Place Attachment and Environmentally Responsible Behavior.

Science.gov (United States)

Vaske, Jerry J.; Kobrin, Katherine C.

2001-01-01

Illustrates how an attachment to a local natural resource can influence environmentally responsible behavior (ERB) in an individual's everyday life. Reports four general and three specific behavioral indicators reflecting a single environmentally responsible latent construct. Investigates the place dependence and place identity's role on ERB using…

The influencing factors on place attachment in neighborhood of Kampung Melayu

Science.gov (United States)

Lestari, W. M.; Sumabrata, J.

2018-03-01

Place attachment on neighborhood differs according to place characteristics and person characteristics. By dividing the research area of Kelurahan Kampung Melayu into flood area and non-flood area, this research aims at analyzing place attachment on neighborhood and analyzing factors influencing the place attachment. This research using quantitative approach using Structural Equation Modeling (SEM). Self-administered questionnaires using likert scale were distributed randomly to 400 residents. Result of the research shows that residents tend to have place attachment to their neighborhood. Factors influencing place attachment on residents born in the neighborhood with length of stay 10 years or longer and having house are family factor for residents living in non-flood area and physical factor as well as social factor for residents in flood area. This research concludes that place attachment on neighborhood is formed because dimension of place is interpreted not merely physically but also socially, namely the existence of family ties and social relationship with people in the neighborhood.

Defining Place Attachment in Asian Urban Places through Opportunities for Social Interactions

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Norsidah Ujang

2016-01-01

Full Text Available Despite the high intensity of urban dwellers and the growing needs for socialization outdoor, the opportunity for interaction is limited due to the lack of public open spaces. This paper discusses the use of public open spaces in a city of Kuala Lumpur and how it shapes users’ attachment. Field observations and face to face interviews were conducted to examine the opportunities for social activities and pattern of users’ engagement. The findings indicate the incapability of the places to provide multifunctional spaces for diverse interactions while the social attachment to the places is strongly defined by interaction with familiar people in place.

Difference in place attachment between students in Helsinki and in Belgrade

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Radusinović Dubravka

2012-01-01

Full Text Available Place attachment refers to the process of human-place bonding; the bonding process includes both physical and social ties formed within an environment. In the last two decades, place attachment has been the subject of many studies, but there have not been many cross-cultural studies. The aim of this study was to determine differences in global attachment to house, neighbourhood and city among young people in Belgrade and Helsinki, with consideration of social and physical dimensions of place attachment. Additionally, the effects of gender on all types of place attachments were tested. Data were collected using the Place Attachment Scale (Hidalgo & Hernandez, 2001 and the Questionnaire on residential and socio-demographic characteristics of the sample. The instrument was translated into Serbian and Finnish, respecting the translation procedure for cross-cultural studies (Brislin, 1986 and administered to subjects in their native language. The study was conducted on the sample of two hundred students of psychology, comprising: 100 inhabitants of Belgrade, and 100 of Helsinki, balanced by gender (60% female, 40% male and age (average 24.4 years. The following results can be pointed out: 1 young people living in Belgrade show greater degree of global attachment to their city than young people living in Helsinki to their city, 2 young people from Belgrade also show greater social ties within their city and house, in relation to peers from Helsinki, 3 physical attachment to house and city is also significantly higher in young inhabitants of Belgrade. An interesting finding is 4 the existence of significant differences between men and women in the degree of global, social and physical attachment to house and physical attachment to city in the Serbian sample, and non-existence of differences in place attachment between men and women in the Finnish sample. The findings are interpreted within the Hofstede's five Cultural Dimensions.

Difference in place attachment between students in Helsinki and in Belgrade

OpenAIRE

Radusinović Dubravka; Vukčević Maša; Čizmić Svetlana

2012-01-01

Place attachment refers to the process of human-place bonding; the bonding process includes both physical and social ties formed within an environment. In the last two decades, place attachment has been the subject of many studies, but there have not been many cross-cultural studies. The aim of this study was to determine differences in global attachment to house, neighbourhood and city among young people in Belgrade and Helsinki, with consideration of social and physical dimensions of place ...

Exploring collective memory and place attachment using social media data

Science.gov (United States)

Felasari, Sushardjanti; Setyabudi, Herybert; Budiyanto Setyohadi, Djoko; Dewi, Sinta

2017-12-01

This paper describes how collective memory and level of place attachment can be explored using social media data to develop a sustainable travel destination in the city of Yogyakarta. Yogyakarta is famous as a tourist destination city for tourism in Indonesia. One of the reasons why people visit an object at travel destination is to recall the memory of the place. Memory is important for creating memorable space and places as it differentiates one place to another. Memorable places could grow as a symbol and an identity of a district in the city. This paper explores the collective memories recorded as status in the social media. The study identifies the distribution of such locations or nodes representing the memory footprint of the city of Yogyakarta, which can be achieved by determining the quality level of nodes based on the level of place attachment. Analysis is done by looking at the number of caption status by location and time. Qualitative description is used to present the level of place attachment based on the content of the status captioned. The study shows that level of place attachment seems not to be influenced by the popularity of an object. However it affects how strong a travel destination might be sustainable in future development.

The quality of children's home environment and attachment security in Indonesia

NARCIS (Netherlands)

Zevalkink, D.J.; Riksen-Walraven, J Marianne; Bradley, Robert H

The authors examined the relation of the Home Observation for Measurement of the Environment (HOME) Inventory (B. M. Caldwell & R. H. Bradley, 1984) for 0- to 6-year-old Sundanese Indonesian children with the quality of the mother-child attachment relationship (n=44) and attachment-related behaviors

Examining the relationship of place attachment with pro-environmental intentions

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Elizabeth Halpenny

2007-01-01

Place attachment, the emotional, functional, and cognitive bond that an individual has with a specific setting may play a role in an individual's choice to engage in environmentally-responsible behavior. This is particularly true for behaviors which directly benefit the place that the individual has a positive attachment with. This study examines the relationship...

Moderating Effects of Craftourism on Place Attachment and Destination Loyalty

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Arup Kumar Baksi

2015-09-01

Full Text Available Practice of traditional handicrafts play a significant role in enhancing destination attractiveness. Visitors assign considerable weightage to local craft practices to satisfy their desire to participate in the learning and production process, a case of role-reversal. Promoting this scope of role-reversal has been used by the Destination Marketing Organizations as differentiators. Craftourism has gained considerable momentum. This paper focuses on examining the moderating effects of craftourism on place attachment and destination loyalty. Dimensions of craftourism were identified by applying suitable statistical procedure. The results revealed craftourism, with option for visitors to enact role-reversal, improves the chances of destination loyalty following antecedent effects of place attachment. Keywords: craftourism, place attachment, destination loyalty, visitor, moderating

Implementation and assessment of an early home-based intervention on infant attachment organisation: the CAPEDP attachment study in France.

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Tereno, Susana; Guedeney, Nicole; Dugravier, Romain; Greacen, Tim; Saïas, Thomas; Tubach, Florence; Guédeney, Antoine

2013-06-01

Attachment is a long-term emotional link between infants and their mothers. Attachment quality influences subsequent psychosocial relationships, the ability to manage stress and, consequently, later mental health. Home intervention programmes targeting infant attachment have been implemented in several contexts with varying degrees of efficacy. Within the CAPEDP study (Parental Skills and Attachment in Early Childhood: reduction of risks linked to mental health problems and promotion of resilience), a subsample of 120 families were recruited with the objective of assessing the impact of this home-visiting programme on infant attachment organisation using the Strange Situation Procedure. The present paper describes the methodology used in this ancillary study.

RELATIONSHIP BETWEEN PLACE ATTACHMENT AND EVENT SATISFACTION: A STUDY ON UNIVERSITY STUDENTS

OpenAIRE

ARGAN, Metin; KAYA, Sabri; TOKAY ARGAN, Mehpare; AKYILDIZ, Müge; KORKMAZ, Tanju

2015-01-01

The aim of the study is to reveal the dimensions of place attachment and to analyze the relationship between event satisfaction and place attachment dimensions. The study involved a quantitative research methodology employing a questionnaire and convenience sampling with a total sample of 300 Anadolu University’s students within Eskişehir of the middle region in Turkey. The first part of the questionnaire contained 16 statements related to place attachment. Second part was related to the scal...

Home awareness - connecting people sensuously to places

DEFF Research Database (Denmark)

Lynggaard, Aviaja Borup; Petersen, Marianne Graves; Gude, Rasmus

2010-01-01

People living a global lifestyle connect remotely to their families while away from home. In this paper we identify a need for connecting with a home as the physical place itself. For this purpose we introduce the concept of Home Awareness that connects people sensuously to remote places through...

A representation of place attachment: A study of spatial cognition in Latvia

Science.gov (United States)

Skilters, Jurgis; Zarina, Liga; Raita, Liva

2017-04-01

Perception of geographical space is reflected in place attachment, i.e., a multidimensional cognitive-affective link between humans and their spatial environment. Place attachment balances emotions, conception of proximity. It is both social and spatial cognitive structure. Place attachment has an impact on people's actions, which in turn reversibly affect the environment in which people live. Place attachment provides emotional regulation for humans linking local - neighborhood-scale and country and world-scale environments. In Latvia a large-scale spatial cognition study has been conducted within participatory research project „Telpas pavasaris" ("Spatial Spring") by foundation Viegli. In the study 1523 respondents reported their associations characterizing certain type of places (e.g., safe place, dangerous place, far place, close place, dear place). The answers were analyzed according to several cognitive-affective categories including modes of experience, emotional valence, geographical distance, and perceptual modality. The current results indicate that socio-cognitive and affective information are primary in respect to purely spatial information (referring to spatial objects or regions and their relations). However, different types of geographical places and spatial objects (natural or artefactual) have to be distinguished and are significant to a different degree. Our results are important for environmental and urban planning because they show the ways how socio-cognitive and affective knowledge shapes the spatial cognition of geographic environment.

Visitors' relationship to the resource: comparing place attachment in wildland and developed settings

Science.gov (United States)

Cynthia A. Warzecha; David W. Lime; Jerrilyn L. Thompson

2000-01-01

Emotional/symbolic and functional place attachments were measured on the Green and Colorado Rivers in Canyonlands National Park and at Mount Rushmore National Memorial. Although Canyonlands and Mount Rushmore represent very different recreational settings, it was possible to measure both types of attachment by using 12 place attachment statements. In Canyonlands, river...

Redefining community based on place attachment in a connected world.

Science.gov (United States)

Gurney, Georgina G; Blythe, Jessica; Adams, Helen; Adger, W Neil; Curnock, Matthew; Faulkner, Lucy; James, Thomas; Marshall, Nadine A

2017-09-19

The concept of community is often used in environmental policy to foster environmental stewardship and public participation, crucial prerequisites of effective management. However, prevailing conceptualizations of community based on residential location or resource use are limited with respect to their utility as surrogates for communities of shared environment-related interests, and because of the localist perspective they entail. Thus, addressing contemporary sustainability challenges, which tend to involve transnational social and environmental interactions, urgently requires additional approaches to conceptualizing community that are compatible with current globalization. We propose a framing for redefining community based on place attachment (i.e., the bonds people form with places) in the context of Australia's Great Barrier Reef, a World Heritage Area threatened by drivers requiring management and political action at scales beyond the local. Using data on place attachment from 5,403 respondents residing locally, nationally, and internationally, we identified four communities that each shared a type of attachment to the reef and that spanned conventional location and use communities. We suggest that as human-environment interactions change with increasing mobility (both corporeal and that mediated by communication and information technology), new types of people-place relations that transcend geographic and social boundaries and do not require ongoing direct experience to form are emerging. We propose that adopting a place attachment framing to community provides a means to capture the neglected nonmaterial bonds people form with the environment, and could be leveraged to foster transnational environmental stewardship, critical to advancing global sustainability in our increasingly connected world.

Designing for Active Place Presence at Home

DEFF Research Database (Denmark)

Ylirisku, Salu; Jylhä, Antti; Lehtiö, Anu

2016-01-01

Technological support for augmenting the relationship that people establish with remote places has been studied fairly little as the primary focus in telepresence studies is the connection between people. This paper addresses the design challenge for supporting ‘active place presence’ at home...... to be considered when designing for active place presence at home........ A prototype, Hole in Space, was created to explore the design challenge. A longitudinal study of how an urban couple appropriated the prototype was conducted over the duration of seven months. The paper elaborates on how the Web-mediated design influenced place presence and outlines several aspects that need...

Making Sense of Place Attachment : Towards a Holistic Understanding of People-Place Relationships and Experiences

NARCIS (Netherlands)

Counted, Agina Victor

2016-01-01

The article is an attempt to make sense of the different interdisciplinary perspectives associated with people’s attachment to places with a view to construct a holistic template for understanding people-place relationships and experiences. The author took note of the theoretical contributions of

Can typical US home visits affect infant attachment? Preliminary findings from a randomized trial of Healthy Families Durham.

Science.gov (United States)

Berlin, Lisa J; Martoccio, Tiffany L; Appleyard Carmody, Karen; Goodman, W Benjamin; O'Donnell, Karen; Williams, Janis; Murphy, Robert A; Dodge, Kenneth A

2017-12-01

US government-funded early home visiting services are expanding significantly. The most widely implemented home visiting models target at-risk new mothers and their infants. Such home visiting programs typically aim to support infant-parent relationships; yet, such programs' effects on infant attachment quality per se are as yet untested. Given these programs' aims, and the crucial role of early attachments in human development, it is important to understand attachment processes in home visited families. The current, preliminary study examined 94 high-risk mother-infant dyads participating in a randomized evaluation of the Healthy Families Durham (HFD) home visiting program. We tested (a) infant attachment security and disorganization as predictors of toddler behavior problems and (b) program effects on attachment security and disorganization. We found that (a) infant attachment disorganization (but not security) predicted toddler behavior problems and (b) participation in HFD did not significantly affect infant attachment security or disorganization. Findings are discussed in terms of the potential for attachment-specific interventions to enhance the typical array of home visiting services.

"Beyond the commodity metaphor," revisited: Some methodological reflections on place attachment research

Science.gov (United States)

Daniel R. Williams

2014-01-01

The year 1992 was a watershed for research on place attachment. Not only was the landmark book Place Attachment (Altman & Low, 1992) published, in that same year some colleagues and I published "Beyond the Commodity Metaphor" in the journal Leisure Sciences (Williams et al., 1992). Our paper was not intended as a methodological contribution to place...

The Effects of Place Attachment on Social Well-Being in Older Adults

Science.gov (United States)

Afshar, Pouya Farokhnezhad; Foroughan, Mahshid; Vedadhir, AbouAli; Tabatabaei, Mahmoud Ghazi

2017-01-01

Social well-being and place attachment are two important concepts in health and quality of life of older adults. There are few studies on the relationship between these concepts at the individual level. Therefore, this study aimed to determine the effect of place attachment dimensions on social well-being dimensions in older adults. This study was…

Experience preferences as mediators of the wildlife related recreation participation: Place attachment relationship

Science.gov (United States)

Anderson, D.H.; Fulton, D.C.

2008-01-01

The human dimensions literature challenges the notion that settings are simply features and attributes that can be manipulated to satisfy public demand; instead, people view specific recreation settings as unique kinds of places. Land managers provide recreation experience opportunities, but most conventional management frameworks do not allow managers to address the personal attachment of people to places. This study examined the relationships among activity participation, recreation experience preferences (REP), and setting and place attachment. Study data was obtained from a visitor study conducted in 2000-2001 at U.S. Fish & Wildlife Service Waterfowl Production Areas in Minnesota. We used structural equation modeling to explore whether recreation experience preferences mediate the relationship between types and frequencies of recreation participation and place attachment at Minnesota's Waterfowl Production Areas. Results offer empirical evidence that recreational experience preferences associated with activity participation may be instrumental to one's development of place attachment to a recreation site. Thus, research in these two areas may be more complementary than has been apparent in the literature. Copyright ?? Taylor & Francis Group, LLC.

Inhibited attachment behaviour and disinhibited social engagement behaviour as relevant concepts in referred home reared children.

Science.gov (United States)

Scheper, F Y; Abrahamse, M E; Jonkman, C S; Schuengel, C; Lindauer, R J L; de Vries, A L C; Doreleijers, T A H; Jansen, L M C

2016-07-01

Disorders of attachment and social engagement have mainly been studied in children, reared in institutions and foster care. There are few studies amongst home reared children living with biological parents. The aim of this study was to test the clinical significance of inhibited attachment behaviour and disinhibited social engagement behaviour in young home reared children, referred for treatment of emotional and behavioural problems, compared with young children in treatment foster care. The Disturbances of Attachment Interview, Maltreatment Classification System, the Child Behaviour Checklist and Parenting Stress Index were used in 141 referred home reared children and 59 referred foster children, aged 2.0-7.9 years (M = 4.7, SE = 1.3), 71% boys. Inhibited attachment behaviour was less prevalent in the referred home reared group (9%) than in the foster care group (27%). Disinhibited social engagement behaviour was found in 42% of the home reared group, similar to the foster care group. Inhibited attachment behaviour and disinhibited social engagement behaviour were not associated with child maltreatment. More inhibited attachment behaviour was associated with clinical levels of child internalizing and externalizing behaviour in the home reared group, not in the foster care group. In both groups, more disinhibited social engagement behaviour was associated with clinical levels of externalizing behaviour and with more parenting stress. Even without evident links to maltreatment, results of this study suggest clinical significance of inhibited attachment behaviour and disinhibited social engagement behaviour in young home reared children referred for treatment of emotional and behavioural problems. © 2016 John Wiley & Sons Ltd.

Place attachment and migration intentions of the population: An example of eight cities in Serbia

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Petrović Mina

2017-01-01

Full Text Available Following the need to combine macro structural and micro actors’ perspective, this paper conceptually starts from endogenous city development paradigm within which place attachment and intentions to migrate are given specific importance since human resources are perceived of pivotal significance. Such paradigm is related to diversified factors that makes city more or less attractive for local population, thus enhancing their place attachment and involvement or migrational intentions. Focused connection between the place attachment and migration intentions are discussed as neglected in studies of migration, and conceptually supported by the notion of territorial identity and specific reinterpretation of Bourdieu’s ideas of sense of comfort in place, and by employing his concept of habitus to the city. Empirically, the connection of people’s place attachment and intentions to migrate is analyzed for eight cities in Serbia. The selected cities: Kragujevac, Sabac, Užice, Novi Pazar, Sombor, Zrenjanin, Leskovac, and Zaječar are chosen as middle sized cities for which the issues to develop attractiveness and attach their population becomes particularly complex in times of (post-socialist transformation and economic crisis. Empirical analysis is aimed to illustrate the researched cities potential to keep their population by investigating their place attachment (emotional and functional and the way they perceive their city, in relation to their intention to migrate. Data are collected through questionnaire survey, in the 2013-2015 period. Such an explorative aim intended to demonstrate the importance to research local population perspective in order to understand the cities as lived spaces and their acting potential, as such important information are left out of scope by regular statistics. Research findings confirm the basic assumption that cities with higher migration inclinations are also the cities with lower place attachment. That supports

History, race, and attachment to place among elders in the rural all-black towns of Oklahoma.

Science.gov (United States)

McAuley, W J

1998-01-01

This research examines place attachment among older residents of the all-Black towns of Oklahoma. Social-historical occurrences, personal experiences associated with race, and expressed differences between social-historical groupings of older African Americans influence the level of social and autobiographical insideness among the elderly residents. The findings extend current conceptualizations of place attachment by showing that (a) place attachment is not a constant, even among long-term residents; (b) social-historical factors can play an important role in the level of place attachment; (c) race can be a salient element of place attachment; (d) experiences outside the community, such as racial discrimination, can influence the level of social and autobiographical bonding to the community; and (e) subgroup identity within minority groups can be associated with variations in community place attachment. The findings point to the value of carefully examining the issues of history and race in research focusing on older minority group members.

The value of corridor in flat as place attachment in the life of the dwellers

Science.gov (United States)

Arifin, Lilianny; Widigdo, Wanda K.; Juniwati, Anik; Mintorogo, Danny

2017-06-01

Place attachment has been examined extensively in the behavioral and architecture studies over the past two decades. In the production of housing, designers mainly focus on the quality of the physical components. Place attachment is just the form of connection between a person and the environmental setting. However, it was challenging for this study to grasp the aspects of meanings and attachment, both in the level of personal, community and natural environment contexts, which are not adequately considered in the design process. In this study, three-dimensional model of personal and community attachments to their corridor in the flat was conceptually and empirically examined. The aim is to test an integrated approach to measuring place attachment at the corridor in flat in understanding the values of locations in the life of the dwellers. Sample cases included the examination of attachment to the hallway in three units located in Surabaya, Indonesia. It found out that the value of corridor as a place was affected by the daily experience of the places, social bonding, neighborhood interaction, and landscape values.

The influence of home and community attachment on firewise behavior

Science.gov (United States)

Gerard T. Kyle; Gene L. Theodori; James D. Absher; Jinhee. Jun

2010-01-01

The purpose of this investigation was to examine the influence of residents’ attachment to their homes and community on their willingness to adopt Firewise recommendations. Our sample was drawn from a population residing in the wildland–urban interface where the threat of wildfire is acute. The Firewise recommendations concerned 13 activities affecting home design,...

Place attachment in stroke rehabilitation: a transdisciplinary encounter between cultural geography, environmental psychology and rehabilitation medicine.

Science.gov (United States)

Nanninga, Christa S; Meijering, Louise; Schönherr, Marleen C; Postema, Klaas; Lettinga, Ant T

2015-01-01

To increase understanding of stroke survivor's needs to successfully re-establish attachment to meaningful places at home and in the community. Qualitative research methodology including in-depth interviews with stroke survivors in the clinical, post-discharge and reintegration phases of the Rehabilitation process. Participants longed for recovery and domestic places in the clinical phase, for pre-stroke activities and roles in the post-discharge phase, and for recognition and a sense of belonging in the reintegration phase. The participants' selves had changed, while the spatial and social contexts of their homes had remained the same. Their spatial scope became smaller in both a social and a geographical sense. It was difficult to achieve a feeling of being at home in their bodies and own living environments again. The complexities that needed to be dealt with to engage with the outside world, turned participants unintentionally inwards. In particular, family members of participants with cognitive problems, longed for support and recognition in dealing with the changed personality of their spouses. Rehabilitation should put greater effort into supporting stroke survivors and their families in home-making and community reintegration processes, and help them to re-own and renegotiate their disabled bodies and changed identities in real life. Implications for Rehabilitation The experienced self-body split, identity confusion and related mourning process should be foregrounded in the post-discharge phase rather than functional recovery, in order to help stroke survivors understand and come to terms with their changed bodies and selves. In the post-discharge and reintegration phases stroke survivors should be coached in rebuilding meaningful relations to their bodies, home and communities again. This home-making process should start at real-life sites where stroke survivors wish to (inter)act.

Place attachment and social legitimacy: Revisiting the sustainable entrepreneurship journey

OpenAIRE

Kibler, E; Fink, M; Lang, R; Munoz, PA

2015-01-01

This paper revisits the sustainable entrepreneurship journey by introducing a ‘place- based’ sustainable venture path model. We suggest that distinguishing between emo- tional (‘caring about the place’) and instrumental (‘using the place’) place attachment of sustainable entrepreneurs deepens our understanding of how place-based challenges of sustainable venture legitimacy are managed over time. We conclude with avenues for future sustainable entrepreneurship research.

A Preliminary Analysis of Attachment to Special Places among Community Residents in Northern Michigan

Science.gov (United States)

Janna B. Custer; Dale J. Blahna

2000-01-01

Many studies have taken place that seek to gain an understanding of the influences upon attachment to special places. These studies have been largely qualitative in nature and have succeeded in identifying quantifiable variables that can be useful in measuring basic levels of attachment to special places, e.g., length of time that one has been associated with special...

MEASURING PLACE ATTACHMENT TO CĂLIMANI NATIONAL PARK (ROMANIA AMONG LOCAL RESIDENTS AND TOURISTS. PRELIMINARY FINDINGS

Directory of Open Access Journals (Sweden)

IZABELA AMALIA MIHALCA

2014-06-01

Full Text Available Measuring Place Attachment to Călimani National Park (Romania among Local Residents and Tourists. Preliminary Findings. Understanding the attachments that people develop for certain places is an interesting area of study, but with little attention in Romanian empirical research. This study introduces the concepts of place identity and place dependence in relation to a specific area within the local culture of the Land of Dorna. Starting from previous studies carried on western samples, a research instrument measuring the degree and content of place attachment was translated and adapted. 86 respondents (52 residents and 34 tourists filled in the questionnaire. Comparing the degree of attachment, there was no significant difference among the two samples. However, local residents tended to display higher levels of place identity, while tourists displayed more emotional functionality to the study area. Place attachment is deeply embodied in the local culture. Due to the research design the generalization of the results is limited. However, this study may act as a starting point in researching other geographical mental spaces. The lands of Romania are unique social and cultural spaces with specific attachment patterns. Future studies should consider larger and representative samples in order to find additional patterns of attachment among residents and other individuals (e.g. tourists, visitors, new residents, other communities etc..

The role of public spaces in creating place attachment (example of Zacisze, Warsaw housing estate

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Mantey Dorota

2015-09-01

Full Text Available This article raises the question of place attachment in the context of an increasingly important factor, that is the use of gathering and leisure places. The author publishes findings of a survey conducted among the residents of Zacisze, Warsaw, a detached housing estate with a very poor range of public places for gathering and leisure. The study has proved that the use of local public spaces, as a specific category of place, reinforces attachment to the whole housing estate. The study also confirms the important role that social factors have in building place attachment. Conditions already exist for considering social factors more important than physical ones in building a positive relationship with a territory.

Attachments to places and activities: the relationship of psychological constructs to customer satisfaction attributes

Science.gov (United States)

Thomas D. Wickham; Alan R. Graefe

2002-01-01

This study explores the nature of place attachment, enduring involvement and human territoriality and their relationship with customer satisfaction for a diverse group of anglers at lakes in the New England region. Previous work has made limited headway in our understanding of how place attachment, enduring involvement, and human territoriality relate to people's...

Developing Place Attachment to the Natural Surroundings of the School: The Role of Outdoor Education

OpenAIRE

Katsamagka, Argyro

2013-01-01

Place is highly connected with outdoor education; it is defined by the location of the learning process and it designates both practically and theoretically ways to foster to students a strong bond with natural places. Place attachment refers to this bond or, in other words, the love relationship, one can develop with a place. This research tries to investigate if there is a causal relationship between outdoor education and development of place attachment. A quasi-experimental design research...

Places that matter: place attachment and wellbeing of older Antillean migrants in the Netherlands

NARCIS (Netherlands)

Lager, Debbie; van Hoven, B.; Meijering, L.

2012-01-01

It has been argued that attachment to place increases wellbeing in old age (Wiles et al., 2009). Feeling ‘in place’ can increase an older person’s wellbeing. For older migrants it can be a challenge to live in-between cultures. The objective of the article is to explore how older Antillean migrants

Connecting physical and social dimensions of place attachment: What can we learn from attachment to urban recreational spaces?

Science.gov (United States)

Madgin, Rebecca; Bradley, Lisa; Hastings, Annette

2016-01-01

This paper is concerned with the ways in which people form attachments to recreational spaces. More specifically it examines the relationship between recreational spaces associated with sporting activity in urban neighbourhoods and place attachment. The focus is on the ways in which changes to these spaces exposes the affective bonds between people and their surroundings. The paper applies a qualitative methodology, namely focus groups and photo elicitation, to the case study of Parkhead, a neighbourhood in the East End of Glasgow. Parkhead has historically been subjected to successive waves of redevelopment as a result of deindustrialization in the late twentieth century. More recently redevelopment associated with the 2014 Commonwealth Games involved further changes to neighbourhood recreational spaces, including refurbishing of existing sports facilities and building new ones. This paper reflects on the cumulative impacts of this redevelopment to conclude (a) that recreational sports spaces provoke multi-layered and complex attachments that are inextricably connected to both temporal and spatial narratives and (b) that research on neighbourhood recreational spaces can develop our understanding of the intricate relationship between the social and physical dimensions of place attachment.

Analyzing the Concept of Place Attachment In The Context of Spatıal Factors: Kuzguncuk, Istanbul

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Dilek Özdemir Darby

2017-12-01

Full Text Available In contemporary globalised cities it has become increasingly important, for those of us who live in monotonous so-called cloned-environments, to find a sense of place we can identify with. When ties between inhabitants and places are disrupted, people are estranged from their neighbourhoods. As a result, not only people’s relations with places are harmed, but also their social relations are affected, leading to isolation, alienation and socio-economic disruption. The causes of these relations are analysed through the concept of place attachment. Since the 1970s, research on place attachment has grown considerably. These studies are mostly focused on sense awareness and affectiveness, with the physical attributes of places accorded lesser attention (Lewicka, 2011. In a similar vein Christopher Alexander (et al, 1977 has asserted that, when studying place attachment, influences associated with human feelings only comprise ten percent of total influences, while the rest derive from the physical characteristics of places. And yet these are the least examined objects of study. In this context, the aim of this paper is to examine more closely the spatial qualities of places in the formation of place attachment.  For the study, a long-established neighbourhood of Istanbul, Kuzguncuk, has been chosen to analyse the works of Christopher Alexander, Kevin Lynch, Jane Jacobs and John Montgomery. As a result, a matrix showing the spatial/physical qualities which have allowed the inhabitants of Kuzguncuk to develop a stronger attachment to their neighbourhood will be presented.

The measurement of place attachment: validity and generalizability of a psychometric approach

Science.gov (United States)

Daniel R. Williams; Jerry J. Vaske

2003-01-01

To enhance land managers’ ability to address deeper landscape meanings and place-specific symbolic values in natural resource decision making, this study evaluated the psychometric properties of a place attachment measure designed to capture the extent of emotions and feelings people have for places. Building on previous measurement efforts, this study examined the...

How place attachments influence recreation conflict and coping behavior

Science.gov (United States)

Cheng-Ping Wang; Yin-Hsun. Chang

2012-01-01

The purpose of this study was to explore how place attachment influences recreation conflict and coping behaviors based on the Transactional Stress/Coping Model. The interference between bikers and walkers in Bali Zon-An Park in Taipei County, Taiwan was investigated in May and June of 2007. A total of 384 valid questionnaires were collected.

We are at risk, and so what? Place attachment, environmental risk perceptions and preventive coping behaviours

DEFF Research Database (Denmark)

De Dominicis, Stefano; Fornara, Ferdinando; Ganucci Cancellieri, Uberta

2015-01-01

Place attachment regulates people-environment transactions across various relevant environmental-psychological processes. However, there is no consensus about its role in the relationship between environmental risk perception and coping behaviours. Since place attachment is strongly related to pl...

Decoupling Farm, Farming and Place: Recombinant Attachments of Globally Engaged Family Farmers

Science.gov (United States)

Cheshire, Lynda; Meurk, Carla; Woods, Michael

2013-01-01

Farmers have traditionally been perceived as having a deep attachment to land and place that contrasts with the mobility of modern society. In this paper, we use this work as a starting point for analysing new forms of attachments among a cohort of Australian farmers who are highly mobile in their business activities. In response, we devise a new…

29 CFR 780.1008 - Examples of places not considered homes.

Science.gov (United States)

2010-07-01

... 29 Labor 3 2010-07-01 2010-07-01 false Examples of places not considered homes. 780.1008 Section... Labor Provisions Under Section 13(d) Requirements for Exemption § 780.1008 Examples of places not considered homes. The following are examples of workplaces which, on examination, have been considered not to...

Continuing bonds and place.

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Jonsson, Annika; Walter, Tony

2017-08-01

Where do people feel closest to those they have lost? This article explores how continuing bonds with a deceased person can be rooted in a particular place or places. Some conceptual resources are sketched, namely continuing bonds, place attachment, ancestral places, home, reminder theory, and loss of place. The authors use these concepts to analyze interview material with seven Swedes and five Britons who often thought warmly of the deceased as residing in a particular place and often performing characteristic actions. The destruction of such a place, by contrast, could create a troubling, haunting absence, complicating the deceased's absent-presence.

Deweyan integration: moving beyond place attachment in elderly migration theory.

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Cutchin, M P

2001-01-01

The fact that aging-in-place and elderly migration are intricately linked has been overlooked by behavioral approaches to elderly migration. "Humanistic" inquiry has provided important insights into aging-in-place and elderly migration as well as the connection between the two. Humanistic approaches, however, do not encapsulate the full range of experience involved in elders' lives. To move beyond humanistic research and key concepts such as place attachment, the philosophy of John Dewey is introduced. Dewey's viewpoint is merged with the geographical concept of place into what is termed "place integration." This perspective is subsequently compared with humanistic perspectives on aging-in-place and elderly migration decision-making. Fundamental differences such as temporal orientation and substantive focus are illustrated and discussed. Conclusions address the utility of such a perspective.

Sleeping Out of Home in a Kibbutz Communal Arrangement: It Makes a Difference for Infant-Mother Attachment.

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Sagi, Abraham; And Others

1994-01-01

Compared the attachment classification distributions of 23 infants in Israeli kibbutzim with communal sleeping arrangements with those of 25 infants in kibbutzim with home-based sleeping arrangements. Among the home-based infants, 80% were securely attached to their mothers versus only 48% of the infants in communal sleeping arrangements. (MDM)

EFL Learners' Home Culture Attachment and their Attitudes towards English Language Learning: A structural equation modeling approach

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Zahra Sharifi Feriz

2017-10-01

Full Text Available The purpose of the present study is to examine home culture attachment construct and its underlying variables among Iranian English as Foreign Language learners as well as their attitudes towards English language learning. Pearson correlation is used with a sample of 411 English major university students from different provinces in Iran, mainly Khorasan Razavi, Khoran Jonoubi and Sistan Baluchestan participated in this study. As for the quantitative phase of data collection, the study employed home culture attachment and attitude towards English language learning questionnaires. The reliability and validity of these questionnaires are reported. A home culture attachment model and an attitude model are also developed and tested using structural equation modeling. The results suggest that all three subscales of attitudes (emotional, behavioral, and cognitive are positive and significant predictors of students' western attachment. From three subscales of attitude, only behavioral attitude is negative and significant predictors of students' religious attachment. In addition, Iranian attachment is influenced by cognitive attitudes and emotional attitudes. Besides, cognitive attitude is a positive and significant predictor of students' cultural attachment. It is also found that, artistic attachment is influenced by behavioral attitudes and emotional attitudes. Finally, the pedagogical implications are discussed in light of foreign language achievement.

Crowding and experience-use history: a study of the moderating effect of place attachment among water-based recreationists.

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Budruk, Megha; Wilhem Stanis, Sonja A; Schneider, Ingrid E; Heisey, Jennifer J

2008-04-01

Effective recreation resource management relies on understanding visitor perceptions and behaviors. Given current and increasing pressures on water resources, understanding crowding evaluations seems important. Beyond crowding, however, variables that possibly relate to or influence crowding are of interest and in particular, place attachment and experience-use history (EUH). As EUH is related to place attachment and likely affects crowding, this study explored the moderating effect of place attachment dimensions on the relationships between EUH and visitor crowding evaluations. Water based recreationists at a U.S. Army Corps of Engineers site were contacted onsite and asked questions related to experience-use history, crowding evaluations, place attachment, and activity participation. Anglers and campers at the site identified similar crowding perceptions and place attachments. Only one of eight models tested revealed a moderating effect. Specifically, place identity moderated the relationship between the total times visited in the past twelve months and expected crowding among anglers. As such, the quest continues to understand the relationship among these important variables.

HOMING PLACE: TOWARDS A PARTICIPATORY, AMBULANT AND CONVERSIVE METHODOLOGY

OpenAIRE

Myers, Misha

2009-01-01

The practice-as-research project Homing Place proposes a transferable percipient-led methodology of performance and research activated by ambulant and conversive mechanisms as the culmination of this research. The thesis is comprised of a range of activity that represents a moment and way of writing practice. Three artworks that comprise part of the practical component of this thesis--- way from home, Take me to a place and Yodel Rodeo-- each involved participation and contribu...

Attachment figures when death is approaching: a study applying attachment theory to adult patients' and family members' experiences during palliative home care.

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Milberg, Anna; Friedrichsen, Maria

2017-07-01

Attachment theory is currently receiving much attention in relation to how adults cope with severe illness. The study aims were using the experiences of patients and family members to explore attachment figures (a central concept within the theory) during palliative home care. Twelve patients and 14 family members were interviewed during ongoing palliative home care. The interviews were analysed using qualitative content analysis. Four types of attachment figures were identified: (i) family and friends, (ii) health care practitioners, (iii) pets and (iv) God. Both non-physical and physical contact with the attachment figures facilitated a sense of security. In addition, the patient/family members and their attachment figures were described by some as a "we", and when one part of the "we" felt insecure, this made the other also feel insecure. The patients' unstable and progressing illnesses constituted a threat to the patients' and family members' sense of security. The availability of the attachment figures made them feel secure, and they could then divert their attention from the patients' illnesses to other things in everyday life, e.g. socialising with family and friends. Some family members also had to cope with the loss of their own attachment figure, when the patient, who had previously been a source of security for them, was no longer able to offer protection and comfort due to the progression of the illness. Important aspects of attachment figures in the end-of-life context were identified, and their clinical implications will be discussed.

The influence of place attachment and experience use history on perceived depreciative visitor behavior and crowding in an urban national park.

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Eder, Renate; Arnberger, Arne

2012-10-01

Research on recreational place attachment suggests that place identity, or the emotional/symbolic ties people have to places, and place dependence, which describes a functional attachment to a specific place, influence the perception of social and environmental site conditions. Recent research, however, has found that place attachment is not always a predictor of such perceptions. This study investigated the influence of place attachment and experience use history on the perception of depreciative visitor behavior, recreation impacts and crowding in an urban national park. In 2006, 605 on-site visitors to the heavily-used Viennese part of the Danube Floodplains National Park were asked about past experience, place attachment, perceptions of depreciative visitor behavior, crowding, changes in visitor numbers during the past ten years, and recreation impacts on wildlife. Confirmatory factor analysis confirmed the two dimensions of place attachment. Linear regression analyses found that place identity and place dependence were related to some perceived depreciative visitor behaviors and visitor number changes but not to crowding, while experience use history additionally related to perceived crowding. Visitors with higher place attachment and past experience were more sensitive to social and environmental site conditions. Management implications of the findings are discussed.

Place Attachment, Place Identity and the Development of the Child's Self-Identity: Searching the Literature to Develop an Hypothesis

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Spencer, Christopher

2005-01-01

This is part of a campaign to encourage educational researchers, geographers in particular, to spread their literature searches beyond their immediate subject area. The question of place attachment and identity is reviewed through the psychologistal literature. The hypothesis is offered and supported, that place, in a geographical sense is also…

Homesickness in University Students: The Role of Multiple Place Attachment

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Scopelliti, Massimiliano; Tiberio, Lorenza

2010-01-01

The transition to college or university can lead to the challenge of adapting to a new setting. Homesickness has been frequently investigated as a potential negative consequence of relocation. This study analyzed the role of multiple place attachment in the development of homesickness among university students. The study used a multicausal…

Emotional learning of undergraduate medical students in an early nursing attachment in a hospital or nursing home.

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Helmich, Esther; Bolhuis, Sanneke; Prins, Judith; Laan, Roland; Koopmans, Raymond

2011-01-01

Entering medicine for the first time is highly impressive for students, but we know little about the actual emotional learning processes taking place. We aimed to get more insight into expectations, experiences and emotions of students during their first clinical experiences in a hospital compared to a nursing home. We carried out a qualitative and a quantitative survey by administering questionnaires about expectations, impressive experiences and learning activities within two cohorts of first-year medical students before and after a 4-week nursing attachment. Despite different expectations, students reported similar experiences and learning activities for the nursing home and the hospital. Most impressive events were related to patient care, being a trainee, or professional identities being challenged. Students in nursing homes most often referred to their own relationships with patients. Students expressed different emotions, and frequently experienced positive and negative emotions at the same time. Rewarding experiences (not only difficult or stressful events) do matter for medical professional development. Students need to learn how to deal with and feel strengthened by the emotions evoked during clinical experiences, which should be supported by educators. The nursing home and the hospital seem to be equally suited as learning environments.

Place Attachment and Tourist Experience in the Context of Desert Tourism – the Case of Wadi Rum

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Allan Mamoon

2016-06-01

Full Text Available This paper aims to explore the relationship between tourist experience and place attachment in a desert tourism experience. The current study was carried out with a sample of international and domestic visitors in Wadi Rum, Southern Jordan. The results show that there is a significant positive correlation between the nearby constructs of the study units such as the four tourist experience dimensions (education, esthetics, entertainment, and escapism, and the two dimensional place attachments measures (place identity and place dependence. Moreover, the findings also indicate that education factor had a significantly positive relationship with place identity, and there was a significantly positive relationship between escapism factor and place dependence. The findings can be used to develop the tourist experience and place attachment in the context of desert tourism experience. They further help tourism destinations managers, planners and marketers to provide appropriate marketing strategies and enrich their offers to desert tourism participants.

Undergraduate Students' Satisfaction with Hostel and Sense of Attachment to Place: Case Study of University Sains Malaysia

OpenAIRE

Fatemeh Khozaei; Ahmad S. Hassan; Zahra Khozaei

2010-01-01

Problem statement: Unlike numerous studies have explored residents satisfaction and sense of attachment to housing, little discussion exists on this area addressing the relationship between sense of attachment to place and student housing satisfaction. To fill such a gap, this article was an attempt to investigate undergraduate students level of satisfaction and sense of attachment to place drawn from three ethnics (Malay, Chinese and Indian) living in the hostels of University Sains Malaysia...

Place identity and place scale: the impact of place salience.

OpenAIRE

Bernardo, Fátima; Palma-Oliveira, José-Manuel

2013-01-01

Research about place, place identity and attachment supports the idea that bonds with places may differ depending on the place scale. Based on the view that identity is context-dependent, this paper brings to the table the impact of manipulating the salience of place on the intensity of place identity and place attachment reported. A study was designed to examine place identity and place attachment in two groups of residents (permanent and temporary) at three different scales (nei...

The relationship between out-of-home care and the quality of infant-mother attachment in an economically disadvantaged population.

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Vaughn, B E; Gove, F L; Egeland, B

1980-12-01

The effects of routine daily separations occasioned by out-of-home care on the formation and maintenance of infant-mother attachment relationships were examined in a population of economically disadvantaged mothers. 3 groups were constituted on the basis of the time in the infant's life when out-of-home care began: (1) before 12 months; (2) between 12 and 18 months; (3) home-care controls. The infant-mother pairs were observed in the Ainsworth strange situation at both 12 and 18 months, and were classified as secure, anxious-avoidant, or anxious-resistant. Because previous research has implicated the psychological accessibility of the mother to the infant in the development of anxious-avoidant attachments during the first year of life, the hypothesis that physical inaccessibility due to out-of-home care would also be associated with anxious-avoidant attachments was tested. The data support this hypothesis. At 12 months 47% of the infants whose mothers had returned to work/school were classified in the anxious-avoidant group, while the other 2 groups did not differ significantly in the proportions of infants assigned to the 3 attachment classifications. At 18 months, differences among the 3 work status groups also showed a large portion of anxious-avoidant infants (41%) in this early working group. However, infants whose out-of-home care began after 12 months did not show an increase in the proportion of anxious attachments. Additional analyses of variables related to mother's return to work indicated that single mothers were more likely to return to work/school, that mothers who worked reported higher levels of life stress than mothers who stayed home with the infants, and that, by 18 months, both anxious-avoidant and anxious-resistant attachments were also associated with non-intact families.

Food consumed outside the home in Brazil according to places of purchase

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Ilana Nogueira Bezerra

Full Text Available ABSTRACT OBJECTIVE This study aims to describe the places of purchase of food consumed outside the home, characterize consumers according to the places of consumption, and identify the food purchased by place of consumption in Brazil. METHODS We have used data from the Pesquisa de Orçamento Familiar (Household Budget Survey of 2008-2009 with a sample of 152,895 subjects over 10 years of age. The purchase of food outside the home was collected from the records of all expenditures made in seven days. The places of purchase were grouped according to their characteristics: supermarket, bakery, street food, restaurant, snack bar, fruit shop, and other places. The types of food were grouped into nine categories, considering the nutritional aspects and the marketing characteristics of the item. We have estimated the frequency of purchase in the seven groups of places in Brazil and according to gender and type of food purchased per place. We have calculated the average age, income and years of education, as well as the per capita expenditure according to places of purchase of food consumed outside the home. RESULTS The purchase of food outside the home was reported by 41.2% of the subjects, being it greater among men than women (44% versus 38.5%. Adults had a higher frequency (46% than teenagers (37.7% and older adults (24.2%. The highest frequency of places of purchase were snack bar (16.9% and restaurant (16.4%, while the fruit shop (1.2% presented the lowest frequency. Sweets, snack chips and soft drinks were the most purchased items in most places. Average expenditure was higher for restaurant (R$33.20 and lower for fruit shop (R$4.10 and street food (R$5.00. CONCLUSIONS The highest percentage of food consumed outside the home comes from snack bars and restaurants, pointing to important places for the development of public policies focused on promoting healthy eating.

Place of death among older Americans: does state spending on home- and community-based services promote home death?

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Muramatsu, Naoko; Hoyem, Ruby L; Yin, Hongjun; Campbell, Richard T

2008-08-01

The majority of Americans die in institutions although most prefer to die at home. States vary greatly in their proportion of home deaths. Although individuals' circumstances largely determine where they die, health policies may affect the range of options available to them. To examine whether states' spending on home- and community-based services (HCBS) affects place of death, taking into consideration county health care resources and individuals' family, sociodemographic, and health factors. Using exit interview data from respondents in the Health and Retirement Study born in 1923 or earlier who died between 1993 and 2002 (N = 3362), we conducted discrete-time survival analysis of the risk of end-of-life nursing home relocation to examine whether states' HCBS spending would delay or prevent end-of-life nursing home admission. Then we ran logistic regression analysis to investigate the HCBS effects on place of death separately for those who relocated to a nursing home and those who remained in the community. Living in a state with higher HCBS spending was associated with lower risk of end-of-life nursing home relocation, especially among people who had Medicaid. However, state HCBS support was not directly associated with place of death. States' generosity for HCBS increases the chance of dying at home via lowering the risk of end-of-life nursing home relocation. State-to-state variation in HCBS spending may partly explain variation in home deaths. Our findings add to the emerging encouraging evidence for continued efforts to enhance support for HCBS.

"That was the Last Time I Saw my House": The Importance of Place Attachment among Children and Youth in Disaster Contexts.

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Scannell, Leila; Cox, Robin S; Fletcher, Sarah; Heykoop, Cheryl

2016-09-01

Place attachment is important for children and youth's disaster preparedness, experiences, recovery, and resilience, but most of the literature on place and disasters has focused on adults. Drawing on the community disaster risk reduction, recovery, and resilience literature as well as the literature on normative place attachment, children and youth's place-relevant disaster experiences are examined. Prior to a disaster, place attachments are postulated to enhance children and youth's disaster preparedness contributions and reinforce their pre-disaster resilience. During a disaster, damage of, and displacement from, places of importance can create significant emotional distress among children and youth. Following a disaster, pre-existing as well as new place ties can aid in their recovery and bolster their resilience moving forward. This framework enriches current theories of disaster recovery, resilience, and place attachment, and sets an agenda for future research. © Society for Community Research and Action 2016.

The relationship between rural community type and attachment to place for older people living in North Wales, UK.

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Burholt, Vanessa; Naylor, Dawn

2005-06-01

This paper explores the relationship between rural community type and attachment to place for 387 older people aged 70 and over. Six rural settlements in North Wales are characterised according to certain statistics (e.g. age structure, in-migration, strength of local culture, and multiple deprivation) to provide distinct community profiles. It is hypothesised that community type is characterised by particular types of attachment, which are dependent on life course trajectories and changes or stability in the environment. Using a sevenfold classification of attachment to place, the paper tests seven hypotheses. The results support four of the seven hypotheses. Older people living in a retirement destination are more likely to report aesthetic qualities and the appropriateness of the environment. People living in native areas with a strong culture and local language are more likely to note the importance of historical attachment and social integration into the community. Three hypotheses are rejected: older people living in a retirement destination are not less likely to report social support, or a historical perspective in attachment to place, and older people living in areas with high levels of multiple deprivation are not more likely to encounter relocation restraints than are others. Overall, the findings suggest that the taxonomy of attachment to place provides a flexible framework for differentiation by community. The paper concludes that communities are not merely settings-they play a significant role in self-identity and are a vital source of emotional and experiential meaning for the inhabitant.

Psychometric properties of the Portuguese version of place attachment scale for youth in residential care.

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Magalhães, Eunice; Calheiros, María M

2015-01-01

Although the significant scientific advances on place attachment literature, no instruments exist specifically developed or adapted to residential care. 410 adolescents (11 - 18 years old) participated in this study. The place attachment scale evaluates five dimensions: Place identity, Place dependence, Institutional bonding, Caregivers bonding and Friend bonding. Data analysis included descriptive statistics, content validity, construct validity (Confirmatory Factor Analysis), concurrent validity with correlations with satisfaction with life and with institution, and reliability evidences. The relationship with individual characteristics and placement length was also verified. Content validity analysis revealed that more than half of the panellists perceive all the items as relevant to assess the construct in residential care. The structure with five dimensions revealed good fit statistics and concurrent validity evidences were found, with significant correlations with satisfaction with life and with the institution. Acceptable values of internal consistence and specific gender differences were found. The preliminary psychometric properties of this scale suggest it potential to be used with youth in care.

IMPLEMENTING AN ATTACHMENT-BASED PARENTING INTERVENTION WITHIN HOME-BASED EARLY HEAD START: HOME-VISITORS' PERCEPTIONS AND EXPERIENCES.

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West, Allison L; Aparicio, Elizabeth M; Berlin, Lisa J; Jones Harden, Brenda

2017-07-01

Implementation of evidence-based interventions in "real-world" settings is enhanced when front-line staff view the intervention as acceptable, appropriate, and feasible. This qualitative study addresses Early Head Start (EHS) home visitors' perceptions and experiences of an evidence-based parenting intervention, the Attachment and Biobehavioral Catch-up program (M. Dozier, O. Lindhiem, & J. Ackerman, 2005), when added to EHS services as usual within the context of a research-practice partnership. Thematic analysis of in-depth, qualitative interviews indicates that home visitors experienced the intervention as positive and helpful for EHS families. Some challenges included scheduling and uncertainty regarding the goals of the intervention. Concerns over participation in the research centered on information exchange, confidentiality, and time limitations. © 2017 Michigan Association for Infant Mental Health.

Parental Experiences of the "Time Together" Home Visiting Intervention: An Attachment Theory Perspective

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Butcher, Rebecca L.; Gersch, Irvine S.

2014-01-01

This paper reports the results of research into parental experiences of the Somerset (UK) "Time Together" home visiting intervention, with regards to its impact on the parent-child relationship. The research was carried out using an Attachment Theory lens in order to understand the qualitative experiences of seven parents of children in…

Psychiatric implications of displacement: contributions from the psychology of place.

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Fullilove, M T

1996-12-01

The purpose of this article is to describe the psychological processes that are affected by geographic displacement. The literature from the fields of geography, psychology, anthropology, and psychiatry was reviewed to develop a "psychology of place" and to determine the manner in which place-related psychological processes are affected by upheaval in the environment. The psychology of place is an emerging area of research that explores the connection between individuals and their intimate environments. The psychology of place posits that individuals require a "good enough" environment in which to live. They are linked to that environment through three key psychological processes: attachment, familiarity, and identity. Place attachment, which parallels, but is distinct from, attachment to person, is a mutual caretaking bond between a person and a beloved place. Familiarity refers to the processes by which people develop detailed cognitive knowledge of their environs. Place identity is concerned with the extraction of a sense of self based on the places in which one passes one's life. Each of these psychological processes-attachment, familiarity, and place identity-is threatened by displacement, and the problems of nostalgia, disorientation, and alienation may ensue. As a result of war, decolonization, epidemics, natural disasters, and other disruptive events, millions of people are currently displaced from their homes. Protecting and restoring their mental health pose urgent problems for the mental health community.

ATTACHMENT PLACE: STUDI FENOMENOLOGI SPECIAL PLACE ANAK USIA DINI DI PAUD ISLAM DAN TK ISLAM DI KABUPATEN MALANG

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Akhmad Mukhlis

2016-05-01

Full Text Available Penelitian ini bertujuan untuk mengetahui kelekatan tempat (attachment place pada anak usia dini. Berbeda dengan penelitian-penelitian sebelumnya, penelitian ini memfokuskan kajiannya pada tempat-tempat yang dianggap spesial (special place oleh anak di lingkungan rumah mereka. Metodologi fenomenologi dipilih untuk mengeksplorasi tujuan penelitian dalam dua tahap. Tahap pertama dilkaukan di sekolah dengan mendiskusikan buku dengan 13 peserta didik. Tiga anak yang paling aktif dan mampu berkomunikasi dengan baik diminta untuk menjadi partisipan pada tahap kedua yaitu kunjungan rumah. Dua tahapan penggalian data menemukan bahwa anak-anak memiliki banyak tempat yang dianggap spesial. Keberadaan tempat-tempat tersebut biasa digunakan untuk bersembunyi, meredakan emosi, bermain dan mengembangkan rasa otonomi diri.

All bonds are not alike: A psychoendocrine evaluation of infant attachment.

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Gaudin, Sabrina; Chaillou, Elodie; Wycke, Marie-Anne; Cornilleau, Fabien; Moussu, Chantal; Calandreau, Ludovic; Lainé, Anne-Lyse; Nowak, Raymond

2018-01-01

Characteristics of attachment were assessed in peer- and object-reared lambs, and compared to mothered subjects by taking into consideration distress, proximity seeking, and exploration during two separation-reunion tests in both the familiar and a novel environment. Plasma cortisol and oxytocin were assayed as physiological indicators of stress and being comforted during the separation-reunion test. Rewarding properties of the familiar figures were also determined in a conditioned place preference-like paradigm. Between-group analysis revealed the existence of secure attachment with the mother, alteration of secure attachment with the peer and weaker attachment with the object. Weaker attachment was expressed by a lack of distress during separation in the home pen and no preference for the place conditioned with the familiar object. Elevated basal plasma oxytocin levels, but not cortisol, observed in maternally deprived lambs were more likely linked to the absence of a maternal figure rather than social comfort during reunion. © 2017 Wiley Periodicals, Inc.

Comparison of place attachment influence on the level of happiness of people living near residential parks

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Nurhakim, I.; Kurniawan, E. B.; Wardhani, D. K.

2018-05-01

Several studies have shown that living close to a park is associated with high levels of happiness. However, there is a possible difference in the level of happiness between living close to a park (0-400 meters radius) compared to living far from the park (400-1.000 meters radius). Therefore, this study aims to compare the influence of Place Attachment on the level of happiness for people living near a park, especially residential parks in some housing areas in Malang City. Place Attachment in this study defined as a bond between an individual and a particular setting. The study demonstrates a positive influence of Place Attachment on the level of happiness of people living near the park. Respondents who live close to a park (R = 0.441; Happiness Level = 97.8%; Average Happiness = 6.833) tend to have a higher level of happiness compared to respondents who live far from a park (R = 0.326; Happiness Level = 69.9%; average Happiness = 4.148). This result shows the urgency to reconsider the provision standard of residential parks in Indonesia which only suggests one residential park for every 1,000 meters radius.

Importance of Managing for Personal Benefits, Hedonic and Utilitarian Motivations, and Place Attachment at an Urban Natural Setting.

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Budruk, Megha; Lee, Woojin

2016-09-01

Research on antecedents of place attachment suggests that the special bonds people form with nature are influenced by a number of variables. This study examines associations between the perceived importance of managing for personal benefits, motivations, and place attachment among outdoor recreationists at an urban natural setting. Motivation was conceptualized as two-dimensional (Hedonic and Utilitarian) borrowed from the retail and consumer marketing field and previously unused in a natural resource recreation context. Hedonic and utilitarian motivations represent the experiential and functional dimensions of motivation, respectively. Relationships between the noted variables were examined through structural equation modeling. Data from an onsite survey of 219 users indicated that it was important the resource be managed to provide greater freedom from urban living as well as improved mental well-being. Furthermore, respondents exhibited moderate levels of hedonic and utilitarian motivations as well as attachment to the resource. The structural equation analysis resulted in a good fitting model with several significant relationships emerging. Among these, the perceived importance of managing for personal benefits positively influenced hedonic and utilitarian motivations. In addition, hedonic motivations positively influenced place attachment development, whereas utilitarian motivations did not. Implications of these findings are discussed.

Importance of Managing for Personal Benefits, Hedonic and Utilitarian Motivations, and Place Attachment at an Urban Natural Setting

Science.gov (United States)

Budruk, Megha; Lee, Woojin

2016-09-01

Research on antecedents of place attachment suggests that the special bonds people form with nature are influenced by a number of variables. This study examines associations between the perceived importance of managing for personal benefits, motivations, and place attachment among outdoor recreationists at an urban natural setting. Motivation was conceptualized as two-dimensional (Hedonic and Utilitarian) borrowed from the retail and consumer marketing field and previously unused in a natural resource recreation context. Hedonic and utilitarian motivations represent the experiential and functional dimensions of motivation, respectively. Relationships between the noted variables were examined through structural equation modeling. Data from an onsite survey of 219 users indicated that it was important the resource be managed to provide greater freedom from urban living as well as improved mental well-being. Furthermore, respondents exhibited moderate levels of hedonic and utilitarian motivations as well as attachment to the resource. The structural equation analysis resulted in a good fitting model with several significant relationships emerging. Among these, the perceived importance of managing for personal benefits positively influenced hedonic and utilitarian motivations. In addition, hedonic motivations positively influenced place attachment development, whereas utilitarian motivations did not. Implications of these findings are discussed.

A consideration of collective memory in African American attachment to wildland recreation places

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Cassandra Y. Johnson

1998-01-01

This study examines the effect of race on place attachment to wildland areas. It is generally assumed that African Americans have a more negative impression of wildlands, compared to white ethnic groups. Studies from past decades report that blacks show less aesthetic preference for wildland, unstructured environments and are also less environmentally aware than whites...

Place attachment and recreation demand on the west branch of the Farmington River

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Jordan W. Smith; Roger L. Moore

2012-01-01

This paper analyzes the effect of place attachment on recreation demand for theWest Branch of the Farmington River. Data were collected via on-site and optional mail-back questionnaires administered to river recreationists during the summer of 2001. A total of 247 respondents (51 percent response rate) returned complete questionnaires. Questions concerned respondents...

Impacts of a Place-Based Science Curriculum on Student Place Attachment in Hawaiian and Western Cultural Institutions at an Urban High School in Hawai'i

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Kuwahara, Jennifer L. H.

2013-01-01

This study investigates how students' participation in a place-based science curriculum may influence their place attachment (dependence and identity). Participants attend an urban high school in Hawai'i and are members of different cultural institutions within the school. Students are either enrolled in an environmental science class within the…

Attachments to the common-place

DEFF Research Database (Denmark)

Blok, Anders

2015-01-01

This article builds on ethnographic work concerning on-going collective efforts in the Japanese city of Kyoto aiming to reposition a vernacular style of wooden housing, known as kyō-machiya, into a hybrid eco-design widely considered an appropriate local response to the global challenges of climate...... change. To understand the dynamic interplay of architecture and community-building in this case, the article stages a theoretical debate on the politics of shared attachments between three proponents of French pragmatic sociology: Bruno Latour, Antoine Hennion, and Laurent Thévenot. Drawing in particular...... on Thévenot's notion of ‘commonality in the plural’, the article shows how a range of personal affinities to the architectural form of the kyō-machiya, positioned as an urban ‘common-place’, serves to coordinate across otherwise divergent interests. By taking seriously the role of attachments to common...

Supporting aging in place & assisted living through home care.

Science.gov (United States)

Gorshe, N

2000-06-01

This article defines assisted living, discusses the pros and cons of limited regulation, scope of service, Aging-in-Place partnerships, and how home care agencies can work with assisted-living facilities to provide care. It also examines a study on assisted living in six states that is funded by the Robert Wood Johnson Foundation.

In-Home Intervention with Families in Distress: Changing Places to Promote Change

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Waisbrod, Nirit; Buchbinder, Eli; Possick, Chaya

2012-01-01

This article examines the benefits of in-home family therapy with severely distressed families through the analysis of four cases that demonstrate the creative use of this intervention with families whose children were placed in a full-time day care facility. Although the efficacy of home intervention with distressed families has been documented,…

Reducing sibling conflict in maltreated children placed in foster homes.

Science.gov (United States)

Linares, L Oriana; Jimenez, Jessica; Nesci, Cristina; Pearson, Eva; Beller, Sarah; Edwards, Nancy; Levin-Rector, Alison

2015-02-01

Sibling aggression among maltreated children placed in foster homes is linked to other externalizing problems and placement disruption. The reduction of sibling conflict and aggression may be achieved via a multicomponent ecologically focused intervention for families in the foster care system. The focus of the study is to evaluate the feasibility and short-term effectiveness of a transtheoretical intervention model targeting sibling pairs and their foster parent that integrates family systems, social learning theory, and a conflict mediation perspective. In this pilot study, sibling pairs (N = 22) and their foster parent were randomized into a three-component intervention (n = 13) or a comparison (n = 9) group. Promoting Sibling Bonds (PSB) is an 8-week prevention intervention targeting maltreated sibling pairs ages 5-11 years placed together in a foster home. The siblings, parent, and joint components were delivered in a program package at the foster agency by a trained two-clinician team. Average attendance across program components was 73 %. Outcomes in four areas were gathered at pre- and postintervention: observed sibling interaction quality (positive and negative) including conflict during play, and foster parent reports of mediation strategies and sibling aggression in the foster home. At postintervention, adjusting for baseline scores and child age, intervention pairs showed higher positive (p conflict during play (p conflict mediation strategies than those in the comparison group (p conflict and promote parental mediation, which together may reduce sibling aggression in the foster home.

"No place like home": Aging in post-reform Beijing.

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Yu, Jie; Rosenberg, Mark W

2017-07-01

This study shows the Western theorization and interpretation of aging, place and health are not well suited to a non-western case. The current generation of older Chinese has experienced the transition from a planned economy to a socialist market economy. Urban changes have taken place in various ways. This study explains the spatio-temporal processes of older people with their changing places by conducting in-depth interviews with 47 older people living at home in Beijing. Their generational consciousness and old place identities are deeply rooted in pre-reform Collectivism and shaped by socialist ideologies of the past. The representation of the old identity among older people is circumscribed by their living situations and selectively manifested. In most cases, there are limited mechanisms formed to recreate positive place meanings and reintegrate older people and place. The processes reflect the growing social inequality and changing cultural values in a society in transition. Growing social inequality and changing cultural values have a great impact on older people's health and well-being. Copyright © 2017 Elsevier Ltd. All rights reserved.

Identification and Prediction of Latent Classes of Hikers Based on Specialization and Place Attachment

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Hwasung Song

2018-04-01

Full Text Available The purpose of this study is to extend previous research by combining the specialization and place attachment concepts. Applying a latent profile analysis (LPA to data from hikers on the Olle Trail of Jeju Island in South Korea (N = 428, we classified hikers who share similar profiles based on multiple dimensions of specialization and place attachment, and examined correlates of the derived typologies for drawing managerial implications. We also explored associations between these typologies and outcome variables of hikers. LPA identified three subgroups: “novice” (38%, “affection-driven” (40%, and “expert” (22%. The findings indicated that these groups differed in their past experience and socio-demographic characteristics, such that the “affection-driven” and “expert” groups have more experience in the setting than the “novice” group. These typologies also showed significant associations with hikers’ satisfaction and revisit intention; thus, “novice” hikers tended to be less satisfied with their hiking and the setting. Furthermore, the “novice” group reported lower intention to revisit the setting. Our findings reveal that LPA can be a useful tool for identifying subgroups of individuals who have engaged in particular sets of strategies by incorporating multiple activity-place dimensions.

Can a sports team create love for a City? : a case study of place attachment from a resident perspective

OpenAIRE

Hadzimesic, Merima; Oxwall, Amanda

2013-01-01

Purpose The study theoretically examine if satisfaction of a sports team can create place attachment to a city from a residents’ perspective. It empirically tests if this theory can be applied in reality through a case study of a handball team IFK Kristianstad, and Kristianstad city. Design/methodology/approach A deductive approach that was based on theoretical insights from place attachment, satisfaction and service quality. A quantitative study was conducted on spectators in Kristianstad Ar...

Ageing out of place: The meaning of home among hispanic older persons living in the United States.

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Curtin, Alicia; Martins, Diane C; Gillsjö, Catharina; Schwartz-Barcott, Donna

2017-09-01

To explore the meaning of home among older Hispanic immigrants who are "aging out of place." Emerging evidence supports the concept of older persons ageing in place. Nurse researchers have demonstrated that older person who age in place have better physical, psychological and cognitive outcomes. Less, however, is known about older persons who are "aging out of place," meaning out of their country of origin. With the growth of home health care, there is a need to understand the older immigrants' meaning of home when ageing out of their country of origin. An inductive, qualitative descriptive research design was used. Seventeen Hispanic participants, ranging in age from 65 to 83 years were interviewed using a semi-structured interview protocol. Two major finding of the study focused on participants' descriptions of home in their country of origin and in the USA. The majority of participants described their home in their native country as the community, countryside or town (pueblo) and in the U.S.A. as family. The level of social isolation and loneliness among participants was evident. Older Hispanic immigrants who are "aging out of place" integrate their past experiences of sense of place in their native country with their present experiences of home in the USA. The need to understand the role of the community and the family in the provision of nursing care in the home may be more important than the physical structure or setting in which it is delivered. Further intra- and cross-national studies are needed to provide a framework for understanding the issues of ageing and immigration globally. Gerontological nurses need to recognise the complexity of family relationships for older Hispanic persons who are ageing out of place of origin and their risk of depression, social isolation, and loneliness. © 2017 John Wiley & Sons Ltd.

Territorial dynamics and stable home range formation for central place foragers.

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Jonathan R Potts

Full Text Available Uncovering the mechanisms behind territory formation is a fundamental problem in behavioural ecology. The broad nature of the underlying conspecific avoidance processes are well documented across a wide range of taxa. Scent marking in particular is common to a large range of terrestrial mammals and is known to be fundamental for communication. However, despite its importance, exact quantification of the time-scales over which scent cues and messages persist remains elusive. Recent work by the present authors has begun to shed light on this problem by modelling animals as random walkers with scent-mediated interaction processes. Territories emerge as dynamic objects that continually change shape and slowly move without settling to a fixed location. As a consequence, the utilisation distribution of such an animal results in a slowly increasing home range, as shown for urban foxes (Vulpes vulpes. For certain other species, however, home ranges reach a stable state. The present work shows that stable home ranges arise when, in addition to scent-mediated conspecific avoidance, each animal moves as a central place forager. That is, the animal's movement has a random aspect but is also biased towards a fixed location, such as a den or nest site. Dynamic territories emerge but the probability distribution of the territory border locations reaches a steady state, causing stable home ranges to emerge from the territorial dynamics. Approximate analytic expressions for the animal's probability density function are derived. A programme is given for using these expressions to quantify both the strength of the animal's movement bias towards the central place and the time-scale over which scent messages persist. Comparisons are made with previous theoretical work modelling central place foragers with conspecific avoidance. Some insights into the mechanisms behind allometric scaling laws of animal space use are also given.

Northern Youth Abroad Finding a place at home, halfway around the ...

International Development Research Centre (IDRC) Digital Library (Canada)

2011-03-09

Mar 9, 2011 ... Northern Youth Abroad Finding a place at home, halfway around the ... Past volunteer sites have included game reserves, an orphan care ... The Government of Nunavut has a mandate to employ 80% Inuit in its public service.

"No place like home": Gender, family, and the politics of home care in post-world war II Ontario.

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Struthers, James

2003-01-01

Since the early 1990s home care increasingly has emerged as a favoured policy response to the growing costs which an aging population poses for our health care system. This paper explores the early history of home care for the elderly in Ontario during the first three decades after World War II. It demonstrates that policy debates over the merits of home versus institutional care for the elderly, and community-based over hospital-based approaches to home care are not recent phenomenon but have been on going since the 1940s within the public health and social services sector. The paper examines why home care failed for so long to develop beyond the margins of Ontario's highly institutionalized health care system. It also explores how earlier visions of community-based home care, designed to help the elderly age in place, increasingly were obscured by an exclusive preoccupation with home care's "cost effectiveness" as an alternative to hospital or residential care, a rationale which discounted home care's costs to unpaid and principally female care givers. The paper concludes that the Ontario health ministry's systematic devaluing of caregiving and home maker skills, the fear of undermining the family's willingness to provide care, as well as the failure to develop effective mechanisms for integrated regional health care planning, also impeded the progress of home care's development before the 1980s.

Reducing Sibling Conflict in Maltreated Children Placed in Foster Homes

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Linares, L. Oriana; Jimenez, Jessica; Nesci, Cristina; Pearson, Eva; Beller, Sarah; Edwards, Nancy; Levin-Rector, Alison

2016-01-01

Sibling aggression among maltreated children placed in foster homes is linked to other externalizing problems and placement disruption. The reduction of sibling conflict and aggression may be achieved via a multicomponent ecologically focused intervention for families in the foster care system. The focus of the study is to evaluate the feasibility and short-term effectiveness of a transtheoretical intervention model targeting sibling pairs and their foster parent that integrates family systems, social learning theory, and a conflict mediation perspective. In this pilot study, sibling pairs (N=22) and their foster parent were randomized into a three-component intervention (n=13) or a comparison (n=9) group. Promoting Sibling Bonds (PSB) is an 8-week prevention intervention targeting maltreated sibling pairs ages 5–11 years placed together in a foster home. The Siblings, Parent, and Joint components were delivered in a program package at the foster agency by a trained two-clinician team. Average attendance across program components was 73%. Outcomes in four areas were gathered at pre-and post-intervention: observed sibling interaction quality (positive and negative) including conflict during play, and foster parent reports of mediation strategies and sibling aggression in the foster home. At post-intervention, adjusting for baseline scores and child age, intervention pairs showed higher positive (p<.001) and negative (p<.05) interaction quality, and lower sibling conflict during play (p <.01) than comparison pairs. Foster parents in the intervention group reported a higher number of conflict mediation strategies than those in the comparison group (p <.001). Foster parents in the intervention group reported lower sibling physical aggression from the older toward the younger child than those in the comparison group (p <.05). Data suggest that the PSB intervention is a promising approach to reduce conflict and promote parental mediation which together may reduce

The effects of a home-visiting discharge education on maternal self-esteem, maternal attachment, postpartum depression and family function in the mothers of NICU infants.

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Ahn, Young-Mee; Kim, Mi-Ran

2004-12-01

A quasi-experimental study was performed to investigate the effects of a home visiting discharge education program on the maternal self-esteem, attachment, postpartum depression and family function in 35 mothers of neonatal intensive care unit (NICU) infants. Twenty-three mothers in the intervention group received the home visiting discharge education while 12 mothers in the control group received the routine, hospital discharge education. Baseline data was collected in both groups one day after delivery. The intervention group received the home visiting discharge education while the control group did the routine hospital-based discharge education. The questionnaire including the data on maternal self-esteem, attachment, postpartum depression and family function were collected within 1 week after the discharge by mail. The scores of maternal self-esteem, and attachment were significantly increased, and the postpartum depression and the family function score were decreased after the home visiting discharge education in intervention group. There were no changes in these variables before and after the routine hospital-based discharge education in control group. These results support the beneficial effects of home visiting discharge education on the maternal role adaptation and family function of the mothers of NICU infants.

The Concept of Place and Sense of Place In Architectural Studies

OpenAIRE

Mina Najafi; Mustafa Kamal Bin Mohd Shariff

2011-01-01

Place is a where dimension formed by people-s relationship with physical settings, individual and group activities, and meanings. 'Place Attachment', 'Place Identity'and 'Sense of Place' are some concepts that could describe the quality of people-s relationships with a place. The concept of Sense of place is used in studying human-place bonding, attachment and place meaning. Sense of Place usually is defined as an overarching impression encompassing the general ways in wh...

City versus suburb : the effects of neighborhood location on place attachment and residential satisfaction

OpenAIRE

Aksel, Elif

2017-01-01

Cataloged from PDF version of article. Thesis (M.S.): Bilkent University, Department of Interior Architecture and Environmental Design, İhsan Doğramacı Bilkent University, 2017. Includes bibliographical references (leaves 60-76). Affective bonds of individuals to their environment have been investigated and certain terms were studied such as place attachment and residential satisfaction arousing interest especially in environmental psychology. The current study aims to investigate th...

Ambivalence in Place Attachment : The Lived Experiences of Residents in Declining Neighbourhoods Facing Demolition in Shenyang, China

NARCIS (Netherlands)

Li, X.; Kleinhans, R.J.; van Ham, M.

This paper investigates the place attachment of residents in declining neighbourhoods that are facing demolition in Shenyang, China. Through in-depth interviews with homeowners living in danwei communities, or urban villages, at the pre-demolition phase, this paper reveals the strong connection

Attachment representation in institutionalized children: a preliminary study using the child attachment interview.

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Zaccagnino, Maria; Cussino, Martina; Preziosa, Alessandra; Veglia, Fabio; Carassa, Antonella

2015-01-01

The experience of being removed from one's home and the transition to a residential care system pose enormous challenges for a child. Substantial evidence has been found regarding severe developmental effects due to early exposition to extreme psychosocial and affective deprivation. The research on Bowlby's theoretical proposals has highlighted the link between insecure, disorganized and atypical attachment patterns and children both living in foster care facilities and adopted out of those institutions. The goal of this pilot study is to investigate the attachment representation in an Italian sample of children in middle childhood (9-13 years old) who have been removed from their homes. Two compared groups of children participated in this study. The first group was composed of 24 Italian children who had been removed from their homes. The second group, considered as the control group, was composed of 35 Italian children who had never been in foster care placement. The quality of children's attachment to their primary caregivers was assessed by the Child Attachment Interview, an innovative semi-structured interview that seeks to bridge the measurement gap identified in middle childhood The children in foster care placement show a higher percentage of insecure and disorganized attachment representations and lower scores on the Child Reflective Functioning Scale. The clinical implications and enhancements to effective intervention for foster children's caretaking are discussed. Copyright © 2014 John Wiley & Sons, Ltd.

Actual and preferred place of death of home-dwelling patients in four European countries: making sense of quality indicators.

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Maaike L De Roo

Full Text Available BACKGROUND: Dying at home and dying at the preferred place of death are advocated to be desirable outcomes of palliative care. More insight is needed in their usefulness as quality indicators. Our objective is to describe whether "the percentage of patients dying at home" and "the percentage of patients who died in their place of preference" are feasible and informative quality indicators. METHODS AND FINDINGS: A mortality follow-back study was conducted, based on data recorded by representative GP networks regarding home-dwelling patients who died non-suddenly in Belgium (n = 1036, The Netherlands (n = 512, Italy (n = 1639 or Spain (n = 565. "The percentage of patients dying at home" ranged between 35.3% (Belgium and 50.6% (The Netherlands in the four countries, while "the percentage of patients dying at their preferred place of death" ranged between 67.8% (Italy and 86.0% (Spain. Both indicators were strongly associated with palliative care provision by the GP (odds ratios of 1.55-13.23 and 2.30-6.63, respectively. The quality indicator concerning the preferred place of death offers a broader view than the indicator concerning home deaths, as it takes into account all preferences met in all locations. However, GPs did not know the preferences for place of death in 39.6% (The Netherlands to 70.3% (Italy, whereas the actual place of death was known in almost all cases. CONCLUSION: GPs know their patients' actual place of death, making the percentage of home deaths a feasible indicator for collection by GPs. However, patients' preferred place of death was often unknown to the GP. We therefore recommend using information from relatives as long as information from GPs on the preferred place of death is lacking. Timely communication about the place where patients want to be cared for at the end of life remains a challenge for GPs.

Moving beyond the mother-child dyad: exploring the link between maternal sensitivity and siblings' attachment styles.

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Kennedy, Mark; Betts, Lucy R; Underwood, Jean D M

2014-01-01

Attachment theory asserts that secure attachment representations are developed through sensitive and consistent caregiving. If sensitive caregiving is a constant characteristic of the parent, then siblings should have concordant attachment classifications. The authors explored maternal attachment quality assessed by the Attachment Q-Set, maternal sensitivity, and specific mother-child interactions between siblings. Hour-long observations took place in the homes of 9 preschool sibling pairs and their immediate caregivers. The interactions were analyzed using a modified version of Bales' Small Group Analysis. The results reveal attachment discordance in a third of sibling pairs. While maternal sensitivity was higher with older siblings and mothers displayed more positive emotions when interacting with their younger siblings, attachment quality was not associated with birth order. Therefore, a shift toward a more contextual, family-based perspective of attachment is recommended to further understand how attachment strategies are created and maintained within the child's everyday context.

Food consumed outside the home in Brazil according to places of purchase.

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Bezerra, Ilana Nogueira; Moreira, Tyciane Maria Vieira; Cavalcante, Jessica Brito; Souza, Amanda de Moura; Sichieri, Rosely

2017-03-23

This study aims to describe the places of purchase of food consumed outside the home, characterize consumers according to the places of consumption, and identify the food purchased by place of consumption in Brazil. We have used data from the Pesquisa de Orçamento Familiar (Household Budget Survey) of 2008-2009 with a sample of 152,895 subjects over 10 years of age. The purchase of food outside the home was collected from the records of all expenditures made in seven days. The places of purchase were grouped according to their characteristics: supermarket, bakery, street food, restaurant, snack bar, fruit shop, and other places. The types of food were grouped into nine categories, considering the nutritional aspects and the marketing characteristics of the item. We have estimated the frequency of purchase in the seven groups of places in Brazil and according to gender and type of food purchased per place. We have calculated the average age, income and years of education, as well as the per capita expenditure according to places of purchase of food consumed outside the home. The purchase of food outside the home was reported by 41.2% of the subjects, being it greater among men than women (44% versus 38.5%). Adults had a higher frequency (46%) than teenagers (37.7%) and older adults (24.2%). The highest frequency of places of purchase were snack bar (16.9%) and restaurant (16.4%), while the fruit shop (1.2%) presented the lowest frequency. Sweets, snack chips and soft drinks were the most purchased items in most places. Average expenditure was higher for restaurant (R$33.20) and lower for fruit shop (R$4.10) and street food (R$5.00). The highest percentage of food consumed outside the home comes from snack bars and restaurants, pointing to important places for the development of public policies focused on promoting healthy eating. Descrever os locais de aquisição dos alimentos consumidos fora do lar, caracterizar os consumidores de acordo com os locais de consumo

Workplace attachment and request for professional transfer. Study on a population of French employees

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Rioux, L.

2011-01-01

Full Text Available The current research aims at analysing the impact of theworkplace attachment, that the National Education employees manifest, on their decision to request professional mutation. 150 French employees were asked to respond to a questionnaire which comprised three scales, evaluating the workplace attachment, professional life satisfaction, and the organisational affective involvement, as well as a free item evaluating the perceived distance between the employees’ home and their workplace. The results show that the attachment to the workplace is a predictor of the intention to change the working place, which proves to be, furthermore, more important than both the level of organisational affective involvementand the satisfaction of one’s professional life.

Assessment of radio frequency exposures in schools, homes, and public places in Belgium.

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Verloock, Leen; Joseph, Wout; Goeminne, Francis; Martens, Luc; Verlaek, Mart; Constandt, Kim

2014-12-01

Characterization of exposure from emerging radio frequency (RF) technologies in areas where children are present is important. Exposure to RF electromagnetic fields (EMF) was assessed in three "sensitive" microenvironments; namely, schools, homes, and public places located in urban environments and compared to exposure in offices. In situ assessment was conducted by performing spatial broadband and accurate narrowband measurements, providing 6-min averaged electric-field strengths. A distinction between internal (transmitters that are located indoors) and external (outdoor sources from broadcasting and telecommunication) sources was made. Ninety-four percent of the broadband measurements were below 1 V m(-1). The average and maximal total electric-field values in schools, homes, and public places were 0.2 and 3.2 V m(-1) (WiFi), 0.1 and 1.1 V m(-1) (telecommunication), and 0.6 and 2.4 V m(-1) (telecommunication), respectively, while for offices, average and maximal exposure were 0.9 and 3.3 V m(-1) (telecommunication), satisfying the ICNIRP reference levels. In the schools considered, the highest maximal and average field values were due to internal signals (WiFi). In the homes, public places, and offices considered, the highest maximal and average field values originated from telecommunication signals. Lowest exposures were obtained in homes. Internal sources contributed on average more indoors (31.2%) than outdoors (2.3%), while the average contributions of external sources (broadcast and telecommunication sources) were higher outdoors (97.7%) than at indoor positions (68.8%). FM, GSM, and UMTS dominate the total downlink exposure in the outdoor measurements. In indoor measurements, FM, GSM, and WiFi dominate the total exposure. The average contribution of the emerging technology LTE was only 0.6%.

Attachment in young children with incarcerated fathers.

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Poehlmann-Tynan, Julie; Burnson, Cynthia; Runion, Hilary; Weymouth, Lindsay A

2017-05-01

The present study examined young children's attachment behaviors during paternal incarceration and reported on initial validity of a new measure used to rate children's attachment-related behaviors and emotions during visits in a corrections setting. Seventy-seven children, age 2 to 6 years, and their jailed fathers and current caregivers participated in the home visit portion of the study, whereas 28 of these children participated in the jail visit. The results indicated that 27% of children witnessed the father's crime and 22% of children witnessed the father's arrest, with most children who witnessed these events exhibiting extreme distress; children who witnessed these events were more likely to have insecure attachments to their caregivers. Consistent with attachment theory and research, caregivers who exhibited more sensitivity and responsivity during interactions with children and those who provided more stimulating, responsive, learning-oriented home environments had children who were more likely to have secure attachments (measured with the Attachment Q-Sort). We also found preliminary evidence for the validity of our new measure, the Jail Prison Observation Checklist, in that children's attachment-related behaviors and emotions during the jail visit correlated with their attachment security observed in the home. Our observations indicate that, in certain contexts, noncontact visits with incarcerated parents can be stressful for children and that children's caregivers may play a significant role during these visits.

The history of nursing in the home: revealing the significance of place in the expression of moral agency.

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Peter, Elizabeth

2002-06-01

The history of nursing in the home: revealing the significance of place in the expression of moral agency The relationship between place and moral agency in home care nursing is explored in this paper. The notion of place is argued to have relevance to moral agency beyond moral context. This argument is theoretically located in feminist ethics and human geography and is supported through an examination of historical documents (1900-33) that describe the experiences and insights of American home care/private duty nurses or that are related to nursing ethics. Specifically, the role of place in inhibiting and enhancing care, justice, good relationships, and power in the practice of private duty nurses is explored. Several implications for current nursing ethics come out of this analysis. (i) The moral agency of nurses is highly nuanced. It is not only structured by nurses' relationships to patients and health professionals, i.e. moral context, it is also structured by the place of nursing care. (ii) Place has the potential to limit and enhance the power of nurses. (iii) Some aspects of nursing's conception of the good, such as what constitutes a good nurse-patient relationship, are historically and geographically relative.

A fully automated health-care monitoring at home without attachment of any biological sensors and its clinical evaluation.

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Motoi, Kosuke; Ogawa, Mitsuhiro; Ueno, Hiroshi; Kuwae, Yutaka; Ikarashi, Akira; Yuji, Tadahiko; Higashi, Yuji; Tanaka, Shinobu; Fujimoto, Toshiro; Asanoi, Hidetsugu; Yamakoshi, Ken-ichi

2009-01-01

Daily monitoring of health condition is important for an effective scheme for early diagnosis, treatment and prevention of lifestyle-related diseases such as adiposis, diabetes, cardiovascular diseases and other diseases. Commercially available devices for health care monitoring at home are cumbersome in terms of self-attachment of biological sensors and self-operation of the devices. From this viewpoint, we have been developing a non-conscious physiological monitor installed in a bath, a lavatory, and a bed for home health care and evaluated its measurement accuracy by simultaneous recordings of a biological sensors directly attached to the body surface. In order to investigate its applicability to health condition monitoring, we have further developed a new monitoring system which can automatically monitor and store the health condition data. In this study, by evaluation on 3 patients with cardiac infarct or sleep apnea syndrome, patients' health condition such as body and excretion weight in the toilet and apnea and hypopnea during sleeping were successfully monitored, indicating that the system appears useful for monitoring the health condition during daily living.

Changing trends on the place of delivery: why do Nepali women give birth at home?

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Shrestha Saraswoti

2012-10-01

Full Text Available Abstract Background Home delivery in unhygienic environment is common in Nepal. This study aimed to identify whether practice of delivery is changing over time and to explore the factors contributing to women’s decision for choice of place of delivery. Methods A community based cross sectional study was conducted among 732 married women of reproductive age (MWRA in Kavrepalanchok district of Nepal in 2011. Study wards were selected randomly and all MWRA residing in the selected wards were interviewed. Data were collected through pre-tested interviewer administered questionnaire. Chi-square and multivariate analysis was used to examine the association between socio-demographic factors and place of delivery. Results The study shows that there was almost 50% increasement in institutional delivery over the past ten years. The percentage of last birth delivered in health institution has increased from 33.7% before 10 years to 63.8% in the past 5 years. However, the place of delivery varied according to residence. In urban area, most women 72.3% delivered in health institutions while only 35% women in rural and 17.5% in remote parts delivered in health institutions. The key socio-demographic factors influencing choice of place of delivery included multi parity, teen-age pregnancy, less or no antenatal visits. Having a distant health center, difficult geographical terrain, lack of transportation, financial constraints and dominance of the mothers- in-law were the other main reasons for choosing a home delivery. Psychological vulnerability and insecurity of rural women also led to home delivery, as women were shy and embarrassed in visiting the health center. Conclusion The trend of delivery at health institution was remarkably increased but there were strong differentials in urban–rural residency and low social status of women. Shyness, dominance of mothers in law and ignorance was one of the main reasons contributing to home delivery.

Variation in the place of death among nursing home residents in France.

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Morin, Lucas; Johnell, Kristina; Aubry, Régis

2015-05-01

recent studies have reported that hospitals have become a common place of death for nursing home residents. This study aimed to (i) measure variations in the proportion of in-hospital deaths across regions after adjustment for facility-level characteristics and (ii) identify environmental risk factors that might explain these variations in France. a cross-sectional retrospective survey was conducted in 2013. coordinating physicians in 3,705 nursing homes in France. a regression model was used to construct risk-adjusted rates of in-hospital deaths considering the facilities' characteristics. At the regional level, the outcome was defined as the difference between the observed rate of in-hospital deaths and the expected risk-adjusted rate. Values exceeding zero indicated rates that exceeded the national predicted rate of in-hospital deaths and thus highlighted regions in which the risk-adjusted probability for nursing home residents to die in a hospital was greater than average. among 70,119 nursing home decedents, 25.4% (n = 17,789) died in hospitals. The characteristics of the facilities had a significant influence on the proportion of in-hospital deaths among the nursing home decedents. However, after adjustment for these facility-level risk factors, the proportion of nursing homes that reported worse-than-average outcomes showed significant variation (range 26.0-79.6%). At the regional level, both the rate of acute hospital beds and the rate of general practitioners were found to be strongly correlated with the probability of reporting worse-than-average outcomes (P nursing home facilities. © The Author 2015. Published by Oxford University Press on behalf of the British Geriatrics Society. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

A Place Called Home: Educational Reform in a Concord, Massachusetts School, 1897-1914

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Morice, Linda C.

2012-01-01

This paper examines the role of place in the reform efforts of two teachers who established Miss White's Home School in Concord, Massachusetts (USA). Flora and Mary White rebelled against the prevailing industrial model of instruction in tax-supported schools where they taught. As a solution, they moved to Concord--a nonconformist town with a…

How can general practitioners establish 'place attachment' in Australia's Northern Territory? Adjustment trumps adaptation.

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Auer, K; Carson, D

2010-01-01

Retention of GPs in the more remote parts of Australia remains an important issue in workforce planning. The Northern Territory of Australia experiences very high rates of staff turnover. This research examined how the process of forming 'place attachment' between GP and practice location might influence prospects for retention. It examines whether GPs use 'adjustment' (short term trade-offs between work and lifestyle ambitions) or 'adaptation' (attempts to change themselves and their environment to fulfil lifestyle ambitions) strategies to cope with the move to new locations. 19 semi-structured interviews were conducted mostly with GPs who had been in the Northern Territory for less than 3 years. Participants were asked about the strategies they used in an attempt to establish place attachment. Strategies could be structural (work related), personal, social or environmental. There were strong structural motivators for GPs to move to the Northern Territory. These factors were seen as sufficiently attractive to permit the setting aside of other lifestyle ambitions for a short period of time. Respondents found the environmental aspects of life in remote areas to be the most satisfying outside work. Social networks were temporary and the need to re-establish previous networks was the primary driver of out migration. GPs primarily use adjustment strategies to temporarily secure their position within their practice community. There were few examples of adaptation strategies that would facilitate a longer term match between the GPs' overall life ambitions and the characteristics of the community. While this suggests that lengths of stay will continue to be short, better adjustment skills might increase the potential for repeat service and limit the volume of unplanned early exits.

Study of recent and future trends in place of death in Belgium using death certificate data: a shift from hospitals to care homes

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Deliens Luc

2011-04-01

Full Text Available Abstract Background Since most patients prefer out-of-hospital death, place of death can be considered an indicator of end-of-life care quality. The study of trends in place of death is necessary to examine causes of shifts, to evaluate efforts to alter place of death and develop future policies. This study aims to examine past trends and future projections of place of death. Methods Analysis of death certificates (decedents aged ≥ 1 year in Belgium (Flanders and Brussels Capital region 1998-2007. Trends in place of death were adjusted for cause of death, sociodemographic characteristics, environmental factors, numbers of hospital beds, and residential and skilled nursing beds in care homes. Future trends were based on age- and sex-specific mortality prognoses. Results Hospital deaths decreased from 55.1% to 51.7% and care home deaths rose from 18.3% to 22.6%. The percentage of home deaths remained stable. The odds of dying in a care home versus hospital increased steadily and was 1.65 (95%CI:1.53-1.78 in 2007 compared to 1998. This increase could be attributed to the replacement of residential beds by skilled nursing beds. Continuation of these trends would result in the more than doubling of deaths in care homes and a decrease in deaths at home and in hospital by 2040. Conclusions Additional end-of-life care resources in care homes largely explain the decrease in hospital deaths. Care homes will become the main locus of end-of-life care in the future. Governments should provide sufficient skilled nursing resources in care homes to fulfil the end-of-life care preferences and needs of patients.

The meaning of home for ageing women living alone: An evolutionary concept analysis.

Science.gov (United States)

Barry, Arro; Heale, Roberta; Pilon, Roger; Lavoie, Anne Marise

2018-05-01

The concept of home to women ageing should be visited in the light of ongoing cultural, political, temporal and disciplinary evolutions. In part, to compliment policies increasing focus on supporting older adults to age in place and a growing attention on the home as a place where healthcare is designed and provided. The following concept analysis utilises Rodgers' evolutionary method to inductively analyse literature in order to elicit the meaning and experience of home among older women who are ageing at home. Literature was collected over an 18-month period during 2014-2015 and the sample was made up of 49 articles. The analysis led to the concept of home among women ageing in communities to be defined by four attributes. These attributes are home as (i) a resource, (ii) an attachment, (iii) the precariousness of maintaining and sustaining home and (iv) a cultural expectation. This analysis of the meaning and experience of home among women ageing at home has shed light on the needs for this group of women, while highlighting the need to continue to further clarify and define the concept through research. © 2017 John Wiley & Sons Ltd.

Choosing care homes as the least preferred place to die: a cross-national survey of public preferences in seven European countries.

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Calanzani, Natalia; Moens, Katrien; Cohen, Joachim; Higginson, Irene J; Harding, Richard; Deliens, Luc; Toscani, Franco; Ferreira, Pedro L; Bausewein, Claudia; Daveson, Barbara A; Gysels, Marjolein; Ceulemans, Lucas; Gomes, Barbara

2014-10-23

Care homes are increasingly becoming places where people spend the final stages of their lives and eventually die. This trend is expected to continue due to population ageing, yet little is known about public preferences regarding this setting. As part of a larger study examining preferences and priorities for end of life care, we investigated the extent to which care homes are chosen as the least preferred place of death, and the factors associated with this negative preference. We conducted a cross-sectional telephone survey among 9,344 adults from random private households in England, Flanders, Germany, Italy, the Netherlands, Portugal and Spain. We asked participants where they would least prefer to die in a situation of serious illness with less than one year to live. Multivariate binary logistic regressions were used to identify factors associated with choosing care homes as the least preferred place of death in each country. Care homes were the most frequently mentioned least preferred place of death in the Netherlands (41.5%), Italy and Spain (both 36.7%) and the second most frequent in England (28.0%), Portugal (25.8%), Germany (23.7%) and Flanders (18.9%). Only two factors had a similar and significant effect on the least preferred place of death in more than one country. In Germany and the Netherlands those doing housework were less likely to choose care homes as their least preferred place (AOR 0.72; 95% CI:0.54-0.96 and AOR 0.68; 95% CI:0.52-0.90 respectively), while those born in the country where the survey took place were more likely to choose care homes (AOR 1.77; 95% CI:1.05-2.99 and AOR 1.74; 95% CI:1.03-2.95 respectively). Experiences of serious illness, death and dying were not associated with the preference. Our results suggest it might be difficult to promote care homes as a good place to die. This is an urgent research area in order to meet needs and preferences of a growing number of older people with chronic, debilitating conditions across

Workplace attachment and meaning of work in a French secondary school.

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Rioux, Liliane; Pignault, Anne

2013-01-01

This research aims to gain a better understanding of the attachment of teachers to their workplace by identifying the areas to which they become attached and which give meaning to their work. Based on the belief that place attachment is an affective bond between a person and his or her environment (Bonnes & Secchiaroli, 1995), its aim is to identify the attachment of secondary school teachers to their workplace, which is viewed as a whole but also as a combination of specific places, and to show that the places that predict overall workplace attachment are also those that give meaning to work. A Workplace Attachment Scale was completed by 158 teachers in a secondary school in the Paris region (France). This questionnaire contained items evaluating attachment to each specific place of work and others adapted from the meaning-of-work scale evaluating the meaning given to each of these places. The results show that all the teachers were more closely attached to places that provide opportunities for informal communication than to those directly related to teaching. The main workplace attachment predictors also concern places constituting the essence of the profession and/or places where teachers can manage their organizational stress.

The crucial role of the micro caregiving environment: Factors associated with attachment styles in alternative care in Chile.

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Garcia Quiroga, Manuela; Hamilton-Giachritsis, Catherine

2017-08-01

The distribution of attachment styles has been shown to differ between groups of children living with their parents and children placed in alternative care (AC), defined as residential or foster. However, this is the first study in Latin America to explore possible factors affecting the quality of attachment in children living in both residential and foster care. Two groups of children (N=57) were compared: one group living in Residential Homes (RC) and the other in Foster Care (FC) in Chile. Children's, caregivers' and structural factors (e.g., child: caregiver ratios) and their links with attachment styles were investigated. The micro caregiving environment (i.e., the specific individual child caregiver relationship), especially the caregivers' engagement, sensitivity, disciplinary control and affection, as well as some structural factors (i.e., child: caregiver ratios), were linked to attachment security in children. Specifically, better emotional caregiving and lower child-caregiver ratios were associated with higher rates of secure attachment. The association between quality of care (as measured by the HOME inventory) and attachment styles seems to be influenced by caregiver relationships (as measured by CCSERSS). Caregiver relationship factors (i.e., affection, engagement and sensitivity) directly impact the quality of the attachment children establish with them while living in AC. However, the relationships that caregivers establish with children under their care can be facilitated by good quality structural factors, particularly child-caregiver ratios. Copyright © 2017 Elsevier Ltd. All rights reserved.

Where do the elderly die? The impact of nursing home utilisation on the place of death. Observations from a mortality cohort study in Flanders

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Van Hecke Ettiene

2006-07-01

Full Text Available Abstract Background Most of the research concerning place of death focuses on terminally ill patients (cancer patients while the determinants of place of death of the elderly of the general population are not intensively studied. Studies showed the influence of gender, age, social-economical status and living arrangements on the place of death, but a facet not taken into account so far is the influence of the availability of nursing homes. Methods We conducted a survey of deaths, between January 1999 and December 2000 in a small densely populated area in Belgium, with a high availability of nursing homes (within 5 to 10 km of the place of residence of every elderly. We determined the incidence of total mortality (of subjects >60 years from local official death registers that we consulted via the priest or the mortician of the local parish, to ask where the decedent had died and whether the deceased had lived in a nursing home. We compared the distribution of the places of death between parishes with a nursing home and with parishes without nursing home. Results 240 women and 217 men died during the two years study period. Only 22% died at home, while the majority (78% died in an institutional setting, either a hospital (50% or a nursing home (28%. Place of death was influenced by individual factors (age and gender and the availability of a nursing home in the 'own' parish. The chance of in-hospital death was 65% higher for men (95% Confidence Interval [CI]: 14 to 138%; p = 0.008 and decreased by 4% (CI: -5.1% to -2.5%; p Conclusion Demographic, but especially social-contextual factors determine where elderly will end their life. The majority of elderly in Flanders die in an institution. Age, gender and living situation are predictors of the place of death but the embedment of a nursing home in the local community seems to be a key predictor.

Preferred place of care and place of death of the general public and cancer patients in Japan.

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Yamagishi, Akemi; Morita, Tatsuya; Miyashita, Mitsunori; Yoshida, Saran; Akizuki, Nobuya; Shirahige, Yutaka; Akiyama, Miki; Eguchi, Kenji

2012-10-01

Dying at a favorite place is one of the important determinants for terminally ill cancer patients. The primary aim was to clarify (1) differences in preferred place of care and place of death among the general public across four areas across Japan and (2) preferred place of care and place of death among community-representative cancer patients. A cross-sectional mail survey was conducted on 8,000 randomly selected general population. We examined preferred place of care and place of death using two vignettes and obtained a total of 3,984 (50%) responses. For the pain scenario, approximately 50% of the general public throughout four areas chose home as their preferred place of care; and for the dependent-without-pain scenario, about 40% chose home as preferred place of care. In cancer patients, for both scenarios, approximately 40% chose home as the preferred place of care, and they were significantly less likely to choose home. The most preferred combination of place of care and place of death was home hospice for both groups. Although there were statistically significant differences in preferred place of care and place of death among the four regions, the absolute difference was less than 8%. Independent determinants of choosing home as place of care included concern about family burden and being unable to adequately respond to sudden changes out of working hours. In conclusion, establishing more accessible home and hospice service is strongly required through arranging regional resources to reduce family burden, alleviating patient-perceived burdens, and improving 24-h support at home.

The Social Attachment to Place

Science.gov (United States)

Dahl, Michael S.; Sorenson, Olav

2010-01-01

Many theories either implicitly or explicitly assume that individuals readily move to places that improve their financial well-being. Other forces, however, offset these tendencies; for example, people often wish to remain close to family and friends. We introduce a methodology for determining how individuals weigh these countervailing forces, and…

Community and communication in the third age: the impact of internet and cell phone use on attachment to place in later life in England.

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Gilleard, Chris; Hyde, Martin; Higgs, Paul

2007-07-01

We investigated the following question: Would access to and use of domestic information and communication technology affect people's attachment to place in later life? Drawing upon data on ownership of cell phones and use of Internet/e-mail from the English Longitudinal Study of Ageing, we measured the association between access to such technology and self-rated attachment to one's neighborhood. There was a significant negative association between attachment to place and ownership and use of domestic information and communication technology, particularly the Internet. This association remained after taking account of age/cohort differences, as well as the influence of gender, disability, socioeconomic status of the neighborhood, differences in income and educational status, and length of residence in the area. The results suggest that ownership and use of domestic information and communication technology reduces the sense of attachment to the local neighborhood among individuals 50 and older in England. It does not, however, influence the perceived sense of trust in or perceived friendliness of people in the neighborhood. We suggest that domestic information and communication technology may be more liberating of neighborhood boundedness than destructive of social capital.

Cost Effectiveness of a Home-Based Intervention That Helps Functionally Vulnerable Older Adults Age in Place at Home

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Eric Jutkowitz

2012-01-01

Full Text Available Evaluating cost effectiveness of interventions for aging in place is essential for adoption in service settings. We present the cost effectiveness of Advancing Better Living for Elders (ABLE, previously shown in a randomized trial to reduce functional difficulties and mortality in 319 community-dwelling elders. ABLE involved occupational and physical therapy sessions and home modifications to address client-identified functional difficulties, performance goals, and home safety. Incremental cost-effectiveness ratio (ICER, expressed as additional cost to bring about one additional year of life, was calculated. Two models were then developed to account for potential cost differences in implementing ABLE. Probabilistic sensitivity analyses were conducted to account for variations in model parameters. By two years, there were 30 deaths (9: ABLE; 21: control. Additional costs for 1 additional year of life was $13,179 for Model 1 and $14,800 for Model 2. Investment in ABLE may be worthwhile depending on society's willingness to pay.

IAServ: An Intelligent Home Care Web Services Platform in a Cloud for Aging-in-Place

Directory of Open Access Journals (Sweden)

Chang-Yu Chiang

2013-11-01

Full Text Available As the elderly population has been rapidly expanding and the core tax-paying population has been shrinking, the need for adequate elderly health and housing services continues to grow while the resources to provide such services are becoming increasingly scarce. Thus, increasing the efficiency of the delivery of healthcare services through the use of modern technology is a pressing issue. The seamless integration of such enabling technologies as ontology, intelligent agents, web services, and cloud computing is transforming healthcare from hospital-based treatments to home-based self-care and preventive care. A ubiquitous healthcare platform based on this technological integration, which synergizes service providers with patients’ needs to be developed to provide personalized healthcare services at the right time, in the right place, and the right manner. This paper presents the development and overall architecture of IAServ (the Intelligent Aging-in-place Home care Web Services Platform to provide personalized healthcare service ubiquitously in a cloud computing setting to support the most desirable and cost-efficient method of care for the aged-aging in place. The IAServ is expected to offer intelligent, pervasive, accurate and contextually-aware personal care services. Architecturally the implemented IAServ leverages web services and cloud computing to provide economic, scalable, and robust healthcare services over the Internet.

IAServ: an intelligent home care web services platform in a cloud for aging-in-place.

Science.gov (United States)

Su, Chuan-Jun; Chiang, Chang-Yu

2013-11-12

As the elderly population has been rapidly expanding and the core tax-paying population has been shrinking, the need for adequate elderly health and housing services continues to grow while the resources to provide such services are becoming increasingly scarce. Thus, increasing the efficiency of the delivery of healthcare services through the use of modern technology is a pressing issue. The seamless integration of such enabling technologies as ontology, intelligent agents, web services, and cloud computing is transforming healthcare from hospital-based treatments to home-based self-care and preventive care. A ubiquitous healthcare platform based on this technological integration, which synergizes service providers with patients' needs to be developed to provide personalized healthcare services at the right time, in the right place, and the right manner. This paper presents the development and overall architecture of IAServ (the Intelligent Aging-in-place Home care Web Services Platform) to provide personalized healthcare service ubiquitously in a cloud computing setting to support the most desirable and cost-efficient method of care for the aged-aging in place. The IAServ is expected to offer intelligent, pervasive, accurate and contextually-aware personal care services. Architecturally the implemented IAServ leverages web services and cloud computing to provide economic, scalable, and robust healthcare services over the Internet.

Intracerebroventricular morphine for refractory cancer pain: transitioning to the home setting.

Science.gov (United States)

Adolph, Michael D; Stretanski, Michael F; McGregor, John M; Rawn, Bonnie L; Ross, Patrick M; Benedetti, Costantino

2010-08-01

Refractory cancer pain may be effectively controlled by titrating intracerebroventricular (ICV) preservative-free opioid. In this case report, a continuous infusion of ICV morphine permitted our patient with lung cancer and painful spinal metastases to be discharged to home hospice with family. The approach exploits the high potency of morphine injected into cerebrospinal fluid (CSF). Sterile, injectable, preservative-free morphine is directly infused into CSF through a subcutaneous Ommaya reservoir placed under the scalp by a neurosurgeon, with an attached catheter passed through a burr hole in the skull with its tip in a cerebral ventricle. Although investigators have described home care of patients receiving intraspinal analgesics, no report describes the process of transitioning the patient receiving continuous ICV morphine infusion to the home setting.

The Hospital at Home program: no place like home.

Science.gov (United States)

Lippert, M; Semmens, S; Tacey, L; Rent, T; Defoe, K; Bucsis, M; Shykula, T; Crysdale, J; Lewis, V; Strother, D; Lafay-Cousin, L

2017-02-01

The treatment of children with cancer is associated with significant burden for the entire family. Frequent clinic visits and extended hospital stays can negatively affect quality of life for children and their families. Here, we describe the development of a Hospital at Home program (H@H) that delivers therapy to pediatric hematology, oncology, and blood and marrow transplant (bmt) patients in their homes. The services provided include short infusions of chemotherapy, supportive-care interventions, antibiotics, post-chemotherapy hydration, and teaching. From 2013 to 2015, the H@H program served 136 patients, making 1701 home visits, for patients mainly between the ages of 1 and 4 years. Referrals came from oncology in 82% of cases, from hematology in 11%, and from bmt in 7%. Since inception of the program, no adverse events have been reported. Family surveys suggested less disruption in daily routines and appreciation of specialized care by hematology and oncology nurses. Staff surveys highlighted a perceived benefit of H@H in contributing to early discharge of patients by supporting out-of-hospital monitoring and teaching. The development of a H@H program dedicated to the pediatric hematology, oncology, or bmt patient appears feasible. Our pilot program offers a potential contribution to improvement in patient quality of life and in cost-benefit for parents and the health care system.

Homing oneself

DEFF Research Database (Denmark)

Winther, Ida Wentzel

2009-01-01

What is home? A building, a physical and mental phenomenon, or a concept?  There are many homes and ways `to home oneself´. Many of us quite often dwell in other places than at home (as professional commuters between two places, as travellers staying in hotels, as children of divorced parents...

Living and ageing in the technological landscapes of homes and public places - an international perspective

DEFF Research Database (Denmark)

Helle, Tina; Kottorp, Anders; Gudetti, Susanne

upon the use of new, innovative assessments and intervention strategies to address ET use and public places, and understand how these can support evidence-based intervention planning in practice. Methods: The teaching methods will be interactive sessions based upon open-space methodology, using: (1...... and participation in public places for people with functional impairments, while little is still known of the cognitive aspects of accessibility. In order to access and use homes and public spaces (including health care services, crucial challenges are associated with technology, both everyday technology (e.g. cell...... places for the target group of his/her practice, (2) Reflect upon challenges in access/use of public places and ET from a multicultural perspective , (3) Know about current international research in occupational therapy in this area, and how this can be implemented into his/her practice, and (4) Reflect...

No Place to Call Home: Child & Youth Homelessness in the United States. Poverty Fact Sheet

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Damron, Neil

2015-01-01

"No Place to Call Home: Child and Youth Homelessness in the United States," prepared by intern Neil Damron and released in May 2015, presents the statistics on child and youth homelessness and recent trends in Wisconsin and the United States. It explores the major challenges faced by homeless minors, and, drawing from recent research by…

There is no place like @home!: The value of home consultations in paediatric rehabilitation.

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van Maren-Suir, I; Ketelaar, M; Brouns, B; van der Sanden, K; Verhoef, M

2018-07-01

Family-centred services (FCS) is widely regarded as the best practice approach in early interventions. Creating a therapeutic environment, which also stimulates collaboration between parents and service professionals, is a way to conform to the principles of FCS. The present paper describes the project entitled @home, involving the implementation of home consultations by a specialized team working with children aged 0-5 years at our rehabilitation centre in the Netherlands. The objectives of this article are to (a) describe the development and implementation of home consultations as part of regular care and (b) share the experiences of parents and service providers with home consultations. The implementation process was divided into 3 steps: (1) interviewing experts, (2) adjusting current rehabilitation trajectories, and (3) service providers offering consultations to children at home. The experiences with the home consultations were immediately incorporated in the system, making the implementation an iterative process. In 82% of the 133 home conducted consultations, the service professionals reported that it was more valuable to offer home consultations than seeing the child at the rehabilitation centre. The semistructured interviews revealed that parents and service providers found that they received and provided more tailored advice, perceived a more equal partnership between service professionals and parents, and reported that the home consultations provided a good natural therapeutic environment where a child can be itself and where the child performs best. By using the @home system based on the 3 service models, home consultations are now part of the regular paediatric rehabilitation system at our rehabilitation centre. © 2018 John Wiley & Sons Ltd.

Medical students' professional identity development in an early nursing attachment.

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Helmich, Esther; Derksen, Els; Prevoo, Mathieu; Laan, Roland; Bolhuis, Sanneke; Koopmans, Raymond

2010-07-01

The importance of early clinical experience for medical training is well documented. However, to our knowledge there are no studies that assess the influence of very early nursing attachments on the professional development and identity construction of medical students. Working as an assistant nurse while training to be a doctor may offer valuable learning experiences, but may also present the student with difficulties with respect to identity and identification issues. The aim of the present study was to describe first-year medical students' perceptions of nurses, doctors and their own future roles as doctors before and after a nursing attachment. A questionnaire containing open questions concerning students' perceptions of nurses, doctors and their own future roles as doctors was administered to all Year 1 medical students (n=347) before and directly after a 4-week nursing attachment in hospitals and nursing homes. We carried out two confirmatory focus group interviews. We analysed the data using qualitative and quantitative content analyses. The questionnaire was completed by 316 students (response rate 91%). Before starting the attachment students regarded nurses as empathic, communicative and responsible. After the attachment students reported nurses had more competencies and responsibilities than they had expected. Students' views of doctors were ambivalent. Before and after the attachment, doctors were seen as interested and reliable, but also as arrogant, detached and insensible. However, students maintained positive views of their own future roles as doctors. Students' perceptions were influenced by age, gender and place of attachment. An early nursing attachment engenders more respect for the nursing profession. The ambivalent view of doctors needs to be explored further in relation to students' professional development. It would seem relevant to attune supervision to the age and gender differences revealed in this study.

Moving to and dying in a nursing home depends not only on health - an analysis of socio-demographic determinants of place of death in Switzerland.

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Hedinger, Damian; Braun, Julia; Zellweger, Ueli; Kaplan, Vladimir; Bopp, Matthias

2014-01-01

In developed countries generally about 7 out of 10 deaths occur in institutions such as acute care hospitals or nursing homes. However, less is known about the influence of non-medical determinants of place of death. This study examines the influence of socio-demographic and regional factors on place of death in Switzerland. We linked individual data from hospitals and nursing homes with census and mortality records of the Swiss general population. We differentiated between those who died in a hospital after a length of stay ≤2 days or ≥3 days, those who died in nursing homes, and those who died at home. In gender-specific multinomial logistic regression models we analysed N = 85,129 individuals, born before 1942 (i.e., ≥65 years old) and deceased in 2007 or 2008. Almost 70% of all men and 80% of all women died in a hospital or nursing home. Regional density of nursing home beds, being single, divorced or widowed, or living in a single-person household were predictive of death in an institution, especially among women. Conversely, homeownership, high educational level and having children were associated with dying at home. Place of death substantially depends on socio-demographic determinants such as household characteristics and living conditions as well as on regional factors. Individuals with a lower socio-economic position, living alone or having no children are more prone to die in a nursing home. Health policy should empower these vulnerable groups to choose their place of death in accordance to needs and wishes.

There's No Place like Home

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Bonfiglio, Robert A.

2009-01-01

Recognition of the promotion of self-reliance as a prevailing purpose of higher education in the United States can be found in many college and university mission statements. Student independence and self-determination are also long-standing staples of theories of student development. Returning home to live with mom and dad is not a goal that…

Parenting in infancy and self-regulation in preschool: an investigation of the role of attachment history.

Science.gov (United States)

Birmingham, R S; Bub, K L; Vaughn, B E

2017-04-01

Parenting and attachment are critical in the emergence of self-regulation (SR) in preschool. However, most studies use general indexes of parenting quality, failing to explore the unique contributions of sensitivity and home quality to SR. Further, the nature of the interplay between parenting and attachment history is not well understood. Using a sample of 938 children from The National Institute of Child Health and Human Development Study of Early Child Care and Youth Development, a series of structural equation models were fit to determine whether sensitivity and home quality concurrently predicted SR at 54 months, and whether attachment mediated or moderated these pathways. Results suggest that both sensitivity and home quality uniquely predict SR. Further, these early parenting variables were each indirectly associated with SR through children's attachment history. That is, higher levels of sensitivity and home quality predicted secure attachment history, which, along with parenting, predicted more advanced SR skills at 54 months. No moderated pathways emerged, suggesting that attachment history may be best conceptualized as a mediating mechanism.

Emotional Availability and Attachment Representations in Kibbutz Infants and Their Mothers.

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Aviezer, Ora; Sagi, Abraham; Joels, Tirtsa; Ziv, Yair

1999-01-01

Examined three components of the attachment-transmission model in 48 kibbutz dyads from communal and home-based sleeping arrangements. Found that security of infants' attachment relations and autonomy of mothers' attachment representations were associated with higher emotional availability scores. Poorer emotional availability was found in dyads…

Is it better at home with my family? The effects of people and place on children's eating behavior.

OpenAIRE

Suggs, L.S.; Della Bella, S.; Rangelov, N.; Marques-Vidal, P.

2018-01-01

The people and places children eat with can influence food consumption. This study investigates the people and places Swiss school-aged children ate with over a 7-day period and analyses the effects of eating at home with family on food consumption. Children completed a 7-day food diary documenting the foods they consumed, the people with whom they ate, and the place where they ate. Analyses were conducted for all meals and included 9911 meal occasions. Most meals (80.5%) were consumed at hom...

Measuring Patients’ Attachment Avoidance in Psychotherapy: Development of the Attachment Avoidance in Therapy Scale (AATS

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András Láng

2012-11-01

Full Text Available A new scale measuring patient-therapist attachment avoidance was developed. Attachment Avoidance in Therapy Scale is a new measure based on the Bartholomew model of adult attachment (Bartholomew & Horowitz, 1991 and the Experience in Close Relationships Scale (Brennan, Clark, & Shaver, 1998 to measure patients’ attachment avoidance towards therapists. With 112 patient-therapist dyads participating in the study, validation of a preliminary scale – measuring both attachment anxiety and attachment avoidance in therapy – took place using therapists’ evaluations of patients’ relational behavior and patients’ self-reports about their attitude toward psychotherapy. Analysis of the data revealed six underlying scales. Results showed all six scales to be reliable. Validation of scales measuring attachment anxiety failed. The importance of Attachment Avoidance in Therapy Scale and its subscales is discussed.

Moving to and dying in a nursing home depends not only on health - an analysis of socio-demographic determinants of place of death in Switzerland.

Directory of Open Access Journals (Sweden)

Damian Hedinger

Full Text Available BACKGROUND: In developed countries generally about 7 out of 10 deaths occur in institutions such as acute care hospitals or nursing homes. However, less is known about the influence of non-medical determinants of place of death. This study examines the influence of socio-demographic and regional factors on place of death in Switzerland. DATA AND METHODS: We linked individual data from hospitals and nursing homes with census and mortality records of the Swiss general population. We differentiated between those who died in a hospital after a length of stay ≤2 days or ≥3 days, those who died in nursing homes, and those who died at home. In gender-specific multinomial logistic regression models we analysed N = 85,129 individuals, born before 1942 (i.e., ≥65 years old and deceased in 2007 or 2008. RESULTS: Almost 70% of all men and 80% of all women died in a hospital or nursing home. Regional density of nursing home beds, being single, divorced or widowed, or living in a single-person household were predictive of death in an institution, especially among women. Conversely, homeownership, high educational level and having children were associated with dying at home. CONCLUSION: Place of death substantially depends on socio-demographic determinants such as household characteristics and living conditions as well as on regional factors. Individuals with a lower socio-economic position, living alone or having no children are more prone to die in a nursing home. Health policy should empower these vulnerable groups to choose their place of death in accordance to needs and wishes.

Cumulative Risk Exposure and Mental Health Symptoms among Maltreated Youth Placed in Out-of-Home Care

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Raviv, Tali; Taussig, Heather N.; Culhane, Sara E.; Garrido, Edward F.

2010-01-01

Objective: Maltreated children placed in out-of-home care are at high risk for exhibiting symptoms of psychopathology by virtue of their exposure to numerous risk factors. Research examining cumulative risk has consistently found that the accumulation of risk factors increases the likelihood of mental health problems. The goal of the current study…

Adolescents' multiple versus single primary attachment figures, reorganization of attachment hierarchy, and adjustments: the important people interview approach.

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Umemura, Tomotaka; Lacinová, Lenka; Kraus, Jakub; Horská, Eliška; Pivodová, Lenka

2018-04-20

Using 212 adolescents from a central-European country (mean age = 14.02, SD = 2.05, ranged from 11 to 18 years; females = 54%) and a multi-informant method to measure adolescents' behavioral and emotional adjustments, the present study explored three aspects regarding the attachment hierarchy. (1) The three types of behavioral systems of Rosenthal and Kobak's important people interview (IPI) were initially validated using an exploratory factor analysis with a US sample. Using a confirmatory factor analysis with a Czech sample, we replicated these three behavioral systems: attachment bond, support seeking, and affiliation. (2) We found that adolescents who developed attachment bond to multiple primary attachment figures were likely to score lower on both teacher-rated and parent-rated internalizing problems compared to those who had a single primary attachment figure. These multiple primary attachment figures tended to be family members (not peers). (3) Early adolescents who placed parents low in their attachment hierarchy scored higher on self-reported negative affect and lower on self-reported positive affect compared to early adolescents who placed parents high. The present study highlights multiple (vs. single) primary attachment figures as a protective factor and the premature reorganization of attachment hierarchy as a risk factor for adolescents' emotional and affective adjustments.

The Bromhead Care Home Service: the impact of a service for care home residents with dementia on hospital admission and dying in preferred place of care.

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Garden, Gill; Green, Suzanne; Pieniak, Susan; Gladman, John

2016-04-01

People with dementia have worse outcomes associated with hospital admission, are more likely to have interventions and are less likely to be offered palliative care than people without dementia. Advance care planning for care home residents has been shown to reduce hospital admissions without increasing mortality. Studies have shown that staff confidence in managing delirium, a common reason for admission, improves with training. A service combining education for care home staff and advance care planning for care home residents with dementia was introduced to care homes in Boston, UK. There were improvements in staff confidence in recognition, prevention, management and knowledge of factors associated with delirium and dysphagia. 92% of carers rated the service >9/10. Admissions fell by 37% from baseline in the first year and 55% in the second and third years. All but one resident died in the preferred place of care. © 2016 Royal College of Physicians.

RESTORING SAFETY: AN ATTACHMENT-BASED APPROACH TO CLINICAL WORK WITH A TRAUMATIZED TODDLER.

Science.gov (United States)

Ribaudo, Julie

2016-01-01

This clinical case study explores the integration of infancy research, brain development, attachment theory, and models of infant-parent/child-parent psychotherapy to address the needs of abused and neglected young children placed in foster or adoptive homes. Traumatized children employ defensive strategies to survive when there is no "good enough" caregiver (D.W. Winnicott, 1953, p. 94), and helping professionals can provide therapeutic experiences to develop or restore a child's sense of safety. With the case example of Anthony and his foster/adoptive parents, I illustrate how to manage and contain a traumatized child's terror, rage, and grief through therapeutic sessions with the parent and child together, and supportive parental guidance. I promote attention to the child's ability to self-integrate and to regulate his own affect, and encourages secure-base parental responses that facilitate a child's shift toward secure attachment behavior. © 2015 Michigan Association for Infant Mental Health.

"From this place and of this place:" climate change, sense of place, and health in Nunatsiavut, Canada.

Science.gov (United States)

Cunsolo Willox, Ashlee; Harper, Sherilee L; Ford, James D; Landman, Karen; Houle, Karen; Edge, Victoria L

2012-08-01

As climate change impacts are felt around the globe, people are increasingly exposed to changes in weather patterns, wildlife and vegetation, and water and food quality, access and availability in their local regions. These changes can impact human health and well-being in a variety of ways: increased risk of foodborne and waterborne diseases; increased frequency and distribution of vector-borne disease; increased mortality and injury due to extreme weather events and heat waves; increased respiratory and cardiovascular disease due to changes in air quality and increased allergens in the air; and increased susceptibility to mental and emotional health challenges. While climate change is a global phenomenon, the impacts are experienced most acutely in place; as such, a sense of place, place-attachment, and place-based identities are important indicators for climate-related health and adaptation. Representing one of the first qualitative case studies to examine the connections among climate change, a changing sense of place, and health in an Inuit context, this research draws data from a multi-year community-driven case study situated in the Inuit community of Rigolet, Nunatsiavut, Canada. Data informing this paper were drawn from the narrative analysis of 72 in-depth interviews conducted from November 2009 to October 2010, as well as from the descriptive analysis of 112 questionnaires from a survey in October 2010 (95% response rate). The findings illustrated that climate change is negatively affecting feelings of place attachment by disrupting hunting, fishing, foraging, trapping, and traveling, and changing local landscapes-changes which subsequently impact physical, mental, and emotional health and well-being. These results also highlight the need to develop context-specific climate-health planning and adaptation programs, and call for an understanding of place-attachment as a vital indicator of health and well-being and for climate change to be framed as an

Technical Scientific Attaches and domotics. A special issue; Technisch Wetenschappelijk Attaches en domotica. Special

Energy Technology Data Exchange (ETDEWEB)

Kleinenberg, R.A. [Ministerie van Economische Zaken, The Hague (Netherlands); Uythof, B.H. [Invenit, Domotica Platform Nederland, Amsterdam (Netherlands); Benedetti, D [Ufficio Tecnico-Scientifico, Ambasciata del Regno dei Paesi Bassi, Rome (Italy); Van Wijngaarden, W.L. [Buero fuer Wissenschaft und Technologie, Kgl. Niederlaendische Botschaft, Bonn (Germany); Leniger, H.D.F. [Bureau du Conseiller Scientifique et Technique, Ambassade des Pays-Bas, Paris (France); Kieboom, J.P. [Office for Science and Technology, Royal Netherlands Embassy, Singapore (Singapore); Van Kooij, E.H. [Netherlands Office for Science and Technology, Royal Netherlands Embassy, Tokyo (Japan); Schuurmans, H.J.A. [Netherlands Office for Science and Technology, San Mateo, CA (United States)

2000-04-01

In this Dutch magazine Dutch businesses and institutes are informed about technological developments in industrialized countries (USA, Canada, Japan, South Korea, Taiwan, Singapore, Germany, France and Italy). In this special issue attaches in the different countries present information on developments and trends with respect to domotics, building automation, home networks, etc.

Investigating formation of ‘place attachment’ at pasar lama communities, Kota Tangerang

Science.gov (United States)

Syahrida, O.; Sumabrata, J.

2018-03-01

Place attachment as bonding between people-meaningful places) has been researched quite broadly. Part of this interest stems from the awareness that people–place bonds have become fragile as urbanization, increased mobility, and encroaching environmental problems threaten the existence of/and the connections to, places influences sense of attachment in Pasar Lama, Kota Tangerang. Despite its stauts as a Chinatown, the amount of Chinese inhabitant in Pasar Lama is only 1/5 compared to then total number of Native. Therefore an investigation is needed whether the advances of Kota Tangerang and increasing number of people affecting the formation of place attachment at Pasar Lama Communities. The analysis were conducted through eight factors, such as: physical, social, cultural, personal, memories and experiences, place satisfaction, interaction and activity features, and time factor. Qualitative method (ethnography approach) participatory observation and in-depth interview used as the method of research. The informant of this research are the local figure, local citizen, and local authority. Research concludes that the rapid development of Kota Tangerang and the number of citizens do not significantly affect the formation of place attachment, since both communities in Pasar Lama are considered having high attachment. The other factor is, Place Attachment is valued in contribution, a qualitative value instead sheer number of population. These contributions can be seen in the social, cultural and religious aspect based on factors on Place Attachment.

Patients with pancreatic cancer and relatives talk about preferred place of death and what influenced their preferences: a qualitative study.

Science.gov (United States)

Chapple, Alison; Evans, Julie; McPherson, Ann; Payne, Sheila

2011-12-01

To explore reasons why people with pancreatic cancer, who are reaching the end of their lives, say they wish to die at home or elsewhere, and why preferences may change. Qualitative study using semistructured interviews followed by thematic analysis. Respondents recruited from different parts of the UK during 2009/2010. 16 people with experience of pancreatic cancer (8 patients and 8 bereaved relatives) who discussed place of death in detail during an in-depth interview (from a total sample of 32 people with pancreatic cancer and eight relatives of others who had died of this disease). People's preferences were affected by their perceptions and previous experiences of care available at home, in a hospice or hospital. Preferences were also shaped by fears about possible loss of dignity, or fears of becoming a burden. Some people thought that a home death might leave bad memories for other members of the family. People with pancreatic cancer and their relatives were aware that preferences might change (or had changed) as death approached. The National Health Service End of Life Care Strategy for England seeks to meet the needs of people who are dying and promotes better support for home deaths. More information is needed about why patients hold different views about place of care and place of death, why patients' preferences change and what importance patients attach to place of death. Health professionals should bear this in mind if the subject is raised during advance care planning.

Photovoicing the neighbourhood: Understanding the situated meaning of intangible places for ageing-in-place.

Science.gov (United States)

van Hees, Susan; Horstman, Klasien; Jansen, Maria; Ruwaard, Dirk

2017-11-01

Ageing-in-place is considered important for the health of older adults. In this paper, inspired by a constructivist approach to ageing-in-place, we unravel professionals' and older adults' constructions of ageing-in-place. Their perspectives are studied in relation to a policy that aims to develop so-called 'lifecycle-robust neighbourhoods' in the southern part of the Netherlands. We conducted a photovoice study in which 18 older adults (70-85 years) living independently and 14 professionals (social workers, housing consultants, neighbourhood managers and community workers) were asked to photograph and discuss the places they consider important for ageing-in-place. Based on a theoretically informed analysis of the data, we found that professionals primarily consider objective characteristics of neighbourhoods such as access to amenities, mobility and meeting places as important enablers for older adults to remain living independently. Analysis of older adults' photographs and stories show that they associate ageing-in-place with specific lived experiences and attachments to specific, intangible and memory-laden public places. We conclude that exploring these experiences helps to increase current knowledge about place attachment in old age. Copyright © 2017 Elsevier Ltd. All rights reserved.

Community attachment and resource harvesting in rural Denmark

Science.gov (United States)

Rodney R. Zwick; David Solan

2002-01-01

Community attachment has been related to "sense of place," and by extension to factors such as the natural resource base of a local geographic area and the utilitarian uses of those resources-a functional attachment that helps root people to a place. The purpose of this study was to examine the resource harvest activities of residents of three modern rural...

Attachment of Foreign Students to the City of Famagusta

OpenAIRE

Salmani, Shadab

2014-01-01

ABSTRACT: Place attachment is defined as a significant relation between people and their surrounding environment. It has certain characteristics about different aspects of people and place. The study tried to investigate about different dimensions of place attachment among foreign students who are living in Famagusta city during their undergraduate and/or post-graduate education. Famagusta is one of the most important city of Northern Cyprus since a high portion of its residence are foreign s...

Importance of patient education on home medical care waste disposal in Japan

Energy Technology Data Exchange (ETDEWEB)

Ikeda, Yukihiro, E-mail: yuyu@med.kindai.ac.jp

2014-07-15

Highlights: • Attached office nurses more recovered medical waste from patients’ homes. • Most nurses educated their patients on how to store home medical care waste in their homes and on how to separate them. • Around half of nurses educated their patients on where to dispose of their home medical care waste. - Abstract: To determine current practices in the disposal and handling of home medical care (HMC) waste, a questionnaire was mailed to 1965 offices nationwide. Of the office that responded, 1283 offices were analyzed. Offices were classified by management configuration: those attached to hospitals were classified as ”attached offices” and others as “independent offices”. More nurses from attached offices recovered medical waste from patients’ homes than those from independent offices. Most nurses educated their patients on how to store HMC waste in their homes (79.3% of total) and on how to separate HMC waste (76.5% of total). On the other hand, only around half of nurses (47.3% from attached offices and 53.2% from independent offices) educated their patients on where to dispose of their HMC waste. 66.0% of offices replied that patients had separated their waste appropriately. The need for patient education has emerged in recent years, with education for nurses under the diverse conditions of HMC being a key factor in patient education.

Importance of patient education on home medical care waste disposal in Japan

International Nuclear Information System (INIS)

Ikeda, Yukihiro

2014-01-01

Highlights: • Attached office nurses more recovered medical waste from patients’ homes. • Most nurses educated their patients on how to store home medical care waste in their homes and on how to separate them. • Around half of nurses educated their patients on where to dispose of their home medical care waste. - Abstract: To determine current practices in the disposal and handling of home medical care (HMC) waste, a questionnaire was mailed to 1965 offices nationwide. Of the office that responded, 1283 offices were analyzed. Offices were classified by management configuration: those attached to hospitals were classified as ”attached offices” and others as “independent offices”. More nurses from attached offices recovered medical waste from patients’ homes than those from independent offices. Most nurses educated their patients on how to store HMC waste in their homes (79.3% of total) and on how to separate HMC waste (76.5% of total). On the other hand, only around half of nurses (47.3% from attached offices and 53.2% from independent offices) educated their patients on where to dispose of their HMC waste. 66.0% of offices replied that patients had separated their waste appropriately. The need for patient education has emerged in recent years, with education for nurses under the diverse conditions of HMC being a key factor in patient education

Revisiting out-of-home placed children's poor educational outcomes-Is school change part of the explanation?

DEFF Research Database (Denmark)

Olsen, Rikke Fuglsang; Montgomery, Christopher J.

2018-01-01

Adolescents in out-of-home care (OHC) have consistently been shown to have poorer educational outcomes than their peers. The ecological transition associated with school changes has been theorized to impact the learning outcomes of children and adolescents negatively, and it has been suggested...... and their never-placed peers, respectively. Using administrative data combined with two rounds of the Danish Longitudinal Study of Children born 1995 (measurements at age 11 and age 15), our sample consisted of 107 adolescents ever placed in OHC and 3,805 of their never placed peers. We found that school change...... was negatively related to educational outcomes for both groups and that this relationship was stronger for adolescents in OHC. This result persisted after including a measure of prior self-perceived academic abilities, self-reported experiences of being bullied, and several control variables. The results suggest...

Sense of Place, Fast and Slow: The Potential Contributions of Affordance Theory to Sense of Place.

Science.gov (United States)

Raymond, Christopher M; Kyttä, Marketta; Stedman, Richard

2017-01-01

Over the past 40 years, the sense of place concept has been well-established across a range of applications and settings; however, most theoretical developments have "privileged the slow." Evidence suggests that place attachments and place meanings are slow to evolve, sometimes not matching material or social reality (lag effects), and also tending to inhibit change. Here, we present some key blind spots in sense of place scholarship and then suggest how a reconsideration of sense of place as "fast" and "slow" could fill them. By this, we mean how direct and immediate perception-action processes presented in affordance theory (resulting in immediately perceived place meanings) can complement slower forms of social construction presented in sense of place scholarship. Key blind spots are that sense of place scholarship: (1) rarely accounts for sensory or immediately perceived meanings; (2) pays little attention to how place meanings are the joint product of attributes of environmental features and the attributes of the individual; and (3) assumes that the relationship between place attachment and behavior is linear and not constituted in dynamic relations among mind, culture, and environment. We show how these blind spots can begin to be addressed by reviewing key insights from affordance theory, and through the presentation of applied examples. We discuss future empirical research directions in terms of: (1) how sense of place is both perceived and socially constructed; (2) whether perceived and socially constructed dimensions of place can relate to one another when perceived meanings become unsituated; and (3) how place attachment may change over different stages of the life course based upon dynamic relationships between processes of perception-action and social construction. We conclude with insights into how processes of perception-action and social construction could be included in the design and management of urban landscapes.

Caregivers' experience of the decision-making process for placing a person with dementia into a nursing home: comparing caregivers from Chinese ethnic minority with those from English-speaking backgrounds.

Science.gov (United States)

Caldwell, Lauren; Low, Lee-Fay; Brodaty, Henry

2014-03-01

The experience of care transitions for people with dementia from ethnic minority groups has been poorly researched. Few studies have examined the decision to put someone on a waiting list for a nursing home and then actually accept a place. Many nursing homes have long waiting lists, but sometimes offers of a place are declined. Our aims were to investigate the decision-making process for placing a person with dementia on a waiting list for a nursing home, why offers of a place are accepted or declined, and the influence of cultural factors, comparing caregivers from Chinese and English-speaking backgrounds. Semi-structured interviews with 27 caregivers of people with dementia on waiting lists or living in nursing homes (20 Chinese background and seven English-speaking background) were conducted, with thematic analysis of factors affecting caregivers' decision-making. Caregivers were at different stages of decision-making when they applied for a waiting list - some were ready for placement, others applied "just in case," and for some there was no waiting time because of an urgent need for placement. Caregivers' decisions were influenced by their emotions and expectations of nursing homes. The decision-making process was similar for both cultural groups, but Chinese caregivers spoke more about their sense of duty, the need for a Chinese specific facility, and declining a place because of family disagreement. Understanding cultural issues, including stereotypes and concerns about nursing homes, and providing better information about admission processes may help caregivers by allaying their anxiety about nursing home placement.

‘Ekhaya: Human displacement and the yearning for familial homecoming. From Throne (Cathedra to Home (Oikos in a grassroots ecclesiology of place and space: Fides Quaerens Domum et Locum [Faith Seeking Home and Space

Directory of Open Access Journals (Sweden)

Daniel J. Louw

2017-04-01

Full Text Available The classical definition of theology is ‘faith-seeking understanding’ (fides quaerens intellectum. The focus is on the understanding/interpretation of the object of Christian faith: God. There is another root for the quest for understanding, namely the praxis situation of faith. People live in particular historical contexts that have their own distinctive problems and possibilities; thus, the focus on place and space in a theology of home. A praxis approach is to learn life and the gospel from below, thus the emphasis on a grassroots ecclesiology that is structured like an oikos, a familial dwelling place. This understanding of the dynamics of the fellowship of believers as  oikodomein is captured by the Zulu notion for the yearning for home (home sickness: Ekhaya. It is argued that Ekhaya thinking is an alternative route for an operative ecclesiology that caters for the need of marginalised, oppressed, displaced and homeless people. Practical theology is thus described as fides  quaerens domum et locum [faith-seeking home and place], namely to inhabit. An Ekhaya approach to practical theological ecclesiology is about critical reflection through the eyes of those who are weak and who don’t count for much by the standards of successful people and institutions.

42 CFR 409.47 - Place of service requirements.

Science.gov (United States)

2010-10-01

... MEDICARE PROGRAM HOSPITAL INSURANCE BENEFITS Home Health Services Under Hospital Insurance § 409.47 Place of service requirements. To be covered, home health services must be furnished in either the...'s home is any place in which a beneficiary resides that is not a hospital, SNF, or nursing facility...

Feeling lonely in an unfamiliar place: older people's experiences of life close to death in a nursing home.

Science.gov (United States)

Österlind, Jane; Ternestedt, Britt-Marie; Hansebo, Görel; Hellström, Ingrid

2017-03-01

The aim of the study was to deepen the understanding of how older persons living in a nursing home experience life close to death. A move to and a life in a nursing home while being close to death is a reality for many older people in Sweden. Being able to express thoughts and feelings about death has been described as both crucial for sustaining personhood as well as for establishing a meaningful existence at the end of life. Important are the experiences of older people living in nursing homes who are approaching death. Six older people were interviewed on one to four occasions. A total of 16 interviews were conducted with the participants. An interpretative approach was chosen. The main interpretation, Feeling lonely in an unfamiliar place, is based on three themes (i) Waiting for death, with the subthemes death as a release and thinking of oneself as dead; (ii) Subordinate oneself to values and norms of the staff, with the subthemes feeling offended and feeling trapped; and (iii) Keep the courage up. The older people's lives were characterised by feelings of aloneness in an unfamiliar place which contributed to a sense of existential loneliness. They experienced few opportunities to discuss their thoughts of life and death, including preparations for passing away. It is of importance for professionals to be able to meet older people as they are and respect them as human beings in their transitions, before, during and after the move to a nursing home. It is important to find ways to support older people's wellbeing and identity near death. © 2016 John Wiley & Sons Ltd.

The Medical Home

Science.gov (United States)

... Videos for Educators Search English Español The Medical Home KidsHealth / For Parents / The Medical Home What's in ... for your child. What Does the Term "Medical Home" Mean? A medical home isn't a place ...

Attaching Thermocouples by Peening or Crimping

Science.gov (United States)

Murtland, Kevin; Cox, Robert; Immer, Christopher

2006-01-01

Two simple, effective techniques for attaching thermocouples to metal substrates have been devised for high-temperature applications in which attachment by such conventional means as welding, screws, epoxy, or tape would not be effective. The techniques have been used successfully to attach 0.005- in. (0.127-mm)-diameter type-S thermocouples to substrates of niobium alloy C-103 and stainless steel 416 for measuring temperatures up to 2,600 F (1,427 C). The techniques are equally applicable to other thermocouple and substrate materials. In the first technique, illustrated in the upper part of the figure, a hole slightly wider than twice the diameter of one thermocouple wire is drilled in the substrate. The thermocouple is placed in the hole, then the edge of the hole is peened in one or more places by use of a punch (see figure). The deformed material at the edge secures the thermocouple in the hole. In the second technique a hole is drilled as in the first technique, then an annular relief area is machined around the hole, resulting in structure reminiscent of a volcano in a crater. The thermocouple is placed in the hole as in the first technique, then the "volcano" material is either peened by use of a punch or crimped by use of sidecutters to secure the thermocouple in place. This second technique is preferable for very thin thermocouples [wire diameter .0.005 in. (.0.127 mm)] because standard peening poses a greater risk of clipping one or both of the thermocouple wires. These techniques offer the following advantages over prior thermocouple-attachment techniques: . Because these techniques involve drilling of very small holes, they are minimally invasive . an important advantage in that, to a first approximation, the thermal properties of surrounding areas are not appreciably affected. . These techniques do not involve introduction of any material, other than the substrate and thermocouple materials, that could cause contamination, could decompose, or oxidize

A Swedish interview study: parents' assessment of risks in home births.

Science.gov (United States)

Lindgren, Helena; Hildingsson, Ingegerd; Rådestad, Ingela

2006-03-01

to describe home-birth risk assessment by parents. interviews using a semi-structured interview guide. Data were analysed using a phenomenological approach. independent midwifery practices in Sweden. five couples who had had planned home births. the parents had a fundamental trust that the birth would take place without complications, and they experienced meaningfulness in the event itself. Risks were considered to be part of a complex phenomenon that was not limited to births at home. This attitude seems to be part of a lifestyle that has a bearing on how risks experienced during the birth were handled. Five categories were identified as counterbalancing the risk of possible complications: (1) trust in the woman's ability to give birth; (2) trust in intuition; (3) confidence in the midwife; (4) confidence in the relationship; and (5) physical and intellectual preparation. although the parents were conscious of the risk of complications during childbirth, a fundamental trust in the woman's independent ability to give birth was central to the decision to choose a home birth. Importance was attached to the expected positive effects of having the birth at home. knowledge of parents' assessment can promote an increased understanding of how parents-to-be experience the risks associated with home birth.

Family preference for place of death mediates the relationship between patient preference and actual place of death: a nationwide retrospective cross-sectional study.

Science.gov (United States)

Ishikawa, Yoshiki; Fukui, Sakiko; Saito, Toshiya; Fujita, Junko; Watanabe, Minako; Yoshiuchi, Kazuhiro

2013-01-01

Discrepancy between preferred and actual place of death is common in cancer patients. While previous research has elucidated the factors associated with congruence between patients' preferred and actual place of death, it is not known how the perspective of the family influences the place of death. This study examined whether family preference for place of death mediates the relationship between patient preference and actual place of death. A total of 258 cancer patients (home death, n = 142; hospital death, n = 116) who had received terminal care in Japan were analyzed. Measures included patients' demographic variables, patient and family preferences for place for death, actual place of death, patients' functional status, use and intensity of home care, availability of inpatient bed, living arrangement, and amount of extended family support. Patient-family congruence on preferred place of death was 66% in patients who died at home and 47% in patients who died at other places (kappa coefficient: 0.20 and 0.25, respectively). In a multiple logistic regression model, patients were more likely to die at home when patients were male (odds ratio [OR], 95% confidence interval [CI]: 2.53, 1.06-6.05) and when their family preferred death at home (OR, 95% CI: 37.37, 13.82-101.03). A Sobel test revealed that family preference mediated the relationship between patient preference and place of death (pfamily in the relationship between patient preference and place of death in Japan. In order to honor patients' wishes to die at home, supporting caregivers in the family may be an essential component of terminal care.

How to Write Home: (UnMapping the Politics of Place and Authorial Responsibility with Arundhati Roy’s The God of Small Things

Directory of Open Access Journals (Sweden)

Kelly Palmer

2017-05-01

Full Text Available Arundhati Roy’s 1997 Man Booker Prize-winning novel, The God of Small Things, was harshly criticised by Indian and international scholars alike for misrepresenting the cultural landscape of 1970s Kerala and greater India. Such criticisms deny Roy’s authority to represent Indian culture, and her right to speak of or accurately represent her birthplace. This essay draws from Roy’s first and only novel as a case study of place-based writing and its reception, then asks: can a responsibility to place or home ever be met in the genre of autoethnographic fiction? The first section of this essay surveys criticisms of Roy’s Kerala and reveals how transgressive place-based fiction can magnify negative stereotypes of a given culture. The second section investigates literature as a material artefact of place with value to sociology and cultural studies more broadly, thus situating the author as a social actor. Throughout, I reflect on my own autoethnographic writing practice, and devise questions about my personal onus to represent a fictionalised home that has the potential to (reshape Southeast Queensland in the cultural imagination.

Workspace appropriation and attachment

Directory of Open Access Journals (Sweden)

M. PAVALACHE-ILIE

2016-11-01

Full Text Available This literature synthesis presents a short history of the evolution of the concepts of space appropriation and place attachment, highlighting the difficulty of their operationalisation from a cultural point of view. The next subject brought into discussion is the relation between the affective dimension of the connection between a person and the work place and the behaviours which are prone to insure the proper functioning of organizations, such as the organizational civism and the organizational commitment.

Psychotherapy process and relationship in the context of a brief attachment-based mother-infant intervention.

Science.gov (United States)

Woodhouse, Susan S; Lauer, Maria; Beeney, Julie R S; Cassidy, Jude

2015-03-01

The present study investigated links between the observer-rated process of psychotherapy and 2 key psychotherapy relationship constructs (i.e., working alliance and attachment to the therapist) in the context of a brief, attachment-based, home-visiting, mother-infant intervention that aimed to promote later secure infant attachment. Additionally, links between observer ratings of intervener and mother contributions to process were examined. Participants included 85 economically stressed mothers of first-born, 5.5-month-old, temperamentally irritable infants. Therapists included 2 doctoral-level and 4 master's-level home visitors. Observer-rated therapist psychotherapy process variables (i.e., warmth, exploration, and negative attitude) were not linked to maternal ratings of working alliance. Therapist warmth, however, was positively associated with maternal ratings of security of attachment to the therapist, and therapist negative attitude was positively related to maternal ratings of preoccupied-merger attachment to the therapist. As expected, both therapist warmth and exploration were positively associated with both maternal participation and exploration. Therapist negative attitude was inversely related to maternal exploration, but not to maternal participation. Results support the idea that attention to the psychotherapy process and relationship may be important in the context of a brief home-visiting parenting intervention with a nonclinical sample. (PsycINFO Database Record (c) 2015 APA, all rights reserved).

Attachment theory: A review of research

Directory of Open Access Journals (Sweden)

Polovina Nada

2005-01-01

Full Text Available Research of attachment is numerous and versatile. They differ according to problems addressed, methodology applied (longitudinal studies, studies with horizontal designs, different instruments used, different methods of data analysis, and characteristics of samples involved (concerning age socio/economic status, family ecology. The research is commonly relied on the core assumptions of the theory itself, and the shared characteristic is orientation to explore complex phenomena of human experience and functioning. From the vast variety of research only those who most directly test the basic assumptions of the attachment theory are focused and addressed in the paper: representation of patterns of attachment in the childhood and adulthood, stability and change of attachment security from infancy to early adulthood, transgenerational transmission of attachment characteristics, the place and the role of attachment behavioral system in the personality development. The aim of the paper is to highlight the basic research and theory issues and directions, and illustrate them with concrete research date.

Children's memories of removal: a test of attachment theory.

Science.gov (United States)

Melinder, Annika; Baugerud, Gunn Astrid; Ovenstad, Kristianne Stigsdatter; Goodman, Gail S

2013-02-01

We report a study of parents' attachment orientations and children's autobiographical memory for an experience that according to Bowlby's (1982) attachment theory should be particularly threatening-children's forced separation from their parents. It was hypothesized that individual differences in parents' attachment orientations would be associated with children's distress and memory for this highly traumatic event. Children (n = 28) were observed during forced removal from home or school by Child Protective Services due to allegations of child maltreatment. Children's memory for the removal was tested 1 week later, and biological parents (n = 28) completed an adult attachment measure. Parental attachment anxiety significantly predicted children's distress during less stressful phases of the removal, R(2) = .25, and parents' attachment-related avoidance predicted fewer correct memory reports from the children (i.e., fewer hits to open-ended questions, R(2) = .16, and fewer hits to direct questions, R(2) = .27). The findings indicate that attachment theory provides important guidance for understanding children's autobiographical memory for traumatic events. Copyright © 2013 International Society for Traumatic Stress Studies.

Home vision tests

Science.gov (United States)

... missing areas. If any lines appear distorted or broken, note their location on the grid using a pen or pencil. DISTANCE VISION This is the standard eye chart doctors use, which has been adapted for home use. The chart is attached to a wall ...

Occupant-in-Place Energy Efficiency Retrofit in a Group Home for 30% Energy Savings in Climate Zone 4

Energy Technology Data Exchange (ETDEWEB)

Moore, M.

2013-08-01

Energy efficiency retrofits (EERs) face many challenges on the path to scalability. Limited budgets, cost effectiveness, risk factors, and accessibility impact the type and the extent of measures that can be implemented feasibly to achieve energy savings goals. Group home retrofits can face additional challenges than those in single family homes - such as reduced access (occupant-in-place restrictions) and lack of incentives for occupant behavioral change. This project studies the specification, implementation, and energy savings from an EER in a group home, with an energy savings goal of 30%. This short term test report chronicles the retrofit measures specified, their projected cost-effectiveness using building energy simulations, and the short term test results that were used to characterize pre-retrofit and post-retrofit conditions. Additionally, the final report for the project will include analysis of pre- and post-retrofit performance data on whole building energy use, and an assessment of the energy impact of occupant interface with the building (i.e., window operation). Ultimately, the study's results will be used to identify cost effective EER measures that can be implemented in group homes, given constraints that are characteristic of these buildings. Results will also point towards opportunities for future energy savings.

Occupant-in-Place Energy Efficiency Retrofit in a Group Home for 30% Energy Savings in Climate Zone 4

Energy Technology Data Exchange (ETDEWEB)

Moore, Mike [Building America Partnership for Improved Residential Construction (BA-PIRC), Cocoa, FL (United States)

2013-08-01

Energy efficiency retrofits (EERs) face many challenges on the path to scalability. Limited budgets, cost effectiveness, risk factors, and accessibility impact the type and the extent of measures that can be implemented feasibly to achieve energy savings goals. Group home retrofits can face additional challenges than those in single family homes – such as reduced access (occupant-in-place restrictions) and lack of incentives for occupant behavioral change. This project studies the specification, implementation, and energy savings from an EER in a group home, with an energy savings goal of 30%. This short term test report chronicles the retrofit measures specified, their projected cost effectiveness using building energy simulations, and the short term test results that were used to characterize pre-retrofit and post-retrofit conditions. Additionally, the final report for the project will include analysis of pre- and post-retrofit performance data on whole building energy use, and an assessment of the energy impact of occupant interface with the building (i.e., window operation). Ultimately, the study’s results will be used to identify cost-effective EER measures that can be implemented in group homes, given constraints that are characteristic of these buildings. Results will also point towards opportunities for future energy savings.

What is a 'secure base' when death is approaching? A study applying attachment theory to adult patients' and family members' experiences of palliative home care.

Science.gov (United States)

Milberg, A; Wåhlberg, R; Jakobsson, M; Olsson, E-C; Olsson, M; Friedrichsen, M

2012-08-01

Attachment theory has received much interest lately in relation to how adults cope with stress and severe illness. The aim of this study was using the experiences of patients and family members to explore palliative home care as a 'secure base' (a central concept within the theory). Twelve patients and 14 family members were interviewed during ongoing palliative home care. The interviews were analysed with deductive qualitative content analysis. Informants expressed the relevance of sensing security during palliative home care because death and dying were threats that contributed to vulnerability. Palliative home care could foster a feeling of security and provide a secure base. This was facilitated when informants had trust in staff (e.g. due to availability and competence in providing symptom relief), felt recognised as individuals and welcomed to contact the team in times of needs. Being comfortable, informed and having an everyday life also contributed to a perception of palliative home care as a secure base. Family members stressed the importance of being relieved from responsibilities that were too heavy. The underlying meanings of experiencing palliative home care as a secure base involved gaining a sense of control and of inner peace, perceiving that despite a demanding and changed life situation, one could continue partially being oneself and having something to hope for, even if this no longer concerned cure for the ill person. Important aspects of palliative home care as providing a secure base were identified and these have implications for clinical practice. Copyright © 2011 John Wiley & Sons, Ltd.

Designing a place called home reordering the suburbs

CERN Document Server

Wentling, James

2017-01-01

This insightful volume shares design ideas to help builders, planners and architects create mass-produced affordable housing that pushes suburban development in more sustainable, liveable directions. The author argues that improving the quality of design in our new homes and communities for greater resiliency, sustainability, and equality, we can build neighborhoods and communities where residents feel more connected t their homes and to one another. Through text, photographs and illustrations, the book reviews prototypical American housing design, then suggest ways to both learn from the past as well as adapt for new environmental imperatives, demographic changes and lifestyle needs. Written by a practicing architect with 25+ years of experience optimizing residential design, this pioneering approach to suburban building will inspire readers to view mass produced housing through a new, modern lens.

Preferential attachment in evolutionary earthquake networks

Science.gov (United States)

Rezaei, Soghra; Moghaddasi, Hanieh; Darooneh, Amir Hossein

2018-04-01

Earthquakes as spatio-temporal complex systems have been recently studied using complex network theory. Seismic networks are dynamical networks due to addition of new seismic events over time leading to establishing new nodes and links to the network. Here we have constructed Iran and Italy seismic networks based on Hybrid Model and testified the preferential attachment hypothesis for the connection of new nodes which states that it is more probable for newly added nodes to join the highly connected nodes comparing to the less connected ones. We showed that the preferential attachment is present in the case of earthquakes network and the attachment rate has a linear relationship with node degree. We have also found the seismic passive points, the most probable points to be influenced by other seismic places, using their preferential attachment values.

Electron attachment analyzer

International Nuclear Information System (INIS)

Popp, P.; Grosse, H.J.; Leonhardt, J.; Mothes, S.; Oppermann, G.

1984-01-01

The invention concerns an electron attachment analyzer for detecting traces of electroaffine substances in electronegative gases, especially in air. The analyzer can be used for monitoring working places, e. g., in operating theatres. The analyzer consists of two electrodes inserted in a base frame of insulating material (quartz or ceramics) and a high-temperature resistant radiation source ( 85 Kr, 3 H, or 63 Ni)

Do people with intellectual disability use Nintendo Wii when placed in their home as part of a physiotherapy program? An observational study.

Science.gov (United States)

Chung, Alison M J; Harvey, Lisa A; Hassett, Leanne M

2016-01-01

To examine how much, and in what way, Nintendo Wii™ (Wii) is used when prescribed as part of a home-physiotherapy program for people with intellectual disability. Twenty people with intellectual disability were recruited. The following parameters were recorded about play patterns over a 12-week period: frequency, duration, perceived exertion, play position, play mode, initiation of play and games from Wii Sports and Wii Fit Plus. Participants used the Wii for a median of 101 min per week (interquartile range [IQR]: 50-172) in weeks one and two across a median of three days per week (IQR: 3-4), decreasing down to a median of 35 min per week (IQR: 0-141) in weeks 11 and 12 across a median of one day per week (IQR: 0-3). Usage of the Wii drops off rapidly when it is placed in the homes of people with intellectual disability as part of a physiotherapy program. Implications for Rehabilitation Usage of the Nintendo Wii drops off rapidly when it is placed in the homes of people with intellectual disability and they are instructed to use it as part of a home physiotherapy program. Games commonly played include bowling and boxing in Wii Sport, and penguin slide, ski jump and tight rope walk in Wii Fit Plus. Physiotherapists should use person and family centred practice to ensure that Nintendo Wii is a suitable intervention for the person with an intellectual disability and provide support to encourage ongoing usage.

Green Space Attachment and Health: A Comparative Study in Two Urban Neighborhoods.

Science.gov (United States)

Zhang, Yang; van Dijk, Terry; Tang, Jianjun; van den Berg, Agnes E

2015-11-12

The positive relationships between urban green space and health have been well documented. Little is known, however, about the role of residents' emotional attachment to local green spaces in these relationships, and how attachment to green spaces and health may be promoted by the availability of accessible and usable green spaces. The present research aimed to examine the links between self-reported health, attachment to green space, and the availability of accessible and usable green spaces. Data were collected via paper-mailed surveys in two neighborhoods (n = 223) of a medium-sized Dutch city in the Netherlands. These neighborhoods differ in the perceived and objectively measured accessibility and usability of green spaces, but are matched in the physically available amount of urban green space, as well as in demographic and socio-economic status, and housing conditions. Four dimensions of green space attachment were identified through confirmatory factor analysis: place dependence, affective attachment, place identity and social bonding. The results show greater attachment to local green space and better self-reported mental health in the neighborhood with higher availability of accessible and usable green spaces. The two neighborhoods did not differ, however, in physical and general health. Structural Equation Modelling confirmed the neighborhood differences in green space attachment and mental health, and also revealed a positive path from green space attachment to mental health. These findings convey the message that we should make green places, instead of green spaces.

Green Space Attachment and Health: A Comparative Study in Two Urban Neighborhoods

Directory of Open Access Journals (Sweden)

Yang Zhang

2015-11-01

Full Text Available The positive relationships between urban green space and health have been well documented. Little is known, however, about the role of residents’ emotional attachment to local green spaces in these relationships, and how attachment to green spaces and health may be promoted by the availability of accessible and usable green spaces. The present research aimed to examine the links between self-reported health, attachment to green space, and the availability of accessible and usable green spaces. Data were collected via paper-mailed surveys in two neighborhoods (n = 223 of a medium-sized Dutch city in the Netherlands. These neighborhoods differ in the perceived and objectively measured accessibility and usability of green spaces, but are matched in the physically available amount of urban green space, as well as in demographic and socio-economic status, and housing conditions. Four dimensions of green space attachment were identified through confirmatory factor analysis: place dependence, affective attachment, place identity and social bonding. The results show greater attachment to local green space and better self-reported mental health in the neighborhood with higher availability of accessible and usable green spaces. The two neighborhoods did not differ, however, in physical and general health. Structural Equation Modelling confirmed the neighborhood differences in green space attachment and mental health, and also revealed a positive path from green space attachment to mental health. These findings convey the message that we should make green places, instead of green spaces.

Attachment security and obesity in US preschool-aged children.

Science.gov (United States)

Anderson, Sarah E; Whitaker, Robert C

2011-03-01

To estimate the association between attachment security in children aged 24 months and their risk for obesity at 4½ years of age. Insecure attachment is associated with unhealthy physiologic and behavioral responses to stress, which could lead to development of obesity. Cohort study. National sample of US children born in 2001. Children and mothers participating in the 2003 and 2005-2006 waves of the Early Childhood Longitudinal Study, Birth Cohort, conducted by the National Center for Education Statistics. Our analytic sample included 6650 children (76.0% of children assessed in both waves). Attachment security at 24 months was assessed by trained interviewers during observation in the child's home. Insecure attachment was defined as lowest quartile of attachment security, based on the security score from the Toddler Attachment Sort-45 Item. Obesity at 4½ years of age (sex-specific body mass index ≥95th percentile for age). The prevalence of obesity was 23.1% in children with insecure attachment and 16.6% in those with secure attachment. For children with insecure attachment, the odds of obesity were 1.30 (95% confidence interval, 1.05-1.62) times higher than for children with secure attachment after controlling for the quality of mother-child interaction during play, parenting practices related to obesity, maternal body mass index, and sociodemographic characteristics. Insecure attachment in early childhood may be a risk factor for obesity. Interventions to increase children's attachment security should examine the effects on children's weight.

Strategies for Aging in Place

Directory of Open Access Journals (Sweden)

Suzanne Dupuis-Blanchard

2015-01-01

Full Text Available For healthy and independent older adults, aging in place can be seen as identical to any other adult living at home. Little is known about how frail seniors, particularly those who speak a minority language, manage the challenges of aging in place. The present qualitative descriptive study explores the strategies that Canadian French-speaking seniors have put in place to counter their loss of independence and promote their ability to stay in their home. Semistructured individual interviews were conducted with 39 older adults and transcribed, followed by content analysis to identify common themes related to study objectives. Six themes emerged in response to strategies described for aging in place. Findings reveal the limited extent to which language issues were perceived as a barrier by participants. In conclusion, the results of this study provide us with fruitful insights to guide community nursing practice, future research, and public policy.

Make Yourself At Home! Adolescents in Search of the Queer Spaces of Home

Directory of Open Access Journals (Sweden)

Kokkola, Lydia

2014-09-01

Full Text Available Home is often assumed to be a safe place, a place to which children can return after their adventures Away. For many gay and lesbian teens, both fictional and in real life, however, the space they share with their family of origin is not a place where they can feel at home. The heterosexual family home is often so hostile to queerly desiring teens that they are forced to leave in search of a place where they can feel at home. The queer spaces they enter in their search are usually considered risky spaces – public spaces, urban spaces, the bar and the street – unhomely spaces. In these temporary, in-between spaces, the queerly desiring teens in the novels examined in this paper form new family structures. Although all the Anglophone novels discussed in this article end on moments of up-lift and hope for the future, the association of the queerly desiring youngster with risky spaces suggests that the queer teens are themselves unheimlich (uncanny..

Stigma and attachment: performance of identity in an environmentally degraded place

Energy Technology Data Exchange (ETDEWEB)

Broto, V.C.; Burningham, K.; Carter, C.; Elghali, L. [University of Durham, Durham (United Kingdom). Dept. of Geology

2010-07-01

Research examining the relationship between place and identity shows that the experience of places influences a person's process of identification, through which an emotional bond with the place may be developed. However, the implications of this literature for land restoration remain unexplored. This is partially due to a gap in empirical research that explores the performance of identities in environmentally degraded settings. This article examines the relationship between identity and place among residents living around five coal ash disposal sites in Tuzla, Bosnia and Herzegovina. The article develops a qualitative model to understand the emergence of divergent responses toward the pollution and illustrates that in an environmentally degraded setting the bonds between the individuals and the place are not necessarily dislocated; in some cases, these bonds may be even reinforced by the performance of adaptative identities in response to environmental change.

Communicating Climate Change through Place Based Engagement: Methods, Research, and Applications to Parks and Protected Area

Science.gov (United States)

Davis, Shawn Kyle

2014-01-01

This research explored the connections between place attachment and resident perceptions of tourism. Aspects of place attachment such as place identity and place dependence were tested against tourism dependence for strength of correlation and relationship to perceived impacts of tourism. Survey data were collected from residents of eight…

"Home is always home" : (former) street youth in Blantyre, Malawi, and the fluidity of constructing home

NARCIS (Netherlands)

Hendriks, T.D.

2016-01-01

For many Malawians the concept of home is strongly associated with the rural areas and one's (supposedly rural) place of birth. This 'grand narrative about home', though often reiterated, doesn't necessarily depict lived reality. Malawi's history of movement and labor migration coupled with

"Home is always home" : (former) street youth in Blantyre, Malawi, and the fluidity of constructing home

NARCIS (Netherlands)

Hendriks, T.D.

2017-01-01

For many Malawians the concept of home is strongly associated with the rural areas and one's (supposedly rural) place of birth. This 'grand narrative about home', though often reiterated, doesn't necessarily depict lived reality. Malawi's history of movement and labor migration coupled with

49 CFR Attachment 4 - State and Local Agency Review of Impact Statements

Science.gov (United States)

2010-10-01

... 4 Attachment 4 Transportation Other Regulations Relating to Transportation (Continued) NATIONAL..., Attach. 4 Attachment 4—State and Local Agency Review of Impact Statements 1. OBM Revised Circular No. A... proposed project in the case of federally assisted projects (Part I of A-95) generally takes place prior to...

32 CFR Attachment B to Subpart B... - Standard B-Single Scope Background Investigation (SSBI)

Science.gov (United States)

2010-07-01

... (SSBI) B Attachment B to Subpart B of Part 147 National Defense Department of Defense OFFICE OF THE... FOR ACCESS TO CLASSIFIED INFORMATION Investigative Standards Pt. 147, Subpt. B, Att. B Attachment B to... Place of Birth: Corroboration of date and place of birth through a check of appropriate documentation; a...

Structuring virtual spaces as television places

DEFF Research Database (Denmark)

Reinhard, CarrieLynn D.

As all major American broadcast and cable networks now provide some form and amount of online distribution of their television programming, we are beginning to see more interactive features being attached to this distribution to remediate the conditions of television consumption in the physical...... world.  Attaching such interactivity to their online distribution creates cyberspaces of consumption that become places for virtual audiences to congregate as they view the program.  To illustrate how the virtual environments and worlds are constructed to become places for virtual audiences, four case...... considering how these Internet-based interactive television examples demonstrate the remediation of conventional conceptualizations of television distribution structures and consumption practices, which then indicate the power dynamics of the producer-consumer relationship.  The form in which...

The determinants of home and nursing home death: a systematic review and meta-analysis.

Science.gov (United States)

Costa, Vania; Earle, Craig C; Esplen, Mary Jane; Fowler, Robert; Goldman, Russell; Grossman, Daphna; Levin, Leslie; Manuel, Douglas G; Sharkey, Shirlee; Tanuseputro, Peter; You, John J

2016-01-20

Most Canadians die in hospital, and yet, many express a preference to die at home. Place of death is the result of the interaction among sociodemographic, illness- and healthcare-related factors. Although home death is sometimes considered a potential indicator of end-of-life/palliative care quality, some determinants of place of death are more modifiable than others. The objective of this systematic review was to evaluate the determinants of home and nursing home death in adult patients diagnosed with an advanced, life-limiting illness. A systematic literature search was performed for studies in English published from January 1, 2004 to September 24, 2013 that evaluated the determinants of home or nursing home death compared to hospital death in adult patients with an advanced, life-limiting condition. The adjusted odds ratios, relative risks, and 95% confidence intervals of each determinant were extracted from the studies. Meta-analyses were performed if appropriate. The quality of individual studies was assessed using the Newcastle-Ottawa scale and the body of evidence was assessed according to the GRADE Working Group criteria. Of the 5,900 citations identified, 26 retrospective cohort studies were eligible. The risk of bias in the studies identified was considered low. Factors associated with an increased likelihood of home versus hospital death included multidisciplinary home palliative care, preference for home death, cancer as opposed to other diagnoses, early referral to palliative care, not living alone, having a caregiver, and the caregiver's coping skills. Knowledge about the determinants of place of death can be used to inform care planning between healthcare providers, patients and family members regarding the feasibility of dying in the preferred location and may help explain the incongruence between preferred and actual place of death. Modifiable factors such as early referral to palliative care, presence of a multidisciplinary home palliative care

The relationship of the elderly toward their home and living environment

Directory of Open Access Journals (Sweden)

Boštjan Kerbler

2017-12-01

Full Text Available Housing is a basic human good and right. It plays a versatile role, allowing people to fulfil a number of needs, and it is not limited only to one’s immediate living space, but also includes an individual’s wider living environment. People’s relationship toward housing and their living environment changes over the course of their lives. Especially in old age, housing becomes more important. Research shows that the elderly want to remain in their home environments as long as possible because they are closely attached to them. In order to determine whether these findings also apply to Slovenia, this article analyses how attached the elderly in Slovenia are to their homes and wider living environment and how satisfied they are with living there. The elderly’s views were obtained with a survey, and a statistical analysis was carried out using SPSS software, based on the calculation of various statistical correlation tests. The analysis confirmed the assumption that the Slovenian elderly are also very attached to their homes or home environments and are satisfied with living there. In addition, the analysis showed some differences among the elderly in this regard depending on their age, where they live and how long they have been living in their current homes.

Where is 'place' in Aging in place?

DEFF Research Database (Denmark)

Blaakilde, Anne Leonora

2015-01-01

is influenced by universalism, aiming at equality in terms of access to health services and care. However, these welfare provisions seem to be deeply embedded in methodological nationalism, since only citizens with residence within the borders of Denmark have the right to live in public nursing homes or receive......The aim of this article is to contribute a transnational perspective to the field of environmental gerontology and the concept of aging in place. Seniors from the northern hemisphere, among them Danish citizens, are increasingly adapting to transnational lives as they move to warmer climates...... in-home help. It is argued that we should consider public solutions to the problems faced by frail Danish citizens in transnational settings, enhancing their opportunities to live abroad....

Work setting, community attachment, and satisfaction among rural and remote nurses.

Science.gov (United States)

Kulig, Judith C; Stewart, Norma; Penz, Kelly; Forbes, Dorothy; Morgan, Debra; Emerson, Paige

2009-01-01

To describe community satisfaction and attachment among rural and remote registered nurses (RNs) in Canada. Cross-sectional survey of rural and remote RNs in Canada as part of a multimethod study.The sample consisted of a stratified random sample of RNs living in rural areas of the western country and the total population of RNs who worked in three northern regional areas and those in outpost settings. A subset of 3,331 rural and remote RNs who mainly worked in acute care, long-term care, community health, home care, and primary care comprised the sample. The home community satisfaction scale measured community satisfaction, whereas single-item questions measured work community satisfaction and overall job satisfaction. Community variables were compared across practice areas using analysis of variance, whereas a thematic analysis was conducted of the open-ended questions. Home care and community health RNs were significantly more satisfied with their work community than RNs from other practice areas. RNs who grew up in rural communities were more satisfied with their current home community. Four themes emerged from the open-ended responses that describe community satisfaction and community attachment. Recruitment and retention strategies need to include mechanisms that focus on community satisfaction, which will enhance job satisfaction.

Maternal Attachment Strategies and Emotion Regulation with Adolescent Offspring.

Science.gov (United States)

Kobak, Roger; And Others

1994-01-01

Examined the relationship between mothers' attachment strategies and emotion regulation in a sample of 42 families with 2 high school-aged siblings. Found that mothers with preoccupied strategies had difficulty regulating emotion during conversations with their older teenagers about them leaving home. Mothers with secure strategies perceived their…

The Home Identity Idea: How Good Homes Can Urge People to Make Environmentally Friendly Choices

OpenAIRE

Paulsen, Karoline

2017-01-01

This thesis is a discussion on how we identify with the place we live and how we can make good places to live now and in the future. The idea is that if we feel at home in and identify with the place we live, we want to preserve it and make it better for the future. This can have effect on the environment and the climate. If we build places that are good to live in and the people who live there identify with their home place, they would want to live more sustainably. There is also a discussio...

Biodynamics of attachments used in overdentures: experimental analysis with photoelasticity.

Science.gov (United States)

Labaig, C; Marco, R; Fons, A; Selva, E J

1997-03-01

Treatment with overdentures is an alternative to conventional complete prostheses. Different types of attachments can be placed in natural teeth that act as retainers for overdentures. The photoelastic relationship between the design of the attachment and the distribution of occlusal forces among the abutment teeth and the distal alveolar ridges was examined. The results were used to develop a classification for clinical cases so that the correct attachment design can be selected.

Attachment styles of nursing students: a cross-sectional and a longitudinal study.

Science.gov (United States)

Kaya, Nurten

2010-10-01

This research included two consecutive studies, the first of which aimed to examine university nursing students' attachment styles and to study a set of variables that affect their attachment styles, while the second study aimed to identify the effect of nursing education on nursing students' attachment styles. This research was conducted as a cross-sectional survey with nursing students from a school of nursing in Turkey. The research also included a longitudinal follow-up of first year students, to evaluate the effect of nursing education on attachment styles. Data were collected by using a "Personal Information Form" and "Relationship Scales Questionnaire". Nursing students' personal characteristics of age, longest place of residence, and economic status; family characteristics of number of siblings and families' longest place of residence; and romantic characteristics of any current romantic relationships and the number of past romantic relationships were found to be the factors that were influential in attachment styles. In addition, the nursing students had a statistically significant decrease in their insecure attachment style mean scores at the end of nursing education. Assessing attachment styles may be a potentially useful way to understand and counsel nursing students. Copyright © 2010 Elsevier Ltd. All rights reserved.

Reasons for Leaving Home: Comparing Predictors of Wanting to Migrate and Travel in Croatian Undergraduates

Directory of Open Access Journals (Sweden)

Manyu Li

2012-04-01

Full Text Available Previous research has relied on the assumption that people migrate from a poor to a rich country. This study instead looks at predictors of desires for migration away from a relatively well-off country in Eastern Europe. Predictors for both long-term, permanent international migration and short-term, leisure international travel are compared. A survey was administered to 323 undergraduates in Osijek, Croatia. Power motivation, career orientation, neophilia and place attachment were examined as predictors. As predicted, career orientation, place attachment, and neophilia are significant predictors for desires for long-term international migration for both men and women. Power motivation, career orientation and neophilia predicted women’s travel intentions, but only neophilia predicted men’s travel intentions. Gender differences in travel intentions are discussed. The role of economic and noneconomic factors and predictions for future migration in Croatia are examined. The data allow better understanding of the reasons why Eastern Europeans want to leave their home country. It also has implication for gender differences on reasons for traveling. Such gender differences might relate to more effective marketing strategies targeting male and female tourists from Eastern Europe.

The Importance of Outdoor Activity and Place Attachment to Adolescent Development in Coös County, New Hampshire. Paper 208. New Hampshire and New England Issue Brief No. 37

Science.gov (United States)

Seaman, Jayson; McLaughlin, Sean

2013-01-01

This brief discusses the rates of participation in structured and unstructured outdoor activities as Coös County youth age, along with the relationship between outdoor activity involvement and indicators of place attachment throughout this period. The analysis is based on data collected between 2008 and 2013 as part of the Carsey Institute's Panel…

A Study of Students' Loneliness Levels and Their Attachment Styles

Science.gov (United States)

Sahin Kiralp, F. Sülen; Serin, Nergüz B.

2017-01-01

The purpose of this study was to examine the relationship between loneliness levels and attachment styles of university students. In this research, it was investigated whether the attachment styles differed in terms of variables such as gender, class, place of stay, socio-economic level of their family, parental education levels, counterpart…

The creation and maintenance of sense of place in a tourism-dependent community

Science.gov (United States)

Benoni L. Amsden; Richard C. Stedman; Linda E. Kruger

2011-01-01

This paper examines the theoretical intersection of place attachment and community through a study of the place attachment of residents who live, work, and play in a tourism-dependent community. Using a qualitative photo-elicitation technique best described as "resident employed photography," we asked 25 residents of Seward, Alaska, to share images and...

[Home care and place of death for elderly people living in the remote islands of Japan. An examination on the presence of inpatient facilities].

Science.gov (United States)

Horikoshi, Naoko; Kuwahara, Yuki; Taguchi, Atsuko; Nagata, Tomoko; Murashima, Sachiyo

2013-07-01

The purpose of this study was to clarify the actual status of end-of-life care for elderly people living in the remote islands of Japan, and whether the presence of inpatient facilities was related to the place of death, so as to obtain suggestions for constructing a system of end-of-life care. The survey targeted caregivers (85 people) who cared for elderly people (aged 65 and over), who had been legally certified for long-term care, and who had died between April 2009 and July 2011 in five islands of Japan. Islands were selected from a list of remote islands specified in the Remote Islands Development Act and related laws. Using a mixed method embedded design, we conducted semi-structured interviews using a questionnaire that assessed the place and cause of the elderly patient's death, age at death, gender, and whether the patient or family members had requested that the patient be allowed to die at home. The proportion of elderly people who died at home in the group living on remote islands with no inpatient facilities was 39.0% (16 of 41 people), compared with 18.2% (8 of 44 people) living on islands with inpatient facilities. The difference was significant (P=0.029). Among the 24 elderly people who died at home, 6 died of cancer. Terminally ill cancer patients were released to die at home under three conditions: the caregivers could provide sufficient care, the visiting physician was present, and pain control was provided. It was also possible for elderly cancer patients to receive end-of-life care in remote islands that did not have inpatient facilities. In addition, among the elderly people who died at home in the remote islands, home care had been recommended by medical staff. It is important for professionals coordinating home care to understand the characteristics of diseases, perform early assessment of caregiver situations, and collaborate with medical staff.

Infant-parent attachment: Definition, types, antecedents, measurement and outcome.

Science.gov (United States)

Benoit, Diane

2004-10-01

Attachment theory is one of the most popular and empirically grounded theories relating to parenting. The purpose of the present article is to review some pertinent aspects of attachment theory and findings from attachment research. Attachment is one specific aspect of the relationship between a child and a parent with its purpose being to make a child safe, secure and protected. Attachment is distinguished from other aspects of parenting, such as disciplining, entertaining and teaching. Common misconceptions about what attachment is and what it is not are discussed. The distinction between attachment and bonding is provided. The recognized method to assess infant-parent attachment, the Strange Situation procedure, is described. In addition, a description is provided for the four major types of infant-parent attachment, ie, secure, insecure-avoidant, insecure-resistant and insecure-disorganized. The antecedents and consequences of each of the four types of infant-parent attachment are discussed. A special emphasis is placed on the description of disorganized attachment because of its association with significant emotional and behavioural problems, and poor social and emotional outcomes in high-risk groups and in the majority of children who have disorganized attachment with their primary caregiver. Practical applications of attachment theory and research are presented.

Understanding Smart Home Sensor Data for Ageing in Place Through Everyday Household Routines: A Mixed Method Case Study.

Science.gov (United States)

van Kasteren, Yasmin; Bradford, Dana; Zhang, Qing; Karunanithi, Mohan; Ding, Hang

2017-06-13

An ongoing challenge for smart homes research for aging-in-place is how to make sense of the large amounts of data from in-home sensors to facilitate real-time monitoring and develop reliable alerts. The objective of our study was to explore the usefulness of a routine-based approach for making sense of smart home data for the elderly. Maximum variation sampling was used to select three cases for an in-depth mixed methods exploration of the daily routines of three elderly participants in a smart home trial using 180 days of power use and motion sensor data and longitudinal interview data. Sensor data accurately matched self-reported routines. By comparing daily movement data with personal routines, it was possible to identify changes in routine that signaled illness, recovery from bereavement, and gradual deterioration of sleep quality and daily movement. Interview and sensor data also identified changes in routine with variations in temperature and daylight hours. The findings demonstrated that a routine-based approach makes interpreting sensor data easy, intuitive, and transparent. They highlighted the importance of understanding and accounting for individual differences in preferences for routinization and the influence of the cyclical nature of daily routines, social or cultural rhythms, and seasonal changes in temperature and daylight hours when interpreting information based on sensor data. This research has demonstrated the usefulness of a routine-based approach for making sense of smart home data, which has furthered the understanding of the challenges that need to be addressed in order to make real-time monitoring and effective alerts a reality. ©Yasmin van Kasteren, Dana Bradford, Qing Zhang, Mohan Karunanithi, Hang Ding. Originally published in JMIR Mhealth and Uhealth (http://mhealth.jmir.org), 13.06.2017.

Longing for home: displacement, memory and identity.

Science.gov (United States)

Ben-Yoseph, Miriam

2005-01-01

This article focuses on the relationship between the country of birth and the ability of the individual from that country to create a sense of home, identity and belonging in other countries and cultures. What is home? Is home the place where you were born and raised, where your parents live or where they are buried? Is home the place from where you were dislocated or where you live now? What does longing for home mean? The author draws on theory to address these questions but her personal story plays a prominent part.

The Home as aural Haven

Directory of Open Access Journals (Sweden)

Rowland Atkinson

2008-12-01

Full Text Available The home is not only a place of physical refuge from the elements and unwanted intruders. It is also a refuge from unwanted sound, a place where we can enjoy calm spaces that permit quiet reflection. Our homes, as discrete and personally modifiable micro-soundscapes, offer a kind of environmental nourishment to us as social beings. Noise in the home – from neighbours, roads, airports, air conditioners, parties – unsettles our sense of control, autonomy and authorship over what is our primary territorial domain.

BEST PRACTICE IN INDIVIDUAL SUPERVISION OF PSYCHOLOGISTS WORKING IN THE FRENCH CAPEDP PREVENTIVE PERINATAL HOME-VISITING PROGRAM: RESULTS OF A DELPHI CONSENSUS PROCESS.

Science.gov (United States)

Greacen, Tim; Welniarz, Bertrand; Purper-Ouakil, Diane; Wendland, Jaqueline; Dugravier, Romain; Saïas, Thomas; Tereno, Susana; Tubach, Florence; Haddad, Alain; Guedeney, Antoine

2017-03-01

Individual supervision of home-visiting professionals has proved to be a key element for perinatal home-visiting programs. Although studies have been published concerning quality criteria for supervision in North American contexts, little is known about this subject in other national settings. In the context of the CAPEDP program (Compétences parentales et Attachement dans la Petite Enfance: Diminution des risques liés aux troubles de santé mentale et Promotion de la résilience; Parental Skills and Attachment in Early Childhood: Reducing Mental Health Risks and Promoting Resilience), the first randomized controlled perinatal mental health promotion research program to take place in France, this article describes the results of a study using the Delphi consensus method to identify the program supervisors' points of view concerning best practice for the individual supervision of home visitors involved in such programs. The final 18 recommendations could be grouped into four general themes: the organization and setting of supervision sessions; supervisor competencies; relationship between supervisor and supervisee; and supervisor intervention strategies within the supervision process. The quality criteria identified in this perinatal home-visiting program in the French cultural context underline the importance of clinical supervision and not just reflective supervision when working with families with multiple, highly complex needs. © 2017 Michigan Association for Infant Mental Health.

God attachment, mother attachment, and father attachment in early and middle adolescence.

Science.gov (United States)

Sim, Tick Ngee; Yow, Amanda Shixian

2011-06-01

The present study examined the interplay of attachment to God, attachment to mother, and attachment to father with respect to adjustment (hope, self-esteem, depression) for 130 early and 106 middle adolescents in Singapore. Results showed that the parental attachments were generally linked (in expected directions) to adjustment. God attachment, however, had unique results. At the bivariate level, God attachment was only linked to early adolescents' self-esteem. When considered together with parental attachments (including interactions), God attachment did not emerge as the key moderator in attachment interactions and yielded some unexpected results (e.g., being positively linked to depression). These results are discussed viz-a-viz the secure base and safe haven functions that God and parental attachments may play during adolescence.

Don't ignore the elephant in the room: How the intangible concept of place influences the decision-making process for flood resettlement in the Danube catchment

Science.gov (United States)

Thaler, Thomas; Seebauer, Sebastian; Babcicky, Philipp

2017-04-01

Flood risk management has developed a large inventory of adaptive responses to climate-induced and socio-economic driven hazards. This inventory comprises a wide array of structural and non-structural measures. Yet, one of the most effective responses is planned resettlement of people at risk, were largely ignored as a possible adaptation option towards climate changes in the national flood risk management policies. The study investigates current developments of flood relocation projects and introduces the theoretical concept of place attachment and identity to analyse the challenges when putting flood resettlement initiatives into practice. Two study sites in Austria (Eferdinger Basin and Machland region) illustrate the social and individual dynamics as relocation schemes unfold over time. The relocation scheme is voluntary with the authorities offering to buy out buildings at 80% of their estimated market values, but without compensating for devaluation of the building plot. Legal and administrative processes for executing relocations are well institutionalized. From an engineering standpoint, relocation is the most effective and cost-efficient adaptive response to flood risk in the study areas. However, the measure is socially and politically highly contested. For residents in relocation zones, many profound changes they are confronted with are linked to their place of living, such as iterms of their livelihood, e.g. by no longer passing the family agricultural business to the next generation; in terms of their self-identity, e.g. when tasked to reformulate everyday practices tied to the home left behind; or in terms of rebuilding social networks, e.g. when those who remain have to cope with the thinning out of trusted neighbours. To explore the role of place attachment and identity in individual decision-making, we conducted semi-structured interviews with residents. Our results show that place attachment and identity is a key factor guiding individual

Attachment styles, relationship satisfaction, and well-being in working women.

Science.gov (United States)

Towler, Annette J; Stuhlmacher, Alice F

2013-01-01

We propose and test a model connecting women's attachment styles, intimate relationship quality, workplace supervisor relationships, and well-being. The factors that lead to women's successful interaction patterns at home with a partner are suggested to be similar to successful interactions at work and are suggested to be related to well-being. A model was tested with data from 209 working women across various U.S. organizations. Women with an avoidance attachment style tended to have intimate relationships that were low in satisfaction and cohesion as well as low-quality relationships with their supervisors. Women in cohesive intimate relationships were likely to be satisfied with their job, experience low conflict at work, and report few physical symptoms. Women who had quality relationships with their superiors also had low conflict at work and were satisfied with their jobs. Results show important associations among social relationships at home and work related to quality of life.

[Home births].

Science.gov (United States)

Welffens, K; Kirkpatrick, C; Daelemans, C; Derisbourg, S

In Belgium, very few women give birth outside the delivery room. In the United Kingdom and in the Netherlands, they are more numerous. Several studies evaluated obstetric and neonatal outcomes of home births compared with hospital births. We selected seven recent and large studies (with cohorts of more than 5.000 women) using PubMed, Science Direct and Cochrane Database of Systematic Reviews. Several questions were examined. Is there any difference in maternal and neonatal outcomes depending on the intended place of birth? Does parity affect outcomes ? What are the characteristics of women who choose to deliver at home ? We conclude that giving birth at home improves obstetric outcomes but is riskier for the baby, especially for the first one. The women delivering at home are mainly white Europeans, between 25 and 35 years old, in a relationship, multiparous and wealthier. In order to avoid this increased risk for the baby while preserving the obstetric advantages, alongside birth centers offer an intermediate solution. They combine the reassuring home-like atmosphere with the safety of the hospital. In Belgium, the first alongside birth center " Le Cocon " (a low technicity unit distinct from the delivery room) offers now this type of alternative place of birth for women in Hôpital Erasme in Brussels.

Children with disrupted attachment histories: Interventions and psychophysiological indices of effects

NARCIS (Netherlands)

Schuengel, C.; Oosterman, M.; Sterkenburg, P.S.

2009-01-01

ABSTRACT: Diagnosis and treatment of children affected by disruptions of attachment (out of home placement, multiple changes of primary caregiver) is an area of considerable controversy. The possible contribution of psychobiological theories is discussed in three parts. The first part relates the

Breastfeeding, Parenting, and Infant Attachment Behaviors.

Science.gov (United States)

Gibbs, Benjamin G; Forste, Renata; Lybbert, Emily

2018-04-01

Objectives Infants and toddlers need secure attachments in order to develop the social competence required to successfully navigate later peer and adult relationships. Breastfeeding is a parenting factor that has been associated with child emotional development-specifically the attachment between children and their mothers. Yet, this link may simply be the result of other parenting behaviors that are associated with breastfeeding. Thus, our objective is to examine whether the link between infant attachment behaviors and breastfeeding endures when accounting for a broad array of in-depth measures of parenting. Methods We use the Early Childhood Longitudinal Study of children from 9 months to 2 years of age collected by the National Center for Education Statistics. Using Ordinary Least Squares regression, data analyses examine the association between the Toddler Attachment Sort-45 (TAS-45) measures of toddler-parent attachment (infant attachment security and temperamental dependency) and breastfeeding practices. We also examine individual items of the TAS-45 to isolate specific attachment behaviors that have the strongest associations with breastfeeding. Results We find an enduring link between children who are predominantly breastfed for six or more months and infant attachment security. However, we find no evidence that breastfeeding is linked to a child's temperamental dependency. Of the nine items used to examine infant attachment behaviors, we find that breastfed children are rated as having slightly higher scores on two measures ("warm and cuddly," "cooperative") and lower scores on one measure ("demanding/angry"). Conclusions for Practice Breastfeeding has an important link to the child's use of their caregiver as a secure base for exploration and a place of comfort when distressed (infant attachment security). Yet, breastfeeding does not appear to reduce a child's temperamental dependency or level of clinginess as measured by how demanding, fussy or

Compact cryogenic attachment for Moessbauer spectroscopy with microwave excitation

International Nuclear Information System (INIS)

Didenko, N.P.; Amelin, G.P.; Zelentsov, V.I.; Kaminskii, V.L.; Fedorov, N.P.; Fal'kovich, V.M.

1989-01-01

A compact cryogenic attachment is described that is placed on a standard helium Dewar flask and permits recording of Moessbauer spectra with excitation by millimeter-band radiation in the temperature range of 4.3-300 K. The design of the attachment allows operation with various gamma-radiation detectors in both horizontal and vertical Moessbauer measurement geometries and its placement in superconducting magnets with a large warm zone

Children with disrupted attachment histories: Interventions and psychophysiological indices of effects

Directory of Open Access Journals (Sweden)

Sterkenburg Paula S

2009-09-01

Full Text Available Abstract Diagnosis and treatment of children affected by disruptions of attachment (out of home placement, multiple changes of primary caregiver is an area of considerable controversy. The possible contribution of psychobiological theories is discussed in three parts. The first part relates the attachment theoretical perspective to major psychobiological theories on the developmental associations of parent-child relationships and emotional response. The second part reviews studies of autonomic reactivity and HPA-axis activity with foster children, showing that foster children show more reactivity within physiological systems facilitating fight or flight behaviours rather than social engagement, especially foster children with atypical attachment behaviour. The third part is focused on treatment of children suffering from the consequences of disrupted attachment, based on a psychotherapy study with psychophysiological outcome measures. Implications are discussed for theory, diagnosis, and intervention.

The power of place.

Science.gov (United States)

Lock, Lin R; Gibb, Heather J

2003-06-01

to describe the power that 'place' holds over the postnatal-care experiences of women. a study informed by phenomenology within a feminist framework was undertaken to examine the experiences of women electing early postnatal discharge. Three extended conversations with each woman participating in the study were audiotaped and transcribed. Journal notes made by the researcher added to the audiotaped data. Thematic analysis revealed major structures of experience. data were obtained from conversations with women in their respective homes. five women, parity 1-3, living in the Sydney metropolitan area and birthing in their local hospitals participated in the study. four major constructs of experience were revealed through analysis and include spatiality, corporeality, temporality and relationality. In this paper, components of spatiality expressed through the power place exerts in matters of physical environment,control, confidence, safety, time, talk and the heart of the matter are presented. the experiences of women entering the foreign place of hospital to birth their children were those of alienation and disempowerment while the familiar territory of home offered stronger feelings of security and support. failing to recognise the impact of place on the experiences of postnatal women reduces the likelihood that midwives will be able to offer sensitive and appropriate care.

A Sense of Place in the Science Classroom

Science.gov (United States)

Membiela, Pedro; DePalma, Renee; Pazos, Mercedes Suarez

2011-01-01

Place-based science education engages with the laboratories of complex reality where natural processes combine with social practice, going beyond the physical world, to encompass the meanings and sense of attachment local residents feel for places. This brief report describes how a university science methods class in a primary teacher training…

Branding the Destination Versus the Place

DEFF Research Database (Denmark)

Zenker, Sebastian; Braun, Erik; Petersen, Sibylle

2017-01-01

This article contributes to a broader understanding of how the branding of places affects both residents and tourists. While branding often relies on simplified messages, the effectiveness of such strategies for complex brands remains questionable. Residents in particular possess a confounded...... knowledge of the place and could disagree with simplified destination brands. To test the role of brand complexity for residents and tourists, we conducted two empirical studies (N = 765; N = 385), showing that, for residents, positive place attitude (i.e., place satisfaction, identification, and attachment......) and place behaviour (i.e., positive word-of-mouth) increase with a higher brand complexity. The second study shows that the positive relationship of brand complexity is stronger for residents than for tourists, supporting the conclusion that brand complexity is relevant for place brands, but that the place...

Experiences of the home-dwelling elderly in the use of telecare in home care services: a qualitative systematic review protocol.

Science.gov (United States)

Karlsen, Cecilie; Ludvigsen, Mette S; Moe, Carl E; Haraldstad, Kristin; Thygesen, Elin

2017-05-01

The objective of this systematic review is to identify and synthesize the best evidence on the home-dwelling elderly's experiences with the use of telecare in home care services. Furthermore, the study will identify experiences with telecare devices and examine what beliefs the home-dwelling elderly hold regarding the impact of telecare on the ability to age in place.Review question 1: How do the home-dwelling elderly experience the use of telecare in the context of home care services?Review question 2: How do the home-dwelling elderly experience telecare devices?Review question 3: What beliefs do the home-dwelling elderly hold regarding the impact of telecare on the ability to age in place?

AT HOME IN HOSPITAL? COMPETING CONSTRUCTIONS OF HOSPITAL ENVIRONMENTS

Directory of Open Access Journals (Sweden)

Peter Kellett

2009-03-01

Full Text Available Large institutions housed in large buildings are frequently regarded as the antithesis of personalised, small scale, domestic, home environments. However the attribute of ‘homeliness’ appears to be used more broadly to describe places where people feel a sense of attachment, control and identification. In a large multi-disciplinary study of a hospital rebuilding project in northern England a range of users were interviewed to ascertain their responses to the original older buildings and later the new purpose built hospital. We found both staff and patients retained a strong sense of affection for the older buildings and frequently used the language of home to describe their responses. In contrast, the newer buildings were generally recognised as efficient but impersonal, lacking many of the positive qualities they were familiar with. In addition some respondents suggested that despite efforts to include art projects, the new architectural language was inappropriate for healthcare, believing that small scale, ‘home-like’ environments were more conducive to health and well-being. The authors will draw on anthropological and architectural frameworks to analyse the data which consists of extensive interview transcripts complemented by photographs. The paper aims to understand the conceptualisations which underpin the various user responses and to offer a critique of the design language of the current healthcare building programme.

Introduction: At home in Asia? Place-making, belonging and citizenship in the Asian Century

NARCIS (Netherlands)

Chow, Y.F.; van Wichelen, S.; de Kloet, J.

2016-01-01

For the authors of this introduction, home is not always or only sweet home. For us, it is constructed with contradictions, ruptures and anxieties. Indeed, the world never fails to present us with ‘real’ people with ‘real’ issues of home. After ‘rescuing’ the idea of home from its two assumed

The method of attachment influences accelerometer-based activity data in dogs.

Science.gov (United States)

Martin, Kyle W; Olsen, Anastasia M; Duncan, Colleen G; Duerr, Felix M

2017-02-10

Accelerometer-based activity monitoring is a promising new tool in veterinary medicine used to objectively assess activity levels in dogs. To date, it is unknown how device orientation, attachment method, and attachment of a leash to the collar holding an accelerometer affect canine activity data. It was our goal to evaluate whether attachment methods of accelerometers affect activity counts. Eight healthy, client-owned dogs were fitted with two identical neck collars to which two identical activity monitors were attached using six different methods of attachment. These methods of attachment evaluated the use of a protective case, positioning of the activity monitor and the tightness of attachment of the accelerometer. Lastly, the effect of leash attachment to the collar was evaluated. For trials where the effect of leash attachment to the collar was not being studied, the leash was attached to a harness. Activity data obtained from separate monitors within a given experiment were compared using Pearson correlation coefficients and across all experiments using the Kruskal-Wallis Test. There was excellent correlation and low variability between activity monitors on separate collars when the leash was attached to a harness, regardless of their relative positions. There was good correlation when activity monitors were placed on the same collar regardless of orientation. There were poor correlations between activity monitors in three experiments: when the leash was fastened to the collar that held an activity monitor, when one activity monitor was housed in the protective casing, and when one activity monitor was loosely zip-tied to the collar rather than threaded on using the provided metal loop. Follow-up, pair-wise comparisons identified the correlation associated with these three methods of attachment to be statistically different from the level of correlation when monitors were placed on separate collars. While accelerometer-based activity monitors are useful

Experiencing contemporary cafés and changes in the characteristic of third places

Science.gov (United States)

Nurliani Lukito, Yulia; Puspita Xenia, Anneli

2018-03-01

The fast development of modern cafés in the city is related to the creation of urban public space. The idea of a café as a public space is not new but how a café creates a convenience public space for people with different backgrounds is still an interesting phenomenon. Modern cafés like Starbucks and Crematology – famously known as a sign of globalization and consumerism – have spread to both campus and working areas. Oldenburg distinguishes “third places” as the public places on neutral ground where people can gather, interact and enjoy the surroundings (Oldenburg, 1991). In contrast to first places (home) and second places (work), third places serve as places for social interaction and often considered anchors of community life. This paper discusses how modern cafés in UI campus and working areas actually show modifications for the characteristic of Oldenburg’s third places. The study tries to connect how modern cafés appear to be a remarkably social space where some of the barriers to social interaction declines and in the end will promote social attachment. The argument in this paper is that modern cafés offer a comforting and neutral, yet generic enough to lend itself to whatever meaning people want to use it. The method conducted is through direct observations and qualitative analyses of the Starbucks café located at Universitas Indonesia Depok campus and the Crematology café near Sudirman, Jakarta, as the case studies.

Ensuring Quality Nursing Home Care

Science.gov (United States)

... cases, you can also call the Department of Health. Nursing homes are required to post information on how you ... nursing homes in your area, go to Medicare’s Nursing Home Compare website at ... information is not intended to diagnose health problems or to take the place of medical ...

A review of attachment theory in the context of adolescent parenting.

Science.gov (United States)

Flaherty, Serena Cherry; Sadler, Lois S

2011-01-01

The purpose of this article is to review attachment theory and relate the attachment perspective to adolescent mothers and their children. Attachment theory explains positive maternal-infant attachment as a dyadic relationship between the infant and mother that provides the infant with a secure base from which to explore the world. With respect to cognitive, social, and behavioral domains, securely attached infants tend to have more favorable long-term outcomes, while insecurely attached infants are more likely to have adverse outcomes. Adolescent parenthood can disrupt normal adolescent development, and this disruption influences development of the emotional and cognitive capacities necessary for maternal behaviors that foster secure attachment. However, it appears that if specialized supports are in place to facilitate the process of developing attachment, infants of adolescent mothers can obtain higher rates of secure attachment than normative samples in this population. Copyright © 2011 National Association of Pediatric Nurse Practitioners. Published by Mosby, Inc. All rights reserved.

The Relationship between Maternal-Fetal Attachment and Mother-Infant Attachment Behaviors in Primiparous Women Referring to Mashhad Health Care Centers

Directory of Open Access Journals (Sweden)

Mahin Taffazoli

2015-04-01

Full Text Available Background & aim: Mother-infant bonding and interactions after childbirth are shaped by maternal-fetal attachment during pregnancy. Although many studies have shown the positive correlation between maternal-fetal attachment and mother-infant attachment behaviors, some controversial studies have shown otherwise. Therefore, this study aimed to evaluate the correlation between maternal-fetal attachment and mother-infant attachment behaviors in primiparous women. Methods:This descriptive correlational study was conducted on 100 primiparous women, referring to the selected heath care centers of Mashhad. Data were collected using Cranley's maternal–fetal attachment scale, Avant’s mother-infant attachment tool, Edinburgh postnatal depression scale, and a demographic/obstetric questionnaire including demographic data, obstetric information, delivery outcomes, and postpartum data. Pregnant women with a gestational age of 35-41 weeks, who met the inclusion criteria, completed Cranley's questionnaire, as well as the demographic/obstetric questionnaire. Four and eight weeks after delivery, the subjects were asked to complete the Edinburgh questionnaire and postpartum information; then, they were asked to breastfeed their infants on a chair in a quiet place for 15 minutes. The researcher observed the mothers’ behaviors toward their neonates. For data analysis, descriptive and analytical tests were performed, using SPSS version 16. Results: There was a direct positive relationship between maternal-fetal attachment and mothers’ emotional behaviors toward infants four and eight weeks after delivery. However, four and eight weeks after childbirth, no significant correlation was found between maternal-fetal attachment and mothers’ caring behaviors. Conclusion: According to the findings, maternal-fetal attachment is one of the most important factors for mother-infant attachment. These findings could be applied for enriching mother-infant attachment

Infant Attachment and Maternal Sensitivity in the Arab Minority in Israel.

Science.gov (United States)

Zreik, Ghadir; Oppenheim, David; Sagi-Schwartz, Abraham

2017-07-01

This study is the first to examine infant-mother attachment in the Arab culture. Eighty-five Arab 1-year-old infants from Israel were observed in the strange situation, and maternal sensitivity was assessed from home observations. Supporting attachment theory's normativity hypothesis, no differences were found between the Arab-Israeli attachment distribution and Jewish-Israeli, Western, and non-Western distributions when examined at the two-way secure versus insecure level, although a few differences emerged when examined at the four-way ABCD level. Supporting the sensitivity hypothesis, mothers of secure infants were more sensitive than those of insecure infants but only in the case of Christian (and not Muslim) mothers. The findings provide support to attachment theory's generalizability but raise questions regarding the assessment of maternal sensitivity cross-culturally. © 2016 The Authors. Child Development © 2016 Society for Research in Child Development, Inc.

Socioeconomic Differences and Trends in the Place of Death among Elderly People in China

Directory of Open Access Journals (Sweden)

Jiaoli Cai

2017-10-01

Full Text Available China is facing a dramatic aging of its population. Little is known about the factors that influence the place of death and the trends in the place of death for elderly people in China. The purposes of this study were: (1 to examine the impact of the socioeconomic status (SES on place of death for elderly Chinese residents; and (2 to assess temporal trends in the place of death over the last 15 years. Data were derived from the Chinese Longitudinal Healthy Longevity Survey (CLHLS (1998–2012. Place-of-death as an outcome was dichotomized into either death at home or death outside the home. Logistic regression analyses were used to examine the impact of SES on place of death. The results showed that, of the 23,098 deaths during the study period, 87.78% occurred at home. The overall trend in home death has increased since 2005. SES was shown to be an important factor affecting place of death. The elderly with higher SES were more likely to die where health resources were concentrated, i.e., in a hospital or other type of institution. Our finding suggests that the trend towards a greater emphasis on death at home may call for the development of more supportive home care programs in China. Our finding also suggests that the socioeconomic differences in the place of death may be related to the availability of or access to health care services.

Main - PLACE | LSDB Archive [Life Science Database Archive metadata

Lifescience Database Archive (English)

Full Text Available switchLanguage; BLAST Search Image Search Home About Archive Update History Data ...ilable. Data file File name: place_main.zip File URL: ftp://ftp.biosciencedbc.jp/archive/place/LATEST/place_...se Update History of This Database Site Policy | Contact Us Main - PLACE | LSDB Archive ...

Home, Smart Home

DEFF Research Database (Denmark)

Hansen, Ellen Kathrine; Olesen, Gitte Gylling Hammershøj; Mullins, Michael

2013-01-01

The article places focus on how smart technologies integrated in a one family- home and particular the window offer unique challenges and opportunities for designing buildings with the best possible environments for people and nature. Toward an interdisciplinary approach, we address the interaction...... between daylight defined in technical terms and daylight defined in aesthetic, architectural terms. Through field-tests of a Danish carbon-neutral home and an analysis of five key design parameters, we explore the contradictions and potentials in smart buildings, using the smart window as example of how...... to the energy design is central. The study illuminates an approach of the design of smart houses as living organisms by connecting technology with the needs of the occupants with the power and beauty of daylight....

Dependence on place: A source of autonomy in later life for older Māori.

Science.gov (United States)

Butcher, Elizabeth; Breheny, Mary

2016-04-01

Attachment to place is an important component of ageing. Although the importance of place for older people's well-being is known, the ways in which different conceptions of place and expectations for what later life may hold depend upon cultural beliefs, values, and expectations is underexplored. This study examined the ways that place influences experiences of ageing for older Māori in New Zealand. Eight interviews with older Māori were analysed thematically alongside field notes from a research visit. Attachment to place provided the foundation for experiences of ageing for older Māori. Through their connection to place, the participants drew on a comforting and comfortable dependence on land and family to enable autonomy in later life. Rather than seeking to maintain independence in terms of avoiding reliance on others, older Māori conceptualised older age through autonomy and freedom to live in accordance with Māori values encapsulated by whakawhanaungatanga. A good old age depended on balancing competing demands of living in wider society with attachment to place and Māori identity in later life. Copyright © 2016 Elsevier Inc. All rights reserved.

Flooded homes, broken bonds, the meaning of home, psychological processes and their impact on psychological health in a disaster.

Science.gov (United States)

Carroll, Bob; Morbey, Hazel; Balogh, Ruth; Araoz, Gonzalo

2009-06-01

In 2005, Carlisle suffered severe flooding and 1600 houses were affected. A qualitative research project to study the social and health impacts was undertaken. People whose homes had been flooded and workers who had supported them were interviewed. The findings showed that there was severe disruption to people's lives and severe damage to their homes, and many suffered from psychological health issues. Phenomenological and transactional perspectives are utilised to analyse the psychological processes (identity, attachment, alienation and dialectics) underlying the meaning of home and their impact on psychological health. Proposals for policy and practice are made.

Attachment of Escherichia coli and enterococci to particles in runoff.

Science.gov (United States)

Soupir, Michelle L; Mostaghimi, Saied; Dillaha, Theo

2010-01-01

Association of Escherichia coli and enterococci with particulates present in runoff from erodible soils has important implications for modeling the fate and transport of bacteria from agricultural sources and in the selection of management practices to reduce bacterial movement to surface waters. Three soils with different textures were collected from the Ap horizon (silty loam, silty clay loam, and loamy fine sand), placed in portable box plots, treated with standard cowpats, and placed under a rainfall simulator. Rainfall was applied to the plots until saturation-excess flow occurred for 30 min, and samples were collected 10, 20, and 30 min after initiation of the runoff event. The attachment of E. coli and enterococci to particles present in runoff was determined by a screen filtration and centrifugation procedure. Percentage of E. coli and enterococci attached to particulates in runoff ranged from 28 to 49%, with few statistically significant differences in attachment among the three soils. Similar partitioning release patterns were observed between E. coli and enterococci from the silty loam (r = 0.57) and silty clay loam soils (r = 0.60). At least 60% of all attached E. coli and enterococci were associated particles within an 8- to 62-microm particle size category. The results indicate that the majority of fecal bacteria attach to and are transported with manure colloids in sediment-laden flow regardless of the soil texture.

Taking stock of two decades of attachment transmission gap: broadening the assessment of maternal behavior.

Science.gov (United States)

Bernier, Annie; Matte-Gagné, Célia; Bélanger, Marie-Ève; Whipple, Natasha

2014-01-01

This report aimed to investigate the capacity of maternal behaviors tailored to children's attachment and exploration systems to jointly explain the well-known mother-child transmission of attachment. Four home visits were conducted between ages 7 months and 2 years with 130 mother-child dyads to assess maternal attachment state of mind, sensitivity, autonomy support, and mother-child attachment security. Results showed that together, maternal sensitivity and autonomy support fully accounted for the relation between maternal and child attachment, that they each accounted for a unique portion of this relation, and that the magnitude of these mediated pathways was equivalent. These results suggest that the attachment transmission gap can be narrowed by the use of a theory-driven multidimensional approach to maternal behavior. © 2014 The Authors. Child Development © 2014 Society for Research in Child Development, Inc.

There's no place like home: boarding surgical ICU patients in other ICUs and the effect of distances from the home unit.

Science.gov (United States)

Pascual, Jose L; Blank, Nicholas W; Holena, Daniel N; Robertson, Matthew P; Diop, Mouhamed; Allen, Steve R; Martin, Niels D; Kohl, Benjamin A; Sims, Carrie A; Schwab, C William; Reilly, Patrick M

2014-04-01

Intensive care units (ICUs) function frequently at capacity, requiring incoming critically ill patients to be placed in alternate geographically distinct ICUs. In some medical ICU populations, "boarding" in an overflow ICU has been associated with increased mortality. We hypothesized that surgical ICU patients experience more complications when boarding in an overflow ICU and that the frequency of these complications are greatest in boarders farthest from the home unit (HU). A 5-year (June 2005 to June 2010) retrospective review of a prospectively maintained ICU database was performed, and demographics, severity of illness, length of stay, and incidence of ICU complications were extracted. Distances between boarding patients' rooms and the HU were measured. Complications occurring in patients located in the same floor (BUSF) and different floor (BUDF) boarding units were compared and stratified by distance from HU to the patient room. Logistic regression was used to develop control for known confounders. A total of 7,793 patients were admitted to the HU and 833 to a boarding unit (BUSF, n = 712; BUDF, n = 121). Boarders were younger, had a lower length of stay, and Acute Physiology and Chronic Health Evaluation II and were more often trauma/emergency surgery patients. Compared with in-HU patients, the incidence of aspiration pneumonia (2.2% vs. 3.6%, p boarding patients particularly if they are located on a different floor or far from the HU. When surgical ICU bed availability forces overflow admissions to non-home ICUs, greater interdisciplinary awareness, education, and training may be needed to ensure equivalent care and outcomes. Epidemiologic study, level III. Therapeutic study, level IV.

Kodu käsitlused Jaan Kaplinski luules / The Concept of Home in Jaan Kaplinski’s Poetry

Directory of Open Access Journals (Sweden)

Ene-Reet Soovik

2013-12-01

Full Text Available The article focuses on the evolution of the concept of home in the poetry of Jaan Kaplinski, one of the internationally most acclaimed Estonian poets. The discussion draws on the understanding of the notion of home emerging in the classic works of the phenomenologically inclined human geographers Edward Relph and Yi-Fu Tuan, as well as the influential French philosopher Gaston Bachelard. Kaplinski’s early poetry features lonely wanderers who have been cast into the world; their being on the road is eternal with no points of security or attachment. Such poetry tends to be a poetry of homelessness that accepts the lack of the feeling of being at home. If the concept of home does appear, it is an abstract rather than a denoted space that can be experienced with the senses in an unmediated way.* This is connected with the human condition – being cast into the world in a state of existentialist alienation, the acknowledgement of which is the only way of creating a certain sense of belonging and fellow feeling with other people. It is difficult to differentiate between the feelings of being at home or in non-home in Kaplinski’s early poetry, which thus often features what might be termed as existentialist homes. For Bachelard, a home provides one with a sense of security, which the phenomenologist sees as being connected with one’s childhood home. When homes related to particular buildings appear in Kaplinski’s verse, these do not guarantee such security. They are perishable, crumbling houses that may disappear, particularly in a fire like that which consumed the centre of Tartu, the poet’s childhood home town, during WWII. Yet the texts that feature such an understanding of home become more dependent on bodily memory, on an actual reliving of space. The home that is retrospectively connected with the past may replace the more abstract existentialist home, but is no source of security, serving as an ephemeral home. However, Kaplinski�

A Cognitive Attachment Model of prolonged grief: integrating attachments, memory, and identity.

Science.gov (United States)

Maccallum, Fiona; Bryant, Richard A

2013-08-01

Prolonged grief (PG), otherwise known as complicated grief, has attracted much attention in recent years as a potentially debilitating condition that affects approximately 10% of bereaved people. We propose a model of PG that integrates processes of attachment, self-identity, and autobiographical memory. The paper commences with a discussion of the PG construct and reviews current evidence regarding the distinctiveness of PG from other bereavement related-outcomes. We then review the evidence regarding the dysfunctional attachments, appraisals, and coping styles that people with PG display. Recent evidence pertaining to the patterns of autobiographical memory in PG is described in the context of the self-memory system. This system provides a unifying framework to understand the roles of personal memories, identity, attachments, and coping responses in PG. The proposed model places emphasis on how one's sense of identity influences yearning, memories of the deceased, appraisals, and coping strategies, to maintain a focus on the loss. The model is discussed in relation to existing models of PG. The potential for shaping treatment strategies to shift perceptions of the self is then outlined. Finally, we outline future directions to test propositions stemming from the model and enhance our understanding of the mechanisms underlying PG. Copyright © 2013 Elsevier Ltd. All rights reserved.

Comparison of home and away-from-home physical activity using accelerometers and cellular network-based tracking devices.

Science.gov (United States)

Ramulu, Pradeep Y; Chan, Emilie S; Loyd, Tara L; Ferrucci, Luigi; Friedman, David S

2012-08-01

Measuring physical at home and away from home is essential for assessing health and well-being, and could help design interventions to increase physical activity. Here, we describe how physical activity at home and away from home can be quantified by combining information from cellular network-based tracking devices and accelerometers. Thirty-five working adults wore a cellular network-based tracking device and an accelerometer for 6 consecutive days and logged their travel away from home. Performance of the tracking device was determined using the travel log for reference. Tracking device and accelerometer data were merged to compare physical activity at home and away from home. The tracking device detected 98.6% of all away-from-home excursions, accurately measured time away from home and demonstrated few prolonged signal drop-out periods. Most physical activity took place away from home on weekdays, but not on weekends. Subjects were more physically active per unit of time while away from home, particularly on weekends. Cellular network-based tracking devices represent an alternative to global positioning systems for tracking location, and provide information easily integrated with accelerometers to determine where physical activity takes place. Promoting greater time spent away from home may increase physical activity.

[Place and type of meals consumed by adults in medium sized cities].

Science.gov (United States)

Carús, Juliana Pires; França, Giovanny V A; Barros, Aluísio J D

2014-02-01

To describe the meals consumed by adults living in a midsize city in the South of Brazil, according to the place and preparation. A population-based cross-sectional study was conducted in Pelotas, Southern Brazil, in 2012. The two-stage sampling design used the 2010 census tracts as primary sampling units. Data were collected on the place of meals (at home or out) and on the kind of preparations consumed at home (homemade, snacks, take away food) covering the two days prior to the interview, using a standardized questionnaire. The study included 2,927 adults, of which 59.0% were female, 60.0% were below 50 years of age and 58.0% were in work. Data were collected on 11,581 meals consumed on the two days preceding the interview, 25.0% were consumed outside of the home at lunchtime, and 10.0% at dinnertime. Considering home meals, most participants reported eating food prepared at home at both lunch and dinner. The majority of out-of-home meals (64.0% for lunch and 61.0% for dinner) were consumed in the work place, mostly based on food prepared at home. Individuals eating out of home were mostly male, young and highly educated. The occupational categories that ate at restaurants more often were trade workers, businessmen, teachers and graduate professionals. Despite the changes in eating patterns described in Brazil in recent years, residents of medium-sized towns still mostly eat at home, consuming homemade food. To describe the meals consumed by adults living in a midsize city in the South of Brazil, according to the place and preparation. A population-based cross-sectional study was conducted in Pelotas, Southern Brazil, in 2012. The two-stage sampling design used the 2010 census tracts as primary sampling units. Data were collected on the place of meals (at home or out) and on the kind of preparations consumed at home (homemade, snacks, take away food) covering the two days prior to the interview, using a standardized questionnaire. The study included 2,927 adults

[Maintaining patients' autonomy at home].

Science.gov (United States)

Niang, Bénédicte; Coudre, Jean Pierre

2015-01-01

To maintain the flow of hospital discharges, the patient's return home with support from a home nursing service is important. If any difficulties are identified, there are various programmes or good practices which can be put into place. The future law on adapting society to ageing also comprises a scheme combining home assistance and nursing care.

Village facilities and social place attachment in the rural Netherlands

NARCIS (Netherlands)

Gieling, J.; Haartsen, T.; Vermeij, Lotte; Svels, Kristina

Economies of scale and increased mobility have led to the closure of many village facilities. Most residents do not rely on locally available facilities anymore for their primary function. However, facilities are also meeting places. A decline in facilities may therefore negatively influence

Characteristics of visiting nurse agencies with high home death rates: A prefecture-wide study in Japan.

Science.gov (United States)

Kashiwagi, Masayo; Tamiya, Nanako; Murata, Masako

2015-08-01

The purpose of the present study was to identify characteristics of visiting nurse agencies (VNA) in Japan with high home death rates by a prefecture-wide survey. A cross-sectional study of visiting nurse agencies (n = 101) in Ibaraki Prefecture, Japan, was completed. Data included the basic characteristics of each VNA, the type of services provided, level of coordination with other service providers, total number of VNA patients who died per year and place of death and contractual relationship with home-care supporting clinics providing end-of-life care services in the home 24 h a day. The VNA characteristics were analyzed by logistic regression, using the home death rate per VNA as a dependent variable. A total 69 agencies, excluding those that did not report number of deaths (n = 14) and those without deaths during the year (n = 6), were analyzed. The median home death rate of the 69 VNA was 29.8%. The results of logistic regression analysis showed that higher home death rate was significantly associated with lack of attachment to a hospital, existence of a contractual relationship with home-care supporting clinics and existence of an interactive information exchange through telephone/face-to-face communication with attending physicians. In order to increase the home death rate of people using VNA, policymakers must consider establishing home-based service systems within the community that can provide home end-of-life care services 24 h a day, and support the interactive exchange of information between the visiting nurse and the attending physician. © 2014 The Authors. Geriatrics & Gerontology International published by Wiley Publishing Asia Pty Ltd on behalf of Japanese Geriatrics Society.

Place, Mobility, and Faculty Life: Mindfulness and Learning through Change

Science.gov (United States)

Greenwood, David A.

2015-01-01

Academics move a lot. In this autoethnographic essay, I explore aspects of mobility, rootedness, mindfulness, and learning though my own story of leaving a place I loved for a new place I was drawn to, a place where I have begun the long and uncertain process of building new relationships of attachment. We lead mobile lives, even as we learn to…

Infant Humor Perception from 3- to 6-months and Attachment at One Year

Science.gov (United States)

Mireault, Gina; Sparrow, John; Poutre, Merlin; Perdue, Brittany; Macke, Laura

2012-01-01

Infancy is a critical time for the development of secure attachment, which is facilitated by emotionally synchronous interactions with parents. Humor development, which includes shared laughter and joint attention to an event, emerges concurrently with attachment, but little is known regarding the relationship, if any, between humor development and attachment in the first year. Thirty 3-month-old infants were videoed at home each month until they were 6-months old while their parents attempted to amuse them. Frequency of infants’ smiles and laughs served as a measure of “state humor”, and the smiling/laughing subscale of the Infant Behavior Questionnaire-Revised served as a measure of “trait humor”. State and trait humor were not correlated. Lower trait humor as 6 months predicted higher attachment security on the Attachment Q-sort at 12-months (r=. 46), suggesting that less good-humored infants elicit greater parental engagement, which works to the benefit of attachment, or vice versa. Future studies should examine the importance of smiling and laughter as they relate to other developmental phenomena in the first year. PMID:22982281

Infant humor perception from 3- to 6-months and attachment at one year.

Science.gov (United States)

Mireault, Gina; Sparrow, John; Poutre, Merlin; Perdue, Brittany; Macke, Laura

2012-12-01

Infancy is a critical time for the development of secure attachment, which is facilitated by emotionally synchronous interactions with parents. Humor development, which includes shared laughter and joint attention to an event, emerges concurrently with attachment, but little is known regarding the relationship, if any, between humor development and attachment in the first year. Thirty 3-month-old infants were videoed at home each month until they were 6-months old while their parents attempted to amuse them. Frequency of infants' smiles and laughs served as a measure of "state humor", and the smiling/laughing subscale of the Infant Behavior Questionnaire-Revised served as a measure of "trait humor". State and trait humor were not correlated. Lower trait humor as 6 months predicted higher attachment security on the Attachment Q-sort at 12-months (r=.46), suggesting that less good-humored infants elicit greater parental engagement, which works to the benefit of attachment, or vice versa. Future studies should examine the importance of smiling and laughter as they relate to other developmental phenomena in the first year. Published by Elsevier Inc.

Adolescent attachment, family functioning and depressive symptoms

Directory of Open Access Journals (Sweden)

Nishola Rawatlal

2015-08-01

Full Text Available Background. Adolescence represents a challenging transitional period where changes in biological, emotional, cognitive and social domains can increase the risk of developing internalised problems including subthreshold depression. Adolescent-parent attachment style, perceived support and family functioning may increase risk for depressive symptoms or may reduce such risk. Adolescent-parent attachment, adolescent-perceived support from parents and family functioning were examined as correlates of depressive symptom presentation within this age group. Methods. Participants included a maternal parent and an adolescent (65.5% female from each family. Adolescents were in Grade 7 (n=175 or Grade 10 (n=31. Data were collected through home interviews. The Self-Report of Family Inventory (SFI, Experiences of Close Relationships Scale (ECR, Network of Relationships Inventory (NRI, Children’s Depression Inventory (CDI and Child Behavior Checklist (CBCL were used to assess depression, parental support and attachment.  Results. Two models were examined: one with adolescent report of depressive symptoms as the outcome and a second with parent report of adolescent internalising symptoms as the outcome. The model predicting adolescent-reported depressive symptoms was significant with older age, higher levels of avoidant attachment, and higher levels of youth-reported dysfunctional family interaction associated with more depressive symptomatology. In the model predicting parent report of adolescent internalising symptoms only higher levels of dysfunctional family interaction, as reported by the parent, were associated with higher levels of internalising symptoms. Conclusion. Positive family communication, cohesion and support predictive of a secure parent-adolescent attachment relationship reduced the risk of a depressive symptom outcome. Secure adolescents were able to regulate their emotions, knowing that they could seek out secure base attachment relations

Place-Based Education in Geoscience: Theory, Research, Practice, and Assessment

Science.gov (United States)

Semken, Steven; Ward, Emily Geraghty; Moosavi, Sadredin; Chinn, Pauline W. U.

2017-01-01

Place-based education (PBE) is a situated, context-rich, transdisciplinary teaching and learning modality distinguished by its unequivocal relationship to place, which is any locality that people have imbued with meanings and personal attachments through actual or vicarious experiences. As an observational and historical science, geoscience is…

The origins of cognitive vulnerability in early childhood: mechanisms linking early attachment to later depression.

Science.gov (United States)

Morley, Tara E; Moran, Greg

2011-11-01

This paper examines the theory and research linking attachment relationships to cognitive vulnerability to depression and assesses evidence that early attachment experiences contribute to the development of these cognitive processes. Most research in this area has involved adult participants using self-report measures of both attachment and depressive vulnerabilities and thus cannot convincingly speak to the existence of such a developmental pathway. Several studies, however, have followed individuals from infancy and examined the emergence of self-esteem and responses to failure throughout childhood and adolescence. These studies suggest that early experiences in non-secure attachment relationships place an individual at-risk for developing a cognitive framework that increases their vulnerability to depression following stressful life events. The paper concludes with a discussion of how future research might best explore specific mechanisms through which distinct attachment relationships may lead to divergent developmental pathways sharing the common outcome of cognitive processes that place individuals at risk for depression. Copyright © 2011 Elsevier Ltd. All rights reserved.

From location and (non-)place to place attachment and sense of place. An exploration of imagination as the key to transform spaces into places

NARCIS (Netherlands)

ter Avest, I.

2017-01-01

In our research1 we focus on the architectural characteristics of a location, seen as a precondition to appeal to the imaginative power of learners that plays a part in satisfying their (presupposed) spiritual hunger and longings for a better world. The concepts space, nonplace, and place, in their

Effect of certolizumab pegol with methotrexate on home and work place productivity and social activities in patients with active rheumatoid arthritis.

Science.gov (United States)

Kavanaugh, Arthur; Smolen, Josef S; Emery, Paul; Purcaru, Oana; Keystone, Edward; Richard, Lance; Strand, Vibeke; van Vollenhoven, Ronald F

2009-11-15

To assess the impact of certolizumab pegol (CZP), a novel PEGylated anti-tumor necrosis factor, in combination with methotrexate (MTX) on productivity outside and within the home, and on participation in family, social, and leisure activities in adult patients with rheumatoid arthritis (RA). The efficacy and safety of CZP (200 mg and 400 mg) plus MTX were assessed in 2 phase III, multicenter, double-blind, placebo-controlled trials (Rheumatoid Arthritis Prevention of Structural Damage [RAPID] 1 and RAPID 2). The novel, validated, RA-specific Work Productivity Survey (WPS-RA) was used to assess work place and home productivity. WPS-RA responses were collected at baseline and every 4 weeks until withdrawal/study completion. At baseline, 41.6% and 39.8% of subjects were employed outside the home in RAPID 1 and RAPID 2, respectively. Compared with placebo plus MTX, CZP plus MTX significantly reduced work absenteeism and presenteeism among patients working outside the home. Significant reductions in number of household days lost, household days with productivity reduced by >/=50%, and days lost due to RA for participation in family, social, and leisure activities were reported by patients in active treatment relative to placebo plus MTX. Improvements in all measures were observed with CZP plus MTX as early as week 4, and maintained until the study end (12 months in RAPID 1, 6 months in RAPID 2). Findings were consistent with clinical improvements with CZP plus MTX in both trials. CZP plus MTX improved productivity outside and within the home and resulted in more participation in social activities compared with placebo plus MTX. These observations suggest that considerable indirect cost gains might be achieved with this therapeutic agent in RA.

There′s no place like home: Boarding surgical ICU patients in other ICUs and the effect of distances from the home unit

Science.gov (United States)

Pascual, Jose L.; Blank, Nicholas W.; Holena, Daniel N.; Robertson, Matthew P.; Diop, Mouhamed; Allen, Steve R.; Martin, Niels D.; Kohl, Benjamin A.; Sims, Carrie A.; Schwab, C. William; Reilly, Patrick M.

2014-01-01

BACKGROUND Intensive care units (ICUs) function frequently at capacity, requiring incoming critically ill patients to be placed in alternate geographically distinct ICUs. In some medical ICU populations, “boarding” in an overflow ICU has been associated with increased mortality. We hypothesized that surgical ICU patients experience more complications when boarding in an overflow ICU and that the frequency of these complications are greatest in boarders farthest from the home unit (HU). METHODS A 5-year (June 2005 to June 2010) retrospective review of a prospectively maintained ICU database was performed, and demographics, severity of illness, length of stay, and incidence of ICU complications were extracted. Distances between boarding patients’ rooms and the HU were measured. Complications occurring in patients located in the same floor (BUSF) and different floor (BUDF) boarding units were compared and stratified by distance from HU to the patient room. Logistic regression was used to develop control for known confounders. RESULTS A total of 7,793 patients were admitted to the HU and 833 to a boarding unit (BUSF, n = 712; BUDF, n = 121). Boarders were younger, had a lower length of stay, and Acute Physiology and Chronic Health Evaluation II and were more of tentrauma/emergency surgery patients. Compared with in-HU patients, the incidence of aspiration pneumonia (2.2% vs. 3.6%, p boarding patients particularly if they are located on a different floor or far from the HU. When surgical ICU bed availability forces overflow admissions to non–home ICUs, greater interdisciplinary awareness, education, and training may be needed to ensure equivalent care and outcomes. LEVEL OF EVIDENCE Epidemiologic study, level III. Therapeutic study, level IV. PMID:24662877

Determinants of Labour Force Participation for Selected Groups With Weak Labour Market Attachment

DEFF Research Database (Denmark)

Le Maire, Daniel; Scheuer, Christian

2006-01-01

In this paper we evaluate the eects of economic incentives on the labour market participation for selected groups with weak labour market attachment. We argue that the people most likely to be affected by economic incentives are recipients of socialassistance and home-working housewives. Partner ...

Home Automation and Security System

OpenAIRE

Surinder Kaur,; Rashmi Singh; Neha Khairwal; Pratyk Jain

2016-01-01

Easy Home or Home automation plays a very important role in modern era because of its flexibility in using it at different places with high precision which will save money and time by decreasing human hard work. Prime focus of this technology is to control the household equipment’s like light, fan, door, AC etc. automatically. This research paper has detailed information on Home Automation and Security System using Arduino, GSM and how we can control home appliances using Android application....

Evaluating the Efficacy of an Attachment-Informed Psychotherapeutic Program for Incarcerated Parents

Science.gov (United States)

Kamptner, N. Laura; Teyber, Faith H.; Rockwood, Nicholas J.; Drzewiecki, Dolly

2017-01-01

An attachment-based, psychotherapeutic parent education course was created for incarcerated mothers and fathers to help improve their ability to provide positive parenting and a more stable home environment for their children. The current study assessed the effects of this parenting curriculum on parents' reported tendencies to be abusive, their…

Attachment of gaseous fission products to aerosols

International Nuclear Information System (INIS)

Skyrme, G.

1985-01-01

Accidents may occur in which the integrity of fuel cladding is breached and volatile fission products are released to the containment atmosphere. In order to assess the magnitude of the subsequent radiological hazard it is necessary to know the transport behaviour of such fission products. It is frequently assumed that the fission products remain in the gaseous phase. There is a possibility, however, that they may attach themselves to particles and hence substantially modify their transport properties. This paper provides a theoretical assessment of the conditions under which gaseous fission products may be attached to aerosol particles. Specific topics discussed are: the mass transfer of a gaseous fission product to an isolated aerosol particle in an infinite medium; the rate at which the concentration of fission products in the gas phase diminishes within a container as a result of deposition on a population of particles; and the distribution of deposited fission product between different particle sizes in a log-normal distribution. It is shown that, for a given mass, small particles are more efficient for fission product attachment, and that only small concentrations of such particles may be necessary to achieve rapid attachment. Conditions under which gaseous fission products are not attached to particles are also considered, viz, the competing processes of deposition onto the containment walls and onto aerosol particles, and the possibility of the removal of aerosols from the containment by various deposition processes, or agglomeration, before attachment takes place. (author)

Local Firms, Place and Social Responsibility

DEFF Research Database (Denmark)

Larsen, Jacob Norvig; Jensen, Jesper Ole

2010-01-01

Urban regeneration combining integrated and place-based approaches increasingly aims to involve private companies in social activities in neighbourhood revitalisation. The study examines three case studies in selected urban neighbourhoods in differently sized Danish towns and cities. The cases...... are investigated by means of field observations and interviews and supplemented with official statistics and planning documents. Findings show that in case of the big city neighbourhood, there is considerable incongruity between the views of public planners and company managers as regards what is at issue...... companies displayed much more attachment to the local place....

Reference - PLACE | LSDB Archive [Life Science Database Archive metadata

Lifescience Database Archive (English)

Full Text Available switchLanguage; BLAST Search Image Search Home About Archive Update History Data ...ailable. Data file File name: place_reference.zip File URL: ftp://ftp.biosciencedbc.jp/archive/place/LATEST/...ber About This Database Database Description Download License Update History of This Database Site Policy | Contact Us Reference - PLACE | LSDB Archive ...

Early Adverse Caregiving Experiences and Preschoolers' Current Attachment Affect Brain Responses during Facial Familiarity Processing: An ERP Study.

Science.gov (United States)

Kungl, Melanie T; Bovenschen, Ina; Spangler, Gottfried

2017-01-01

When being placed into more benign environments like foster care, children from adverse rearing backgrounds are capable of forming attachment relationships to new caregivers within the first year of placement, while certain problematic social behaviors appear to be more persistent. Assuming that early averse experiences shape neural circuits underlying social behavior, neurophysiological studies on individual differences in early social-information processing have great informative value. More precisely, ERP studies have repeatedly shown face processing to be sensitive to experience especially regarding the caregiving background. However, studies on effects of early adverse caregiving experiences are restricted to children with a history of institutionalization. Also, no study has investigated effects of attachment security as a marker of the quality of the caregiver-child relationship. Thus, the current study asks how adverse caregiving experiences and attachment security to (new) caregivers affect early- and mid-latency ERPs sensitive to facial familiarity processing. Therefore, pre-school aged foster children during their second year within the foster home were compared to an age matched control group. Attachment was assessed using the AQS and neurophysiological data was collected during a passive viewing task presenting (foster) mother and stranger faces. Foster children were comparable to the control group with regard to attachment security. On a neurophysiological level, however, the foster group showed dampened N170 amplitudes for both face types. In both foster and control children, dampened N170 amplitudes were also found for stranger as compared to (foster) mother faces, and, for insecurely attached children as compared to securely attached children. This neural pattern may be viewed as a result of poorer social interactions earlier in life. Still, there was no effect on P1 amplitudes. Indicating heightened attentional processing, Nc amplitude responses

Early Adverse Caregiving Experiences and Preschoolers' Current Attachment Affect Brain Responses during Facial Familiarity Processing: An ERP Study

Directory of Open Access Journals (Sweden)

Melanie T. Kungl

2017-12-01

Full Text Available When being placed into more benign environments like foster care, children from adverse rearing backgrounds are capable of forming attachment relationships to new caregivers within the first year of placement, while certain problematic social behaviors appear to be more persistent. Assuming that early averse experiences shape neural circuits underlying social behavior, neurophysiological studies on individual differences in early social-information processing have great informative value. More precisely, ERP studies have repeatedly shown face processing to be sensitive to experience especially regarding the caregiving background. However, studies on effects of early adverse caregiving experiences are restricted to children with a history of institutionalization. Also, no study has investigated effects of attachment security as a marker of the quality of the caregiver-child relationship. Thus, the current study asks how adverse caregiving experiences and attachment security to (new caregivers affect early- and mid-latency ERPs sensitive to facial familiarity processing. Therefore, pre-school aged foster children during their second year within the foster home were compared to an age matched control group. Attachment was assessed using the AQS and neurophysiological data was collected during a passive viewing task presenting (foster mother and stranger faces. Foster children were comparable to the control group with regard to attachment security. On a neurophysiological level, however, the foster group showed dampened N170 amplitudes for both face types. In both foster and control children, dampened N170 amplitudes were also found for stranger as compared to (foster mother faces, and, for insecurely attached children as compared to securely attached children. This neural pattern may be viewed as a result of poorer social interactions earlier in life. Still, there was no effect on P1 amplitudes. Indicating heightened attentional processing, Nc

Early Adverse Caregiving Experiences and Preschoolers' Current Attachment Affect Brain Responses during Facial Familiarity Processing: An ERP Study

Science.gov (United States)

Kungl, Melanie T.; Bovenschen, Ina; Spangler, Gottfried

2017-01-01

When being placed into more benign environments like foster care, children from adverse rearing backgrounds are capable of forming attachment relationships to new caregivers within the first year of placement, while certain problematic social behaviors appear to be more persistent. Assuming that early averse experiences shape neural circuits underlying social behavior, neurophysiological studies on individual differences in early social-information processing have great informative value. More precisely, ERP studies have repeatedly shown face processing to be sensitive to experience especially regarding the caregiving background. However, studies on effects of early adverse caregiving experiences are restricted to children with a history of institutionalization. Also, no study has investigated effects of attachment security as a marker of the quality of the caregiver-child relationship. Thus, the current study asks how adverse caregiving experiences and attachment security to (new) caregivers affect early- and mid-latency ERPs sensitive to facial familiarity processing. Therefore, pre-school aged foster children during their second year within the foster home were compared to an age matched control group. Attachment was assessed using the AQS and neurophysiological data was collected during a passive viewing task presenting (foster) mother and stranger faces. Foster children were comparable to the control group with regard to attachment security. On a neurophysiological level, however, the foster group showed dampened N170 amplitudes for both face types. In both foster and control children, dampened N170 amplitudes were also found for stranger as compared to (foster) mother faces, and, for insecurely attached children as compared to securely attached children. This neural pattern may be viewed as a result of poorer social interactions earlier in life. Still, there was no effect on P1 amplitudes. Indicating heightened attentional processing, Nc amplitude responses

Planned place of birth

DEFF Research Database (Denmark)

Overgaard, Charlotte; Coxon, Kirstie; Stewart, Mary

Title Planned place of birth: issues of choice, access and equity. Outline In Northern European countries, giving birth is generally safe for healthy women with uncomplicated pregnancies, and their babies. However, place of birth can affect women’s outcomes and experiences of birth. Whilst tertiary...... countries, maternity care is provided free to women, through public financing of health care; universal access to care is therefore secured. Nevertheless, different models of care exist, and debates about the appropriateness of providing maternity care in different settings take place in both countries...... in Denmark Coxon K et al: Planned place of birth in England: perceptions of accessing obstetric units, midwife led units and home birth amongst women and their partners. How these papers interrelate These papers draw upon recent research in maternity care, undertaken in Denmark and in England. In both...

The contribution of ecosystem services to place utility as a determinant of migration decision-making

Science.gov (United States)

Adams, Helen; Adger, W. Neil

2013-03-01

Environment migration research has sought to provide an account of how environmental risks and resources affect migration and mobility. Part of that effort has focused on the role of the environment in providing secure livelihoods through provisioning ecosystem services. However, many of the models of environment migration linkages fail to acknowledge the importance of social and psychological factors in the decision to migrate. Here, we seek to provide a more comprehensive model of migration decision-making under environmental change by investigating the attachment people form to place, and the role of the environment in creating that attachment. We hypothesize that environmental factors enter the migration decision-making process through their contribution to place utility, defined as a function of both affective and instrumental bonds to location, and that ecosystem services, the aspects of ecosystems that create wellbeing, contribute to both components of place utility. We test these ideas in four rural highland settlements in Peru sampled along an altitudinal gradient. We find that non-economic ecosystem services are important in creating place attachment and that ecological place attachment exists independently of use of provisioning ecosystem services. Individuals’ attitudes to ecosystem services vary with the type of ecosystem services available at a location and the degree of rurality. While social and economic factors are the dominant drivers of migration in these locations, a loss of non-provisioning ecosystem services leads to a decrease in place utility and commitment to place, determining factors in the decision to migrate. The findings suggest that policy interventions encouraging migration as an adaptation to environmental change will have limited success if they only focus on provisioning services. A much wider set of individuals will experience a decrease in place utility, and migration will be unable to alleviate that decrease since the factors

The contribution of ecosystem services to place utility as a determinant of migration decision-making

International Nuclear Information System (INIS)

Adams, Helen; Neil Adger, W

2013-01-01

Environment migration research has sought to provide an account of how environmental risks and resources affect migration and mobility. Part of that effort has focused on the role of the environment in providing secure livelihoods through provisioning ecosystem services. However, many of the models of environment migration linkages fail to acknowledge the importance of social and psychological factors in the decision to migrate. Here, we seek to provide a more comprehensive model of migration decision-making under environmental change by investigating the attachment people form to place, and the role of the environment in creating that attachment. We hypothesize that environmental factors enter the migration decision-making process through their contribution to place utility, defined as a function of both affective and instrumental bonds to location, and that ecosystem services, the aspects of ecosystems that create wellbeing, contribute to both components of place utility. We test these ideas in four rural highland settlements in Peru sampled along an altitudinal gradient. We find that non-economic ecosystem services are important in creating place attachment and that ecological place attachment exists independently of use of provisioning ecosystem services. Individuals’ attitudes to ecosystem services vary with the type of ecosystem services available at a location and the degree of rurality. While social and economic factors are the dominant drivers of migration in these locations, a loss of non-provisioning ecosystem services leads to a decrease in place utility and commitment to place, determining factors in the decision to migrate. The findings suggest that policy interventions encouraging migration as an adaptation to environmental change will have limited success if they only focus on provisioning services. A much wider set of individuals will experience a decrease in place utility, and migration will be unable to alleviate that decrease since the factors

Crisis homes for adult psychiatric patients

DEFF Research Database (Denmark)

Aagaard, Jørgen; Freiesleben, Michael; Foldager, Leslie

2008-01-01

INTRODUCTION: Inspired by the Crisis Home programme in Madison, we have adapted and evaluated the programme at the Community Mental Health (CMH) Centre in Tønder, Denmark. MATERIAL AND METHODS: Procedures and schedules from the Crisis Home programme were applied in this open trial. Questionnaire...... data concerning satisfaction with the stay and registration data concerning the admissions and bed days two years before and two years after the first stay were obtained. RESULTS: During four years, 52 different patients had a total of 187 stays in a crisis home. Twenty (38.5%) of the patients were...... attached to the ACT team. The average duration of the stays was 4.0 days. The number of readmissions and bed days after the first stay showed a significant downward tendency for the subgroup of patients with a more severe mental disorder, but not for the whole group. The patients, the crisis homes families...

Correlates of Smoke-Free Home Policies in Shanghai, China

Directory of Open Access Journals (Sweden)

Pinpin Zheng

2014-01-01

Full Text Available Background. Approximately 63.7% of nonsmokers in China are exposed to secondhand smoke (SHS in their homes. The current study documents the prevalence and correlates of smoke-free home policies in Shanghai, as well as reasons for implementing such a policy and places where smoking is most commonly allowed. Methods. We conducted in-person surveys of 500 participants using a multistage proportional random sampling design in an urban and suburban district. Results. Overall, 35.3% had a smoke-free home policy. In the logistic regression, having higher income, not having smokers in the home, having children in the home, having fewer friends/relatives who permit smoking at home, and not being a current smoker were correlates of having a smoke-free home policy P<0.05. Concern about the health impact of SHS was reportedly the most important reason for establishing a smoke-free home. Among participants with no or partial bans, the most common places where smoking was allowed included the living room (64.2%, kitchen (46.1%, and bathroom (33.8%. Conclusions. Smoke-free home policies were in place for a minority of households surveyed. Establishing such a policy was influenced by personal smoking behavior and social factors. These findings suggest an urgent need to promote smoke-free home policies through tobacco control programs.

Studies of Places on Our Home Ground Where We Find Life That Might Be Like Places Life Could Be On Other Worlds

Science.gov (United States)

Blank, J. G.

2015-12-01

I am interested in looking for strange places where we might find life. Not life like you and me, but tiny life, smaller than our eyes can see. Sometimes, this tiny life leaves marks on rocks or in water that is living there now or that it once lived there long ago. This can be very interesting - it means that we might be able to know that some kind of life lived long ago even if it's not living now. It might also mean that we can find marks of life far far away from our home, on other worlds. One day people will go to other worlds to look for life. We hope to find it or marks that it was once there. I am going to talk about two places I study. In one, rocks are forming in plain daylight, in water that is only as deep as your knee (or maybe less). They should not be there. It seems very possible that the tiny life helps them form there. I study these rocks and ways that tiny life might help the rocks form. Rocks usually last a lot longer than tiny life, so they are an example of a mark that could last for a long long time and be a sign that life was once around there, long after the tiny life died. I will also talk about tiny life that lives under ground in the dark in places big enough that you and I can walk to. By this I mean that there is a trail that leads under ground with enough space for people to enter and study. Of course, we need light to see there, so we bring man made light with us. This tiny life gets food to live from water and rock, not from the sun. The tiny life also makes new rocks, usually easy to see because they are different colors from the other rocks. Again, this is a mark of life, and I am interested in how the marks from tiny life are made, how long they might last, and how many different kinds of marks I can find.

Teaching Geoscience in Place for Local Diversity and Sustainability

Science.gov (United States)

Semken, S.

2008-12-01

Globalization, careerism, media, thoughtless consumption, standardized education and assessment, and even well-meaning advocacy for far-flung environments and people all divert our attention from meaningful interaction with our own surroundings. Meanwhile, many young Americans prefer virtual realities over personal intimacy with nature. Many have lost sight of the pedagogical power of places: localities imbued with meaning by human experience. To lack a sense of local places is to be oblivious to their environmental, cultural, and aesthetic importance, and to risk acceding to their degradation. The geosciences, born and rooted in exploration of environments, have much to lose from this trend but can be pivotal in helping to reverse it. Place-based teaching is situated in local physical and cultural environments and blends experiential learning, transdisciplinary and multicultural content, and service to the community. It is advocated for its relevance and potential to engage diverse students. Authentically place-based education is informed not only by scientific knowledge of places but also by the humanistic meanings and attachments affixed to them. Leveraging and enriching the senses of place of students, teachers, and the community is a defining and desirable learning outcome. We have researched and piloted several place-based approaches to geoscience teaching at various places in the Southwest USA: at a rural Tribal College, a large urban university, and a teacher in-service program at an underserved, minority-majority rural school district. Curricula are situated in complexly evolved, ruggedly beautiful desert-mountain physical landscapes coincident with multicultural, deeply historic, but rapidly changing cultural landscapes. The organizing theme is a cyclical path of inquiry through Earth and Sky, derived from Indigenous ethnogeology; syllabi integrate geology, hydrology, climate, environmental quality, and cultural geography and are situated in real places

A Study of the Association Between Multidisciplinary Home Care and Home Death Among Thai Palliative Care Patients.

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Nagaviroj, Kittiphon; Anothaisintawee, Thunyarat

2017-06-01

Many terminally ill patients would prefer to stay and die in their own homes, but unfortunately, some may not be able to do so. Although there are many factors associated with successful home deaths, receiving palliative home visits from the multidisciplinary care teams is one of the key factors that enable patients to die at home. Our study was aimed to find whether there was any association between our palliative home care program and home death. A retrospective study was conducted in the Department of Family Medicine at Ramathibodi Hospital between January 2012 and May 2014. All of the patients who were referred to multidisciplinary palliative care teams were included. The data set comprised of patient's profile, disease status, functional status, patient's symptoms, preferred place of death, frequency of home visits, types of team interventions, and patient's actual place of death. Multiple logistic regression was applied in order to determine the association between the variables and the probability of dying at home. A total of 142 patients were included into the study. At the end of the study, 50 (35.2%) patients died at home and 92 (64.8%) patients died in the hospital. The multivariate logistic regression analysis demonstrated a strong association between multidisciplinary home care and home death (odds ratio 6.57, 95% confidence interval [CI] 2.48-17.38). Palliative home care was a significant factor enabling patients who want to die at home. We encourage health policy makers to promote the development of community-based palliative care programs in Thailand.

A short-term longitudinal study of correlates and sequelae of attachment security in autism

Science.gov (United States)

Rozga, Agata; Hesse, Erik; Main, Mary; Duschinsky, Robbie; Beckwith, Leila; Sigman, Marian

2018-01-01

ABSTRACT In this short-term longitudinal study, 30 preschool-aged children with autism were first observed in Ainsworth’s Strange Situation Procedure and, separately, interacting with the primary caregiver in the home. One year later, each child completed both a developmental assessment and an observational assessment of empathic responding. Behaviors typical for children with autism were distinguished from behaviors suggestive of relationally based attachment disorganization. Forty-five percent of the children were classified as securely attached. The secure group demonstrated language skills superior to those of the insecurely attached group, concurrently and during the follow-up. Compared to parents of children who were insecurely attached, parents of securely attached children were rated as more sensitive. Compared to both organized insecure and disorganized children, secure children were rated as more responsive to an examiner’s apparent distress during the follow-up relative to their ratings at intake, whereas empathy ratings of children with insecure classifications did not increase. Importantly, attachment security was associated with empathy above and beyond the contribution of children’s language level. These results indicate that the sequelae of attachment security in autism may be similar to those documented for typically developing children. PMID:28959921

Insecure attachment and college-age alcohol use disorders. A case report.

Science.gov (United States)

Kotov, Kimberly M

2006-01-01

Teens and young adults with insecure attachment may be remarkably susceptible to alcohol and substance use disorders. Particularly in the separation process of leaving-home and entering college, an underlying insecure attachment may manifest through symptoms of alcohol or drug abuse; as these young adults engage in what is perceived to be adult drinking behavior, they become too "attached" to the alcohol as a substitute for earlier, sporadically-available objects (usually parents). That is, they enact a similar relationship to this drug that they may have learned to have with an insecure parent: too close at times, but ultimately fostering guilt, dependence and destructive action. Fear of abandonment, rejection and negative judgment may be intensified in this age group as they struggle at the cusp of independence, but these issues are particularly relevant for insecurely attached teens. In this report, attachment theory is briefly described and applied to the assessment and treatment of a college freshman diagnosed with an alcohol use disorder. By engaging the patient in evaluating her actions and motives through the attachment model, the therapy helps her to channel help-seeking behavior appropriately, to establish expectations for consistency and reliability from significant people in her life and to feel safer without turning to alcohol as a crutch. An argument is made for the general application of attachment theory to alcohol and drug use disorders in this significant phase of young adult development.

Effects of maternal absence due to employment on the quality of infant-mother attachment in a low-risk sample.

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Barglow, P; Vaughn, B E; Molitor, N

1987-08-01

Recent reports have suggested that day-care experience initiated prior to 12 months of age is associated with increased proportions of infants whose attachment to mother is classified as "insecure-avoidant." However, reviewers have questioned the generality of these findings, noting that samples in which associations between early day-care experience and avoidant attachment patterns have been reported come from high-risk populations, and/or that the infants' day-care settings may not have been of high quality. In the present study, effects of maternal absences on infant-mother attachment quality were assessed in a low-risk, middle-class sample (N = 110). In all instances, substitute care had been initiated at least 4 months prior to the infant's first birthday and was provided in the infant's home by a person unrelated to the baby. Infants were assessed using the Ainsworth Strange Situation when they were 12-13 months of age. Analyses indicated that a significantly greater proportion of infants whose mothers worked outside the home (N = 54) were assigned to the category "insecure-avoidant" as compared to infants whose mothers remained in the home (N = 56) throughout the first year of life. Analyses of demographic and psychological data available for the sample indicated that this relation is dependent upon maternal parity (primi- vs. multiparous mother). The association between attachment quality and work status was significant only for firstborn children of full-time working mothers. The results are interpreted as evidence that the repeated daily separations experienced by infants whose mothers are working full-time constitute a "risk" factor for the development of "insecure-avoidant" infant-mother attachments.

Place and type of meals consumed by adults in medium sized cities

Science.gov (United States)

Carús, Juliana Pires; França, Giovanny V A; Barros, Aluísio J D

2014-01-01

OBJECTIVE To describe the meals consumed by adults living in a midsize city in the South of Brazil, according to the place and preparation. METHODS A population-based cross-sectional study was conducted in Pelotas, Southern Brazil, in 2012. The two-stage sampling design used the 2010 census tracts as primary sampling units. Data were collected on the place of meals (at home or out) and on the kind of preparations consumed at home (homemade, snacks, take away food) covering the two days prior to the interview, using a standardized questionnaire. RESULTS The study included 2,927 adults, of which 59.0% were female, 60.0% were below 50 years of age and 58.0% were in work. Data were collected on 11,581 meals consumed on the two days preceding the interview, 25.0% were consumed outside of the home at lunchtime, and 10.0% at dinnertime. Considering home meals, most participants reported eating food prepared at home at both lunch and dinner. The majority of out-of-home meals (64.0% for lunch and 61.0% for dinner) were consumed in the work place, mostly based on food prepared at home. Individuals eating out of home were mostly male, young and highly educated. The occupational categories that ate at restaurants more often were trade workers, businessmen, teachers and graduate professionals. CONCLUSIONS Despite the changes in eating patterns described in Brazil in recent years, residents of medium-sized towns still mostly eat at home, consuming homemade food. PMID:24789639

Ageing in communal place

DEFF Research Database (Denmark)

Aarhus, Rikke; Ballegaard, Stinne Aaløkke; Grönvall, Erik

2009-01-01

In this paper we adopt the position that design of social media for the elderly and virtual senior communities may be informed by studying `real´senior communities. Since current research efforts target the role of social media and virtual communities for supporting seniors ageing in place, i.......e. in their homes, housing communities seems a natural place to begin this enquiry. We conducted observations and informal interviews in six different senior dwellings. In this paper we present the key findings from these visits related to social interaction and the formation of communities and explicate how...

Attachment, assessment, and psychological intervention: a case study of anorexia.

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Lis, Adriana; Mazzeschi, Claudia; Di Riso, Daniela; Salcuni, Silvia

2011-01-01

Attachment patterns and personality dimensions have always been considered important to the development and adaptation of the individual. The first aim of this article was to address some basic questions about the place of attachment in a multimethod assessment when compiling a complete picture of the patient's personality functioning. The second aim was to present the Adult Attachment Projective Picture System (AAP; George & West, 2001) as a valid and productive assessment measure. Based on a single case study of an anorexic young woman, the article demonstrates how the AAP is integrated with the Rorschach Comprehensive System (Exner, 1991, 1993) and other assessment tools in both the assessment and in developing a treatment plan.

Predictors of home death of home palliative cancer care patients: a cross-sectional nationwide survey.

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Fukui, Sakiko; Fujita, Junko; Tsujimura, Mayuko; Sumikawa, Yuka; Hayashi, Yayoi

2011-11-01

To identify factors influencing the place of death among home palliative cancer care patients, focusing on the role of nurses in terms of pre- and post-discharge from hospital to home care settings. A cross-sectional nationwide questionnaire survey was conducted at 1000 randomly selected homecare agencies in Japan. The questionnaires were completed by primary community nurses of home palliative patients just after their discharge. A total of 568 responses were analyzed (effective response rate, 69%). Multivariate logistic regression analysis revealed the following independent factors of place of death among those patients: desire for home death at referral by both patient and family caregiver; caregiver relationship to patient as daughter or daughter-in-law; totally bedridden functional status of patient; patient not suffering from depression and/or anxiety at referral; patients and caregivers duly informed about the dying process/death in detail, as well as instructed by community nurses about pain management and how to treat/prevent bedsores in home care settings. This study demonstrated the importance of both the hospital and community nurses' role in increasing the patients' chance of dying at home. Hospital nurses should support early transfer to home palliative care according to their assessment of the desire of patient/family caregiver for home death, the patients' clinical status, and caregivers' ability to provide patient care at home. Community nurses should inform patients/family caregiver in detail about the dying process/death just after discharge, relieve patient pain, treat/prevent bedsores, and instruct family caregivers on their symptom control. Crown Copyright © 2011. Published by Elsevier Ltd. All rights reserved.

Children's Literature as a Springboard to Place-Based Embodied Learning

Science.gov (United States)

Wason-Ellam, Linda

2010-01-01

Globalization makes living in the world more complex. Many children live as social cyborgs attached to the digital spaces of the virtual play worlds of television, video and computer games rather than connected to their own local places. The impact of this change may well be that children lack acquaintance with their local places and may never…

Client Involvement in Home Care Practice

DEFF Research Database (Denmark)

Glasdam, Stinne; Henriksen, Nina; Kjær, Lone

2013-01-01

, political and administrative frames that rule home- care practice. Client involvement is shown within four constructed analytical categories: ‘Structural conditions of providing and receiving home care’; ‘Client involvement inside the home: performing a professional task and living an everyday life......’; ‘Client involvement outside the home: liberal business and mutual goal setting’; and ‘Converting a home to a working place: refurnishing a life’. The meaning of involvement is depending on which position it is viewed from. On the basis of this analysis, we raise the question of the extent to which...

Explaining preferences for home surroundings and locations

DEFF Research Database (Denmark)

Andersen, Hans Skifter

2011-01-01

This article is based on a survey carried out in Denmark that asked a random sample of the population about their preferences for home surroundings and locations. It shows that the characteristics of social surroundings are very important and can be divided into three independent dimensions......: avoiding social nuisances, preferring social homogeneity and living close to one’s social network and place of origin. The study shows that most people have many detailed preferences, whereas some have very few. This confirms an earlier theory that some people are very connected to certain places...... with given characteristics and thus do not have priorities regarding home surroundings and locations. For others, mostly young people and singles, home is just a place to sleep and relax, whereas life is lived elsewhere. For this group, there are only preferences for location and there are few specific...

The Persistence of Neighboring as a Determinant of Community Attachment: A Community Field Perspective

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Sundblad, Daniel R.; Sapp, Stephen G.

2011-01-01

We examined the community field perspective as a complement to the linear-development and systemic models of community attachment, wherein community attachment is defined as a social bond to the community of place. We empirically evaluated indicators of the actor's interaction within the social field, such as the perceived quality of neighboring…

Evaluation of Cellular Shades in the PNNL Lab Homes

Energy Technology Data Exchange (ETDEWEB)

Petersen, Joseph M. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Sullivan, Greg [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Cort, Katherine A. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Metzger, Cheryn E. [Pacific Northwest National Lab. (PNNL), Richland, WA (United States); Merzouk, Massine [Pacific Northwest National Lab. (PNNL), Richland, WA (United States)

2016-11-01

This report examines the energy performance of cellular shade window coverings in a matched pair of all-electric, factory-built “Lab Homes” located on the Pacific Northwest National Laboratory (PNNL) campus in Richland, Washington. The 1500-square-foot homes were identical in construction and baseline performance, which allowed any difference in energy and thermal performance between the baseline home and the experimental home to be attributed to the retrofit technology installed in the experimental home. To assess the performance of high efficiency window attachments in a residential retrofit application, the building shell air leakage, energy use, and interior temperatures of each home were compared during the 2015 -2016 winter heating and summer cooling seasons. Hunter Douglas Duette® Architella® Trielle™ opaque honeycomb “cellular” shades were installed over double-pane clear-glass, aluminum-frame primary windows in the experimental home and were compared to identical primary windows with no window coverings and with standard typical white vinyl horizontal blind window coverings in the baseline home.

Paternal Attachment, Parenting Beliefs and Children's Attachment

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Howard, Kimberly S.

2010-01-01

Relationships between fathers' romantic attachment style, parenting beliefs and father-child attachment security and dependence were examined in a diverse sample of 72 fathers of young children. Paternal romantic attachment style was coded based on fathers' endorsement of a particular style represented in the Hazan and Shaver Three-Category…

Does hospital at home for palliative care facilitate death at home? Randomised controlled trial

Science.gov (United States)

Grande, Gunn E; Todd, Chris J; Barclay, Stephen I G; Farquhar, Morag C

1999-01-01

Objective To evaluate the impact on place of death of a hospital at home service for palliative care. Design Pragmatic randomised controlled trial. Setting Former Cambridge health district. Participants 229 patients referred to the hospital at home service; 43 randomised to control group (standard care), 186 randomised to hospital at home. Intervention Hospital at home versus standard care. Main outcome measures Place of death. Results Twenty five (58%) control patients died at home compared with 124 (67%) patients allocated to hospital at home. This difference was not significant; intention to treat analysis did not show that hospital at home increased the number of deaths at home. Seventy three patients randomised to hospital at home were not admitted to the service. Patients admitted to hospital at home were significantly more likely to die at home (88/113; 78%) than control patients. It is not possible to determine whether this was due to hospital at home itself or other characteristics of the patients admitted to the service. The study attained less statistical power than initially planned. Conclusion In a locality with good provision of standard community care we could not show that hospital at home allowed more patients to die at home, although neither does the study refute this. Problems relating to recruitment, attrition, and the vulnerability of the patient group make randomised controlled trials in palliative care difficult. While these difficulties have to be recognised they are not insurmountable with the appropriate resourcing and setting. Key messagesTerminally ill patients allocated to hospital at home were no more likely to die at home than patients receiving standard careAlthough the subsample of patients actually admitted to hospital at home did show a significant increase in likelihood of dying at home, whether this was due to the service itself or the characteristics of patients admitted to hospital at home could not be determinedThe need to

Preference of the place of death among people of Pune

Directory of Open Access Journals (Sweden)

Priyadarshini Kulkarni

2014-01-01

Conclusions: Helping people to die at their preferred place is a part of end-of-life care. Majority of people surveyed by us, prefer to die at home, where they are relatively more comfortable. Public and governmental policies should be directed toward facilitating home deaths.

Associations between motives for dish choice during home-meal preparation and diet quality in French adults: findings from the NutriNet-Santé study.

Science.gov (United States)

Ducrot, Pauline; Méjean, Caroline; Fassier, Philippine; Allès, Benjamin; Hercberg, Serge; Péneau, Sandrine

2017-03-01

A number of motives such as constraints or pleasure have been suggested to influence dish choices during home-meal preparation. However, no study has evaluated how the importance conferred to these motives potentially influence diet quality. The present study aims at investigating the difference in diet quality according to the importance attached by individuals to various dish choice motives. The importance of twenty-seven criteria related to dish choices on weekdays was evaluated among 48 010 French adults from the NutriNet-Santé study. ANCOVA and logistic regression models, adjusted for sociodemographic and lifestyle factors, were used to evaluate the association between the importance attached to dish choice motives (yes v. no) and energy and food group intakes, as well as adherence to French nutritional guidelines (modified Programme National Nutrition Santé-Guideline Score (mPNNS-GS)). A higher adherence to nutritional guidelines was observed in individuals attaching importance to a healthy diet (mPNNS-GS score 7·87 (sd 0·09) v. 7·39 (sd 0·09)) and specific diets (mPNNS-GS score 7·73 (sd 0·09) v. 7·53 (sd 0·09)), compared with those who attached little/no importance (all Pfoods compared with their respective counterparts (all Pmotives, that is, constraints, pleasure and organisation, only small differences were observed. The main difference in diet quality was related to the importance placed on a healthy diet. Although a causal link should be demonstrated, our findings suggested that strategies aiming at enabling people to take into account diet quality during home-meal preparation might be effective levers to promote healthy eating.

Email based remote access and surveillance system for smart home infrastructure

Directory of Open Access Journals (Sweden)

Pooshkar Rajiv

2016-09-01

Full Text Available With the rapid rise of Internet of Things in public domain, people expect fast, reliable and on-demand home security via the Internet. However, existing remote home surveillance systems place a very rigid constraint on authentication and require customized hardware and software. In this paper we have proposed an ingenious and reliable internet based, home access system for smart homes that can be easily deployed on generic hardware. The proposed architecture uses popular email service providers to notify and update the user about the home access. It sends an email to the owner with the attached picture of the person who is at the door. It also incorporates a protected mechanism to give access of the door to a remote user by responding to that email. It essentially means that we can view and give access to the person at our door via sending and receiving an email. Furthermore, an image processing based mechanism has also been incorporated to provide access without email, to few selected personnel who are trusted by the owner. It works by capturing and comparing the visitor's image with the stored images in the database. Perceptual hashing or fingerprint matching algorithm is used for comparison purposes. Similarity percentage based on hamming distance was evaluated, and the similarity threshold for providing access was set. The simulations were performed in rigorous environment. The efficiency of the hashing algorithm was found to be 97% at the similarity threshold of 95%. The results validate that the average latency is only 155 ms with low standard deviation. The CPU utilization remained quite low with a minimum value of 10 MHz and a maximum value of 30 MHz when the payload size of the sent mail was increased to 1500 kB. Thus, the proposed system can be used for developing a larger low power infrastructure.

No safe place: parental alcoholism and adolescent suicide.

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Meyer, D C; Phillips, W M

1990-10-01

A child growing up in an alcoholic home develops either little self-consolidation (I-ness) and efficacy (I can) or a distorted self (I am insignificant). This results in a desperate search for a soothing-object (We-ness). The sadomasochistic behaviors, which a youth witnesses and is subjected to, become internalized as survival skills, but ultimately fail. These factors set the stage for a destructive modus operandi. When there is peer group attachment pressure, this teen does not find security when questioning, "Who am I?" because there is no "I" and no "We". Instead, this adolescent experiences fear, anxiety, and range, and wonders, "What's going to happen to me?" This propels the youth into frantic behaviors that are meant to confirm a sense of "We-ness" and competence. The result, however, is greater frustration and a mirroring of the opposite. Also, since there is a diminutive capacity for trust and an exiguous chance to reach out or respond to significant others, external soothingness becomes unobtainable. When the adolescent is confronted with aloneness, helplessness, and hopelessness, desperation results and a search for a safe place ensues. Suicide holds such an illusion. It is the embodiment of sadomasochism and permits the cognition "I am capable." A case study illustrates the problems.

Low-E Storm Windows Gain Acceptance as a Home Weatherization Measure

Energy Technology Data Exchange (ETDEWEB)

Gilbride, Theresa L.; Cort, Katherine A.

2016-05-16

This article for Home Energy Magazine describes work by the U.S. Department of Energy to develop low-emissivity storm windows as an energy efficiency-retrofit option for existing homes. The article describes the low-emissivity invisible silver metal coatings on the glass, which reflect heat back into the home in winter or back outside in summer and the benefits of low-e storm windows including insulation, air sealing, noise blocking, protection of antique windows, etc. The article also describes Pacific Northwest National Laboratory's efforts on behalf of DOE to overcome market barriers to adoption of the technology, including performance validation studies in the PNNL Lab Homes, cost effectiveness analysis, production of reports, brochures, how-to guides on low-e storm window installation for the Building America Solution Center, and a video posted on YouTube. PNNL's efforts were reviewed by the Pacific Northwest Regional Technical Forum (RTF), which serves as the advisory board to the Pacific Northwest Electric Power Planning Council and Bonneville Power Administration. In late July 2015, the RTF approved the low-e storm window measure’s savings and specifications, a critical step in integrating low-e storm windows into energy-efficiency planning and utility weatherization and incentive programs. PNNL estimates that more than 90 million homes in the United States with single-pane or low-performing double-pane windows would benefit from the technology. Low-e storm windows are suitable not only for private residences but also for small commercial buildings, historic properties, and facilities that house residents, such as nursing homes, dormitories, and in-patient facilities. To further assist in the market transformation of low-e storm windows and other high-efficiency window attachments, DOE helped found the window Attachment Energy Rating Council (AERC) in 2015. AERC is an independent, public interest, non-profit organization whose mission is to rate

Impact of Maternal Attachment Style on Mother to Infant Attachment

Directory of Open Access Journals (Sweden)

Moghaddam Hoseini V

2011-08-01

Full Text Available Background and Objectives: Maternal attachment has the potential to affect both child development and parenting. As such, mother-infant attachment has been considered an important topic in recent years. The aim of this study was to determine the relationship between maternal adult attachment style, the maternal obstetric and demographic characteristics and mother-infant attachment.Methods: In this descriptive-correlational study, 102 women who had referred to health centers in Mashhad in 2008 and who had inclusion criteriawere selected using stratified cluster sampling. After interview about obstetric and demographic characteristics, they were asked to complete the "Revised Adult Attachment Scale" and "Mother to Infant Attachment Inventory" for assessment of maternal attachment style and mother-infant attachment 4-5 weeks after delivery. Data were analyzed by Pearson Correlation, Kruskal-wallis and Mann-whitney statistical tests.Results: In this study, themean of mother-infant attachment was found to be 97.486.12 and the mean of secure adult attachment was higher than that of other styles (16.893.97. Although, there were negative significant relationship between maternal avoidant style and mother-infant attachment (p=0.037,r=-0/20, there were no relationship between maternal age and education, parity, type of delivery and mother-infant attachment.Conclusion: The results of this research show that maternal attachment style is one of the factors of mother -infant attachment.

Practices of depression care in home health care: Home health clinician perspectives

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Bao, Yuhua; Eggman, Ashley A.; Richardson, Joshua E.; Sheeran, Thomas; Bruce, Martha L.

2015-01-01

Objective To assess any gaps between published best practices and real-world practices of treating depression in home health care (HHC), and barriers to closing any gaps. Methods A qualitative study based on semi-structured interviews with HHC nurses and administrators from five home health agencies in five states (n=20). Audio-recorded interviews were transcribed and analyzed by a multi-disciplinary team using grounded theory method to identify themes. Results Routine home health nursing care overlapped with all functional areas of depression care. However, there were reported gaps between best practices and real-world practices. Gaps were associated with perceived scope of practice by HHC nurses, knowledge gaps and low self-efficacy in depression treatment, stigma attached to depression, poor quality of antidepressant management in primary care, and poor communication between HHC and primary care. Conclusions Strategies to close gaps between typical and best practices need to enhance HHC clinician knowledge and self-efficacy with depression treatment and improve the quality of antidepressant management and communication with primary care. PMID:26423098

Genetics Home Reference: blepharocheilodontic syndrome

Science.gov (United States)

... and mouth. This protein is involved in the attachment of cells to one another (cell adhesion). The p120-catenin protein helps keep E-cadherin in its proper place in the cell membrane, preventing it from being ...

Study Of Lampungnese Traditional Home Garden Design

Science.gov (United States)

Pratiwi, R. A.; Gunawan

2017-10-01

Lampung is one area in Indonesia which has a traditional culture that comes from two groups of descents, they are ulun Lampung Pepadun and ulun Lampung Saibatin. Lampungnese traditional culture has been well-known by Indonesian people for its traditional dances, traditional clothing, or traditional home architecture. However, Lampungnese traditional home garden recently may not yet been described. Information related to Lampungnese traditional home garden is still very limited and it does not yet represented the culture based design concept. This research was directed to identify the elements of the home garden and map it into design concept of the Lampungnese traditional home garden based on information of Lampungnese traditional culture. The study was conducted by using descriptive approach through literature review, interviews and cultural exploration, as well as field observation. The study was able to identify the elements forming the Lampungnese traditional home garden, namely gakhang hadap, walai, outdoor kitchenette, firewood place, outdoor kitchen, livestock barns, as well as plants. Space layout of the home garden comprises front yard (tengahbah/terambah/beruan), side yard (kebik/kakebik), and backyard (kudan/juyu/kebon). Each element of the garden is located in the right place of the space layout.

Preference of the place of death among people of pune.

Science.gov (United States)

Kulkarni, Priyadarshini; Kulkarni, Pradeep; Anavkar, Vrushali; Ghooi, Ravindra

2014-05-01

Provision of end-of-life care requires that we have adequate information about the preferred place of death in the population. Since no such study is reported in India, this study was taken up in and around Pune, a large cosmopolitan city. A questionnaire was designed in three parts and distributed among the people above the age of 18 in and around Pune. The questionnaire had three parts the first being a consent form, followed by one for collection of personal information and lastly questions specific to the subject matter. Filled forms were screened for inconsistencies, gaps of information and errors. The population survey was mixed, both urban and rural, men and women, educated and uneducated, young and old. Despite this heterogeneity, the results were consistent to the point that most of the people surveyed preferred home as the place of death. This preference cuts across all barriers, the only difference being that women had a stronger preference for home death compared to men. Helping people to die at their preferred place is a part of end-of-life care. Majority of people surveyed by us, prefer to die at home, where they are relatively more comfortable. Public and governmental policies should be directed toward facilitating home deaths.

76 FR 18366 - Federal Home Loan Bank Liabilities

Science.gov (United States)

2011-04-04

... attachment for Book-entry consolidated obligations. 1270.19 Reference to certain Department of Treasury... authorized Federal Home Loan Bank (Bank) liabilities and book-entry procedures for COs, as new part 1270 of... Agency and Recent Legislation Effective July 30, 2008, the Housing and Economic Recovery Act of 2008...

System and method for optimal load and source scheduling in context aware homes

Science.gov (United States)

Shetty, Pradeep; Foslien Graber, Wendy; Mangsuli, Purnaprajna R.; Kolavennu, Soumitri N.; Curtner, Keith L.

2018-01-23

A controller for controlling energy consumption in a home includes a constraints engine to define variables for multiple appliances in the home corresponding to various home modes and persona of an occupant of the home. A modeling engine models multiple paths of energy utilization of the multiple appliances to place the home into a desired state from a current context. An optimal scheduler receives the multiple paths of energy utilization and generates a schedule as a function of the multiple paths and a selected persona to place the home in a desired state.

Home or hospital? Midwife or physician? Preferences for maternity care provider and place of birth among Western Australian students.

Science.gov (United States)

Stoll, Kathrin H; Hauck, Yvonne L; Hall, Wendy A

2016-02-01

Australian caesarean birth rates have exceeded 30% in most states and are approaching 45%, on average, in private hospitals. Australian midwifery practice occurs almost exclusively in hospitals; less than 3% of women deliver at home or in birthing centres. It is unclear whether the trend towards hospital-based, high interventionist birth reflects preferences of the next generation of maternity care consumers. We conducted a descriptive cross-sectional online survey of 760 Western Australian (WA) university students in 2014, to examine their preferences for place of birth, type of maternity care, mode of birth and attitudes towards birth. More students who preferred midwives (35.8%) had vaginal birth intentions, contested statements that birth is unpredictable and risky, and valued patient-provider relationships. More students who preferred obstetricians (21.8%) expressed concerns about childbirth safety, feared birth, held favourable views towards obstetric technology, and expressed concerns about the impact of pregnancy and birth on the female body. One in 8 students preferred out-of-hospital birth settings, supporting consumer demand for midwife-attended births at home and in birthing centres. Stories and experiences of friends and family shaped students' care provider preferences, rather than the media or information learned at school. Students who express preferences for midwives have significantly different views about birth compared to students who prefer obstetricians. Increasing access to midwifery care in all settings (hospital, birthing centre and home) is a cost effective strategy to decrease obstetric interventions for low risk women and a desirable option for the next generation. Copyright © 2015 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

[Effects of an infant/toddler health program on parenting knowledge, behavior, confidence, and home environment in low-income mothers].

Science.gov (United States)

Lee, Gyungjoo; Yang, Soo; Jang, Mi Heui; Yeom, Mijung

2012-10-01

This study was conducted to evaluate the effectiveness of a mother/infant-toddler health program developed to enhance parenting knowledge, behavior and confidence in low income mothers and home environment. A one-group pretest-posttest quasi-experimental design was used. Sixty-nine dyads of mothers and infant-toddlers (aged 0-36 months) were provided with weekly intervention for seven session. Each session consisted of three parts; first, educating to increase integrated knowledge related to the development of the infant/toddler including nutrition, first aid and home environment; second, counseling to share parenting experience among the mothers and to increase their nurturing confidence; third, playing with the infant/toddler to facilitate attachment-based parenting behavior for the mothers. Following the programs, there were significant increases in parenting knowledge on nutrition and first aid. A significant improvement was found in attachment-based parenting behavior, but not in home safety practice. Nurturing confidence was not significantly increased. The program led to more positive home environment for infant/toddler's health and development. The findings provide evidence for mother-infant/toddler health program to improve parenting knowledge, attachment-based parenting behavior and better home environment in low income mothers. Study of the long term effectiveness of this program is recommended for future research.

Emotional attachment and emotional availability tele-intervention for adoptive families.

Science.gov (United States)

Baker, Megan; Biringen, Zeynep; Meyer-Parsons, Beatrice; Schneider, Abby

2015-01-01

This study evaluated the new online Emotional Attachment and Emotional Availability (EA2) Intervention for use with adoptive families in enhancing parent-child EA, parental perceptions of EA, child attachment behaviors, parent-child emotional attachment, and reducing parent-reported child behavioral problems and parenting-related stress. Participants in this study were adoptive parents and their adopted children ages 1.5 to 5 years old (N = 15 dyads). Participants were placed in an immediate intervention group (IG) or a delayed intervention group (DG) that would receive the 6-week EA2 Tele-Intervention after the IG. Results revealed significant differences in the IG in child behavioral problems, parent-child EA, parental perceptions of EA, and parent-child emotional attachment, improvements not seen in the DG. Analysis of effects of the DG after receiving the EA2 Tele-Intervention revealed significant differences over time also in most of these qualities. © 2015 Michigan Association for Infant Mental Health.

Associations between eating occasions and places of consumption among adults.

Science.gov (United States)

Liu, Jodi L; Han, Bing; Cohen, Deborah A

2015-04-01

The objective of this study was to determine whether places of consumption are associated with types of eating occasions. Data on dietary behaviors of 226 adults in five U.S. cities were collected in food diaries for one week. Types of eating occasions and places of consumption were recorded. Eating occasions were defined as occurrences of meal, snack, beverage, and non-fruit dessert consumption. Nearly one-third of eating occasions occurred at non-designated eating places. Repeated measure generalized linear models were used to assess the associations between types of eating occasions and places where food was consumed. Snacking on low-nutrient foods were more likely to occur in non-designated eating places. Snacking was more likely at work than at home, and sugar sweetened beverage consumption was more likely at food service outlets than at home. The finding that places of consumption were associated with different types of eating occasions suggests that contextual characteristics of a place are important in individual eating behaviors. Policies and programs aiming to promote healthy eating should leverage contextual characteristics of eating environments. Copyright © 2014 Elsevier Ltd. All rights reserved.

Impact of Maternal Attachment Style on Mother to Infant Attachment

Directory of Open Access Journals (Sweden)

V Moghaddam Hoseini

2012-05-01

Full Text Available

Background and Objectives: Maternal attachment has the potential to affect both child development and parenting. As such, mother-infant attachment has been considered an important topic in recent years. The aim of this study was to determine the relationship between maternal adult attachment style, the maternal obstetric and demographic characteristics and mother-infant attachment.

Methods: In this descriptive-correlational study, 102 women who had referred to health centers in Mashhad in 2008 and who had inclusion criteriawere selected using stratified cluster sampling. After interview about obstetric and demographic characteristics, they were asked to complete the "Revised Adult Attachment Scale" and "Mother to Infant Attachment Inventory" for assessment of maternal attachment style and mother-infant attachment 4-5 weeks after delivery. Data were analyzed by Pearson Correlation, Kruskal-wallis and Mann-whitney statistical tests.

Results: In this study, themean of mother-infant attachment was found to be 97.48±6.12 and the mean of secure adult attachment was higher than that of other styles (16.89±3.97. Although, there were negative significant relationship between maternal avoidant style and mother-infant attachment (p=0.037,r=-0/20, there were no relationship between maternal age and education, parity, type of delivery and mother-infant attachment.

Conclusion: The results of this research show that maternal attachment style is one of the factors of mother -infant attachment.

Cross-national differences in the labour force attachment of mothers in Western and Eastern Europe

NARCIS (Netherlands)

Gauthier, A.H.

2012-01-01

This paper examines cross-national differences in the labour force attachment of two specific subgroups of mothers: the stay-at-home mothers (homemakers) and those on maternity or parental leave. The justification for focusing on homemakers is that these women constitute an untapped source of labour

The Effect of Community-Based Specialist Palliative Care Teams on Place of Care.

Science.gov (United States)

Seow, Hsien; Dhaliwal, Gagan; Fassbender, Konrad; Rangrej, Jagadish; Brazil, Kevin; Fainsinger, Robin

2016-01-01

Prior research on community-based specialist palliative care teams used outcome measures of place of death and/or dichotomous outcome measures of acute care use in the last two weeks of life. However, existing research seldom measured the diverse places of care used and their timing prior to death. The study objective was to examine the place of care in the last 30 days of life. In this retrospective cohort study, patients who received care from a specialist palliative care team (exposed) were matched by propensity score to patients who received usual care in the community (unexposed) in Ontario, Canada. Measured was the percentage of patients in each place of care in the last month of life as a proportion of the total cohort. After matching, 3109 patients were identified in each group, where 79% had cancer and 77% received end-of-life home care. At 30 days compared to 7 days before death, the exposed group's proportions rose from 33% to 41% receiving home care and 14% to 15% in hospital, whereas the unexposed group's proportions rose from 28% to 32% receiving home care and 16% to 22% in hospital. Linear trend analysis (proportion over time) showed that the exposed group used significantly more home care services and fewer hospital days (p care. Examining place of care in the last month can effectively illustrate the service use trajectory over time.

Repositioning identity in conceptualizations human-place bonding

Science.gov (United States)

James D. Absher

2010-01-01

In this investigation, we adapted identity theory (references) to reassess a conceptualization of place attachment – an attitudinal construct used by environmental psychologists to describe people‘s bonding to the physical landscape. Past work has conceptualized the construct in terms of three components; cognitive, affective and conative elements. Based on the tents...

A home-visiting intervention targeting determinants of infant mental health: the study protocol for the CAPEDP randomized controlled trial in France

Directory of Open Access Journals (Sweden)

Tubach Florence

2012-08-01

Full Text Available Abstract Background Several studies suggest that the number of risk factors rather than their nature is key to mental health disorders in childhood. Method and design The objective of this multicentre randomized controlled parallel trial (PROBE methodology is to assess the impact in a multi-risk French urban sample of a home-visiting program targeting child mental health and its major determinants. This paper describes the protocol of this study. In the study, pregnant women were eligible if they were: living in the intervention area; able to speak French, less than 26 years old; having their first child; less than 27 weeks of amenorrhea; and if at least one of the following criteria were true: less than twelve years of education, intending to bring up their child without the presence of the child’s father, and 3 low income. Participants were randomized into either the intervention or the control group. All had access to usual care in mother-child centres and community mental health services free of charge in every neighbourhood. Psychologists conducted all home visits, which were planned on a weekly basis from the 7th month of pregnancy and progressively decreasing in frequency until the child’s second birthday. Principle outcome measures included child mental health at 24 months and two major mediating variables for infant mental health: postnatal maternal depression and the quality of the caring environment. A total of 440 families were recruited, of which a subsample of 120 families received specific attachment and caregiver behaviour assessment. Assessment was conducted by an independent assessment team during home visits and, for the attachment study, in a specifically created Attachment Assessment laboratory. Discussion The CAPEDP study is the first large-scale randomised, controlled infant mental health promotion programme to take place in France. A major specificity of the program was that all home visits were conducted by

A home-visiting intervention targeting determinants of infant mental health: the study protocol for the CAPEDP randomized controlled trial in France.

Science.gov (United States)

Tubach, Florence; Greacen, Tim; Saïas, Thomas; Dugravier, Romain; Guedeney, Nicole; Ravaud, Philippe; Tereno, Susana; Tremblay, Richard; Falissard, Bruno; Guedeney, Antoine

2012-08-13

Several studies suggest that the number of risk factors rather than their nature is key to mental health disorders in childhood. The objective of this multicentre randomized controlled parallel trial (PROBE methodology) is to assess the impact in a multi-risk French urban sample of a home-visiting program targeting child mental health and its major determinants. This paper describes the protocol of this study. In the study, pregnant women were eligible if they were: living in the intervention area; able to speak French, less than 26 years old; having their first child; less than 27 weeks of amenorrhea; and if at least one of the following criteria were true: less than twelve years of education, intending to bring up their child without the presence of the child's father, and 3) low income. Participants were randomized into either the intervention or the control group. All had access to usual care in mother-child centres and community mental health services free of charge in every neighbourhood. Psychologists conducted all home visits, which were planned on a weekly basis from the 7th month of pregnancy and progressively decreasing in frequency until the child's second birthday. Principle outcome measures included child mental health at 24 months and two major mediating variables for infant mental health: postnatal maternal depression and the quality of the caring environment. A total of 440 families were recruited, of which a subsample of 120 families received specific attachment and caregiver behaviour assessment. Assessment was conducted by an independent assessment team during home visits and, for the attachment study, in a specifically created Attachment Assessment laboratory. The CAPEDP study is the first large-scale randomised, controlled infant mental health promotion programme to take place in France. A major specificity of the program was that all home visits were conducted by specifically trained, supervised psychologists rather than nurses

Risk Factors of Entry in Out-of-Home Care

DEFF Research Database (Denmark)

Ejrnæs, Mette; Ejrnæs, Niels Morten; Frederiksen, Signe

2011-01-01

. The mother’s characteristics are more important risk factors than the corresponding risk factors of the father. The results, the applied method and the epidemiological inspired analysis make an opportunity to discuss the central concepts and methods of calculation of statistical association, risk, prediction......This paper presents the results of research on children’s risk of being placed in out-of-home care. The purpose is: firstly, to compare children placed in out-of-home care with non-placed children, secondly, to estimate the children’s risk of entry into care and finally, to compare the results...... of this study with the results from similar studies. The study is based on register data from the Statistics Denmark. The sample includes all children with Danish citizenship who were born 1981–2003. In order to estimate the risk of being placed in out-of-home care, we use information about the child...

How do people with different attachment styles balance work and family? A personality perspective on work-family linkage.

Science.gov (United States)

Sumer, H C; Knight, P A

2001-08-01

This study explored whether different models of work-family relationship were possible for individuals with different attachment styles. A mail survey was conducted using employees (N = 481) at a midwestern university in the United States. Results suggested that (a) individuals with a preoccupied attachment pattern were more likely to experience negative spillover from the family/home to the work domain than those with a secure or dismissing style, (b) securely attached individuals experienced positive spillover in both work and family domains more than those in the other groups, and (c) preoccupied individuals were much less likely to use a segmentation strategy than the other 3 attachment groups. However, when the conventional job satisfaction life satisfaction relationship was examined, the data provided unique support for the spillover model. Implications of the findings for both attachment and work family relationship literatures are discussed.

Electron attachment cross sections obtained from electron attachment spectroscopy

International Nuclear Information System (INIS)

Popp, P.; Baumbach, J.I.; Leonhardt, J.W.; Mothes, S.

1988-01-01

Electron capture detectors have a high sensitivity for substances with high thermal electron attachment cross sections. The electron attachment spectroscopy makes it possible to change the mean electron energy in such a way that the maximum for dissociative electron attachment is reached. Thus, best operation modes of the detection system as well as significant dependencies of electron attachment coefficients are available. Cross sections for electron attachment as a function of the electron energy are obtained with the knowledge of electron energy distribution functions from Boltzmann equation analysis by a special computer code. A disadvantage of this electron attachment spectroscopy is the superposition of space charge effects due to the decrease of the electron drift velocity with increasing mean electron energy. These influences are discussed. (author)

Going in, going out, going home and away

DEFF Research Database (Denmark)

Frello, Birgitta

2006-01-01

The paper discusses the ways in which meaning is attached to movement, place and the transgression of boundaries. I argue that rather than understanding movement, place and the transgression of boundaries as empirical phenomena, we should focus on how certain activities are given the status of ‘m...

Effect of a home-based end-of-life nursing service on hospital use at the end of life and place of death: a study using administrative data and matched controls.

Science.gov (United States)

Chitnis, X A; Georghiou, T; Steventon, A; Bardsley, M J

2013-12-01

To assess the effect of routinely delivered home-based end-of-life care on hospital use at the end of life and place of death. Retrospective analysis using matched controls and administrative data. Community-based care in England. 29,538 people aged over 18 who received Marie Curie nursing support compared with 29,538 controls individually matched on variables including: age, socioeconomic deprivation, prior hospital use, number of chronic conditions and prior diagnostic history. Home-based end-of-life nursing care delivered by the Marie Curie Nursing Service (MCNS), compared with end-of-life care available to those who did not receive MCNS care. Proportion of people who died at home; numbers of emergency and elective inpatient admissions, outpatient attendances and attendances at emergency departments in the period until death; and notional costs of hospital care. Intervention patients were significantly more likely to die at home and less likely to die in hospital than matched controls (unadjusted OR 6.16, 95% CI 5.94 to 6.38, pnursing for longer. Home-based end-of-life care offers the potential to reduce demand for acute hospital care and increase the number of people able to die at home.

Attachment and Psychopathology

Directory of Open Access Journals (Sweden)

Mehmet Fatih Ustundag

2011-06-01

Full Text Available The type of attachment defined in the early stages of life and thought to be continuous, is a phenomenon that shapes the pattern of how a person makes contact with others. The clinical appearance of every type of attachment is different and each one has prospective and retrospective phenomenological reflections. In all stages of life and in close relationships, it can be observed if a person gets in close contact with someone else and if this relation bears supportive and protective qualities. According to attachment theorists, once it is defined as safe or unsafe during nursing period, it shows little change. Starting from Bowlby’s work, unsafe attachment type is considered as the determining factor of psychopathology in the later periods of life, while safe attachment is considered as in relation with healthy processes. The nature’s original model is safe attachment. Anxious/indecisive attachment, an unsafe attachment type, is associated with anxiety disorders and depressive disorder, while avoidant attachment is associated with behavior disorder and other extroverted pathologies. Disorganized/disoriented attachment is considered to be together with dissociative disorder. The aim of this paper is to review attachment theory and the relation between attachment and psychopathology.

Keeping It Safe: Aging in Place among Rural Older Adults

Science.gov (United States)

Peek, Gina G.; Bishop, Alex J.

2016-01-01

The purpose of the study addressed in this article was to identify ways to reduce risk and improve safe aging in place among rural older adults. Resident and Extension faculty and county educators visited study participants at home to assess functional capacity and the home environment. Extension professionals may be uniquely positioned to provide…

Insecure attachment is associated with paranoia but not hallucinations in psychotic patients: the mediating role of negative self-esteem.

Science.gov (United States)

Wickham, S; Sitko, K; Bentall, R P

2015-05-01

A growing body of research has investigated associations between insecure attachment styles and psychosis. However, despite good theoretical and epidemiological reasons for hypothesising that insecure attachment may be specifically implicated in paranoid delusions, few studies have considered the role it plays in specific symptoms. We examined the relationship between attachment style, paranoid beliefs and hallucinatory experiences in a sample of 176 people with a diagnosis of schizophrenia spectrum disorders and 113 healthy controls. We also investigated the possible role of negative self-esteem in mediating this association. Insecure attachment predicted paranoia but not hallucinations after co-morbidity between the symptoms was controlled for. Negative self-esteem partially mediated the association between attachment anxiety and clinical paranoia, and fully mediated the relationship between attachment avoidance and clinical paranoia. It may be fruitful to explore attachment representations in psychological treatments for paranoid patients. If future research confirms the importance of disrupted attachment as a risk factor for persecutory delusions, consideration might be given to how to protect vulnerable young people, for example those raised in children's homes.

Attachment and prejudice.

Science.gov (United States)

Carnelley, Katherine B; Boag, Elle M

2018-04-16

There is a paucity of research that examines prejudice from an attachment theory perspective. Herein we make theoretical links between attachment patterns and levels of prejudice. Perceptions of outgroup threat, which activate the attachment system, are thought to lead to fear and prejudice for those high in attachment anxiety, and to distancing and prejudice for those high in attachment avoidance. We review the literature that examines the associations between attachment patterns and prejudice; evidence from attachment priming studies suggests a causal role of attachment security in reducing prejudice. We identify several mediators of these links: empathy, negative emotions, trust, social dominance orientation, romanticism, and contact quality. Future research should manipulate potential mediators and use psychophysiological assessments of threat. Copyright © 2018 Elsevier Ltd. All rights reserved.

Scientific basis for the selection of absorbent underpads that remain securely attached to underlying bed or chair.

Science.gov (United States)

Edlich, Richard F; Winters, Kathryne L; Long, William B; Gubler, K Dean

2006-01-01

fluid returning through the coverstock. The Tranquility SlimLine Peach Sheet Underpad has four adhesive strips attached to each of the four ends of the underpad surface. These 5 cm long strips secure well to the seat of a wheelchair or chair. In contrast, they do not maintain secure attachment to a bed sheet, making the bed sheet vulnerable to urine or stool penetration. When the clinical staff used the Tuckable on the bed surface, they were all impressed by the secure fit of the plastic wings, which easily tucked around the mattress. The wings remained in place throughout the night. Realizing the stability of the Tuckable underpads, the clinical staff suggested that the Tuckable underpad be placed first on the bed, then the Tranquility SlimLine Peach Sheet can be placed on top of the Tuckable underpad, using the four adhesive strips to attach it to the surface of the Tuckable underpad. All of the staff were impressed that the adhesive strips remained securely attached to the Tuckable. This clinical decision was found to be very cost efficient, because the Tuckable could remain in place more than a week without changing. Even though we have developed a unique scientific basis for the selection of underpads for use on either chairs or beds, it can be a financial challenge to the patient or healthcare setting to use these products, because Medicare provides no reimbursement for underpads, an invitation to pressure ulcer formation. In the absence of responsible federal government policy, we are making recommendations for the selection of a cost-conscious and responsible company that sells incontinence products--Home Deliver Incontinent Supplies Co., Inc., (HDIS), Olivette, Missouri.

Attachment and parental divorce: a test of the diffusion and sensitive period hypotheses.

Science.gov (United States)

Fraley, R Chris; Heffernan, Marie E

2013-09-01

One of the assumptions of attachment theory is that disruptions in parental relationships are prospectively related to insecure attachment patterns in adulthood. The majority of research that has evaluated this hypothesis, however, has been based on retrospective reports of the quality of relationships with parents-research that is subject to retrospective biases. In the present research, the authors examined the impact of parental divorce-an event that can be assessed relatively objectively-on attachment patterns in adulthood across two samples. The data indicate that parental divorce has selective rather than diffuse implications for insecure attachment. Namely, parental divorce was more strongly related to insecure relationships with parents in adulthood than insecure relationships with romantic partners or friends. In addition, parental insecurity was most pronounced when parental divorce took place in early childhood. This finding is consistent with hypotheses about sensitive periods in attachment development.

The Quality and Frequency of Mother-Toddler Conflict: Links with Attachment and Temperament

Science.gov (United States)

Laible, Deborah; Panfile, Tia; Makariev, Drika

2008-01-01

The goal of this study was to examine the links among attachment, child temperament, and the quality and frequency of mother-toddler conflict. Sixty-four mothers and children took part in a series of laboratory tasks when the child was 30 months of age and an audio-recorded home observation when the child was 36 months of age. All episodes of…

Where heart and home reside: changing constructions of place and identity

Science.gov (United States)

Daniel R. Williams; Norman McIntyre

2001-01-01

Globalization has expanded the scope and geographic scale of leisure and tourism practices and their consequent impacts on society. Yet studies of such topics as community, home, migration, and tourism remain infused with outdated assumptions of a geographically rooted subject. In the future, the changing nature of employment, retirement, and lifestyles are likely to...

More Than Four Walls: The Meaning of Home in Home Birth Experiences

Directory of Open Access Journals (Sweden)

Emily Burns

2015-04-01

Full Text Available The “home versus hospital” as places of birth debate has had a long and at times vicious history. From academic literature to media coverage, the two have often been pitted against each other not only as opposing physical spaces, but also as opposing ideologies of birth. The hospital has been heavily critiqued as a site of childbirth since the 1960s, with particular focus on childbirth and medicalisation. The focus of much of the hospital and home birthing research exists on a continuum of medicalisation, safety, risk, agency, and maternal and neonatal health and wellbeing. While the hospital birthing space has been interrogated, a critique of home birthing space has remained largely absent from the social sciences. The research presented in this article unpacks the complex relationship between home birthing women and the spaces in which they birth. Using qualitative data collected with 59 home birthing women in Australia in 2010, between childbearing and the home should not be considered as merely an alternative to hospital births, but rather as an experience that completely renegotiates the home space. Home, for the participants in this study, is a dynamic, changing, and even spiritual element in the childbirth experience, and not simply the building in which it occurs.

'Just waiting to be hauled over the coals': home birth midwifery in Ireland.

Science.gov (United States)

OBoyle, Colm

2013-08-01

to describe the context of Irish home birth midwives' practise experience. ethnography derived from participant observation, unstructured interview and documentary analysis. women and midwives' homes and meeting places in Ireland. 21 self-employed community midwives. choice of place of birth is extremely limited in Ireland. Structural and professional supports for home birth and midwifery are lacking. Home birth midwives highly value midwifery professionalism but are professionally isolated. They promote women's birthing autonomy and choice of place of birth. However, they experience and anticipate negative, even punitive, responses from their own and other professions. This ethnography describes a particularly volatile period in Irish home birth midwifery practice. Irish home birth midwives are professionally isolated which, given wider cultural antagonism to home birth, perfuses their practice with an element of defensiveness. Strong midwifery association is a key pillar of professionalism globally. In Ireland, the lack of a strong professional body undermines autonomous midwifery practice in all settings but particularly in the home. The midwifery philosophy of 'being with woman' appears to run contrary to professionalising discourses where the professional 'knows best'. Contemporary cultural expectations of professionalism such as clinical indemnification and risk averse practice protocols, bring challenges to autonomous midwifery practice. place and context of birth effects not only the woman's birth experience but the midwife's professional autonomy. Without supports for autonomous midwifery, autonomous birthing is under threat. Place of birth effects birth experience and birth quality, not least because it is that context which also influences, for good or ill, midwifery autonomy. Copyright © 2013 Elsevier Ltd. All rights reserved.

Evaluation of Sensor Networks in Smart Home

OpenAIRE

Arefe Esalat Nejad; Atefe Enteshari; Vahid Amir

2014-01-01

Smart homes are no longer design concepts of the future. They are being built now, and they are having a direct impact on the lifestyles of people living in them. The aim of smart home systems is to create an environment that is aware of the activities taking place within it. Beside the healthy people, disabled people also need such systems to make their life easier. Because they encounter with a lot of difficulties in their everyday life especially when they are at home. Accordingly the home...

Stroke and Nursing Home care: a national survey of nursing homes.

LENUS (Irish Health Repository)

Cowman, Seamus

2010-01-01

BACKGROUND: Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency. METHODS: A cross-sectional survey research design was used. A total of 572 public and private nursing homes were identified nationally and a stratified random selection of 60 nursing homes with 3,239 residents was made. In half of the nursing homes (n = 30) efforts were made to interview all residents with stroke Survey instruments were used to collect data from residents with stroke and nursing home managers on demography, patient disability, and treatment. RESULTS: Across all nursing homes (n = 60), 18% (n = 570) of the residents had previously had a stroke. In homes (n = 30), where interviews with residents with stroke (n = 257), only 7% (n = 18) residents were capable of answering for themselves and were interviewed. Data on the remaining 93% (n = 239) residents were provided by the nursing home manager. Nurse Managers reported that 73% of residents with stroke had a high level of dependency. One in two residents with stroke was prescribed antidepressants or sedative medication. Only 21% of stroke residents were prescribed anticoagulants, 42% antiplatelets, and 36% cholesterol lowering medications. Stroke rehabilitation guidelines were lacking and 68% reported that there was no formal review process in place. CONCLUSIONS: This study provides seminal findings on stroke and nursing home services in Ireland. We now know that one in six nursing home residents in a national survey are residents with a stroke, and have a wide range of disabilities. There is currently little or no structured care (beyond generic care) for stroke survivors who reside in nursing homes in Ireland.

HÝBRIS’ GEOGRAPHIES: SUBJECT-PLACE DIALETIC AT THE PLOT OF ANCIENT TILLAGE BY RADUAN NASSAR

Directory of Open Access Journals (Sweden)

Carlos Roberto Bernardes de Souza Júnior

2016-12-01

Full Text Available Significative masterwork of Brazilian literature, “Ancient Tillage” by Raduan Nassar, is a tragic drama about André’s, the protagonist, hýbris to the familiar peasantry order and its impositions. By the way of geographical interpretation based on the humanistic perspective, in particular by the means of the existentialist phenomenology, the essay appoints to an hermeneutical reading of the artwork to reach the understanding of subject-place dialectics. It explores the unraveling of the existential tensions of André’s place through the two moments of the book: “The departure” and “Homecoming”. At the course of the disruption of attachments, the tension begins to be a way of existing at the place, leading to the extreme paternal pathos that deconstructs the familiar order. Key-words: Place, Attachments, Moral order.

Small places: the home-coming of human rights in the Netherlands

NARCIS (Netherlands)

Oomen, B.M.

2011-01-01

Human rights as Eleanor Roosevelt famously said, begin in small places: 'Unless they have meaning there, they have little meaning anywhere'. In this inaugural lecture on the sociology of human rights, Barbara Oomen sets out a model for understanding how human rights acquire meaning in such places.

More Than Four Walls: The Meaning of Home in Home Birth Experiences

OpenAIRE

Emily Burns

2015-01-01

The "home versus hospital" as places of birth debate has had a long and at times vicious history. From academic literature to media coverage, the two have often been pitted against each other not only as opposing physical spaces, but also as opposing ideologies of birth. The hospital has been heavily critiqued as a site of childbirth since the 1960s, with particular focus on childbirth and medicalisation. The focus of much of the hospital and home birthing research exists on a continuum of me...

Academic "Place-Making": Fostering Attachment, Belonging and Identity for Indigenous Students in Australian Universities

Science.gov (United States)

Carter, Jennifer; Hollinsworth, David; Raciti, Maria; Gilbey, Kathryn

2018-01-01

Place is a concept used to explore how people ascribe meaning to their physical and social surrounds, and their emotional affects. Exploring the university as a place can highlight social relations affecting Australian Indigenous students' sense of belonging and identity. We asked what university factors contribute to the development of a positive…

Smart homes and home health monitoring technologies for older adults: A systematic review.

Science.gov (United States)

Liu, Lili; Stroulia, Eleni; Nikolaidis, Ioanis; Miguel-Cruz, Antonio; Rios Rincon, Adriana

2016-07-01

Around the world, populations are aging and there is a growing concern about ways that older adults can maintain their health and well-being while living in their homes. The aim of this paper was to conduct a systematic literature review to determine: (1) the levels of technology readiness among older adults and, (2) evidence for smart homes and home-based health-monitoring technologies that support aging in place for older adults who have complex needs. We identified and analyzed 48 of 1863 relevant papers. Our analyses found that: (1) technology-readiness level for smart homes and home health monitoring technologies is low; (2) the highest level of evidence is 1b (i.e., one randomized controlled trial with a PEDro score ≥6); smart homes and home health monitoring technologies are used to monitor activities of daily living, cognitive decline and mental health, and heart conditions in older adults with complex needs; (3) there is no evidence that smart homes and home health monitoring technologies help address disability prediction and health-related quality of life, or fall prevention; and (4) there is conflicting evidence that smart homes and home health monitoring technologies help address chronic obstructive pulmonary disease. The level of technology readiness for smart homes and home health monitoring technologies is still low. The highest level of evidence found was in a study that supported home health technologies for use in monitoring activities of daily living, cognitive decline, mental health, and heart conditions in older adults with complex needs. Copyright © 2016 Elsevier Ireland Ltd. All rights reserved.

Faith and End of Life in Nursing Homes

Directory of Open Access Journals (Sweden)

Robert L. Rubinstein

2011-01-01

Full Text Available This paper explores the role of religious belief in the experiences of dying and death in a Catholic nursing home. The home appeals to residents and their families due to the active religious presence. Thus, religion is a salient element of the “local culture” which exists in this long-term care setting. The preeminence of faith within the organization and the personal religious convictions of staff, residents, and families may drive how death and dying are discussed and experienced in this setting, as well as the meanings that are attached to them. This paper examines the relationship between faith and the experience and meaning of death in this nursing home. We present themes that emerged from open-ended interviews with residents, family members, and staff, gathered between 1996 and 2004. The data indicate that people select the home due to their Catholic faith and the home's religious tone. Themes also show that belief in God and an afterlife helps shape the experience of dying and death for our informants. Our paper does not compare ease of dying with other nursing homes or within other belief systems.

Child-friendly integrated public spaces (RPTRA): Uses and sense of attachment

Science.gov (United States)

Prakoso, S.; Dewi, J.

2018-03-01

The Jakarta City Provincial Government undertook an extensive citywide initiative to build small public urban green spaces, called child-friendly integrated public spaces (RPTRA). Studies on how citizens, including children, use RPTRA was limited, and questions regarding whether children had become attached to the RPTRA as one of their favorite places remain unanswered. This paper presents a preliminary study on ten RPTRA located in Jakarta. We examine how children and citizens use the spaces, based on data from respondents who completed on-site questionnaires during the course of their visit to the RPTRA. We also measure the degree of children’s sense of attachment to RPTRA. The results show that children primarily use RPTRA for playing and learning. Women and girls use RPTRA the most, and elderly citizens use it the least. The results of the study also demonstrate that children had developed a sense of attachment to RPTRA and it had become one of their favorite places. This study may have implications on the existence of small public urban green spaces like RPTRA as valuable assets in the everyday lives of children and citizens. It proposes that RPTRA should be taken into account for future planning of densely populated urban areas.

Wildlife and flora and the perceived attractiveness of green places: A comparison between local and national green places

NARCIS (Netherlands)

Folmer, Akke; Haartsen, Tialda; Buijs, A.E.; Huigen, Paulus P.P.

2016-01-01

Recent decades have seen a growing interest in experiencing wildlife and flora in nature-based tourism destinations, while at the same time it is far less clear whether wildlife and flora also matter in green places near home. This paper examines whether wildlife and flora affect the perceived

Wildlife and flora and the perceived attractiveness of green places : A comparison between local and national green places

NARCIS (Netherlands)

Folmer, Akke; Haartsen, Tialda; Buijs, Arjen; Huigen, Paulus P.P.

2016-01-01

Recent decades have seen a growing interest in experiencing wildlife and flora in nature-based tourism destinations, while at the same time it is far less clear whether wildlife and flora also matter in green places near home. This paper examines whether wildlife and flora affect the perceived

Sense of place in outdoor-pursuits trip groups

Science.gov (United States)

Sharon L. Todd; Anderson B. Young; Lynn S. Anderson; Timothy S. O' Connell; Mary Breunig

2009-01-01

Studies have revealed that sense of community and group cohesion increase significantly over time in outdoor-pursuits trip groups. This study sought to understand similar development of sense of place. Do people simultaneously become more attached to or dependent on the natural environment as they grow closer to each other? Results from a study of college students...

Predicting Envelope Leakage in Attached Dwellings

Energy Technology Data Exchange (ETDEWEB)

Faakye, O. [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States); Arena, L. [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States); Griffiths, D. [Consortium for Advanced Residential Buildings (CARB), Norwalk, CT (United States)

2013-07-01

The most common method for measuring air leakage is to use a single blower door to pressurize and/or depressurize the test unit. In detached housing, the test unit is the entire home and the single blower door measures air leakage to the outside. In attached housing, this 'single unit', 'total', or 'solo' test method measures both the air leakage between adjacent units through common surfaces as well air leakage to the outside. Measuring and minimizing this total leakage is recommended to avoid indoor air quality issues between units, reduce energy losses to the outside, reduce pressure differentials between units, and control stack effect. However, two significant limitations of the total leakage measurement in attached housing are: for retrofit work, if total leakage is assumed to be all to the outside, the energy benefits of air sealing can be significantly over predicted; for new construction, the total leakage values may result in failing to meet an energy-based house tightness program criterion. The scope of this research is to investigate an approach for developing a viable simplified algorithm that can be used by contractors to assess energy efficiency program qualification and/or compliance based upon solo test results.

'Adoption and attachment theory' the attachment models of adoptive mothers and the revision of attachment patterns of their late-adopted children.

Science.gov (United States)

Pace, C S; Zavattini, G C

2011-01-01

This study examined the attachment patterns of late-adopted children (aged 4-7) and their adoptive mothers during the first 7- to 8-month period after adoption and aimed to evaluate the effect of adoptive mothers' attachment security on the revision of the attachment patterns of their late-adopted children. We assessed attachment patterns in 20 adoptive dyads and 12 genetically related dyads at two different times: T1 (time 1) within 2 months of adoption and T2 (time 2) 6 months after T1. The children's behavioural attachment patterns were assessed using the Separation-Reunion Procedure and the children's representational (verbal) attachment patterns using the Manchester Child Attachment Story Task. The attachment models of the adoptive mothers were classified using the Adult Attachment Interview. We found that there was a significant enhancement of the late-adopted children's attachment security across the time period considered (P= 0.008). Moreover, all the late-adopted children who showed a change from insecurity to security had adoptive mothers with secure attachment models (P= 0.044). However, the matching between maternal attachment models and late-adopted children's attachment patterns (behaviours and representations) was not significant. Our data suggest that revision of the attachment patterns in the late-adopted children is possible but gradual, and that the adoptive mothers' attachment security makes it more likely to occur. © 2010 Blackwell Publishing Ltd.

Wildlife: a hidden treasure of green places in urbanized societies? : A study into whether and how wildlife contributes to a bond with green places among lay people in the Netherlands

NARCIS (Netherlands)

Folmer, Akke

2016-01-01

Wildlife: a hidden treasure of green places in urbanized societies In my thesis, I investigate how wildlife contributes to a bond with green places on different spatial scales among lay people in the Netherlands. The results show that wildlife matters in the bond with green places both near home,

Determinants of place of delivery among women in a semi-urban ...

African Journals Online (AJOL)

Mother's educational level, husband's occupation and age at first pregnancy were the main determinants of place of delivery. Statistically significant associations between non- formal education and home delivery, (X2 = 6.7 df = 1 P<0.05) age at first pregnancy and home delivery (X;2 =18.7 df = 1 P<0.05) were observed.

‘It is where blokes can be blokes’ : making places in a New Zealand rugby club

NARCIS (Netherlands)

van Campenhout, Gijs; van Hoven, Bettina

2014-01-01

Using the case study of a New Zealand rugby club, in this article, we highlight the role of gender and performance in place attachment. We discuss various performances that contribute to achieving a sense of attachment of club members to the (imagined) community of the rugby club and the different

The attachment system in fledgling relationships: an activating role for attachment anxiety.

Science.gov (United States)

Eastwick, Paul W; Finkel, Eli J

2008-09-01

Is it sensible to study attachment dynamics between potential romantic partners before they share a full-fledged attachment bond? The present data indicate that such an approach may reveal novel insights about initial attraction processes. Four studies suggest that the state-like experience of attachment anxiety has functional implications within fledgling (i.e., desired or undeveloped) romantic relationships, well before the formation of an attachment bond. Studies 1 and 3 reveal that attachment anxiety directed toward a particular romantic interest is elevated before (in comparison with after) participants report being in an established relationship. Studies 2 and 3 demonstrate that such partner-specific attachment anxiety predicts attachment-relevant outcomes in fledgling relationships, including proximity seeking, safe haven, secure base, passionate love, and other approach behaviors. These associations were reliable above and beyond (and were typically as strong as or stronger than) the effect of sexual desire. Finally, Study 4 presents evidence that partner-specific attachment anxiety may cause several of these attachment-relevant outcomes. Attachment anxiety seems to be a normative experience and may signal the activation of the attachment system during the earliest stages of romantic relationships.

Blade attachment assembly

Science.gov (United States)

Garcia-Crespo, Andres Jose; Delvaux, John McConnell; Miller, Diane Patricia

2016-05-03

An assembly and method for affixing a turbomachine rotor blade to a rotor wheel are disclosed. In an embodiment, an adaptor member is provided disposed between the blade and the rotor wheel, the adaptor member including an adaptor attachment slot that is complementary to the blade attachment member, and an adaptor attachment member that is complementary to the rotor wheel attachment slot. A coverplate is provided, having a coverplate attachment member that is complementary to the rotor wheel attachment slot, and a hook for engaging the adaptor member. When assembled, the coverplate member matingly engages with the adaptor member, and retains the blade in the adaptor member, and the assembly in the rotor wheel.

The energy landscape of a selective tumor-homing pentapeptide

Science.gov (United States)

Zanuy, David; Flores-Ortega, Alejandra; Casanovas, Jordi; Curco, David; Nussinov, Ruth; Aleman, Carlos

2009-01-01

Recently, a potentially powerful strategy based on the of phage-display libraries has been presented to target tumors via homing peptides attached to nanoparticles. The Cys-Arg-Glu-Lys-Ala (CREKA) peptide sequence has been identified as a tumor-homing peptide that binds to clotted plasmas proteins present in tumor vessels and interstitium. The aim of this work consists of mapping the conformational profile of CREKA to identify the bioactive conformation. For this purpose, a conformational search procedure based on modified Simulated Annealing combined with Molecular Dynamics was applied to three systems that mimic the experimentally used conditions: (i) the free peptide; (ii) the peptide attached to a nanoparticle; and (iii) the peptide inserted in a phage display protein. In addition, the free peptide was simulated in an ionized aqueous solution environment, which mimics the ionic strength of the physiological medium. Accessible minima of all simulated systems reveal a multiple interaction pattern involving the ionized side chains of Arg, Glu and Lys, which induces a β-turn motif in the backbone observed in all simulated CREKA systems. PMID:18588341

Out of care and into care again: A Danish register‐based study of children placed in out-of‐home care before their third birthday

DEFF Research Database (Denmark)

Ubbesen, Mads Bonde; Petersen, Liselotte; Mortensen, Preben Bo

2012-01-01

Objective: When children are reunited with their families of origin and the reasons for placing them in out-of-home care no longer exist, it is usually considered a good outcome. Unfortunately, some children are later returned to care. The objective of this register-based study is to describe in ...... histories. A psychiatric history is associated with re-entry only when the family structure consists of two parents. An immigration background is associatedwith a higher like- lihood of reunification and with a lower likelihood of re-entry. ©...

The Effects of Massage by Mothers on Mother-Infant Attachment.

Science.gov (United States)

Shoghi, Mahnaz; Sohrabi, Soroor; Rasouli, Mahboobe

2017-11-04

Context • Transferring a newborn to the intensive care unit due to a premature birth is a major obstacle in the establishment of emotional attachment between a mother and her child. Researchers believe that the formation and continuation of such an attachment have a profound effect on the child's mental development and behavior in the coming years of life. Not all studies have agreed, however, that skin contact alone, such as massage provides, can improve attachment. Objective • The aim of this study was to determine the effects on maternal attachment behaviors of infants hospitalized in a neonatal intensive care unit (NICU) of massage provided by mothers for their premature neonates. Design • The research team designed a randomized, controlled trial. Setting • The study took place at the Hazrat Ali Asghar Hospital of the Iran University of Medical Sciences (Tehran, Iran). Participants • Participants were 40 mothers and 40 newborns admitted to the NICU at the hospital. Intervention • The study divided participants randomly into a massage (intervention) group and a control group receiving no massages. Mothers in the intervention group trained by watching educational videos and practicing the massage on infant manikins. Subsequently, the intervention group massaged its infants according to a 5-d program, in which each neonate received a 15-min massage session per day. Outcome Measures • Mother-infant attachment behaviors were assessed in both groups 4 times. The maternal attachment scale was used for data collection. Results • According to the statistical analyses, the between-groups difference was not significant at baseline (P > .05). The study showed a statistically significant difference between baseline and postintervention in the mean frequencies of maternal attachment behaviors for both groups (P attachment between the intervention and control groups (P = .000). Conclusion • Massage given to premature neonates by their mothers on a daily

Stroke and Nursing Home care: a national survey of nursing homes

Directory of Open Access Journals (Sweden)

McGee Hannah

2010-01-01

Full Text Available Abstract Background Although stroke is recognised as a major factor in admission to nursing home care, data is lacking on the extent and nature of the disabilities and dependency in nursing homes arising from stroke. A national study conducted in nursing homes can quantify the number of residents with stroke in nursing homes, their disability and levels of dependency. Methods A cross-sectional survey research design was used. A total of 572 public and private nursing homes were identified nationally and a stratified random selection of 60 nursing homes with 3,239 residents was made. In half of the nursing homes (n = 30 efforts were made to interview all residents with stroke Survey instruments were used to collect data from residents with stroke and nursing home managers on demography, patient disability, and treatment. Results Across all nursing homes (n = 60, 18% (n = 570 of the residents had previously had a stroke. In homes (n = 30, where interviews with residents with stroke (n = 257, only 7% (n = 18 residents were capable of answering for themselves and were interviewed. Data on the remaining 93% (n = 239 residents were provided by the nursing home manager. Nurse Managers reported that 73% of residents with stroke had a high level of dependency. One in two residents with stroke was prescribed antidepressants or sedative medication. Only 21% of stroke residents were prescribed anticoagulants, 42% antiplatelets, and 36% cholesterol lowering medications. Stroke rehabilitation guidelines were lacking and 68% reported that there was no formal review process in place. Conclusions This study provides seminal findings on stroke and nursing home services in Ireland. We now know that one in six nursing home residents in a national survey are residents with a stroke, and have a wide range of disabilities. There is currently little or no structured care (beyond generic care for stroke survivors who reside in nursing homes in Ireland.

Risk, Place and Oil and Gas Policy Preferences among Coloradoans

Science.gov (United States)

Mayer, Adam

Unconventional oil and gas extraction, primarily via hydraulic fracturing ("fracking"), has changed the energy landscape in the United States. The policy regime currently governing fracking is a complex patchwork in which state regulators have the primary authority. Social scientists have thoroughly documented general beliefs and risk perceptions related to fracking there is a lack of policy-related research. This dissertation examined public policy preferences for fracking regulation using a survey data from a statewide sample of Coloradoans. Theoretically, it was hypothesized that policy support hinged upon factors like risk perceptions, benefit perceptions, place attachment, community economic identity and political ideology. Overall, risk perceptions and political ideology emerged as relatively consistent and powerful predictors of support for unconventional oil and gas regulatory policy. On the other hand, several possible predictors had little to no role. Benefit perceptions had little effect on any policy dependent variable. Further, community economic identity and place attachment played very little role. I discuss policy implications and directions for future research.

Family Ties and Leaving Home for College: Recent Findings and Implications.

Science.gov (United States)

Kenny, Maureen E.

1987-01-01

Recent research with first year college students indicated that emotional closeness to parents was associated with social and intellectual competence during the leaving home period. Secure parental attachment fostered self-confidence, willingness to explore the environment, and the development of social skills. Students describing themselves as…

Place of death for people with HIV: a population-level comparison of eleven countries across three continents using death certificate data.

Science.gov (United States)

Harding, Richard; Marchetti, Stefano; Onwuteaka-Philipsen, Bregje D; Wilson, Donna M; Ruiz-Ramos, Miguel; Cardenas-Turanzas, Maria; Rhee, YongJoo; Morin, Lucas; Hunt, Katherine; Teno, Joan; Hakanson, Cecilia; Houttekier, Dirk; Deliens, Luc; Cohen, Joachim

2018-01-25

With over 1 million HIV-related deaths annually, quality end-of-life care remains a priority. Given strong public preference for home death, place of death is an important consideration for quality care. This 11 country study aimed to i) describe the number, proportion of all deaths, and demographics of HIV-related deaths; ii) identify place of death; iii) compare place of death to cancer patients iv), determine patient/health system factors associated with place of HIV-related death. In this retrospective analysis of death certification, data were extracted for the full population (ICD-10 codes B20-B24) for 1-year period: deceased's demographic characteristics, place of death, healthcare supply. i) 19,739 deaths were attributed to HIV. The highest proportion (per 1000 deaths) was for Mexico (9.8‰), and the lowest Sweden (0.2‰). The majority of deaths were among men (75%), and those aged <50 (69.1%). ii) Hospital was most common place of death in all countries: from 56.6% in the Netherlands to 90.9% in South Korea. The least common places were hospice facility (3.3%-5.7%), nursing home (0%-17.6%) and home (5.9%-26.3%).iii) Age-standardised relative risks found those with HIV less likely to die at home and more likely to die in hospital compared with cancer patients, and in most countries more likely to die in a nursing home. iv) Multivariate analysis found that men were more likely to die at home in UK, Canada, USA and Mexico; a greater number of hospital beds reduced the likelihood of dying at home in Italy and Mexico; a higher number of GPs was associated with home death in Italy and Mexico. With increasing comorbidity among people ageing with HIV, it is essential that end-of-life preferences are established and met. Differences in place of death according to country and diagnosis demonstrate the importance of ensuring a "good death" for people with HIV, alongside efforts to optimise treatment.

Protecting Yourself from Bed Bugs in Public Places

Science.gov (United States)

... office. By reducing clutter in your workplace or school, you provide fewer places for the bed bugs to hide and fewer opportunities for them to hitchhike to your home. Keep your ... office or school, consider storing your belongings in a plastic bin. ...

Factors Affecting the Place of Delivery among Mothers Residing in Jhorahat VDC, Morang, Nepal

Directory of Open Access Journals (Sweden)

Prativa Dhakal

2018-01-01

Full Text Available Background: In Nepal, the maternal mortality ratio is 281 per thousand live births, among which 40% mortality occurs during home delivery. Home delivery increases the risk of maternal and neonatal mortality and morbidity due to the birth not assisted by skilled attendant. This study was carried out to determine the factors affecting the place of delivery among the mothers residing in Jhorahat VDC, Morang district, Nepal. Methods: A mixed method study using interviews based on semi-structured questionnaire (n=93 among mothers and two focus group discussion among decision makers of the house and female community health volunteers was conducted between November to December 2012. For quantitative data, Chi-square test and Fischer’s Exact test were used to examine the association between the selected variables and place of delivery. Results: More than half (58.1% of the mothers had institutional delivery and 41.9% of them had home delivery. The most common reason for home delivery was easy and convenient environment (66.7% and that for institutional delivery was safety (77.8%. There was a significant association between caste, education of mothers, education of spouse, occupation of spouse, per capita income, time to reach the nearest health center, parity, previous place of delivery, number of antenatal visit, knowledge about place of delivery, planned place of delivery, and place of delivery. Conclusion: Maternal health services, such as prenatal care, skilled assistance during delivery and post-natal care, along with adequately equipped health institutions, play a major role in the reduction of maternal morbidity and mortality. Concerted efforts should be made both at community and government levels to increase institutional delivery.

Electronic Health Records Place 1st at Indy 500

Science.gov (United States)

... Navigation Bar Home Current Issue Past Issues EHR Electronic Health Records Place 1st at Indy 500 Past ... last May's Indy 500 had thousands of personal Electronic Health Records on hand for those attending—and ...

Electron-attachment processes

International Nuclear Information System (INIS)

Christophorou, L.G.; McCorkle, D.L.; Christodoulides, A.A.

1982-01-01

Topics covered include: (1) modes of production of negative ions, (2) techniques for the study of electron attachment processes, (3) dissociative electron attachment to ground-state molecules, (4) dissociative electron attachment to hot molecules (effects of temperature on dissociative electron attachment), (5) molecular parent negative ions, and (6) negative ions formed by ion-pair processes and by collisions of molecules with ground state and Rydberg atoms

[Infants' attachment security in a vulnerable French sample].

Science.gov (United States)

Tereno, S; Guedeney, N; Dugravier, R; Greacen, T; Saïas, T; Tubach, F; Ulgen, S; Matos, I; Guédeney, A

2017-04-01

Attachment is a long lasting emotional link established between infants and their caregivers. The quality of early relationships allows infants to safely explore their environment and contribute to the establishment of a broad range of social skills. Several intervention programs targeting infant attachment have been implemented in different contexts, showing diverse degrees of efficacy. The present paper describes, for the first time, children's attachment quality distributions in a French multi-risk population, with a preventive intervention, usual or reinforced. In the CAPEDP study (Parenting and Attachment in Early Childhood: reducing mental health disorder risks and promoting resilience), a sub-sample of 117 women was recruited to assess the effects of this home-visiting program on children's attachment security. With that intent, the Strange Situation Paradigm was used when infants were between 12 and 16 months of age. In the intervention group, 63% (n=41) of the infants were coded as secure, while 15% (n=10) of them were coded as insecure-avoidant and 22% (n=14) as insecure-ambivalent/resistant. 56% (n=29) of control group infants (usual care) were coded as secure, while 27% (n=14) were coded as insecure-avoidant and 17% (n=9) as insecure-ambivalent/resistant. Even if the percentage of children with a secure attachment in the reinforced intervention group was higher than that of the control group, this difference did not reach the threshold of significance [Chi 2 (2)=2.40, P=0.30]. Intervention group distributions were closer to normative samples, and these distributions show the clinical impact of our program. In general, preventive interventions focused on attachment quality have moderate effects but, in our case, several factors might have contributed to lower the statistical impact of the program. Firstly, the control group cannot be considered has having received zero intervention for two reasons: (a) the French usual perinatal health system (Maternal

Custodial Homes, Therapeutic Homes, and Parental Acceptance: Parental Experiences of Autism in Kerala, India and Atlanta, GA USA.

Science.gov (United States)

Sarrett, Jennifer C

2015-06-01

The home is a critical place to learn about cultural values of childhood disability, including autism and intellectual disabilities. The current article describes how the introduction of autism into a home and the availability of intervention options change the structure and meaning of a home and reflect parental acceptance of a child's autistic traits. Using ethnographic data from Kerala, India and Atlanta, GA USA, a description of two types of homes are developed: the custodial home, which is primarily focused on caring for basic needs, and the therapeutic home, which is focused on changing a child's autistic traits. The type of home environment is respondent to cultural practices of child rearing in the home and influences daily activities, management, and care in the home. Further, these homes differ in parental acceptance of their autistic children's disabilities, which is critical to understand when engaging in international work related to autism and intellectual disability. It is proposed that parental acceptance can be fostered through the use of neurodiverse notions that encourage autism acceptance.

Reflected Places of Childhood: Applying the Ideas of Humanistic and Cultural Geographies to Environmental Education Research

Science.gov (United States)

Tani, Sirpa

2017-01-01

The article investigates people-environment relationships from the viewpoint of humanistic and cultural geographies and highlights the importance of subjective experiences and emotional place attachment in the construction of environmental attitudes. Some core concepts of these research fields (e.g. "place,"…

LHC@home online tutorial for Mac users - recording

CERN Multimedia

CERN. Geneva

2016-01-01

A step-by-step online tutorial about LHC@home for Mac users by Alexandre Racine. It contains detailed instructions on how-to-join this volunteer computing project.  There are 3 screen capture videos with the real installation process accelerated attached to the event page. This 5' video is linked from http://lhcathome.web.cern.ch/join-us Also from the CDS e-learning category.

Home care in Australia: an integrative review.

Science.gov (United States)

Palesy, Debra; Jakimowicz, Samantha; Saunders, Carla; Lewis, Joanne

2018-01-01

The home care sector comprises one of Australia's fastest growing workforces, yet few papers capture the overall landscape of Australian home care. This integrative review investigates home care with the aim of better understanding care recipients and their needs, funding, and regulation; care worker skills, tasks, demographics, employment conditions, and training needs. Over 2,700 pieces of literature were analyzed to inform this review. Results suggest sector fragmentation and a home care workforce who, although well-placed to improve outcomes for care recipients, are in need of better training and employment support. Suggestions for future research regarding Australian home care include studies that combine both aged and disability aspects of care, more research around care recipients, priority needs and strategies for addressing them, and how best to prepare home care workers for their roles.

Risk and resilience in military families experiencing deployment: the role of the family attachment network.

Science.gov (United States)

Riggs, Shelley A; Riggs, David S

2011-10-01

Deployment separation constitutes a significant stressor for U.S. military men and women and their families. Many military personnel return home struggling with physical and/or psychological injuries that challenge their ability to reintegrate and contribute to marital problems, family dysfunction, and emotional or behavioral disturbance in spouses and children. Yet research examining the psychological health and functioning of military families is scarce and rarely driven by developmental theory. The primary purpose of this theoretical paper is to describe a family attachment network model of military families during deployment and reintegration that is grounded in attachment theory and family systems theory. This integrative perspective provides a solid empirical foundation and a comprehensive account of individual and family risk and resilience during military-related separations and reunions. The proposed family attachment network model will inform future research and intervention efforts with service members and their families.

Transformational capacity and the influence of place and identity

International Nuclear Information System (INIS)

Marshall, N A; Park, S E; Howden, S M; Adger, W N; Brown, K

2012-01-01

Climate change is altering the productivity of natural resources with far-reaching implications for those who depend on them. Resource-dependent industries and communities need the capacity to adapt to a range of climate risks if they are to remain viable. In some instances, the scale and nature of the likely impacts means that transformations of function or structure will be required. Transformations represent a switch to a distinct new system where a different suite of factors become important in the design and implementation of response strategies. There is a critical gap in knowledge on understanding transformational capacity and its influences. On the basis of current knowledge on adaptive capacity we propose four foundations for measuring transformational capacity: (1) how risks and uncertainty are managed, (2) the extent of skills in planning, learning and reorganizing, (3) the level of financial and psychological flexibility to undertake change and (4) the willingness to undertake change. We test the influence of place attachment and occupational identity on transformational capacity using the Australian peanut industry, which is presently assessing significant structural change in response to predicted climatic changes. Survey data from 88% of peanut farmers in Queensland show a strong negative correlation between transformational capacity and both place attachment and occupational attachment, suggesting that whilst these factors may be important positive influences on the capacity to adapt to incremental change, they act as barriers to transformational change. (letter)

Transformational capacity and the influence of place and identity

Science.gov (United States)

Marshall, N. A.; Park, S. E.; Adger, W. N.; Brown, K.; Howden, S. M.

2012-09-01

Climate change is altering the productivity of natural resources with far-reaching implications for those who depend on them. Resource-dependent industries and communities need the capacity to adapt to a range of climate risks if they are to remain viable. In some instances, the scale and nature of the likely impacts means that transformations of function or structure will be required. Transformations represent a switch to a distinct new system where a different suite of factors become important in the design and implementation of response strategies. There is a critical gap in knowledge on understanding transformational capacity and its influences. On the basis of current knowledge on adaptive capacity we propose four foundations for measuring transformational capacity: (1) how risks and uncertainty are managed, (2) the extent of skills in planning, learning and reorganizing, (3) the level of financial and psychological flexibility to undertake change and (4) the willingness to undertake change. We test the influence of place attachment and occupational identity on transformational capacity using the Australian peanut industry, which is presently assessing significant structural change in response to predicted climatic changes. Survey data from 88% of peanut farmers in Queensland show a strong negative correlation between transformational capacity and both place attachment and occupational attachment, suggesting that whilst these factors may be important positive influences on the capacity to adapt to incremental change, they act as barriers to transformational change.

A place for play? The influence of the home physical environment on children's physical activity and sedentary behaviour.

Science.gov (United States)

Maitland, Clover; Stratton, Gareth; Foster, Sarah; Braham, Rebecca; Rosenberg, Michael

2013-08-17

The home environment is an important influence on the sedentary behaviour and physical activity of children, who have limited independent mobility and spend much of their time at home. This article reviews the current evidence regarding the influence of the home physical environment on the sedentary behaviour and physical activity of children aged 8-14 years. A literature search of peer reviewed articles published between 2005 and 2011 resulted in 38 observational studies (21 with activity outcomes, 23 with sedentary outcomes) and 11 experimental studies included in the review. The most commonly investigated behavioural outcomes were television watching and moderate to vigorous physical activity. Media equipment in the home and to a lesser extent the bedroom were positively associated with children's sedentary behaviour. Physical activity equipment and the house and yard were not associated with physical activity, although environmental measures were exclusively self-reported. On the other hand, physical activity equipment was inversely associated with sedentary behaviours in half of studies. Observational studies that investigated the influence of the physical and social environment within the home space, found that the social environment, particularly the role of parents, was important. Experimental studies that changed the home physical environment by introducing a television limiting device successfully decreased television viewing, whereas the influence of introducing an active video game on activity outcomes was inconsistent. Results highlight that the home environment is an important influence on children's sedentary behaviour and physical activity, about which much is still unknown. While changing or controlling the home physical environment shows promise for reducing screen based sedentary behaviour, further interventions are needed to understand the broader impact of these changes. Future studies should prioritise investigating the influence of the home

Attachment and social networks.

Science.gov (United States)

Gillath, Omri; C Karantzas, Gery; Lee, Juwon

2018-02-21

The current review covers two lines of research linking attachment and social networks. One focuses on attachment networks (the people who fulfill one's attachment needs), examining composition and age-related differences pertaining to these networks. The other line integrates attachment with social network analysis to investigate how individual differences in adult attachment are associated with the management and characteristics (e.g., density, multiplexity, and centrality) of people's social networks. We show that most people's attachment networks are small and hierarchical, with one figure being the primary attachment figure (often a mother or romantic partner, depending on age). Furthermore, attachment style predicts network characteristics and management, such that insecurity is associated with less closeness, multiplexity, centrality, and poorer management (less maintenance, more dissolution). Copyright © 2018 Elsevier Ltd. All rights reserved.

Viii. Attachment and sleep among toddlers: disentangling attachment security and dependency.

Science.gov (United States)

Bélanger, Marie-Ève; Bernier, Annie; Simard, Valérie; Bordeleau, Stéphanie; Carrier, Julie

2015-03-01

Many scholars have proposed that parent-child attachment security should favor child sleep. Research has yet, however, to provide convincing support for this hypothesis. The current study used objective measures of sleep and attachment to assess the longitudinal links between mother-child attachment security and subsequent sleep, controlling for child dependency. Sixty-two middle-class families (30 girls) were met twice, when children were 15 months (Wave 1; W1) and 2 years of age (Wave 2; W2). At W1, mother-child attachment was assessed with the observer version of the Attachment Q-Sort. At W2, children wore an actigraph monitor for 72 hr. Results indicated that children more securely attached to their mothers subsequently slept more at night and had higher sleep efficiency, and these predictions were not confounded by child dependency. These findings suggest a unique role for secure attachment relationships in the development of young children's sleep regulation, while addressing methodological issues that have long precluded consensus in this literature. © 2015 The Society for Research in Child Development, Inc.

Balance of power shifts when providing care in patients' homes.

Science.gov (United States)

Sander, Ruth

2011-06-01

Nursing practice at home involves entering a place where the patient's and family's values and habits predominate. In hospital, nurses work in safe territory with the aid of conferred authority but this manner might not be suitable in a patient's own home. When people need nursing care, the meaning of home is at risk of changing.

Factors affecting home delivery in the Kathmandu Valley, Nepal.

Science.gov (United States)

Bolam, A; Manandhar, D S; Shrestha, P; Ellis, M; Malla, K; Costello, A M

1998-06-01

This nested case-control study compares the characteristics of mothers having home or institutional deliveries in Kathmandu, Nepal, and explores the reasons given by mothers for a home delivery. The delivery patterns of mothers were identified in a cross-sectional survey of two communities: an urban area of central Kathmandu (Kalimati) and a peri-urban area (Kirtipur and Panga) five kilometres from the city centre. 357 pregnant women were identified from a survey of 6130 households: 183 from 3663 households in Kirtipur and Panga, 174 from 2467 households in Kalimati. Methods involved a structured baseline household questionnaire and detailed follow-up of identified pregnant women with structured and semi-structured interviews in hospital and the community. The main outcome measures were social and economic household details of pregnant women; pregnancy and obstetric details; place of delivery; delivery attendant; and reasons given for home delivery. The delivery place of 334/357 (94%) of the pregnant women identified at the survey was determined. 272 (81%) had an institutional delivery and 62 (19%) delivered at home. In univariate analysis comparing home and institutional deliverers, maternal education, parity, and poverty indicators (income, size of house, ownership of house) were associated with place of delivery. After multivariate analysis, low maternal educational level (no education, OR 5.04 [95% CI 1.61-15.8], class 1-10, OR 3.36 [1.04-10.8] compared to those with higher education) and multiparity (OR 3.1 [1.63-5.74] compared to primiparity) were significant risk factors for a home delivery. Of home deliverers, only 24% used a traditional birth attendant, and over half were unplanned due to precipitate labour or lack of transport. We conclude that poor education and multiparity rather than poverty per se increase the risk of a home delivery in Kathmandu. Training TBAs in this setting would probably not be cost-effective. Community-based midwife-run delivery

Implementation of smoke-free homes in Poland

Directory of Open Access Journals (Sweden)

Dorota Kaleta

2016-02-01

Full Text Available Objectives: Exposure to environmental tobacco smoke (ETS constitutes a threat to the health of many people. In order to diminish ETS exposure, countries (including Poland implemented legal restrictions of smoking in public places and worksites. Currently more attention is also paid to reduce overall and residential ETS exposure by voluntary smoke-free home policy adoption. The aim of current analysis was to evaluate the prevalence and determinants of implementing smoking bans at place of residence among economically active males and females in Poland. Material and Methods: Data from cross-sectional, household study – Global Adult Tobacco Survey (GATS 2009–2010 were analyzed. The logistic regression model was applied for appropriate calculations. Results: Out of 3696 studied subjects only 37.1% adopted total smoking ban within the home. Decreased likelihood of adopting total smoking bans was associated with current smoker status, low education attainment, lack of awareness on adverse health consequences of ETS, low level of support for tobacco control policies, and cohabitation with a smoker in both genders. Having smoke-free homes was also linked with age in women, place of residence and work smoking policy in indoor areas in men. Conclusions: Targeted activities to encourage adopting voluntary smoke-free rules among groups least likely to implement 100% smoking bans in the home and activities to decrease social acceptance of smoking in the presence of nonsmokers, children, pregnant woman are urgently needed.

Home range differences by habitat type of raccoon dogs Nyctereutes procyonoides (Carnivora: Canidae

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Wooseog Jeong

2017-09-01

Full Text Available From July 2013 to November 2014, this research was conducted to secure baseline data to find long-term preventive measures against epidemics from the analysis of home range and movement characteristics of raccoon dogs, which are known as carriers of zoonosis. Researchers conducted a follow-up study with 12 raccoon dogs, each attached with a Global Positioning System mobile transmitter. Analysis of home range used the minimum convex polygon (MCP method and kernel density estimation (KDE with accumulating data of time-based locations. Except for three animals that showed unique behavior, the researchers analyzed nine animals and calculated their average home range. As a result, average home range was 0.48±0.35 km2 (MCP method, and KDE result analysis was verified as 0.65±0.66 km2 (95%, 0.31±0.35 km2 (75%, and 0.23±0.28 km2 (50%. Based on the MCP method, acted in range of minimum 0.07 km2 and maximum 1.08 km2, and the core habitat, KDE 50% level showed activity range in 0.02 km2 to 0.37 km2. Three individuals of unique behavior were classified into two types. Two individuals moved 10–20 km and settled at a place different from the existing habitat, and one individual kept moving without a regular sphere of influence. Generally, raccoon dogs are not considered to move if they secure their area of influence; animals in urban areas have a wider area of influence than those living in areas with a rich source of food such as forest and agricultural land.

Patterns of attachment and parents' adjustment to the death of their child

NARCIS (Netherlands)

Wijngaards-de Meij, L.D.N.V.; Stroebe, M.S.; Schut, H.A.W.; Stroebe, W.; Van den Bout, J.; Van der Heijden, P.G.M.; Dijkstra, I.C.

2007-01-01

The impact of adult attachment on psychological adjustment among bereaved parents and the mediating effect of relationship satisfaction were examined among a sample of 219 couples of parents. Data collection took place 6, 13, and 20 months after loss. Use of the actor partner interdependence model

Place of death of pediatric cancer patients in a single institute during 7 years.

Science.gov (United States)

Yanai, Tomoko; Hirase, Satoshi; Matsunoshita, Natsuki; Yamamoto, Nobuyuki; Ninchoji, Takeshi; Kubokawa, Ikuko; Mori, Takeshi; Hayakawa, Akira; Takeshima, Yasuhiro; Iijima, Kazumoto; Matsuo, Masafumi

2012-06-27

Place of death is an important issue at the end-of-life. It is poorly understood in pediatric cancer patients in Japan. This study aimed to clarify place of death of children with cancer as well as variables associated with place of death. Study population was pediatric cancer patients who died in the Department of Pediatrics at Kobe University Hospital during the last 7 years. The medical records were retrospectively reviewed regardless of cause of death to derive data relating to patients' characteristics and disease. 18 patients were included. Median age at death was 12.2 years old. 6 patients including 5 children in complete remission had hematological disease and 12 patients suffered from solid tumors. 4 patients (22.2%) died at home, whereas 14 patients (77.8%) died in the hospital including 6 ICU deaths. No one died in hospices. Preference of patients was unavailable due to the lack of inquiry. Factors influencing place of death (home, ICU, non-ICU) were disease (hematological disease vs. solid tumor, p=0.010, brain tumor vs. non-brain tumor, p=0.023), disease status (complete remission vs. non-complete remission, p=0.0014) and preference of families (p=0.029). Among 6 families who expressed preference, no disparity was observed between actual and preferred place of death. This is the first English publication of place of death of pediatric cancer patients in Japan. The low percentage of home death, factors influencing place of death and the lack of disparity between actual and preferred place of death were indicated. Further studies are required to better understand place of death.

An experimental evaluation of the State Adult Attachment Measure: The Influence of Attachment Primes on the Content of State Attachment Representations

OpenAIRE

Bosmans, Guy; Bowles, David, P.; Dewitte, Marieke; De Winter, Simon; Braet, Caroline

2014-01-01

Attachment theory predicts cross-contextual stability of attachment representations, but research findings are rather mixed. Recently, it has been suggested that these mixed findings reflect the existence of both state and trait attachment components. The development of the State Adult Attachment Measure (SAAM) has enabled an investigation of this hypothesis. The current study aimed to evaluate the extent to which the SAAM is a useful instrument for studying such state attachment hypotheses. ...

Visitors’ Experience, Place Attachment and Sustainable Behaviour at Cultural Heritage Sites: A Conceptual Framework

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Piera Buonincontri

2017-06-01

Full Text Available Sustainable tourism research has attracted wide interest from scholars and practitioners. While several heritage sites are mandated to provide optimum visitor satisfaction with increasing competition in the market, managers of heritage sites face growing challenges in striking a balance between consumption and conservation. This calls for promoting more sustainable behaviours among consumers of heritage. This study proposes a conceptualization of sustainable behaviour for heritage consumers. Using the attitude–behaviour relationship underpinned by the Theory of Reasoned Action, it develops and proposes a conceptual framework that integrates visitors’ heritage experiences, their attachment to heritage sites, and their general and site-specific sustainable heritage behaviour and presents their interrelationships as proposed hypotheses. Theoretical contributions and practical implications for heritage site managers are discussed.

Attachment over Time.

Science.gov (United States)

Lewis, Michael; Feiring, Candice; Rosenthal, Saul

2000-01-01

Examined continuity in attachment classification from infancy through adolescence and related it to autobiographical memories of childhood, divorce, and maladjustment in white middle-class children. Found no continuity in attachment classification from 1 to 18 years and no relation between infant attachment status and adolescent adjustment.…

“Picking up the pieces”—Meanings of receiving home nursing care when being old and living with advanced cancer in a rural area

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Siri Andreassen Devik

2015-09-01

Full Text Available Rural home nursing care is a neglected area in the research of palliative care offered to older cancer patients. Because access to specialized services is hampered by long distances and fragmented infrastructure, palliative care is often provided through standard home nursing services and delivered by general district nurses. This study aimed to illuminate the lived experience and to interpret the meaning of receiving home nursing care when being old and living with advanced cancer in a rural area in Norway. Narrative interviews were conducted with nine older persons, and a phenomenological hermeneutic approach was used to interpret the meaning of the lived experience. The analysis revealed three themes, each with subthemes: being content with what one gets, falling into place, and losing one's place. The phrase picking up the pieces was found useful to sum up the meaning of this lived experience. The three respective themes refer to how the pieces symbolize the remaining parts of life or available services in their environment, and how the older persons may see themselves as pieces or bricks in a puzzle. A strong place attachment (physical insideness, social insideness, and autobiographical insideness is demonstrated by the informants in this study and suggests that the rural context may provide an advantageous healthcare environment. Its potential to be a source of comfort, security, and identity concurs with cancer patients’ strong desire for being seen as unique persons. The study shows that district nurses play an essential role in the provision of palliative care for older rural patients. However, the therapeutic value of being in one's familiar landscape seems to depend on how homecare nurses manage to locate it and use it in a more or less person-centred manner. Communication skills and attentiveness to psychosocial aspects of patient care stand out as important attributes for nursing in this context.

Policy for home or hospice as the preferred place of death from cancer: Scottish Health and Ethnicity Linkage Study population cohort shows challenges across all ethnic groups in Scotland.

Science.gov (United States)

Sharpe, Katharine H; Cezard, Genevieve; Bansal, Narinder; Bhopal, Raj S; Brewster, David H

2015-12-01

Place of cancer death varies ethnically and internationally. Palliative care reviews highlight limited ability to demonstrate equal access due to incomplete or unreliable ethnicity data. To establish place of cancer death by ethnicity and describe patient characteristics. We linked census, hospital episode and mortality data for 117 467 persons dying of cancer, 2001-2009. With White Scottish population as reference, prevalence ratios (PR), 95% CIs and p values of death in hospital, home or hospice adjusted for sex and age were calculated by ethnic group. White Scottish group and minority ethnic groups combined constituted 91% and 0.4% of cancer deaths, respectively. South Asian, Chinese and African Origin patients were youngest at death (66, 66 and 65.9 years). Compared with the Scottish White reference, the White Irish (1.15 (1.10 to 1.22), pScottish White patients were less likely to die in hospital and more likely to die at home or in a hospice regardless of socioeconomic indicator used. Cancer deaths occur most often in hospital (52.3%) for all ethnic groups. Regardless of the socioeconomic indicator used, more affluent Scottish White patients were less likely to die in hospital; existing socioeconomic indicators detected no clear trend for the non-White population. Regardless of ethnic group, significant work is required to achieve more people dying at home or the setting of their choice. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Factors associated with congruence between preferred and actual place of death.

Science.gov (United States)

Bell, Christina L; Somogyi-Zalud, Emese; Masaki, Kamal H

2010-03-01

Congruence between preferred and actual place of death may be an essential component in terminal care. Most patients prefer a home death, but many patients do not die in their preferred location. Specialized (physician, hospice, and palliative) home care visits may increase home deaths, but factors associated with congruence have not been systematically reviewed. This study sought to review the extent of congruence reported in the literature and examine factors that may influence congruence. In July 2009, a comprehensive literature search was performed using MEDLINE, PsychInfo, CINAHL, and Web of Science. Reference lists, related articles, and the past five years of six palliative care journals were also searched. Overall congruence rates (percentage of met preferences for all locations of death) were calculated for each study using reported data to allow cross-study comparison. Eighteen articles described 30%-91% congruence. Eight specialized home care studies reported 59%-91% congruence. A physician-led home care program reported 91% congruence. Of the 10 studies without specialized home care for all patients, seven reported 56%-71% congruence and most reported unique care programs. Of the remaining three studies without specialized home care for all patients, two reported 43%-46% congruence among hospital inpatients, and one elicited patient preference "if everything were possible," with 30% congruence. Physician support, hospice enrollment, and family support improved congruence in multiple studies. Research in this important area must consider potential sources of bias, the method of eliciting patient preference, and the absence of a single ideal place of death. (c) 2010 U.S. Cancer Pain Relief Committee. Published by Elsevier Inc. All rights reserved.

Deprivation of Dignity in Nursing Home Residents

DEFF Research Database (Denmark)

Høy, Bente

2016-01-01

deepened knowledge in how to maintain and promote dignity in nursing home residents. The purpose of this paper is to present results concerning the question: How is nursing home residents’ dignity maintained or deprived from the perspective of close family caregivers? In this presentation we only focus...... on deprivation of dignity. Methodology: The overall design of this study is modified clinical application research. The study took place at six different nursing home residences in Sweden, Denmark and Norway. Data collection methods were individual research interviews. All together the sample consisted of 28...

Aging and place in long-term care settings: influences on social relationships.

Science.gov (United States)

Bonifas, Robin P; Simons, Kelsey; Biel, Barbara; Kramer, Christie

2014-12-01

This article presents results of a qualitative research study that examined how living in a long-term care (LTC) home influences the quality of residents' relationships with peers, family members, and outside friends. Semistructured interviews using a phenomenological approach were conducted with 23 residents of a LTC home. Thematic analysis was employed to illuminate residents' perspectives on the nature of social relationships in this setting. Four key themes were identified that highlight the role of place in social relationships. Residing in a LTC home influences the context of social interactions, impacts their quality and process, clusters individuals with health and functional declines that hinder socialization, and poses structural and cultural barriers that impede social interactions. Health and functional limitations posed the greatest challenge to socialization relative to characteristics of the facility itself. Residents' insights emphasize how personal characteristics influence community culture and the experience of place. © The Author(s) 2014.

A novel suture method to place and adjust peripheral nerve catheters

DEFF Research Database (Denmark)

Rothe, C.; Steen-Hansen, C.; Madsen, M. H.

2015-01-01

We have developed a peripheral nerve catheter, attached to a needle, which works like an adjustable suture. We used in-plane ultrasound guidance to place 45 catheters close to the femoral, saphenous, sciatic and distal tibial nerves in cadaver legs. We displaced catheters after their initial...

Preferred and actual place of death in haematological malignancy.

Science.gov (United States)

Howell, D A; Wang, H I; Roman, E; Smith, A G; Patmore, R; Johnson, M J; Garry, A; Howard, M

2017-06-01

Home is considered the preferred place of death for many, but patients with haematological malignancies (leukaemias, lymphomas and myeloma) die in hospital more often than those with other cancers and the reasons for this are not wholly understood. We examined preferred and actual place of death among people with these diseases. The study is embedded within an established population-based cohort of patients with haematological malignancies. All patients diagnosed at two of the largest hospitals in the study area between May 2005 and April 2008 with acute myeloid leukaemia, diffuse large B-cell lymphoma or myeloma, who died before May 2010 were included. Data were obtained from medical records and routine linkage to national death records. 323 deceased patients were included. A total of 142 (44%) had discussed their preferred place of death; 45.8% wanted to die at home, 28.2% in hospital, 16.9% in a hospice, 5.6% in a nursing home and 3.5% were undecided; 63.4% of these died in their preferred place. Compared to patients with evidence of a discussion, those without were twice as likely to have died within a month of diagnosis (14.8% vs 29.8%). Overall, 240 patients died in hospital; those without a discussion were significantly more likely to die in hospital than those who had (p≤0.0001). Of those dying in hospital, 90% and 75.8% received haematology clinical input in the 30 and 7 days before death, respectively, and 40.8% died in haematology areas. Many patients discussed their preferred place of death, but a substantial proportion did not and hospital deaths were common in this latter group. There is scope to improve practice, particularly among those dying soon after diagnosis. We found evidence that some people opted to die in hospital; the extent to which this compares with other cancers is of interest. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.

An exploratory study of boarding home sanctions and compliance in Washington State.

Science.gov (United States)

Graf Schaffner, Mindy L

2011-01-01

States vary in enforcement systems that monitor the quality of care in residential boarding homes. The growing number of people seeking long-term care services in boarding homes requires regulatory systems that are effective in quality assurance enforcement. This 6 year retrospective study describes the characteristics of 601 sanctioned and nonsanctioned homes in the state of Washington and evaluates the effectiveness of enforcement actions such as intermediate sanctions on future boarding home compliance. The intermediate sanctions evaluated are stop placement of admissions, civil fines, and conditions placed on licenses. Boarding homes that were sanctioned tended to be homes that were for-profit and had governmental contracts for Medicaid services. Homes that remained sanctioned throughout the 6 year study tended to be homes that were individual ownership corporations, had smaller numbers of licensed beds, and did not provide nursing services. Intermediate sanctions were found to vary in effectiveness. Conditions placed on licenses were the most effective intermediate sanction, and civil fines the least effective. Higher citation numbers and the most severe level of complaint types were found to be predictors of becoming a sanctioned boarding home. Copyright © 2011 Elsevier Inc. All rights reserved.

Placing Salt/Soy Sauce at Dining Tables and Out-Of-Home Behavior Are Related to Urinary Sodium Excretion in Japanese Secondary School Students.

Science.gov (United States)

Okuda, Masayuki; Asakura, Keiko; Sasaki, Satoshi

2017-11-28

We investigated whether home environment, salt knowledge, and salt-use behavior were associated with urinary sodium (Na) excretion in Japanese secondary school students. Students (267; mean age, 14.2 years) from Suo-Oshima, Japan, collected three overnight urine samples and completed a salt environment/knowledge/behavior questionnaire. A subset of students ( n = 66) collected, on non-consecutive days, two 24 h urine samples, and this subset was used to derive a formula for estimating 24 h Na excretion. Generalized linear models were used to examine the association between salt environment/knowledge/behavior and Na excretions. Students that had salt or soy sauce placed on the dining table during meals excreted more Na than those that did not ( p for trend trend = 0.005). The students who frequently bought foods at convenience stores or visited restaurants excreted more Na in urine than those who seldom bought foods ( p for trend < 0.05). Knowledge about salt or discretionary seasoning use was not significantly associated with Na excretion. The associations found in this study indicate that home environment and salt-use behavior may be a target for a public health intervention to reduce salt intake of secondary school students.

Preference for place-of-death among terminally ill cancer patients in Denmark

DEFF Research Database (Denmark)

Neergaard, Mette Asbjørn; Jensen, Anders Bonde; Sondergaard, Jens

2011-01-01

Scand J Caring Sci; 2011 Preference for place-of-death among terminally ill cancer patients in Denmark Achieving home death is often seen as an important endpoint in palliative care, but no studies of the preferred place-of-death have yet been conducted in Scandinavia. Furthermore, we do not know...... if professionals' report on deceased patients' preference of place-of-death is a valid information. The aim of this study was to describe where terminally ill Danish cancer patients prefer to die and to determine if their preference changed during the palliative period, as reported retrospectively by bereaved...... GPs and CNs) report retrospectively that most terminally ill cancer patients wish to die at home. The preference weakened significantly as death approached. The agreement between relatives' and GPs' accounts on patients' preferences at the end of the palliative period was 'substantial', whereas...

Home and away? Creating identities and sustaining places in a multicentered world

Science.gov (United States)

Daniel R. Williams; Susan R. Van Patten

2006-01-01

Imagine being able to 'travel the world without leaving home'. This is not the overblown promise of some high-tech, computer-generated virtual world, but the veritable promise of The World. Built and operated by a Norwegian company called ResidenSea and launched on her maiden voyage in early 2002, The World is a 191-metre-long 'global village at sea...

Maternal physiological dysregulation while parenting poses risk for infant attachment disorganization and behavior problems.

Science.gov (United States)

Leerkes, Esther M; Su, Jinni; Calkins, Susan D; O'Brien, Marion; Supple, Andrew J

2017-02-01

The extent to which indices of maternal physiological arousal (skin conductance augmentation) and regulation (vagal withdrawal) while parenting predict infant attachment disorganization and behavior problems directly or indirectly via maternal sensitivity was examined in a sample of 259 mothers and their infants. Two covariates, maternal self-reported emotional risk and Adult Attachment Interview attachment coherence were assessed prenatally. Mothers' physiological arousal and regulation were measured during parenting tasks when infants were 6 months old. Maternal sensitivity was observed during distress-eliciting tasks when infants were 6 and 14 months old, and an average sensitivity score was calculated. Attachment disorganization was observed during the Strange Situation when infants were 14 months old, and mothers reported on infants' behavior problems when infants were 27 months old. Over and above covariates, mothers' arousal and regulation while parenting interacted to predict infant attachment disorganization and behavior problems such that maternal arousal was associated with higher attachment disorganization and behavior problems when maternal regulation was low but not when maternal regulation was high. This effect was direct and not explained by maternal sensitivity. The results suggest that maternal physiological dysregulation while parenting places infants at risk for psychopathology.

Understanding stakeholders' attitudes toward water management interventions: Role of place meanings

Science.gov (United States)

Jacobs, Maarten H.; Buijs, Arjen E.

2011-01-01

Water resource managers increasingly need to take the opinions of stakeholders into account when planning interventions. We studied stakeholders' concerns in two water management planning contexts, focusing on the meanings assigned to places and on attitudes toward proposed interventions. Semistructured interviews were held, and public meetings were observed in order to collect data. Five categories of place meanings emerged from the analysis: beauty (esthetic judgments), functionality (ways of use), attachment (feelings of belonging), biodiversity (meanings pertaining to nature), and risk (worries about current or future events). These categories reflect the basic dimensions of sense of place. Our results suggest that stakeholders' attitudes toward proposed interventions are, to a great extent, derived from their place meanings. Discussing place meanings during participatory planning processes could contribute substantially to successful water management.

Wellbeing in Urban Greenery: The Role of Naturalness and Place Identity.

Science.gov (United States)

Knez, Igor; Ode Sang, Åsa; Gunnarsson, Bengt; Hedblom, Marcus

2018-01-01

The aim was to investigate effects of urban greenery (high vs. low naturalness) on place identity and wellbeing, and the links between place identity and wellbeing. It was shown that participants (Gothenburg, Sweden, N = 1347) estimated a stronger attachment/closeness/belonging (emotional component of place-identity), and more remembrance and thinking about and mental travel (cognitive component of place-identity) in relation to high vs. low perceived naturalness. High naturalness was also reported to generate higher wellbeing in participants than low naturalness. Furthermore, place identity was shown to predict participants' wellbeing in urban greenery, accounting for 35% of variance explained by the regression. However, there was a stronger relationship between the emotional vs. the cognitive component of place identity and wellbeing. Finally, a significant role of place identity in mediating the naturalness-wellbeing relationship was shown, indicating that the naturalness-wellbeing connection can be partly accounted for by the psychological mechanisms of people-place bonding.

Exploring the concurrent validity of the nationwide assessment of permanent nursing home residence in Denmark

DEFF Research Database (Denmark)

Bebe, Anna; Nielsen, Anni Brit Sternhagen; Willadsen, Tora Grauers

2017-01-01

Background: Many register studies make use of information about permanent nursing home residents. Statistics Denmark (StatD) identifies nursing home residents by two different indirect methods, one based on reports from the municipalities regarding home care in taken place in a nursing home...... Danish Region, we randomly selected one municipality reporting to Stat D (Method 1) and one not reporting where instead an algorithm created by StatD was used to discover nursing home residents (Method 2). Method 1 means that municipalities reported to Stat D whether home care has taken place......, and the other based on an algorithm created by StatD.The aim of the present study was to validate StatD’s nursing home register using dedicated administrative municipality records on individual nursing home residents as gold standard. Methods: In total, ten Danish municipalities were selected. Within each...

Systemic therapy and attachment narratives: Attachment Narrative Therapy.

Science.gov (United States)

Dallos, Rudi; Vetere, Arlene

2014-10-01

This article outlines an integration of attachment theory with narrative theory and systemic theory and practice: Attachment Narrative Therapy (ANT). This integration offers a more powerful explanatory formulation of the development and maintenance of human distress in relationships, families and communities, and gives direction to psychotherapeutic intervention. © The Author(s) 2014.

Effects of Place Identity, Place Dependence, and Experience-Use History on Perceptions of Recreation Impacts in a Natural Setting

Science.gov (United States)

White, Dave D.; Virden, Randy J.; van Riper, Carena J.

2008-10-01

It is generally accepted that recreation use in natural environments results in some degree of negative social and environmental impact. Environmental managers are tasked with mitigating the impact while providing beneficial recreation opportunities. Research on the factors that influence visitors’ perceptions of environmental and social conditions is necessary to inform sound environmental management of protected natural areas. This study examines the effect of prior experience with the setting and two dimensions of place attachment (i.e., place identity and place dependence) on visitors’ perceptions of three types of recreation impacts (i.e., depreciative behavior, environmental impacts, and recreation conflict). Principal components analysis, confirmatory factor analysis, and structural equation modeling were used to test the study hypotheses using data collected from 351 visitors through on-site questionnaires (response rate of 93 percent). The results show that prior experience exhibited a moderate and significant direct positive effect on place identity, place dependence, and visitors’ perceptions of recreation impacts. Contrary to study hypotheses and prior research, neither place dependence nor place identity exhibited a significant effect on the dependent variables. The results show that prior experience causes visitors to be more sensitive to depreciative behaviors, environmental impacts, and recreation conflict. These findings raise concerns over potential visitor displacement and deterioration of site conditions. Implications for resource managers are discussed, which include education, modifying visitor use patterns, and site design strategies.

Effects of place identity, place dependence, and experience-use history on perceptions of recreation impacts in a natural setting.

Science.gov (United States)

White, Dave D; Virden, Randy J; van Riper, Carena J

2008-10-01

It is generally accepted that recreation use in natural environments results in some degree of negative social and environmental impact. Environmental managers are tasked with mitigating the impact while providing beneficial recreation opportunities. Research on the factors that influence visitors' perceptions of environmental and social conditions is necessary to inform sound environmental management of protected natural areas. This study examines the effect of prior experience with the setting and two dimensions of place attachment (i.e., place identity and place dependence) on visitors' perceptions of three types of recreation impacts (i.e., depreciative behavior, environmental impacts, and recreation conflict). Principal components analysis, confirmatory factor analysis, and structural equation modeling were used to test the study hypotheses using data collected from 351 visitors through on-site questionnaires (response rate of 93 percent). The results show that prior experience exhibited a moderate and significant direct positive effect on place identity, place dependence, and visitors' perceptions of recreation impacts. Contrary to study hypotheses and prior research, neither place dependence nor place identity exhibited a significant effect on the dependent variables. The results show that prior experience causes visitors to be more sensitive to depreciative behaviors, environmental impacts, and recreation conflict. These findings raise concerns over potential visitor displacement and deterioration of site conditions. Implications for resource managers are discussed, which include education, modifying visitor use patterns, and site design strategies.

Locomotion of bacteria in liquid flow and the boundary layer effect on bacterial attachment.

Science.gov (United States)

Zhang, Chao; Liao, Qiang; Chen, Rong; Zhu, Xun

2015-06-12

The formation of biofilm greatly affects the performance of biological reactors, which highly depends on bacterial swimming and attachment that usually takes place in liquid flow. Therefore, bacterial swimming and attachment on flat and circular surfaces with the consideration of flow was studied experimentally. Besides, a mathematical model comprehensively combining bacterial swimming and motion with flow is proposed for the simulation of bacterial locomotion and attachment in flow. Both experimental and theoretical results revealed that attached bacteria density increases with decreasing boundary layer thickness on both flat and circular surfaces, the consequence of which is inherently related to the competition between bacterial swimming and the non-slip motion with flow evaluated by the Péclet number. In the boundary layer, where the Péclet number is relatively higher, bacterial locomotion mainly depends on bacterial swimming. Thinner boundary layer promotes bacterial swimming towards the surface, leading to higher attachment density. To enhance the performance of biofilm reactors, it is effective to reduce the boundary layer thickness on desired surfaces. Copyright © 2015 Elsevier Inc. All rights reserved.

Place-Based Stewardship Education: Nurturing Aspirations to Protect the Rural Commons

Science.gov (United States)

Gallay, Erin; Marckini-Polk, Lisa; Schroeder, Brandon; Flanagan, Constance

2016-01-01

In this mixed-methods study, we examine the potential of place-based stewardship education (PBSE) for nurturing rural students' community attachment and aspirations to contribute to the preservation of the environmental "commons." Analyzing pre- and post-experience surveys (n = 240) and open-ended responses (n = 275) collected from…

Fall prevention in nursing homes

DEFF Research Database (Denmark)

Andresen, Mette; Hauge, Johnny

2014-01-01

that the number of hospitalization after a fall injury will become an even greater task for the Danish hospitals, The aim of the study was to show if there is a relationship between physically frail elderly nursing home resident’s subjective evaluation of fall-risk and an objective evaluation of their balance....... Further, to suggest tools for fall prevention in nursing home settings on the basis of the results of this study and the literature. A quantitative method inspired by the survey method was used to give an overview of fall patterns, subjective and objective evaluations of fallrisk. Participants were 16...... physically frail elderly nursing home residents from three different nursing homes. Measures: a small staff-questionnaire about incidences and places where the participants had falling-episodes during a 12 month period, The Falls Effi cacy Scale Swedish version (FES(S)) and Berg Balance Scale (BBS) Results...

Short-time home coming project in evacuation zone

International Nuclear Information System (INIS)

Tatsuzaki, Hideo

2011-01-01

Accident at Fukushima Daiichi Nuclear Power Plants (NPPs) forced neighboring residents to evacuate, and evacuation zone (20 km radius from NPPs) was defined as highly contaminated and designated as no-entry zones. Residents had been obliged to live a refugee life for a longer period than expected. Short-time home coming project was initiated according to their requests. They came to the meeting place called transfer place (20 - 30 km radius from NPPs), wore protective clothing and personal dosimeter with having drinking water and came home in evacuation zone with staffs by bus. Their healthcare management professionals were fully prepared for emergency. After collecting necessary articles at home within two hours, they returned to the meeting place by bus for screening and dressing, and went back to refuge house. If screening data were greater than 13 kcpm using GM counters, partial body decontamination had been conducted by wiping and if greater than 100 kcpm, whole body decontamination was requested but not conducted. Dose rate of residents and staffs was controlled less than 1 mSv, which was alarm level of personal dosimeter. Stable iodine was prepared but actually not used. (T. Tanaka)

[Social inequality in home care].

Science.gov (United States)

Möller, A; Osterfeld, A; Büscher, A

2013-06-01

Social inequality in Germany is discussed primarily with regard to educational or social welfare issues. There is a political consensus that more action should be taken to ensure equality of chances and fulfillment of basic needs for everyone. In long-term care these considerations have not yet taken place and there are hardly any research studies in this field. However, the startling rise of the need for long-term care will definitely require a discussion of social inequality in various care arrangements. To learn more about social inequality in home care, a qualitative approach was used and 16 home care nurses were interviewed. Our study shows that many care recipients face numerous problems they cannot handle on their own, which may even worsen their situation. In addition, the results reveal that facing social inequalities place a burden on nurses and influence their work performance.

Psychological Distress, Physical Symptoms, and the Role of Attachment Style in Acupuncture.

Science.gov (United States)

Sochos, Antigonos; Bennett, Ashley

2016-03-01

Context • Attachment research has contributed significantly to the understanding of the origins as well as the treatment of psychological and somatic distress; however, no study so far has explored the role of attachment in acupuncture. The effects on endogenous opioids of both acupuncture and intimate interpersonal bonding as well as clients' reliance on a practitioner's care may suggest that individual differences in attachment style could be linked to individual differences in responses to acupuncture. Objective • The study intended to investigate the role of attachment style in determining outcomes in acupuncture. Design • A pre- and postintervention, single group, quasiexperimental design was used. Setting • Treatment and data collection took place in an acupuncture clinic in London, England, United Kingdom. Eighty-two acupuncture clients with a mean age of 46 ± 14.53 took part in the study. Participants suffered from a variety of somatic and psychological complaints. Intervention • Traditional Chinese acupuncture was administered to all participants in weekly sessions, with the mean number of sessions that participants received being 5 ± 3.5. Outcome Measures • Psychological distress and somatic symptoms were measured using the General Heath Questionnaire (GHQ-12) and the Bradford Somatic Inventory (BSI), respectively. The Relationship Questionnaire (RQ) was used to assess attachment style, with the 4 styles being secure, dismissing, preoccupied, and fearful. Results • After treatment, both somatic and nonsomatic distress were reduced (P attachment insecurity and symptom severity ceased to exist. The strength rather than the quality of the attachment style moderated the reduction in somatic distress, whereas the preoccupied style of attachment moderated the effects of medically unexplained symptoms on distress. Conclusions • Attachment style may have an impact on acupuncture outcomes by predisposing individuals to different patterns of

Preventing Perinatal Depression through Home Visiting: The Mothers and Babies Course

Science.gov (United States)

Perry, Deborah F.; Tandon, S. Darius; Edwards, Karen; Mendelson, Tamar

2014-01-01

Home visiting (HV) programs serve women at high risk for developing postpartum depression because of factors such as poverty and low social support. Depression poses serious threats not only to mother-child attachment and healthy infant development but also to women's ability to engage with HV services and supports. The Mothers and Babies (MB)…

Pet dogs and child physical activity: the role of child-dog attachment.

Science.gov (United States)

Gadomski, A M; Scribani, M B; Krupa, N; Jenkins, P

2017-10-01

Dog ownership has been associated with increased physical activity in children which in turn may mitigate childhood obesity. To measure the association between child-dog attachment and child physical activity and screen time. Cross-sectional study including 370 children (ages 4-10) who had pet dogs in the home. Parents completed the DartScreen, a web-based screener, before a well-child visit. Screener domains included child body mass index (BMI), physical activity, screen time and dog-related questions. The Companion Animal Bonding Scale (CABS) was used to measure child attachment to the dog. Clinic nurses weighed and measured the children. Associations between CABS, BMI z-score, screen time and physical activity were estimated. CABS was strongly associated with time spent being active with the dog (F = 22.81, p dog is associated with increased child physical activity. © 2016 World Obesity Federation.

Infant attachment, adult attachment, and maternal sensitivity: revisiting the intergenerational transmission gap.

Science.gov (United States)

Behrens, Kazuko Y; Haltigan, John D; Bahm, Naomi I Gribneau

2016-08-01

This study investigated the intergenerational transmission of attachment, utilizing the Adult Attachment Interview (AAI), the Strange Situation Procedure (SSP), and the Maternal Behavioral Q-Set (MBQS). We revisited fundamental questions in attachment theory and research by examining: (1) the level of intergenerational agreement between maternal attachment representations and infant attachment security, and (2) whether maternal sensitivity serves as an intergenerational mediator between adult and infant attachment security. Significant categorical matches between the AAI and the SSP as well as mean differences for MBQS scores between adult attachment secure-insecure groups were found. Consistent with earlier intergenerational research, maternal sensitivity only partially mediated the AAI-SSP link, indicating the transmission gap remains. Consistent with recent mediation studies, using more contemporary analytical techniques, it was confirmed that maternal sensitivity did mediate the direct pathway between AAI security and SSP security. Thus, the transmission gap appears somewhat different depending on the statistical method used to measure mediation. Post hoc analyses considered mothers' childhood experiences of separation/divorce and this helped make sense of intergenerational mismatches.

Attachment and children's biased attentional processing: evidence for the exclusion of attachment-related information.

Directory of Open Access Journals (Sweden)

Eva Vandevivere

Full Text Available Research in both infants and adults demonstrated that attachment expectations are associated with the attentional processing of attachment-related information. However, this research suffered from methodological issues and has not been validated across ages. Employing a more ecologically valid paradigm to measure attentional processes by virtue of eye tracking, the current study tested the defensive exclusion hypothesis in late childhood. According to this hypothesis, insecurely attached children are assumed to defensively exclude attachment-related information. We hypothesized that securely attached children process attachment- related neutral and emotional information in a more open manner compared to insecurely attached children. Sixty-two children (59.7% girls, 8-12 years completed two different tasks, while eye movements were recorded: task one presented an array of neutral faces including mother and unfamiliar women and task two presented the same with happy and angry faces. Results indicated that more securely attached children looked longer at mother's face regardless of the emotional expression. Also, they tend to have more maintained attention to mother's neutral face. Furthermore, more attachment avoidance was related to a reduced total viewing time of mother's neutral, happy, and angry face. Attachment anxiety was not consistently related to the processing of mother's face. Findings support the theoretical assumption that securely attached children have an open manner of processing all attachment-related information.

PLACE MEANING AND SIGNIFICANCE OF THE TRADITIONAL SHOPPING DISTRICT IN THE CITY CENTRE OF KUALA LUMPUR, MALAYSIA

Directory of Open Access Journals (Sweden)

Norsidah Ujang

2014-03-01

Full Text Available Due to the rapid urbanization rate, the traditional urban environment in developing countries has been constantly replaced by modern structures with standardized images. The urban landscape of Kuala Lumpur city demonstrates a similar pattern, which, arguably, may disrupt the continuity in meaning embedded in people’s associationwith the places. This paper describes the meaning and significance of the traditional shopping districts in the city center of Kuala Lumpur, Malaysia. The researcher conducted face-to-face interviews and field observations to understand the meanings attached to the users’ experience of the traditional shopping streets located in the area. It was also to identify the urban elements that perceived to be important. The results demonstrate that the users translated various meanings of the places. The types and length of engagement, familiarity, cultural characteristics of the users and economic dependency influenced the attachment. The places are meaningful as a reflection of self and group identity thus contribute to the continuity of place identity.

Electron attachment to the SF{sub 6} molecule

Energy Technology Data Exchange (ETDEWEB)

Smirnov, B. M., E-mail: bmsmirnov@gmail.com; Kosarim, A. V. [Russian Academy of Sciences, Joint Institute for High Temperatures (Russian Federation)

2015-09-15

Various models for transition between electron and nuclear subsystems are compared in the case of electron attachment to the SF{sub 6} molecule. Experimental data, including the cross section of electron attachment to this molecule as a function of the electron energy and vibrational temperature, the rate constants of this process in swarm experiments, and the rates of the chemionization process involving Rydberg atoms and the SF{sub 6} molecule, are collected and treated. Based on the data and on the resonant character of electron capture into an autodetachment ion state in accordance with the Breit–Wigner formula, we find that intersection of the molecule and negative ion electron terms proceeds above the potential well bottom of the molecule with the barrier height 0.05–0.1 eV, and the transition between these electron terms has both the tunnel and abovebarrier character. The limit of small electron energies e for the electron attachment cross section at room vibrational temperature takes place at ε ≪ 2 meV, while in the range 2 meV ≪ ε ≪ 80 meV, the cross section is inversely proportional to ε. In considering the attachment process as a result of the interaction between the electron and vibrational degrees of freedom, we find the coupling factor f between them to be f = aT at low vibrational temperatures T with a ≈ 3 × 10{sup −4} K{sup −1}. The coupling factor is independent of the temperature at T > 400 K.

The Attachment Imperative

DEFF Research Database (Denmark)

Navne, Laura Emdal; Svendsen, Mette Nordahl; Gammeltoft, Tine

2017-01-01

on social relations and point to the productive aspects of practices of distance and detachment. We show that while the NICU upholds an imperative of attachment independently of the infant's chances of survival, for parents, attachment is contingent on certain hesitations in relation to their infant. We...... argue that there are nuances in practices of relationmaking in need of more attention (i.e., the nexus of attachment and detachment). Refraining from touching, holding, and feeding their infants during critical periods, the parents enact detachment as integral to their practices of attachment....... Such “cuts” in parent–infant relations become steps on the way to securing the infant's survival and making kin(ship). We conclude that although infants may be articulated as “maybe‐lives” by staff, in the NICU as well as in Danish society, the ideal of attachment appears to leave little room for “maybe‐parents.”...

Effect of implant position, angulation, and attachment height on peri-implant bone stress associated with mandibular two-implant overdentures: a finite element analysis.

Science.gov (United States)

Hong, Hae Ryong; Pae, Ahran; Kim, Yooseok; Paek, Janghyun; Kim, Hyeong-Seob; Kwon, Kung-Rock

2012-01-01

The aim of this study was to analyze and compare the level and distribution of peri-implant bone stresses associated with mandibular two-implant overdentures with different implant positions. Mathematical models of mandibles and overdentures were designed using finite element analysis software. Two intraosseous implants and ball attachment systems were placed in the interforaminal region. The overdenture, which was supported by the two implants, was designed to withstand bilateral and unilateral vertical masticatory loads (total 100 N). In all, eight types of models, which differed according to assigned implant positions, height of attachments, and angulation, were tested: MI (model with implants positioned in the lateral incisor sites), MC (implants in canine sites), MP (implants in premolar sites), MI-Hi (greater height of attachments), MC-M (canine implants placed with mesial inclination), MC-D (canine implants placed with distal inclination), MC-B (canine implants placed with buccal inclination), and MC-L (canine implants placed with lingual inclination). Peri-implant bone stress levels associated with overdentures retained by lateral incisor implants resulted in the lowest stress levels and the highest efficiency in distributing peri-implant stress. MI-Hi showed increased stress levels and decreased efficiency in stress distribution. As the implants were inclined, stress levels increased and the efficiency of stress distribution decreased. Among the inclined models, MC-B showed the lowest stress level and best efficiency in stress distribution. The lowest stress and the best stability of implants in mandibular two-implant overdentures were obtained when implants were inserted in lateral incisor areas with shorter attachments and were placed parallel to the long axes of the teeth.

A place for play? The influence of the home physical environment on children’s physical activity and sedentary behaviour

Science.gov (United States)

2013-01-01

The home environment is an important influence on the sedentary behaviour and physical activity of children, who have limited independent mobility and spend much of their time at home. This article reviews the current evidence regarding the influence of the home physical environment on the sedentary behaviour and physical activity of children aged 8–14 years. A literature search of peer reviewed articles published between 2005 and 2011 resulted in 38 observational studies (21 with activity outcomes, 23 with sedentary outcomes) and 11 experimental studies included in the review. The most commonly investigated behavioural outcomes were television watching and moderate to vigorous physical activity. Media equipment in the home and to a lesser extent the bedroom were positively associated with children’s sedentary behaviour. Physical activity equipment and the house and yard were not associated with physical activity, although environmental measures were exclusively self-reported. On the other hand, physical activity equipment was inversely associated with sedentary behaviours in half of studies. Observational studies that investigated the influence of the physical and social environment within the home space, found that the social environment, particularly the role of parents, was important. Experimental studies that changed the home physical environment by introducing a television limiting device successfully decreased television viewing, whereas the influence of introducing an active video game on activity outcomes was inconsistent. Results highlight that the home environment is an important influence on children’s sedentary behaviour and physical activity, about which much is still unknown. While changing or controlling the home physical environment shows promise for reducing screen based sedentary behaviour, further interventions are needed to understand the broader impact of these changes. Future studies should prioritise investigating the influence of the

Mining the Home Environment.

Science.gov (United States)

Cook, Diane J; Krishnan, Narayanan