two studies investigated this hypothesis regarding normative (day-to-day) and problematic (sexuality, drinking) disclosures. I

  8. 45 CFR 1701.2 - Disclosure of records and informational materials. (United States)


    ... COMMISSION ON LIBRARIES AND INFORMATION SCIENCE DISCLOSURE OF INFORMATION § 1701.2 Disclosure of records and... and copy any document of the National Commission on Libraries and Information Science. (b)...

  9. Pattern of antibiotic abuse – a population based study in Cairo

    Directory of Open Access Journals (Sweden)

    Ahmed Abdel Gawad Elmasry


    Conclusion: This study showed high rates of antibiotic abuse among Cairo population. This needs to be guided through different strategies. An easy access to an affordable health care service with a considerable quality is the first step side by side with establishing a national antibiotic policy to be followed by all healthcare workers.

  10. DOE handbook: Design considerations

    Energy Technology Data Exchange (ETDEWEB)



    The Design Considerations Handbook includes information and suggestions for the design of systems typical to nuclear facilities, information specific to various types of special facilities, and information useful to various design disciplines. The handbook is presented in two parts. Part 1, which addresses design considerations, includes two sections. The first addresses the design of systems typically used in nuclear facilities to control radiation or radioactive materials. Specifically, this part addresses the design of confinement systems and radiation protection and effluent monitoring systems. The second section of Part 1 addresses the design of special facilities (i.e., specific types of nonreactor nuclear facilities). The specific design considerations provided in this section were developed from review of DOE 6430.1A and are supplemented with specific suggestions and considerations from designers with experience designing and operating such facilities. Part 2 of the Design Considerations Handbook describes good practices and design principles that should be considered in specific design disciplines, such as mechanical systems and electrical systems. These good practices are based on specific experiences in the design of nuclear facilities by design engineers with related experience. This part of the Design Considerations Handbook contains five sections, each of which applies to a particular engineering discipline.

  11. Disclosure and the Cost of Capital: Evidence from Firms' Responses to the Enron Shock


    Christian Leuz; Catherine Schrand


    This paper examines the link between disclosure and the cost of capital. We exploit an exogenous cost of capital shock created by the Enron scandal in Fall 2001 and analyze firms' disclosure responses to this shock. These tests are opposite to the typical research design that analyzes cost of capital responses to disclosure changes. In reversing the tests and using an exogenous shock, we mitigate concerns about omitted variables in traditional cross-sectional disclosure studies. We estimate s...

  12. A study of the Irish paradigm of disclosure of financial information to employees


    Barker, Patricia


    This study examines the case for the disclosure of financial information to employees of enterprises in the Republic of Ireland. A case for the justification of such disclosure within the Decision Usefulness approach is established. Through literature review, analysis and empirical study, the Irish paradigm of disclosure to employees, insofar as it has developed to date, is described. Current disclosure practice in major Irish enterprises is established, and 'local' c...

  13. [The physician, the drug abuser and drug abuse]. (United States)

    Størksen, P


    Drug abusers have a low tolerance for unpleasant and painful emotions and experience a need for chemical relief through use of narcotics, tranquilizers and analgesics. Physicians may show a tendency to comply with their request for such drugs, partly because they give way under pressure (threats, violence) and partly because of their own unconscious need for acceptance and appreciation from the patients. The use of prescribed drugs may inspire an illusion that drug therapy is a "solution" and withdraw attention from other therapies. The prescription of medicaments may represent an extension of already existing abuse. Physicians must be aware of these problems of prescription and of the problems connected to patients' use of threats and violence.

  14. Market Motivations for Voluntary Carbon Disclosure in Real Estate Industry (United States)

    Ufere, Kalu Joseph; Alias, Buang; Godwin Uche, Aliagha


    Climate change mitigation in developing economies is a balancing act, between economic development and environmental sustainability. The need for market friendly determinants for low carbon economy, without compromising economic development is of essence. The aim of the study is to determine market friendly factors, which motivates voluntary carbon information disclosure, in the real estate industry. The study modeled economic factor with three variables and financial market factor with three variables against voluntary carbon information disclosure in the real estate industry. Structural equation modeling was used for the modeling and content analysis was used to collect data on the level of voluntary carbon information disclosure, from 2013 annual reports of 126 real estate sector companies listed in the Kuala Lumpur Stock Exchange (KLSE). The model achieved a good fit, and was acceptable prediction. The results show that financial market factor has a significant predictive influence on voluntary carbon disclosure. The application of the result is that financial market factor is has a significantly positive influence on companies’ willingness to make voluntary carbon disclosure in the real estate industry. The result may be limited to the real estate industry that is highly leveraged on syndicated fund.

  15. Lessons on corporate "sustainability" disclosure from Deepwater Horizon. (United States)

    Lewis, Sanford


    The BP oil spill highlighted shortcomings of current financial and sustainability reporting standards and practice. "Integrated reporting" aims to combine financial and social/environmental information into a single annual corporate report. But without more stringent standards, integrated reports would neglect substantial risks and, as BP's sustainability reports demonstrate, create false impressions of good practice.To be of value, integration must: 1. Require timely disclosure of enforcement notices, orders and allegations issued by regulators. 2. Require disclosure of credible scientific reports and concerns indicative of potentially catastrophic risks of a company's products and activities, regardless of scientific uncertainty. 3. Require review and disclosures of a firm's safety culture. 4. Require disclosure of any facts or circumstances needed to ensure that the management's self-portrait of its sustainability strategies, goals and progress is not materially misleading.In conducting its misleading reporting, BP largely followed Global Reporting Initiative (GRI) guidelines. GRI is soliciting input, beginning in summer 2011, on how to revise those guidelines. Since GRI may prove a leading source for sustainability disclosure rules in integrating reporting, lessons learned from the BP experience must be applied to the next GRI revisions.

  16. 75 FR 23214 - HIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic... (United States)


    ... entities and business associates of accounting for such disclosures, and other information that may inform... Accounting of Disclosures Under the Health Information Technology for Economic and Clinical Health Act... Accountability Act of 1996 (HIPAA) Privacy Rule to receive an accounting of disclosures of protected...

  17. 21 CFR 516.52 - Availability for public disclosure of data and information in requests. (United States)


    ... 21 Food and Drugs 6 2010-04-01 2010-04-01 false Availability for public disclosure of data and... Availability for public disclosure of data and information in requests. (a) FDA will not publicly disclose the... acknowledged, no data or information in the request are available for public disclosure prior to final...

  18. 21 CFR 312.130 - Availability for public disclosure of data and information in an IND. (United States)


    ... 21 Food and Drugs 5 2010-04-01 2010-04-01 false Availability for public disclosure of data and... Miscellaneous § 312.130 Availability for public disclosure of data and information in an IND. (a) The existence... publicly disclosed or acknowledged. (b) The availability for public disclosure of all data and...

  19. 5 CFR 2634.308 - Reporting periods and contents of public financial disclosure reports. (United States)


    ... financial disclosure reports. 2634.308 Section 2634.308 Administrative Personnel OFFICE OF GOVERNMENT ETHICS GOVERNMENT ETHICS EXECUTIVE BRANCH FINANCIAL DISCLOSURE, QUALIFIED TRUSTS, AND CERTIFICATES OF DIVESTITURE Contents of Public Reports § 2634.308 Reporting periods and contents of public financial disclosure...

  20. 76 FR 38547 - Technical Updating Amendments to Executive Branch Financial Disclosure and Standards of Ethical... (United States)


    ... branch regulation on financial disclosure to reflect the retroactive statutory increase of the reporting... sections of its executive branchwide ethics regulations on financial disclosure and standards of ethical... executive branch financial disclosure regulation at 5 CFR part 2634 applicable as of January 1, 2011...

  1. 3 CFR 100.1 - Ethical conduct standards and financial disclosure regulations. (United States)


    ... 3 The President 1 2010-01-01 2010-01-01 false Ethical conduct standards and financial disclosure... § 100.1 Ethical conduct standards and financial disclosure regulations. Employees of the Executive... part 2635, and the executive branch-wide financial disclosure regulations at 5 CFR part 2634....

  2. 29 CFR 100.101 - Cross-reference to financial disclosure requirements and other conduct rules. (United States)


    ... 29 Labor 2 2010-07-01 2010-07-01 false Cross-reference to financial disclosure requirements and... to financial disclosure requirements and other conduct rules. Employees of the National Labor... financial disclosure regulations at 5 CFR part 2634....

  3. 5 CFR 5502.107 - Supplemental disclosure of financial interests in substantially affected organizations applicable... (United States)


    ... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Supplemental disclosure of financial... SUPPLEMENTAL FINANCIAL DISCLOSURE REQUIREMENTS FOR EMPLOYEES OF THE DEPARTMENT OF HEALTH AND HUMAN SERVICES § 5502.107 Supplemental disclosure of financial interests in substantially affected...

  4. HIV status disclosure among HIV-positive African and Afro-Caribbean people in the Netherlands

    NARCIS (Netherlands)

    Stutterheim, S.E.; Shiripinda, I.; Bos, A.E.R.; Pryor, J.B.; Bruin, M. de; Nellen, J.F.J.B.; Kok, G.J.; Prins, J.M.; Schaalma, H.P.


    HIV status disclosure is often characterized as a dilemma. On the one hand, disclosure can promote health, social support, and psychological well-being. On the other, disclosure can lead to stigmatization, rejection, and other negative social interactions. Previous research has shown that HIV status

  5. 22 CFR 96.39 - Information disclosure and quality control practices. (United States)


    ... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Information disclosure and quality control... for Convention Accreditation and Approval Information Disclosure, Fee Practices, and Quality Control Policies and Practices § 96.39 Information disclosure and quality control practices. (a) The agency...

  6. 32 CFR 635.14 - Accounting for military police record disclosure. (United States)


    ... 32 National Defense 4 2010-07-01 2010-07-01 true Accounting for military police record disclosure... § 635.14 Accounting for military police record disclosure. (a) AR 340-21 prescribes accounting policies and procedures concerning the disclosure of military police records. (b) Provost Marshals/Directors...

  7. Self-Disclosure and Adults with Learning Disabilities: Practical Ideas about a Complex Process (United States)

    Gerber, Paul J.; Price, Lynda A.


    Self-disclosure for adults with learning disabilities is very complex after the beyond-school years. The issues of invisibility, risk/benefit, and the multiple contexts of adult functioning create many challenges in the process of disclosure. Moreover, self-disclosure, one element of the larger issue of self-determination, is viewed as an entry…

  8. 42 CFR 420.206 - Disclosure of persons having ownership, financial, or control interest. (United States)


    ... this section shall be subject to public disclosure as specified in 20 CFR part 422. ... 42 Public Health 3 2010-10-01 2010-10-01 false Disclosure of persons having ownership, financial... of Ownership and Control Information § 420.206 Disclosure of persons having ownership, financial,...

  9. Application of the Theory of Reason Action for Preventing of Ecstasy Abuse among College Students

    Directory of Open Access Journals (Sweden)

    Majid Barati


    Full Text Available Introduction: The aim of the present study was assessed the effect of educational program for preventing of ecstasy abuse among college students in Hamadan based on Theory of Reason Action (TRA. Method: A quasi-experimental study carried out in college students. A total number of 140 students were selected through randomized cluster sampling and randomly assigned to the intervention (n=70 and the control (n=70 groups. Data-gathering tools consisted of a two-part questionnaire: Knowledge of ecstasy abuse consequences and one scale for measuring TRA variables. Respondents in the control and experimental groups completed questionnaires at before and two months after intervention. Results: The results showed that among constructs of the theory of reason action, subjective norms were better predictor of ecstasy abuse. There were significant differences between the scores of reason action constructs namely: attitude against drug abuse, subjective norms and intention of ecstasy abuse with consideration of group (witness and experimental. Conclusion: With regard to the results of the current study, special education based on Theory of Reasoned Action is effective in improving of attitude, subjective norm and behavioral intention of students. Therefore it is highly recommended that TRA education can be use for preventing of drug abuse education programs.

  10. Methylphenidate abuse in Texas, 1998-2004. (United States)

    Forrester, Mathias B


    Methylphenidate is a stimulant used in the treatment of attention deficit hyperactivity disorder in children and is subject to abuse. This study describes the patterns of methylphenidate abuse and drug identification (ID) calls received by several poison control centers in Texas. Cases were calls involving methylphenidate received by Texas poison control centers during 1998-2004. Drug ID and drug abuse calls were assessed by call year and geographic location. Drug abuse calls were then compared to all other human exposure (nonabuse) calls with respect to various factors. Of 6798 calls received involving methylphenidate, 35% were drug IDs and 56% human exposures. Of the human exposures, 9% involved abuse. The number of drug ID calls and drug abuse calls received per year both declined during the first part of 7-yr period but then increased. Male patients accounted for approximately 60% of both drug abuse and nonabuse calls. Adolescent patients comprised 55% of drug abuse calls and children less than 13 yr old comprised 62% of nonabuse calls. Although the majority of both types of human exposures occurred at the patient's own residence, drug abuse calls were more likely than non-abuse calls to involve exposures at school (15% vs. 6%) and public areas (3% vs. 0.4%). While drug abuse calls were less likely than nonabuse calls to present with no clinical effects (29% vs. 52%), they were more likely to show more serious medical outcomes. Methylphenidate abusers are more likely to be adolescents. Methylphenidate abuse as compared to other exposures is more likely to occur outside of the person's home and to involve more serious medical outcomes.

  11. Early Prevention Toward Sexual Abuse on Children

    Directory of Open Access Journals (Sweden)

    Ira Paramastri


    Full Text Available Child sexual abuse is a worldwide problem. Although most studies on the longterm consequences of child sexual abuse have focused on women, sexual abuse of both boys and girls is common. Peer sexual abuse in schools was an often overlooked problem that contributes to a hostile school environment: one major study found that 85% of girls and 76% of boys reported experiencing some form of sexual abuse in school. 85% of child sexual abuse is committed by relatives, close family friend or an adult that the child knows and trusts. The childhood sexual abuse variables taken into account are commonly age of onset, duration, abuse forms and relationship between the child and the perpetrator. The objective of this study was to gather information or opinion about sexual abuse concept, methods and media of the elementary students, parents, teachers and experts. A qualitative study, involving one to one interviews, was conducted with 7 experts, focus group discussion with 40 elementary students, and with 40 parents in Yogyakarta district about child sexual abuse issues. Data were analysed according to Miles and Huberman’s data reduction, data display and conclusion verification process. These findings strongly indicate that boys and girls are vulnerable to this form of childhood sexual abuse ; the similarity in the likelihood for multiple behavioral, mental and social outcomes among men and women suggest the need to identify and treat all adults affected by child sexual abuse. Themes related to the child sexual abuse were: paperwork design, good facilitator, guidelines for students, parents and teachers. Students prefer media that can help them understand concept with komik paperwork as media for early prevention. Parents, teachers and experts prefer that this prevention program can run as soon. With careful paperwork design and evaluation of prevention program, the success of program implementation can be enhanced.

  12. Bovespa corporate governance levels and information disclosure to the market: a comparison of business combination disclosures in explanatory notes

    Directory of Open Access Journals (Sweden)

    Ana Carolina Kolozsvari


    Full Text Available In this study, the disclosure of information associated with Corporate Governance based on the listing segments of the São Paulo Stock Exchange (Bovespa is focused on through the disclosure of business combinations in the annual financial statements. Based on Technical Pronouncement CPC 15, the explanatory notes to the statements for 2012 of companies listed on Bovespa were analyzed, considering the distinguished listing segments, to investigate whether the segments with higher governance levels would also present a higher disclosure level. The information published was analyzed descriptively in terms of type: simple, descriptive and detailed, including statistical confirmation by means of the Mann-Whitney test to compare the New and Traditional Market segments and the Wilcoxon test to compare the information blocks. No significant differences were found in the disclosure level attributed to the governance, but the level of disclosure dropped as the complexity of the required information increased. The results indicate greater sensitivity to the type of information related to the listing segments, an approach applicable to other normative pronouncements or other Corporate Governance indicators.

  13. Anabolic steroid abuse and dependence. (United States)

    Brower, Kirk J


    Anabolic-androgenic steroids (AAS) are mainly used to treat androgen deficiency syndromes and, more recently, catabolic states such as AIDS-associated wasting. There is no evidence in the reviewed literature that AAS abuse or dependence develops from the therapeutic use of AAS. Conversely, 165 instances of AAS dependence have been reported among weightlifters and bodybuilders who, as part of their weight training regimens, chronically administered supraphysiologic doses, often including combinations of injected and oral AAS as well as other drugs of abuse. A new model is proposed in which both the "myoactive" and psychoactive effects of AAS contribute to the development of AAS dependence. The adverse consequences of AAS are reviewed, as well as their assessment by means of a history and physical, mental status examination, and laboratory testing. When patients with AAS use disorders are compared with patients with other substance use disorders, both similarities and differences become apparent and have implications for treatment.

  14. [Neurologic complications of cocaine abuse]. (United States)

    Van Viet, H; Chevalier, P; Sereni, C; Bornet, P; Bautier, P; Degos, C F; Rullière, R


    Cocaine is increasingly used by drug addicts. It is considered harmless, but numerous, varied and often serious complications due to its abuse have been published. Among these, neurological complications are in the forefront. They include generalized or partial epileptic seizures, ischaemic or haemorrhagic cerebral vascular accidents, visual loss caused by optic neuropathy or by retinal artery occlusion, headaches and exacerbation of tics. Infections of the central nervous system are possible via endocarditis or septicaemia of venous or nasal origin. Neurological disorders may also occur as a consequence of a major cardiovascular complication induced by cocaine (myocardial infarction and/or dysrhythmia, aortic dissection). These neurological complications are unpredictable, and they weigh heavily on the functional and sometimes vital prognosis in habitual or occasional cocaine abusers.

  15. Preventing Child Sexual Abuse Early

    Directory of Open Access Journals (Sweden)

    Wenjing Zhang


    Full Text Available This study is aimed to examine preschool teachers’ knowledge of, attitudes about, and training related to child sexual abuse (CSA prevention in Beijing, China. Two hundred and forty-five preschool teachers were administered the 16-item questionnaire that contained questions on CSA prevention knowledge, attitudes, and teacher training. Results showed that Chinese preschool teachers had limited knowledge on CSA prevention (M = 4.86, SD = 2.12. Less than 5% of the teachers ever attended CSA prevention training programs. Preschool teachers’ training on CSA prevention was the significant factor for their knowledge and attitudes. To help protect children against sexual abuse, there is an urgent need to develop appropriate prevention training programs for preschool teachers in China.

  16. Disclosure indices design: does it make a difference?

    Directory of Open Access Journals (Sweden)

    Francisco Bravo Urquiza


    Full Text Available Measurement of information disclosed by companies is a complex task. Accounting research usually relies on disclosure indices to obtain a proxy for the information disclosed by companies. However, there is no consensus about the best design for these indices. The purpose of this paper is to investigate if there are significant differences among the indices that are used in disclosure studies. Three indices that measure disclosure of forward-looking information are compared: A “quality index” of a multidimensional nature; a “scope index” designed specifically to measure the scope of information, and a “quantity index” that measures information disclosed exclusively in terms of quantity. Results of the empirical analysis indicate that although the indices are correlated, they have a big impact in the rankings of companies. Evidence against the idea of the irrelevance of the particular index chosen is provided.

  17. Firm Performance and Comply or Explain Disclosure in Corporate Governance

    DEFF Research Database (Denmark)

    Rose, Caspar


    This study investigates the degree of Danish firm adherence to the Danish Code of Corporate Governance and analyzes if a higher degree of comply or explain disclosure is related to firm performance. This article formulates a methodology for quantifying the degree of comply or explain disclosure....... The analysis shows that there is a positive link between ROE/ROA and Danish firm total corporate governance comply or explain disclosure scores. Specifically, this is also the case when this level is increased within the following two categories: board composition and remuneration policy, whereas......'s many recommendations is relatively high. This article relates to the burgeoning literature that deals with listed firm compliance with national corporate governance codes and how compliance can be appropriately quantified. It is suggested that compliance is classified into the following four categories...

  18. Financial Conflicts of Interest, Disclosure, and Academic Discipline. (United States)

    Bruton, Samuel V; Sacco, Donald F; Didlake, Ralph


    Peer assessments of researchers' financial conflicts of interest (FCOIs) are crucial to effective FCOI management. We sought to determine how academics perceive FCOI disclosure and whether their perceptions vary depending on discipline and educational backgrounds. Participants (faculty and staff members from a multi-disciplinary academic medical center) responded to a questionnaire involving 10 hypothetical scenarios in which researchers either disclosed or failed to disclose a financial conflict (between-participants manipulation). Participants viewed disclosure as important and believed that researchers' objectivity would be affected by undisclosed FCOIs. In contrast to non-physicians, physicians showed greater recognition that the existence of an FCOI does not depend on its disclosure. This suggests that physicians are relatively well informed about FCOIs, which is likely attributable to more education about them.

  19. Family conditions and children abuse


    Platone, Maria Luisa


    This article deals with family conditions (structure and family system interactive patterns) which are considered as risk factors for children abuse. Method. Descriptive research multimethod (cuantitative and cualitative), data were obtained from a retrospective study (1970-2000) of public and private elementary schools, from pre-school to sixth grade. The instruments used were: 1) the family test drawing, 2) a questionnaire to the child. 3) a questionnaire to the teachers about family condit...

  20. [Substance abuse in older adults]. (United States)

    Bitar, Raoul; Dürsteler, Kenneth M; Rösner, Susanne; Grosshans, Martin; Herdener, Marcus; Mutschler, Jochen


    In respect of demographic change, the number of older patients with substance abuse and addiction is on the raise. In this review we present important clinical and therapeutic aspects of substance abuse and addiction in the elderly and focus on alcohol, benzodiazepines and opioids. Daily and risky alcohol consumption is common among older people. They also have an increased risk getting alcohol-related complications. For early detection, laboratory parameters and questionnaires such as the AUDIT-C are suitable. Therapeutically brief interventions have been proved successful. Also, abuse of benzodiazepines, especially low-dose addiction, is widespread among older persons, although often overlooked, and patients often do not recognize their addiction. The physician has to know the correct indication, adequate dosage and pharmacological interactions. A slow-dose reduction is recommended in case of addiction. Thanks to opioid substitution therapy, patients with an opioidaddiction can reach a higher age. Age influences the effects of the substitute, which may require an adjustment of the dosage. Treatment of elderly patients should be based on their needs and resources and is usually very effective.

  1. Disclosure of HIV status to children in resource-limited settings: a systematic review

    Directory of Open Access Journals (Sweden)

    Rachel C Vreeman


    Full Text Available Introduction: Informing children of their own HIV status is an important aspect of long-term disease management, yet there is little evidence of how and when this type of disclosure takes place in resource-limited settings and its impact. Methods: MEDLINE, EMBASE and Cochrane Databases were searched for the terms hiv AND disclos* AND (child* OR adolesc*. We reviewed 934 article citations and the references of relevant articles to find articles describing disclosure to children and adolescents in resource-limited settings. Data were extracted regarding prevalence of disclosure, factors influencing disclosure, process of disclosure and impact of disclosure on children and caregivers. Results: Thirty-two articles met the inclusion criteria, with 16 reporting prevalence of disclosure. Of these 16 studies, proportions of disclosed children ranged from 0 to 69.2%. Important factors influencing disclosure included the child's age and perceived ability to understand the meaning of HIV infection and factors related to caregivers, such as education level, openness about their own HIV status and beliefs about children's capacities. Common barriers to disclosure were fear that the child would disclose HIV status to others, fear of stigma and concerns for children's emotional or physical health. Disclosure was mostly led by caregivers and conceptualized as a one-time event, while others described it as a gradual process. Few studies measured the impact of disclosure on children. Findings suggested adherence to antiretroviral therapy (ART improved post-disclosure but the emotional and psychological effects of disclosure were variable. Conclusions: Most studies show that a minority of HIV-infected children in resource-limited settings know his/her HIV status. While caregivers identify many factors that influence disclosure, studies suggest both positive and negative effects for children. More research is needed to implement age- and culture

  2. 28 CFR 550.51 - Drug abuse education course. (United States)


    ... DRUG PROGRAMS Drug Abuse Treatment Program § 550.51 Drug abuse education course. (a) Purpose of the... inmates of the consequences of drug/alcohol abuse and addiction; and (2) Motivate inmates needing drug abuse treatment to apply for further drug abuse treatment, both while incarcerated and after release....

  3. Familial Correlates of Selected Types of Child Abuse and Neglect. (United States)

    Martin, Michael J.; Walters, James


    Studied 489 cases of child abuse and neglect to determine specific patterns of family circumstance which tended to be present in families in which abandonment, physical abuse, emotional abuse, neglect, or sexual abuse had been substantiated. Findings indicated that different kinds of abuse are related to different antecedent variables. (Author)

  4. Substance abuse in pregnant women. Experiences from a special child welfare clinic in Norway

    Directory of Open Access Journals (Sweden)

    Rosvold Elin


    Full Text Available Abstract Background Substance abuse during pregnancy may harm the foetus and can cause neonatal abstinence syndrome. Exposure to alcohol and other substances can influence the child for the rest of its life. A special child welfare clinic was set up in 1994 in Kristiansand, Norway, targeting pregnant women with substance abuse problems in the county of Vest-Agder. Pregnancy is not an indication for opioid replacement therapy in Norway, and one of the clinic's aims was to support the drug dependent women through their pregnancy without any replacements. The object of this paper is to describe concurrent health and social problems, as well as the predictors for stopping drug abuse, in the clinic's user group. Methods Retrospective cohort study. Data was gathered from the medical records of all 102 women seen in the clinic in the period between 1992 and 2002. The study includes 59 out of 60 women that were followed until their children were two years old or placed in alternative care, and a comparison group of twice the size. Both groups were presented with a questionnaire concerning both the pregnancy and health and socio-economic issues. Results Four (4.5 percent of the women that completed their pregnancies did not manage to reduce their substance abuse. All the others reduced their substance abuse considerably. The odds ratio for stopping substance abuse within the first trimester was significantly associated with stopping smoking (O.R. 9.7 or being victims of rape (O.R. 5.3. Conclusion A low cost and low threshold initiative organised as a child welfare clinic may support women with substance abuse problems in their efforts to stop or reduce their substance abuse during pregnancy.

  5. Full amnesty could encourage provider self-disclosure. (United States)

    Mustokoff, M M; Nagele, R L; Swichar, J L


    The Federal government's current policy toward healthcare providers that voluntarily disclose improprieties has been ineffective because it offers no guarantee of immunity from prosecution. To be successful, a self-disclosure program must offer real incentives to providers to come forward. The government's self-disclosure programs with respect to tax, environmental, and antitrust laws provide models for an effective amnesty program. The success of these three programs, and particularly of the antitrust program, suggests that healthcare providers would be encouraged to come forward and disclose improprieties if, under certain specific conditions, the OIG and DOJ offered a guarantee of full amnesty to the entity and its officers, directors, and employees.

  6. Methylphenidate Abuse and Psychiatric Side Effects


    Morton, W. Alexander; Stockton, Gwendolyn G.


    Methylphenidate is a central nervous system stimulant drug that has become the primary drug of choice in treating attention-deficit/hyperactivity disorder in children. Side effects are usually mild and are generally well tolerated by patients. Along with increases in prescribing frequency, the potential for abuse has increased. Intranasal abuse produces effects rapidly that are similar to the effects of cocaine in both onset and type. The clinical picture of stimulant abuse produces a wide ar...

  7. National profiling of elder abuse referrals.

    LENUS (Irish Health Repository)

    Clancy, Marguerite


    there is little consistent data on patterns of reporting of elder abuse in Europe. Between 2002 and 2007, the Irish Health Service Executive developed dedicated structures and staff to support the prevention, detection and management of elder abuse without mandatory reporting. Public awareness campaigns, staff training and management briefings heightened awareness regarding this new service. Central to this process is the development of a national database which could provide useful insights for developing coordinated responses to elder abuse in Europe.

  8. Domestic and institutional elder abuse legislation. (United States)

    Daly, Jeanette M


    Statutes pertinent to elder abuse vary widely. This article provides examples of organizational structure, dependency and age of the victim, definitions of abuse, classification of penalties, and investigation processes. Health care providers must learn their state's elder abuse laws and review any operating manuals produced from the statutes or regulations. All health care workers must know and implement the law to protect the welfare of older persons.



    Suci Wulansari


    Research about child abuse in Indonesia done by United Nations Children's Funds (UNICEF) results a concerned condition. The same opinion is also declared by Indonesian Commission on Children Protection. The increasing number of child abuse in Indonesia is highlighted in international society. Child abuse causes many negative effects for physical, mental, and or sexual of children, that effect for the growth and development of child thus leads to rise the lost generation. Medical officers hope...

  10. Hair Testing for Drugs of Abuse


    Karačić, Višnja; Skender, Ljiljana


    Hair testing for drugs of abuse is a developing technology, which offers the possibility of longer detection times than is commonly obtained with urine analysis. It is the main method for evaluation of an individual’s drugs of abuse history. In many countries hair analysis is routinely used to detect drug abuse in forensic cases, occupational and traffic medicine and clinical toxicology. Hair analysis in pregnant women, neonates and infants is a useful tool for the detection of...

  11. 76 FR 14980 - National Institute on Alcohol Abuse and Alcoholism; National Institute on Drug Abuse; Notice of... (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute on Alcohol Abuse and Alcoholism... Council on Alcohol Abuse and Alcoholism and the National Advisory Council on Drug Abuse. The meeting will...: National Advisory Council on Alcohol Abuse and Alcoholism and National Advisory Council on Drug Abuse....

  12. Evaluation of Child Abuse and Neglect

    Directory of Open Access Journals (Sweden)

    Selen Acehan


    Full Text Available Child abuse is an important public health problem that can cause serious injury, disability and even death, and have medical, legal, and social aspects. Prevention of repeated abuse at an early stage is necessary to limit long-term effects of abuse. Unfortunately, these children often do not receive the diagnosis in the emergency department, despite using emergency service. We aimed at the evaluation and management of child abuse and neglect which has a very important social dimension, in the light of the latest information. [Archives Medical Review Journal 2013; 22(4.000: 591-614

  13. The evaluation of sexual abuse in children. (United States)

    Kellogg, Nancy


    This clinical report serves to update the statement titled "Guidelines for the Evaluation of Sexual Abuse of Children," which was first published in 1991 and revised in 1999. The medical assessment of suspected sexual abuse is outlined with respect to obtaining a history, physical examination, and appropriate laboratory data. The role of the physician may include determining the need to report sexual abuse; assessment of the physical, emotional, and behavioral consequences of sexual abuse; and coordination with other professionals to provide comprehensive treatment and follow-up of victims.

  14. Oral and dental aspects of child abuse

    Directory of Open Access Journals (Sweden)

    Arlette Suzy Puspa Pertiwi


    Full Text Available Child abuse is defined as those acts or omissions of care that deprive a child from the opportunity to fully develop his or her unique potentials as a person either physically, socially or emotionally. The overall incidence of child abuse is not really clear. Statistical data do not show the actual rate because of the unreported cases. Dentists are in a strategic position to recognize and report the children being abused because they often see the child and parents interacting during multiple visits and over a long period of time. The orofacial region is commonly traumatized during episodes of child abuse. The characteristics and diagnostic finding of child abuse, and the protocol of reporting such cases, should be familiar to the dentist so that appropriate notification, treatment and prevention of further injury can be instituted. Dentists with experience or expertise in child abuse and neglect will strengthen their ability to prevent and detect child abuse and neglect and enhance the ability to care for and protect children. This paper discusses the oral and dental aspects of child abuse and the dentist role in evaluating this situation including prevention of child abuse.

  15. Emotional Abuse dalam Hubungan Suami-Istri

    Directory of Open Access Journals (Sweden)

    Greta Vidya Paramita


    Full Text Available In a marriage relationship, generally husband and wife has the commitment to live together and make each other happy. A spouse is expected to be a sparring partner, one who will always be there to share the good and bad times. Unfortunately, this situation doesn't always happen. One of the factors leading to this unhappiness is the presence of emotional abuse. Emotional abuse is a psychological violence which has the contribution in decreasing the victims self-confidence. Article describes various patterns of emotional abuse, characteristic of the abuser, consequences of the abuse, and how to respond to the abuse. There are also some suggestions to prevent or either cope the emotional abuse. The method used in this research is literature study. As a conclusion, emotional abuse in marriage relationship can be prevented by getting to know the partner personalities before the marriage. If emotional abuse occurs in a husband and wife relationship, the victim alone or together with the partner should seek professional help.

  16. Postmarketing surveillance of abuse liability of sibutramine. (United States)

    Arfken, Cynthia L; Schuster, Charles R; Johanson, Chris-Ellyn


    The abuse liability of medications is a growing concern as the number of newly approved psychoactive medications increases. Postmarketing surveillance can assist in determining abuse liability, but strategies are not well-defined for medications believed to be at low abuse risk. Using a newly approved medication (sibutramine--an anorectic drug), a novel approach to postmarketing abuse surveillance was introduced. A one-page anonymous questionnaire covering sibutramine, a scheduled anorectic drug (phentermine), and a fabricated name was added to the intake process of 58 treatment programs. From the 8780 completed questionnaires, 8.8% had heard of sibutramine and phentermine. For continued use to get high (a proxy for abuse), the rate for sibutramine was lower than for phentermine (0.6 vs. 2.2%, McNemar's chi(2) = 110.45, P < 0.001) but was higher than for the fabricated name (0.6 vs. 0.3%, McNemar's chi(2) = 11.86, P < 0.001). These results suggest the risk of abuse associated with sibutramine was lower than that associated with a known abused drug, one that itself is considered low risk despite decades of population exposure. The relatively high rate of hearing of sibutramine may be due to the direct-to-consumer advertisement. This approach is only one indicator in a surveillance framework but appears promising and validates findings from laboratory-based abuse liability studies that also indicate low abuse liability for sibutramine.

  17. 78 FR 73552 - National Institute On Alcohol Abuse and Alcoholism; National Institute On Drug Abuse; and... (United States)


    ... HUMAN SERVICES National Institutes of Health National Institute On Alcohol Abuse and Alcoholism... meeting of the National Advisory Council on Alcohol Abuse and Alcoholism, National Advisory Council on... visit. Name of Committees: National Advisory Council on Alcohol Abuse and Alcoholism; National...

  18. Holding Abusers Accountable: An Elder Abuse Forensic Center Increases Criminal Prosecution of Financial Exploitation (United States)

    Navarro, Adria E.; Gassoumis, Zachary D.; Wilber, Kathleen H.


    Purpose: Despite growing awareness of elder abuse, cases are rarely prosecuted. The aim of this study was to examine the effectiveness of an elder abuse forensic center compared with usual care to increase prosecution of elder financial abuse. Design and Methods: Using one-to-one propensity score matching, cases referred to the Los Angeles County…

  19. Non-Abusive Mothers of Sexually Abused Children: The Role of Rumination in Maternal Outcomes (United States)

    Plummer, Carol A.


    This study of 125 mothers examined the role of rumination in maternal emotional and behavioral outcomes subsequent to discovery of the sexual abuse of their children. Abuse severity, a maternal history of child abuse experiences, and life hassles were examined as predictors of negative outcomes. The central finding was that these factors, many of…

  20. The Relationship between Bullying and Animal Abuse Behaviors in Adolescents: The Importance of Witnessing Animal Abuse (United States)

    Gullone, Eleonora; Robertson, Nerida


    Children's abuse of animals may be predictive of aggression towards humans. This study assessed concurrent engagement in animal abuse and bullying behaviour in 241 adolescents aged 12 to 16 years. A total of 20.6% of youths reported abusing animals at least "sometimes" and 17.8% reported bullying others on at least one occasion in the past year.…

  1. Relationships among Abuse Characteristics, Coping Strategies, and Abused Women's Psychological Health: A Path Model (United States)

    Parker, Glennys; Lee, Christina


    We examined relationships between abuse, coping, and psychological health among 143 women who had experienced abuse in adult relationships. Measures included characteristics of the abuse, problem-focused and emotion-focused coping, Sense of Coherence, and four measures of psychological wellbeing--the SF-36 Mental Component Scale, the General…

  2. Extraversion, Neuroticism, and Verbal Conditioning of Affective Self-Disclosures (United States)

    Hekmat, Hamid


    Subjects were assigned to four experimental groups: neurotic extraverts, stable extraverts, neurotic introverts, stable introverts, and a control group. Results indicated that introversion, and not neuroticism, facilitated conditioning processes. Neuroticism, however, did not interact on the conditioning of affective self disclosures. Introverted…

  3. 40 CFR 304.23 - Disclosure and challenge procedures. (United States)


    ... RECOVERY CLAIMS Jurisdiction of Arbitrator, Referral of Claims, and Appointment of Arbitrator § 304.23 Disclosure and challenge procedures. (a) A person appointed as an Arbitrator under § 304.22 of this part... information from an appointed Arbitrator or other source, the Association shall, within two days of...

  4. On the role of information disclosures in capital markets

    NARCIS (Netherlands)

    Jia, Xue


    This dissertation uses economic modelling to explore the value of information disclosures to the firm and investors in capital markets. Specifically, two chapters investigate the interaction between manager’s decisions and the value of information to investors, while another two chapters examine how

  5. 29 CFR 4007.10 - Recordkeeping; audits; disclosure of information. (United States)


    ... order to permit PBGC to determine the effectiveness of the system or process and the reliability of information produced by the system or process. (2) Deficiencies found on audit. If, upon audit, PBGC... 29 Labor 9 2010-07-01 2010-07-01 false Recordkeeping; audits; disclosure of information....


    Directory of Open Access Journals (Sweden)



    Full Text Available Strong international integration and globalization affects the contemporary world´s economy which has influence in development of movement of capital, financial markets and decision making of each business entity. Because of increased force to comparability between companies, the idea of one single-setting globally accepted financial reporting standards was started in 1973 in London by International Accounting Standards Committee (IASC as a standards setter of International Accounting Standards (IAS. In the year 2000 the International Organization of Securities Commission (IOSCO recommended to use IFRS for all their members. The paper states about Prague Stock Exchange (PSE as a member of IOSCO, its index PX and companies which create the index PX. The index base is composed of 14 companies which reported their financial statements in accordance with International Financial Reporting Standards (IFRS, earlier IAS. The aim of the paper is to briefly introduce Prague Stock Exchange and index PX and to evaluate the chosen disclosure requirements of companies which create the index. The disclosure requirements, which are assessed are chosen from IAS 1: Presentation of Financial Statements and IFRS 8: Segments reporting. Research of disclosure requirements has been done by gathering the financial statements from years: 2011 and 2012 and assessment of chosen question is based on disclosure requirements of IAS 1 and IFRS 8. Those standards were chosen because of the wide range of companies. The next part of research is to assess the development between the compared years.

  7. 4 CFR 83.5 - Specific disclosure of information. (United States)


    ...) Selected in such a way as to constitute a clearly unwarranted invasion of personal privacy because the.... (e) In addition to the information to be made available under paragraph (a) of this section, the home... member of the public, except when the disclosure would constitute a clearly unwarranted invasion...

  8. 17 CFR 145.5 - Disclosure of nonpublic records. (United States)


    ... files and similar files the disclosure of which would constitute a clearly unwarranted invasion of... may be protected are an individual's home address and telephone number, social security number, date... impartial adjudication; (3) Could reasonably be expected to constitute an unwarranted invasion of...

  9. Do Data Breach Disclosure Laws Reduce Identity Theft? (United States)

    Romanosky, Sasha; Telang, Rahul; Acquisti, Alessandro


    In the United States, identity theft resulted in corporate and consumer losses of $56 billion dollars in 2005, with up to 35 percent of known identity thefts caused by corporate data breaches. Many states have responded by adopting data breach disclosure laws that require firms to notify consumers if their personal information has been lost or…

  10. 41 CFR 105-70.020 - Disclosure of documents. (United States)


    ... 41 Public Contracts and Property Management 3 2010-07-01 2010-07-01 false Disclosure of documents. 105-70.020 Section 105-70.020 Public Contracts and Property Management Federal Property Management Regulations System (Continued) GENERAL SERVICES ADMINISTRATION Regional Offices-General...

  11. Japanese Adolescents' Disclosure and Information Management with Parents (United States)

    Nucci, Larry; Smetana, Judith; Araki, Noriyuki; Nakaue, Masataka; Comer, Jessamy


    Adolescents' obligation to disclose and their actual disclosure about their activities to parents, justifications for nondisclosure, and strategies for information management were examined in different domains in 460 middle adolescents (M[subscript age] = 16.6 years) from working and middle-class families in Japan. Adolescents felt most…

  12. The Effectiveness of Health Disclosures Within Children's Television Commercials. (United States)

    Faber, Ronald J.


    Reviews literature on pronutrition messages in children's commercials and describes a study involving children ages 3 to 14 to test the effectiveness of incorporating health information disclosures into actual television commercials for highly sugared cereal and candy products. Results indicate most children were able to recall and make sense of…

  13. 16 CFR 436.6 - Instructions for preparing disclosure documents. (United States)


    ... DISCLOSURE REQUIREMENTS AND PROHIBITIONS CONCERNING FRANCHISING Instructions § 436.6 Instructions for... of the FTC Act for any franchisor to fail to include the information and follow the instructions for... form that permits each prospective franchisee to store, download, print, or otherwise maintain...

  14. 77 FR 36149 - Disclosure Requirements and Prohibitions Concerning Franchising (United States)


    ... thresholds for three exemptions from the Franchise Rule. FTC is required to adjust the size of the monetary... Tregillus, Franchise Rule Coordinator, Division of Marketing Practices, FTC, 600 Pennsylvania Avenue NW... Regulation Rule entitled ``Disclosure Requirements and Prohibitions Concerning Franchising'' (Franchise...

  15. Issues in the Recognition versus Disclosure of Financial Information Debate

    Directory of Open Access Journals (Sweden)

    Novak Aleš


    Full Text Available Empirical evidence from the academic literature on capital market effects of financial information placement (i.e., recognition on the face of the primary financial statements versus disclosure in the notes to the financial statements is not straightforward. Therefore, the purpose of this paper is to contribute to the recognition versus required disclosure debate in a standard-setting context by exploring possible reasons for perceived differences between recognized and disclosed amounts. These differences, in our view, arise due to demonstrated auditors’ greater tolerance for misstatement in disclosed amounts, allowed noncompliance with disclosure requirements even in strong enforcement regimes, lesser care that preparers of financial statements devote to disclosures relative to recognized items as well as behavioural factors and differential processing costs related to the users of financial information. We believe that these arguments strengthen the case for the general preference for the recognition of financial information in the standard-setting context. The original scientific contribution of this paper is to systematically identify the reasons for the differences between recognized and disclosed amounts in financial statements. As such, this paper may provide a suitable basis for the justification of certain conceptual changes in the field of international accounting standards that are currently underway.

  16. 45 CFR 164.504 - Uses and disclosures: Organizational requirements. (United States)


    ... other law (including regulations adopted by the covered entity or its business associate) contains... section. (ii) If a business associate is required by law to perform a function or activity on behalf of a...) The disclosure is required by law; or (B)(1) The business associate obtains reasonable assurances...

  17. 18 CFR 701.311 - Accounting for disclosures. (United States)


    ... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Accounting for... ORGANIZATION Protection of Privacy § 701.311 Accounting for disclosures. (a) Maintenance of an accounting. (1....303 except § 701.303(c)(1) and (2), an accounting will be made. (2) The accounting will record (i)...

  18. Grade Non-Disclosure. NBER Working Paper No. 17465 (United States)

    Gottlieb, Daniel; Smetters, Kent


    This paper documents and explains the existence of grade non-disclosure policies in Masters in Business Administration programs, why these policies are concentrated in highly-ranked programs, and why these policies are not prevalent in most other professional degree programs. Related policies, including honors and minimum grade requirements, are…

  19. Risky Business: An Ecological Analysis of Intimate Partner Violence Disclosure (United States)

    Alaggia, Ramona; Regehr, Cheryl; Jenney, Angelique


    Objective: A multistage, mixed-methods study using grounded theory with descriptive data was conducted to examine factors in disclosure of intimate partner violence (IPV). Method: In-depth interviews with individuals and focus groups were undertaken to collect data from 98 IPV survivors and service providers to identify influential factors.…

  20. 32 CFR 701.110 - Conditions of disclosure. (United States)


    .... (f) National Archives and Records Administration (NARA). Records may be disclosed to NARA as a record... attempt will be made to verify the inquirer's and medical facility's identities and the caller's telephone... medical information may be released by telephone. (i) Disclosure to Congress. (1) Records may be...

  1. 42 CFR 480.138 - Disclosure for other specified purposes. (United States)


    ... professional licensure of a practitioner or a particular institution. Confidential information, including QIO... programs, in the course of administrative hearings held under the Social Security Act or to disclosures to the General Accounting Office as necessary to carry out its statutory responsibilities. (2) A QIO...

  2. Are CSR disclosures relevant for investors? Empirical evidence from Germany

    NARCIS (Netherlands)

    Verbeeten, F.H.M.; Gamerschlag, R.; Möller, K.


    Purpose – The purpose of this paper is to examine whether narrative corporate social responsibility (CSR) disclosures (the provision of textual information on companies’ environmental and social performance to external stakeholders) are associated with firm value in Germany. Design/methodology/appro

  3. 38 CFR 20.1301 - Rule 1301. Disclosure of information. (United States)


    ... 38 Pensions, Bonuses, and Veterans' Relief 2 2010-07-01 2010-07-01 false Rule 1301. Disclosure of information. 20.1301 Section 20.1301 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS... with an annual cumulation, is available for review at Department of Veterans Affairs regional...

  4. 12 CFR 350.4 - Contents of annual disclosure statement. (United States)


    ... for each such year. The annual disclosure statement may, at the option of bank management, consist of... Lease Losses). (2) For insured state-licensed branches of foreign banks: (i) Schedule RAL (Assets and... option, provide additional information that bank management considers important to an evaluation of...

  5. 17 CFR 242.606 - Disclosure of order routing information. (United States)


    ... (CONTINUED) REGULATIONS M, SHO, ATS, AC, AND NMS AND CUSTOMER MARGIN REQUIREMENTS FOR SECURITY FUTURES Regulation Nms-Regulation of the National Market System § 242.606 Disclosure of order routing information. (a... calendar quarter a report on its routing of non-directed orders in NMS securities during that quarter....

  6. 17 CFR 242.605 - Disclosure of order execution information. (United States)


    ... (CONTINUED) REGULATIONS M, SHO, ATS, AC, AND NMS AND CUSTOMER MARGIN REQUIREMENTS FOR SECURITY FUTURES Regulation Nms-Regulation of the National Market System § 242.605 Disclosure of order execution information... covered orders in NMS stocks that it received for execution from any person. Such report shall be...

  7. Japanese Adolescents' Disclosure and Information Management with Parents (United States)

    Nucci, Larry; Smetana, Judith; Araki, Noriyuki; Nakaue, Masataka; Comer, Jessamy


    Adolescents' obligation to disclose and their actual disclosure about their activities to parents, justifications for nondisclosure, and strategies for information management were examined in different domains in 460 middle adolescents (M[subscript age] = 16.6 years) from working and middle-class families in Japan. Adolescents felt most obligated…

  8. Societal determinants of corporate social disclosures : an international comparative study

    NARCIS (Netherlands)

    Orij, René Pieter


    The purpose of this study is to investigate whether corporate social disclosure levels are determined by society. A social accounting methodology is applied, consisting of a hypothetico-deductive approach. Social accounting research is a critical or interpretative branch of financial accounting rese

  9. 12 CFR 226.6 - Account-opening disclosures. (United States)


    ... SYSTEM TRUTH IN LENDING (REGULATION Z) Open-End Credit § 226.6 Account-opening disclosures. (a) Rules... for collection activity after default, attorney's fees whether or not automatically imposed, and post... for collection activity after default, attorney's fees whether or not automatically imposed, and...

  10. 15 CFR 764.5 - Voluntary self-disclosure. (United States)


    ... substantially similar information from another source and has commenced an investigation or inquiry in... completes the narrative account required by § 764.5(c)(3) of this part, the disclosure will be deemed to... offices listed in § 764.5(c)(7) of this part. (3) Narrative account. After the initial notification,...

  11. 15 CFR 30.74 - Voluntary self-disclosure. (United States)


    ... information from another source and has commenced an investigation or inquiry in connection with that... disclosure subsequently completes the narrative account required by paragraph (c)(3) of this section, the... government should be made to the appropriate federal department or agency. (3) Narrative account. After...

  12. Board and auditor interlocks and voluntary disclosure in annual reports

    NARCIS (Netherlands)

    Braam, G.J.M.; Borghans, L.


    Purpose – The purpose of this study is to explore whether interlock ties between the board of directors and the external auditors facilitate the cross-firm diffusion of voluntary disclosures in annual reports. Design/methodology/approach – Using a sample of 149 non-financial companies publicly lis

  13. 75 FR 59865 - Short-Term Borrowings Disclosure (United States)


    ... registrant to provide, in a separately captioned subsection of Management's Discussion and Analysis of... the terminology contained in the proposed short-term borrowings disclosure requirement. In a companion... liquidity and capital resources in Management's Discussion and Analysis of Financial Condition and...

  14. Can Teacher Self-Disclosure Increase Student Cognitive Learning? (United States)

    Stoltz, Molly; Young, Raymond W.; Bryant, Kevin L.


    Students (N =102) from communication courses at a Southern regional university was divided into two groups. Each group listened to a 10-minute taped lecture about personality types. One group listened to a lecture that included self-disclosures by the lecturer. The other group listened to a lecture that covered the same material but without the…

  15. BDSM Disclosure and Stigma Management: Identifying Opportunities for Sex Education (United States)

    Bezreh, Tanya; Weinberg, Thomas S.; Edgar, Timothy


    While participation in the activities like bondage, domination, submission/sadism, masochism that fall under the umbrella term BDSM is widespread, stigma surrounding BDSM poses risks to practitioners who wish to disclose their interest. We examined risk factors involved with disclosure to posit how sex education might diffuse stigma and warn of…

  16. 42 CFR 480.142 - Disclosure of sanction reports. (United States)


    ... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT... sanction reports directly to the Office of the Inspector General and, if requested, to CMS. (b) The QIO... § 480.137. (c) CMS will disclose sanction determinations in accordance with part 474 of this chapter....

  17. 12 CFR 618.8325 - Disclosure of loan documents. (United States)


    ... 12 Banks and Banking 6 2010-01-01 2010-01-01 false Disclosure of loan documents. 618.8325 Section 618.8325 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM GENERAL PROVISIONS Releasing... agricultural or aquatic purpose and other credit needs of the borrower, including financing for...

  18. Exploring space: Effects of environmental stimuli on self-disclosure

    NARCIS (Netherlands)

    Okken, Vanessa Simone


    The research in this dissertation examines the effects of environmental stimuli on self-disclosure during interactions in service environments. Earlier explanations of why behavior can be influenced by environmental factors focused on comfort and affect. In this dissertation experienced spaciousness

  19. 28 CFR 2.56 - Disclosure of Parole Commission file. (United States)


    ... Parole Commission is exempt from the record disclosure provisions of the Privacy Act of 1974, as well as... section. In no event will the Commission consider satisfaction of a request under this section, the... expected to pose an imminent threat to the life or physical safety of an individual; or (ii) With...

  20. Online Disclosure: An Empirical Examination of Undergraduate Facebook Profiles (United States)

    Kolek, Ethan A.; Saunders, Daniel


    This study advances our knowledge of students' online self-disclosures by examining a random sample of students' Facebook profiles at a large, public research University in the Northeast. A quantitative content analysis revealed that the vast majority of students had a Facebook account and very small proportions restricted access of their profile…

  1. Experimental Disclosure and Its Moderators: A Meta-Analysis (United States)

    Frattaroli, Joanne


    Disclosing information, thoughts, and feelings about personal and meaningful topics (experimental disclosure) is purported to have various health and psychological consequences (e.g., J.W. Pennebaker, 1993). Although the results of 2 small meta-analyses (P. G. Frisina, J. C. Borod, & S. J. Lepore, 2004; J. M. Smyth, 1998) suggest that experimental…

  2. Implant treatment planning considerations. (United States)

    Kao, Richard T


    As dental implants become a more accepted treatment modality, there is a need for all parties involved with implant dentistry to be familiar with various treatment planning issues. Though the success can be highly rewarding, failure to forecast treatment planning issues can result in an increase of surgical needs, surgical cost, and even case failure. In this issue, the focus is on implant treatment planning considerations.

  3. Percutaneous vertebroplasty: technical considerations

    Institute of Scientific and Technical Information of China (English)

    Gao-jun TENG; Shi-cheng HE


    Percutaneous vertebroplasty (PVP) is a relative new interventional technique, which is widely used in treatment of vertebral collapse caused by vertebral neoplasms and osteoporotic compression fractures. The general technical considerations of PVP techniques are discussed based on authors' experience obtained over 400 patients in the past years in this article, including preparation of PMMA, instrument of PVP, guidance and puncture approaches, and technique of the procedure, etc. The conclusion is that PVP is a safe procedure if the physicians handle it properly.

  4. Abused Sexuality- Experience of Sexuality Post Experiences of Sexual Abuse

    Directory of Open Access Journals (Sweden)

    Sunanda Jalote


    Full Text Available Sexual abuse has been happening from times immemorial and is that brutal aspect of society which also talk about spirituality, peace and harmony in the same breath. Youth gets irrevocably scarred by such childhood traumas which linger on in their adult life too. In the present study, an effort was made to study and understand how heterosexual and queer youth in contemporary middle class in Delhi explore the relationship sexual abuse survivors have with their own sexuality and how their negotiate their sexual selves. The secondary aim of the study was to investigate the function and effects of guilt, shame, desire, fantasies and gender roles in their lives and how, if at all, they connect to the experiences of sexual assault suffered by individuals within this socio-cultural group. The approach that frames this study is a discourse analytic approach and this is seen as central to the methodology of this study and the language used to talk about the findings and implications of this research.

  5. 'Racist abuse ruined my life'. (United States)

    Purves, Rosie

    Rosie Purves, a black nurse who was prevented from looking after a white baby, won a racial discrimination claim against her employer in May this year. Ms Purves was awarded pounds sterling 20,000--the highest payout possible for her type of claim--after an employment tribunal ruled that Southampton University Hospitals NHS Trust was 'effectively silent and complicit' in the racist demands made by a woman who did not want her baby treated by black staff. Here Ms Purves tells Nursing Times her harrowing story of how for seven years she suffered this abuse in silence.

  6. Moving beyond disrespect and abuse

    DEFF Research Database (Denmark)

    Sadler, Michelle; Mario, Santos; Ruiz Buron, Dolores


    research and policy-making to address these problems, changing childbirth practices has proved to be difficult. We argue that the excessive rates of medical interventions and disrespect towards women during childbirth should be analysed as a consequence of structural violence, and that the concept...... of obstetric violence, as it is being used in Latin American childbirth activism and legal documents, might prove to be a useful tool for addressing structural violence in maternity care such as high intervention rates, non-consented care, disrespect and other abusive practices...

  7. Postmarketing surveillance for drug abuse. (United States)

    Arfken, Cynthia L; Cicero, Theodore J


    Assessing actual abuse of prescribed medications requires postmarketing surveillance. In this article we discuss general systems of postmarketing surveillance that exist as of the end of 2002 in the United States and two medication-specific surveillance systems that were devised and tested. The two specific surveillance systems are compared with limitations highlighted. Postmarketing surveillance is in its infancy and requires more research on ways to improve its validity without inducing illicit experimentation. Information on comparator medications is highly recommended both to validate the system and to place the results in context.

  8. [Domestic accident or child abuse?]. (United States)

    Rupp, Wolf-Rüdiger; Faller-Marquardt, Maria; Henke, Peter


    While playing, a 33/4-year-old girl was hiding in a tumble dryer, which had been running before and started the drying process with rotation of the drum again after the girl had climbed into the machine and shut the door. The child suffered multiple haematomas, especially on the back and the lower arms, as well as second-degree burns on body regions not covered by the clothing. The injury pattern was consistent with the properties of the appliance, and the initial suspicion that the child had been physically abused could not be maintained.

  9. Financial abuse in elderly Korean immigrants: mixed analysis of the role of culture on perception and help-seeking intention. (United States)

    Lee, Hee Yun; Eaton, Charissa K


    This study aims to evaluate how elderly Korean immigrants perceive and respond to a hypothetical incident of financial abuse on the basis of their cultural background. By using a quota sampling strategy, 124 elderly Korean immigrants were recruited. A mixed-method approach was employed to explore the role of culture on elderly immigrants' view of financial abuse and the construct of independent and interdependent self-construal was adopted to theoretically guide the study. Mixed-method analysis confirmed considerable influence of culture, particularly in responding to the abusive situation. Although the vast majority of the elders (92%) perceived financial abuse as elder mistreatment, only two-thirds (64%) intended to seek help. Five major themes for not seeking help were produced. These are: (a) issues related to family problems, (b) tolerance of the abuse, (c) shame, (d) victim blame, and (e) mistrust toward third party intervention. A series of binary logistic regressions revealed (a) a lower likelihood of seeking formal types of help with those who had higher level of adherence to traditional values and (b) the profile of vulnerable elderly Koreans who are at higher risk of being financially abused: male and less educated. This article also discusses implications for social work practice and elder mistreatment policy, particularly focusing on how to work with elderly Korean immigrants who are vulnerable to this problem and who tend to use collectivistic cultural values in responding to financial abuse.

  10. Body image among victims of sexual and physical abuse. (United States)

    Kremer, Inbar; Orbach, Israel; Rosenbloom, Tova


    This study tries to understand the differences in body experience between victims of sexual abuse and physical abuse. Ninety-eight women completed questionnaires that measured personal information, body-image aberration, body sensitivity and control, and body investment. Findings indicated that victims of sexual abuse demonstrate less body maintenance and protection in addition to greater injury to body sensitivity and control than victims of physical abuse. Moreover, comparing victims of sexual abuse to physical abuse, findings revealed that only victims of sexual abuse report body-image aberrations. Thus, sexual and physical abuse should be addressed discretely because each has differential effects on bodily attitudes of victims.

  11. The Role of Metacognition and Negative Emotions on Prediction of Abuse Behaviors

    Directory of Open Access Journals (Sweden)

    M.A Mohammadyfar


    Full Text Available Objective: The aim of present research was determination of the role of metacognition and negative emotions on prediction of abuse behaviors. Method: In correlational research design which is categorized as descriptive research design, 200 participants selected by available sampling in abandonment clinics in Shahrod city. Out of 200 participants, 128 were addicted and 72 were non addicted persons. Metacognition, anxiety, depression, and stress questionnaires were administered among selected samples. Results: The results of regression analysis showed both variables could be significant predictors in prediction of abuse behaviors. Of metacognition subscales, negative believes about not controlling and risk, and cognitive confidence also of negative emotion subscales depression and anxiety were significant predictors. Conclusion: By consideration of results it could be said by intervention of significant variables the probability of suffering of substance abuse and its relapse could be down.

  12. Exploring family and community involvement to protect Thai youths from alcohol and illegal drug abuse. (United States)

    Wongtongkam, Nualnong; Ward, Paul Russell; Day, Andrew; Winefield, Anthony Harold


    Youth substance abuse is widely recognized as a major public health issue in Thailand. This study explores family and community risk and protective factors relevant to alcohol and illegal drug misuse in 1,778 Thai teenagers. Strong family attachment and a family history of antisocial behaviors were strongly associated with nearly all forms of substance abuse, with adjusted odds ratios ranging from 5.05 to 8.45. Community disorganization was strongly associated with self-reported substance use, although involvement in prosocial activities acted as a protective factor. The findings suggest that interventions that promote family cohesion and encourage community involvement may have considerable benefits in reducing substance abuse in Thai adolescents.

  13. Tipping Points and the Accommodation of the Abuser: Ongoing Incestuous Abuse during Adulthood

    Directory of Open Access Journals (Sweden)

    Warwick Middleton


    Full Text Available Until recently the widespread reality of ongoing incestuous abuse during adulthood had attracted no systematic research. The scientific literature was limited to the occasional case study and brief anecdotal references. This minimal literature was supplemented by biographical works written by or about victims of this form of abuse, and by press reports. With the advent of the Josef Fritzl case there was a very marked increase in the press reporting of such abuse, which in turn provided a reference point for more fine-grained data collection and scientific reporting. This paper introduces the subject of prolonged incest via the lens of organised abuse, summarises research on incestuous abuse and draws on multiple clinical examples to elucidate the mechanisms by which such abuse merges with, or develops into, variations of organised abuse, including that centred on the family, on prostitution, or on that involving abuse networks. The abuse practices, the net-working, and the ploys used to avoid prosecution practiced by the father perpetrating ongoing incestuous abuse during adulthood have much in common with other variants of organised sexual abuse.

  14. A multiple case study comparison of normal private preparatory school and substance abusing/mood disordered adolescents and their families. (United States)

    Yeh, L S; Hedgespeth, J


    This multiple case study of ten families of normal private preparatory school adolescents and five families of substance abusing/mood disordered adolescents was an effort to identify factors that may suggest a relationship between the abuse of substances in adolescents who also have mood disorders and the following family factors: parental marital discord, degree of family satisfaction, and family problem-solving styles. The fifteen families completed four assessment instruments and participated in a videotaped problem-solving exercise. The results of this study showed that all members of the substance abusing/mood disordered adolescents' families rated themselves as dysfunctional in all major areas of family life. In contrast, the normal private preparatory school families reported satisfaction with most areas of family functioning. Communication styles also differed considerably between the two small groups of families. These results appear to support the importance of family evaluation and treatment when addressing the issue of adolescent substance abusers with mood disorders.

  15. 76 FR 50236 - Center for Substance Abuse Prevention; Notice of Meeting (United States)


    ...: Substance Abuse and Mental Health Services Administration's Center for Substance Abuse Prevention, Drug... HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse... the Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for Substance......

  16. 76 FR 20994 - Center for Substance Abuse Prevention; Notice of Meeting (United States)


    ... Abuse and Mental Health Services Administration's Center for Substance Abuse Prevention Drug Testing... HUMAN SERVICES Substance Abuse and Mental Health Services Administration Center for Substance Abuse... meeting of the Substance Abuse and Mental Health Services Administration's (SAMHSA) Center for...

  17. Preventing Drug Abuse: Where Are We Now? (United States)

    Warner, Richard W., Jr.


    Through a review of the research literature, this article provides information about the characteristics of drug abusers and drug abuse programs that promise to be effective. Common themes which would have meaning for counselors involved in the development and implementation of drug prevention programs are presented. (Author)

  18. Accessing Substance Abuse Prevention Programs for Schools (United States)

    Schroeder, Jennifer L.; Johnson, Gail E.


    Current estimates indicate that over 6 million children live with at least one parent who is a substance abuser or is substance dependent. Children who are exposed to drug and alcohol abuse are at a greater risk of experiencing academic and behavior difficulties. Additionally, several studies have shown that students with emotional and behavioral…

  19. New Directions for Substance-Abuse Prevention (United States)

    Anderson, David S.


    Across the nation and for a very long time, campuses and students have been plagued by drug and alcohol abuse. And it seems that many of our efforts to address that abuse, while necessary, have been woefully insufficient to the task. This article describes the nature and significance of the problem, examines current strategies for addressing it,…

  20. Harm Reduction in MSW Substance Abuse Courses (United States)

    Eversman, Michael H.


    Professional social work largely has endorsed the empirically supported paradigm of harm reduction in relation to substance abuse issues. Despite literature detailing similarities between social work and harm reduction, little is known about its presence in MSW substance abuse coursework. A purposive sample of 133 social work faculty from…