The experiences found in adventure programs often parallel the archetypes depicted in mythological quests. Drawing on the work of Joseph Campbell, the stages and trials of adventure participants are compared to similar rites of passage and epic adventures experienced by heroes and heroines in epic literature and mythology. The basic pattern of…
Stanisavljevic, Jelena; Djuric, Dragan
The aim of this study is to compare the effectiveness of models of programmed instruction and conventional (informative-illustrative) expository teaching in terms of fulfilling the aims of the course "Human anatomy and physiology" which is included in the physiology programme and designed for undergraduate students majoring in biology…
This article traces the history of modern genetic counseling to mate selection and marriage counselling practices of the early-20th century. Mate selection revolved around a belief that human heredity could be improved and genetic diseases eradicated through better breeding. Marriage counselling, though interested in reproduction, was also concerned with the emotional and psychological well-being of couples. These two practices coalesced most obviously in the work of well-known geneticist Sheldon Reed. Even as marriage and genetic counselling diverged in the post-WWII period, vestiges of these practices remain in contemporary counseling experiences with family planning and genetic screening programs. Emphasizing points of continuity between "positive" eugenic ideologies and modern genetic practices elaborates the diverse origins of genetic counseling. It also exposes how genetic counselors have become involved in genetic enterprises beyond standard clinical settings, and prods at key issues in the interaction between genetic science and social values.
Slaten, Christopher D.; Rivera, Roberto C.; Shemwell, Daniel; Elison, Zachary M.
A growing body of research suggests educators need to focus on cultivating social and emotional competencies that youth will need to thrive in the new knowledge economy (Durlak, Weissberg, Dymnicki, Taylor, & Schellinger, 2011). For marginalized urban youth, in particular, few have derived programs and interventions to assist with these…
Martinovic, Dragana; Zhang, Zuochen
This exploratory case study examined pre-service teachers' expectations of and attitudes toward the learning and integrating of ICT into their teaching, and their perceptions of the availability and use of ICT in the Teacher Education Program (TEP) and their placement schools. For two years in a row the researchers collected data through online…
Strauss, Ester; Ovnat, Chaya; Gonen, Ayala; Lev-Ari, Lilac; Mizrahi, Ayala
There is a need for effective orientation programs that are designed to prepare new graduate nurses in providing safe, competent, and effective patient care. However, little is known regarding the overall effectiveness of these programs for nursing graduates. To determine whether the transition of the graduates into their working place included a structured orientation program, and to assess the effectiveness of the program from the graduate's perspective. Cross-sectional survey design. Data were collected from four different institutions in Israel. A questionnaire was divided among 100 graduate nurses and had a response rate of 79%. A questionnaire was designed and included closed and open questions. It was evaluated for internal consistency by standardized Cronbach's alpha coefficients (Cronbach's alpha was between 0.91 and 0.96). Only 50.6% of the nurses in the sample reported having a structured orientation program. We found positive significant correlations between having a structured orientation program to adaptation of the graduate nurses to the ward, satisfaction of the graduates on the ward. Positive correlations were also found between support that the graduates received to their satisfaction on the ward. Retention on the ward was highly correlated with having a program, satisfaction, adaptation, and support. We found differences in acclimation indices by religiosity. Different delivery approaches of orientation programs may determine satisfaction of the graduates. A transition program which overlooks individual needs or an informal individual approach may lead to dissatisfaction. A program which is "tailored" to the graduate, by an assigned one-to-one appointment of a preceptor, may lead to satisfaction, which in turn may assure an ongoing supply of competent RNs who will remain in those settings. Copyright © 2015 Elsevier Ltd. All rights reserved.
Sugerman, Deborah A.
Suggests techniques for camp directors to help older adults enjoy adventure camping. Discusses sociological and psychological changes accompanying aging. Emphasizes outdoor group activities as ways of helping older adults adjust to aging. Offers tips for adventure program development, staff development, and program evaluation. (TES)
About a Program “The Development of the Contents and the fulfillment of the conditions for the realization of the educational program “A Young Ecologist of Kuban” as a regional component for Main Educational Program (MEP”
Sergey G. Stepanov
Full Text Available To fulfill all the main tasks of educational development claimed by the Concepts of the long-term social-economic development of the Russian Federation up to 2020, and also by the Strategy of the of the social economic development of the Krasnoyarsky region up to 2020, and also Municipal program of Sochi “The development of the educational branch of the city of Sochi” for 2014-2016 based on the Municipal preschool educational government-financed establishment of a kindergarten of a combined type №67 a Project “ The development of the contents and creation of the conditions to fulfill the educational program “ A Young Ecologist of Kuban” as a regional component of the educational program of the main educational program” is being developed and adopted. When the experiment is finished a program of the ecological education will be fulfilled and adopted, which will take into account the system-related approach to fulfill the FSESPE that wil allow to reach the following results: -\tto form educatees’ educational results based by the FSES; -\tto build a system of a non-stop education on the levels of PE-primary school; -\tto establish a net communication between educational and science organizations of Sochi.
Wildlife Conservation Society, Bronx, NY.
The goal of this guide is to address a major environmental dilemma: worldwide habitat destruction and the disappearance of species. This guide is one of six that are included in the Habitat Ecology Learning Program (HELP), a holistic life science curriculum that involves students in an in-depth study of ecology. HELP includes six teaching guides…
Wildlife Conservation Society, Bronx, NY.
The goal of this guide is to address a major environmental dilemma: worldwide habitat destruction and the disappearance of species. This guide is one of six that are included in the Habitat Ecology Learning Program (HELP), a holistic life science curriculum that involves students in an in-depth study of ecology. HELP includes six teaching guides…
Hayes, Claire; Morgan, Mark
Over 20% of a sample of 706 young adolescents identified themselves as experiencing difficulties and being in need of specific help in coping. A psychoeducational Program "Helping Adolescents Cope" was offered to 112 of those. This was adapted, with permission, from the "Coping with Stress Course," devised by Albano et al. (1997). Participants'…
Dodd, Julie E.
Noting the benefits of high school journalism training, this guidebook familiarizes commercial newspaper editors and publishers with high school journalism programs and publications and helps them become more involved in such programs. Following a look at the positive influence of high school journalism courses on student performance and…
McCarthy, Kevin J.
A federal program, the Civilian Conservation Corps (CCC) employed young men during the Great Depression to help conserve natural resources by planting trees and building paths, roads, picnic areas, and parking lots in National Forests and National Parks. The men were supplied lodging at a camp, food, and one dollar a day. They could also take…
Paul R. McCuistion
Full Text Available Matthew’s use of plēróō to contextualise the Hebrew prophets validates his thesis that Jesus is the Christ, son of David, son of Abraham (1:1.1 To demonstrate this concept, this article examines seven of Matthew’s fulfilment statements (1:22; 2:15; 2:17–18; 4:14–16; 8:17; 12:17–21; 21:4–5 introduced by a varied formula of fulfilled through the prophet(s. The article emphasises the Christological element of Matthew’s thesis, focusing on Jesus as the Messiah. This is accomplished by means of a critical review of seven fulfilment statements, identifying their Christological context to support Matthew’s thesis.
Paul R. McCuistion
Full Text Available Matthew’s use of plēróō to contextualise the Hebrew prophets validates his thesis that Jesus is the Christ, son of David, son of Abraham (1:1.1 To demonstrate this concept, this article examines seven of Matthew’s fulfilment statements (1:22; 2:15; 2:17–18; 4:14–16; 8:17; 12:17–21; 21:4–5 introduced by a varied formula of fulfilled through the prophet(s. The article emphasises the Christological element of Matthew’s thesis, focusing on Jesus as the Messiah. This is accomplished by means of a critical review of seven fulfilment statements, identifying their Christological context to support Matthew’s thesis.
The Invention Development Fund (IDF) was piloted by the Technology Transfer Center (TTC) in 2014 to facilitate the commercial development of NCI technologies. The IDF received a second round of funding from the NCI Office of the Director and the Office of Budget and Management to establish the Invention Development Program (IDP) for fiscal year 2016. The IDP is using these funds to help advance a second set of inventions.
Fulfilling Mendeleev's Dream. Figure 1. Periodic table ac- cording to 0 I Mendeleev,. 1869. A G Samuelson. The remarkable discovery of periodicity in the properties of elements and the bold predictions made on the basis of his periodic table made Mendeleev a supreme patterner of chaos. He set the agenda for chemists as ...
Aladag, Mine; Tezer, Esin
The purpose of this study was to develop a peer helping training program for university students in Turkey and to examine its effectiveness in improving the helping skills and self-growth of peer helpers. A pre-test, post-test, follow-up-test experimental design, involving a treatment and control group, was carried out with a total sample of 31…
Wong, Shun Ha Sylvia; Beaumont, Anthony J.
The 2011 National Student Survey (NSS) revealed that 40% of full-time students in England did not think that the feedback on their work has been helpful, even though 66% of these students agreed that the feedback was detailed and 62% of them agreed that the feedback has been prompt. Detailed feedback that is not considered helpful by students means a waste of tutors' time while students continue to struggle with their learning. What do students consider as helpful feedback? What are the quali...
Gertler, Paul; Levine, David I; Moretti, Enrico
Families in developing countries face enormous financial risks from major illness both in terms of the cost of medical care and the loss in income associated with reduced labor supply and productivity. We test whether access to microfinancial savings and lending institutions helps Indonesian families smooth consumption after declines in adult health. In general, results support the importance of these institutions in helping families to self-insure consumption against health shocks.
Yates, Mary Ruth; Saunders, Ron; Watkins, J. Foster
The article discusses the development of an "alternative school" in an urban school system for students having trouble in the regular secondary setting. The program was based upon "Maslow's Hierarchy of Needs" and is described in detail. The initial assessment of the program produced very positive results.
Hu, Helen H.; Shepherd, Tricia D.
POGIL has been successfully implemented in a scientific computing course to teach science students how to program in Python. Following POGIL guidelines, the authors have developed guided inquiry activities that lead student teams to discover and understand programming concepts. With each iteration of the scientific computing course, the authors…
Full Text Available Within computer science education, many educators are incorporating software testing activities into regular programming assignments. Tools like JUnit and its relatives make software testing tasks much easier, bringing them into the realm of even introductory students. At the same time, many introductory programming courses are now including graphical interfaces as part of student assignments to improve student interest and engagement. Unfortunately, writing software tests for programs that have significant graphical user interfaces is beyond the skills of typical students (and many educators. This paper presents initial work at combining educationally oriented and open-source tools to create an infrastructure for writing tests for Java programs that have graphical user interfaces. Critically, these tools are intended to be appropriate for introductory (CS1/CS2 student use, and to dovetail with current teaching approaches that incorporate software testing in programming assignments. We also include in our findings our proposed approach to evaluating our techniques.
Maillot, Matthieu; Ferguson, Elaine L; Drewnowski, Adam; Darmon, Nicole
Nutrient profiling ranks foods based on their nutrient content. They may help identify foods with a good nutritional quality for their price. This hypothesis was tested using diet modeling with linear programming. Analyses were undertaken using food intake data from the nationally representative French INCA (enquête Individuelle et Nationale sur les Consommations Alimentaires) survey and its associated food composition and price database. For each food, a nutrient profile score was defined as the ratio between the previously published nutrient density score (NDS) and the limited nutrient score (LIM); a nutritional quality for price indicator was developed and calculated from the relationship between its NDS:LIM and energy cost (in euro/100 kcal). We developed linear programming models to design diets that fulfilled increasing levels of nutritional constraints at a minimal cost. The median NDS:LIM values of foods selected in modeled diets increased as the levels of nutritional constraints increased (P = 0.005). In addition, the proportion of foods with a good nutritional quality for price indicator was higher (P linear programming and the nutrient profiling approaches indicates that nutrient profiling can help identify foods of good nutritional quality for their price. Linear programming is a useful tool for testing nutrient profiling systems and validating the concept of nutrient profiling.
Full Text Available Video games are part of our culture like TV, movies, and books. We believe that this kind of software can be used to increase students' interest in computer science. Video games with other goals than entertainment, serious games, are present, today, in several fields such as education, government, health, defence, industry, civil security, and science. This paper presents a study around a serious game dedicated to strengthening programming skills. Real-Time Strategy, which is a popular game genre, seems to be the most suitable kind of game to support such a serious game. From programming teaching features to video game characteristics, we define a teaching organisation to experiment if a serious game can be adapted to learn programming.
Range, Lillian M.; Salgado, Roy; White, Carolyn
To see how students understand information about counseling programs from school websites, in January and February, 2012, 43 undergraduates (most women) at a co-educational religious college in the southeastern U. S. obtained website information about accreditation, tuition, and number of hours and faculty on 14 schools in Louisiana. They also…
Yates, Mary Ruth; And Others
Describes the program at Alabama's Huntsville Alternative School, where severe behavioral problems are dealt with by promoting positive self-concepts in students through acceptance, trust, warmth, concern, firmness, consistency, humor, and the meeting of human needs as identified by Abraham Maslow. (Author/PGD)
Henderson, Claire; Evans-Lacko, Sara; Thornicroft, Graham
Globally, more than 70% of people with mental illness receive no treatment from health care staff. Evidence suggests that factors increasing the likelihood of treatment avoidance or delay before presenting for care include (1) lack of knowledge to identify features of mental illnesses, (2) ignorance about how to access treatment, (3) prejudice against people who have mental illness, and (4) expectation of discrimination against people diagnosed with mental illness. In this article, we reviewed the evidence on whether large-scale anti-stigma campaigns could lead to increased levels of help seeking.
Describes a Maryland program for teenage mothers who want to finish school. The three goals of the program are to (1) help the mother get her diploma, (2) provide entry-level vocational skills, and (3) provide child care. (CH)
Bingham, B. L.
NSF REU site programs provide remarkable opportunities for students to experience first-hand the challenges and rewards of science research. Because REU positions are relatively scarce, applicant pools are large, and it is easy to fill available positions with students who already have well-developed research skills and proven abilities to excel academically. Advisors bringing REU participants into their labs may see this as the ideal situation. However, using experience and academic record as the primary selection criteria ignores an enormous pool of talented students who have simply never been in a position to show, or discover themselves, what they can do. Reaching this audience requires a shift in strategy: recruiting in ways that reach students who are unaware of REU opportunities; adjusting our selection criteria to look beyond academics and experience, putting as much emphasis on future potential as we do on past performance; finding, or developing, mentors who share this broader vision of working with students; and providing an institutional culture that ensure every student has the kind of multi-node support network that maximizes his or her success. REU programs should be primary tools to developing a deeper and broader science workforce. Achieving that goal will require innovative approaches to finding, recruiting, and mentoring participants.
... URBAN DEVELOPMENT Self-Help Homeownership Opportunity Program (SHOP) Grant Monitoring AGENCY: Office of... following information: Title of Proposed: Self-Help Homeownership Opportunity Program (SHOP) Grant Monitoring. OMB Approval Number: 2506-0157. Form Numbers: HUD-96011, HUD-2990, HUD-2880, HUD-424-CB, HUD...
Hege L Ersdal
Full Text Available Globally, the burden of deaths and illness is still unacceptably high at the day of birth. Annually, approximately 300.000 women die related to childbirth, 2.7 million babies die within their first month of life, and 2.6 million babies are stillborn. Many of these fatalities could be avoided by basic, but prompt care, if birth attendants around the world had the necessary skills and competencies to manage life-threatening complications around the time of birth. Thus, the innovative Helping Babies Survive (HBS and Helping Mothers Survive (HMS programs emerged to meet the need for more practical, low-cost, and low-tech simulation-based training. This paper provides users of HBS and HMS programs a 10-point list of key implementation steps to create sustained impact, leading to increased survival of mothers and babies. The list evolved through an Utstein consensus process, involving a broad spectrum of international experts within the field, and can be used as a means to guide processes in low-resourced countries. Successful implementation of HBS and HMS training programs require country-led commitment, readiness, and follow-up to create local accountability and ownership. Each country has to identify its own gaps and define realistic service delivery standards and patient outcome goals depending on available financial resources for dissemination and sustainment.
Wildlife Conservation Society, Bronx, NY.
The goal of this guide is to address a major environmental dilemma: worldwide habitat destruction and the disappearance of species. This guide is one of six that are included in the Habitat Ecology Learning Program (HELP), a holistic life science curriculum that involves students in an in-depth study of ecology. HELP includes six teaching guides…
Cahill, Helen; Coffey, Julia
This article discusses research which explored the impact of the Learning Partnerships program on young people's attitudes to help-seeking. The Learning Partnerships program brings classes of high school students into universities to teach pre-service teachers and doctors how to communicate effectively with adolescents about sensitive issues such…
Hurley, Mary E.
The National Issues Forum's Literacy Program uses study circles and group discussion to promote empowerment and enhance adult literacy through civic education. The program has helped the Westonka (Minnesota) Adult Basic Education project accomplish its mission and has expanded the staff's view of adult learning. (SK)
Newgent, Rebecca A.; Featherston, Larry W.; Stegman, Charles E.; Lee, Sang Min
The School-Based Mental Health Program's goals are to identify at-risk children, reduce ineffective functioning of at-risk children, provide social service interventions, increase effective parenting skills, help families access community resources, and support mental health education. The program was designed to develop a comprehensive,…
The purpose of this study was to investigate the effect of the HELPS Program on the reading fluency skills of secondary level students attending an alternative education program using single case design methodology. Participants in this study included one 8th grade student and two 9th grade students attending an alternative education program in…
... URBAN DEVELOPMENT HUD's Fiscal Year (FY) 2010 NOFA for the Self-Help Homeownership Opportunity Program... technical correction to the FY 2010 NOFA for the Self-Help homeownership Opportunity Program (SHOP). This... the deadline date for the Self-Help homeownership Opportunity Program (SHOP) NOFA until April 18, 2011...
Full Text Available Climate and other global change phenomena affecting biodiversity require monitoring to track ecosystem changes and guide policy and management actions. Designing a biodiversity monitoring program is a difficult task that requires making decisions that often lack consensus due to budgetary constrains. As monitoring programs require long-term investment, they also require strong and continuing support from all interested parties. As such, stakeholder consultation is key to identify priorities and make sound design decisions that have as much support as possible. Here, we present the results of a consultation conducted to serve as an aid for designing a large-scale biodiversity monitoring program for the province of Québec (Canada. The consultation took the form of a survey with 13 discrete choices involving tradeoffs in respect to design priorities and 10 demographic questions (e.g., age, profession. The survey was sent to thousands of individuals having expected interests and knowledge about biodiversity and was completed by 621 participants. Overall, consensuses were few and it appeared difficult to create a design fulfilling the priorities of the majority. Most participants wanted 1 a monitoring design covering the entire territory and focusing on natural habitats; 2 a focus on species related to ecosystem services, on threatened and on invasive species. The only demographic characteristic that was related to the type of prioritization was the declared level of knowledge in biodiversity (null to high, but even then the influence was quite small.
Wroten, Kathryn; Reames, Elizabeth S.; Tuuri, Georgianna
The study reported here investigated the effectiveness of the LSU AgCenter Help a Friend, Help Yourself youth diabetes education curriculum to increase knowledge and awareness of diabetes and its symptoms in low-income middle school students participating in the Boys and Girls Club after-school program. The curriculum includes four lessons with…
National Association of State Alcohol and Drug Abuse Directors, Inc.
Twenty exemplary substance abuse prevention programs are presented in this document. These programs are included: (1) Tuba City, Arizona, Fetal Alcohol Syndrome (FAS) Prevention Program; (2) Chemical Addiction Course, University of Arkansas; (3) "Teens Are Concerned" of Arkansas; (4) "Dare to be You of Colorado"; (5) Winyan…
Morrison, Mary Lee; Austad, Carol Shaw; Cota, Kate
This study investigated specific attitudes and beliefs, related to the concepts of peace education, of participants in an "Introductory, basic help increase the peace program" (HIPP) workshop. Pre- and post-workshop ratings showed significant differences on two important attitudinal variables: first, the importance of being familiar with the…
The Wind Atlas Analysis and Application Program (WAsP) is a PC-program for horizontal and vertical extrapolation of wind climates. The program contains a complete set of models to calculate the effects on the wind of sheltering obstacles, surface roughness changes and terrain height variations...... of specific wind turbines and wind farms. The WAsP Help Facility includes a Quick Start Tutorial, a User's Guide and a Technical Reference. It further includes descriptions of the Observed Wind Climate Wizard, the WAsP Climate Analyst, the WAsP Map Editor tool, the WAsP Turbine Editor tool, the Air Density...
... URBAN DEVELOPMENT Announcement of Funding Awards for the Self-Help Homeownership Opportunity Program... Funding Availability (NOFA) for the Self-Help Homeownership Opportunity Program (SHOP). This announcement... nonprofit organizations and consortia that have experience in providing self-help housing. Grant funds are...
... URBAN DEVELOPMENT Announcement of Funding Awards for the Self-Help Homeownership Opportunity Program... Funding Availability (NOFA) for the Self-Help Homeownership Opportunity Program (SHOP). This announcement... organizations and consortia that have experience in providing self-help housing. Grant funds are used to...
... URBAN DEVELOPMENT Announcement of Funding Awards for the Self-Help Homeownership Opportunity Program... Funding Availability (NOFA) for the Self-Help Homeownership Opportunity Program (SHOP). This announcement... national and regional nonprofit organizations and consortia to undertake self-help homeownership housing...
... URBAN DEVELOPMENT Announcement of Funding Awards for the Self-Help Homeownership Opportunity Program... Funding Availability (NOFA) for the Self-Help Homeownership Opportunity Program (SHOP). This announcement... nonprofit organizations and consortia that have experience in providing self-help housing. Grant funds are...
Mundia, Lawrence; Shahrill, Masitah; Jaidin, Jainatul Halida; Jawawi, Rosmawijah; Mahadi, Mar Aswandi
Brunei started implementing its two main reformed teacher education programs, MTeach and MEd, in 2009. The reasons for these innovations included upgrading the standard of teacher training, increasing teaching effectiveness, and improving the quality of education in the country. The purpose of this study was to determine how student teachers coped with and sought help on the challenging programs. Using an online survey design, 76 randomly selected recent graduate teachers responded appropriately to questionnaires administered to them by email. The obtained quantitative research information included demographic, coping, and help-seeking data, all analyzed by SPSS Version 22. Participants endorsed both the productive and nonproductive coping strategies. In addition, they depended more on peers, teachers and internet sources for help. Four major findings were obtained. First, task-oriented coping was the most important and significant predictor of success on the MTeach and MEd programs. Second, females had a higher likelihood of success compared to males (OR = 22.760, 95 % CI for OR = 12.848-40.320). Third, students who consulted relevant internet resources had higher odds for succeeding compared to those who did not (OR = 2.237, 95 % CI 1.196-4.183). Fourth, less-able students who collaboratively worked with the more-able peers were nearly two times more likely to perform better than those who did not (OR = 1.982, 95 % CI 1.082-3.630). Coping and help-seeking were positively and significantly related to academic achievement on the two Brunei main teacher education programs. Evidence from the present study suggested that vulnerable and at-risk trainee teachers needed appropriate interventions (educational, counseling and psychotherapy) related to effective use of task-oriented coping and seeking help via cooperative learning, internet sources, and teacher consultations,. Further research with interview probes was recommended to gain additional information
Anderson, Page; Zimand, Elana; Schmertz, Stefan K.; Ferrer, Mirtha
This study describes the use of a cognitive-behavioral computer-administered self-help program with minimal therapist contact for public speaking anxiety. Participants (N = 10) with social phobia, as measured by a structured clinical interview, completed the self-help program in an open clinical trial. The program was delivered via a CD-ROM during…
Towbin, Alexander J; Hall, Seth; Moskovitz, Jay; Johnson, Neil D; Donnelly, Lane F
Communication of acute or critical results between the radiology department and referring clinicians has been a deficiency of many radiology departments. The failure to perform or document these communications can lead to poor patient care, patient safety issues, medical-legal issues, and complaints from referring clinicians. To mitigate these factors, a communication and documentation tool was created and incorporated into our departmental customer service program. This article will describe the implementation of a comprehensive customer service program in a hospital-based radiology department. A comprehensive customer service program was created in the radiology department. Customer service representatives were hired to answer the telephone calls to the radiology reading rooms and to help convey radiology results. The radiologists, referring clinicians, and customer service representatives were then linked via a novel workflow management system. This workflow management system provided tools to help facilitate the communication needs of each group. The number of studies with results conveyed was recorded from the implementation of the workflow management system. Between the implementation of the workflow management system on August 1, 2005, and June 1, 2009, 116,844 radiology results were conveyed to the referring clinicians and documented in the system. This accounts for more than 14% of the 828,516 radiology cases performed in this time frame. We have been successful in creating a comprehensive customer service program to convey and document communication of radiology results. This program has been widely used by the ordering clinicians as well as radiologists since its inception.
Sanders, Matthew R; Dittman, Cassandra K; Farruggia, Susan P; Keown, Louise J
A noninferiority randomized trial design compared the efficacy of two self-help variants of the Triple P-Positive Parenting Program: an online version and a self-help workbook. We randomly assigned families of 193 children displaying early onset disruptive behavior difficulties to the online (N = 97) or workbook (N = 96) interventions. Parents completed questionnaire measures of child behavior, parenting, child maltreatment risk, personal adjustment and relationship quality at pre- and post-intervention and again at 6-month follow up. The short-term intervention effects of the Triple P Online program were not inferior to the workbook on the primary outcomes of disruptive child behavior and dysfunctional parenting as reported by both mothers and fathers. Both interventions were associated with significant and clinically meaningful declines from pre- to post-intervention in levels of disruptive child behavior, dysfunctional parenting styles, risk of child maltreatment, and inter-parental conflict on both mother and father report measures. Intervention effects were largely maintained at 6-month follow up, thus supporting the use of self-help parenting programs within a comprehensive population-based system of parenting support to reduce child maltreatment and behavioral problems in children.
Oei, T P S; Raylu, N; Lai, W W
The study aimed to strengthen the scarce literature on self-help treatments for Problem Gambling (PG) by comparing the effectiveness of a Self-Help Cognitive Behavioral Treatment (SHCBT) program (n = 23) with a 6-week Waitlist condition (n = 32) in problem gamblers. Participants were community volunteers with gambling problems and were randomly allocated to the Waitlist and treatment conditions. Results showed significant improvements at post-treatment in gambling behaviors including frequency of gambling, average amount gambled per day and PG symptoms as well as a number of gambling correlates including psychological states (e.g., depression, anxiety and stress), gambling cognitions, gambling urges, gambling related self-efficacy, satisfaction with life, and quality of life among those who completed the SHCBT program, when compared with the waitlist condition. The effect size (partial η 2) ranged from .25 to .57 for all assessed outcomes that showed significant improvement from pre- to post-treatment. It was concluded that a self-help CBT program can be beneficial for treating community problem gamblers.
Schneid, Stephen D; Apperson, April; Laiken, Nora; Mandel, Jess; Kelly, Carolyn J; Brandl, Katharina
Medical schools with a diverse student body face the challenge of ensuring that all students succeed academically. Many medical schools have implemented prematriculation programs to prepare students from diverse backgrounds; however, evidence on their impact is largely lacking. In this study, we analyzed participants' demographics as well as the impact of the prematriculation program on Year 1 performance. Predictive validity of the program was assessed and compared to other traditional predictors, including grade point average (GPA) and Medical College Admission Test (MCAT) scores and subscores. Linear mixed effect models determined the impact of the prematriculation program, and linear regression analysis assessed the predictive value of the overall score in the prematriculation program and other traditional predictors. Demographics of students participating in the prematriculation program from 2013 to 2015 (n = 75) revealed a significantly higher prevalence of academically disadvantaged students including older students, students with lower GPA and MCAT scores and students of racial and ethnic populations that are underrepresented in medicine, compared to non-participants (n = 293). Participants performed significantly better in Year 1 courses that were covered in the prematriculation program compared to courses that were not covered. The overall performance in the prematriculation program correlated significantly with Year 1 performance and was found to be a strong predictor for Year 1 performance. This study suggests that a prematriculation program can help students to succeed in the first year of medical school. The results have implications for medical schools seeking to implement or evaluate the effectiveness of their prematriculation program.
Daniel T.L. Shek
Full Text Available The Project P.A.T.H.S. (Positive Adolescent Training through Holistic Social Programs is a positive youth development program that attempts to promote holistic development in adolescents in Hong Kong. In the Tier 2 Program of this project, social workers are expected to develop positive youth development programs for adolescents having greater psychosocial needs. They are required to submit proposals that will be evaluated in terms of whether the proposals are evidence based, and appropriate evaluation mechanisms are included. With reference to the literature on parental control processes that Chinese parents may be loose in their behavioral control and they tend to overemphasize academic excellence, it is argued that improvement of the parenting skills of parents of Chinese adolescents is an important area to be addressed. To facilitate social workers to prepare the related proposals, a sample proposal on how to improve the parenting skills of Chinese parents is described, including its conceptual framework, proposed program, and evaluation plan. It is argued that this supportive approach (i.e., preparation of a sample proposal can help social workers to develop quality proposals on positive youth development programs in Hong Kong.
This manual is intended to act as a working guide for setting up a Science Fair Volunteer Support Committee at your school. The Science Fair Volunteer Support Committee, or SFVSC, is the key component of the Science Fair Self-Help program, which was developed by Sandia National Laboratories and is designed to support a school`s science activities. The SFVSC is a team of parents and community volunteers who work in concert with a school`s teaching staff to assist and manage all areas of a school Science and Engineering Fair. The main advantage of creating such a committee is that it frees the science teachers from the organizational aspects of the fair and lets them concentrate on their job of teaching science. This manual is based on information gained through a Self-Help Development pilot program that was developed by Sandia National Laboratories during the 1991--92 school year at three Albuquerque, NM, middle schools. The manual describes the techniques that were successful in the pilot program and discusses how these techniques might be implemented in other schools. This manual also discusses problems that may be encountered, including suggestions for how they might be resolved.
Mall, Anna K.; Mehl, Annette; Kiko, Sonja; Kleindienst, Nikolaus; Salize, Hans-Joachim; Hermann, Christiane; Hoffmann, Torsten; Bohus, Martin; Steil, Regina
High social anxiety is a risk factor for the incidence of social anxiety disorder (SAD). Early diagnosis and intervention may prevent more severe psychiatric courses. Self-help programs may be a convenient, accessible, and effective intervention. This study examined the efficacy of a newly developed self-help program for SAD in individuals with…
Mitak, Kirsten Nora
The purpose of this study was to determine the feasibility of Piano Wizard(TM) as a viable technological and instructional tool for older adults. Piano Wizard's applicability for seniors was determined by participants' musical skill development, perceptions of personal fulfillment, attitudes toward music learning, and opinions about the…
Borland, Ron; Balmford, James; Benda, Peter
To test the population impact of offering automated smoking cessation interventions via the internet and/or by mobile phone. Pragmatic randomized controlled trial with five conditions: offer of (i) minimal intervention control; (ii) QuitCoach personalized tailored internet-delivered advice program; (iii) onQ, an interactive automated text-messaging program; (iv) an integration of both QuitCoach and onQ; and (v) a choice of either alone or the combined program. Australia, via a mix of internet and telephone contacts. A total of 3530 smokers or recent quitters recruited from those interested in quitting, and seeking self-help resources (n = 1335) or cold-contacted from internet panels (n = 2195). The primary outcome was self-report of 6 months sustained abstinence at 7 months post-recruitment. Only 42.5% of those offered one of the interventions took it up to a minimal level. The intervention groups combined had a non-significantly higher 6-month sustained abstinence rate than the control [odds ratio (OR) = 1.48; 95% confidence interval (CI): 0.98-2.24] (missing cases treated as smokers), with no differences between the interventions. Among those who used an intervention, there was a significant overall increase in abstinence (OR = 1.95; CI: 1.04-3.67), but not clearly so when analysing only cases with reported outcomes. Success rates were greater among those recruited after seeking information compared to those cold-contacted. Smokers interested in quitting who were assigned randomly to an offer of either the QuitCoach internet-based support program and/or the interactive automated text-messaging program had non-significantly greater odds of quitting for at least 6 months than those randomized to an offer of a simple information website. © 2012 The Authors, Addiction © 2012 Society for the Study of Addiction.
Full Text Available The Helping Babies Breathe" (HBB program is an evidence-based curriculum in basic neonatal care and resuscitation, utilizing simulation-based training to educate large numbers of birth attendants in low-resource countries. We analyzed its cost-effectiveness at a faith-based Haydom Lutheran Hospital (HLH in rural Tanzania.Data about early neonatal mortality and fresh stillbirth rates were drawn from a linked observational study during one year before and one year after full implementation of the HBB program. Cost data were provided by the Tanzanian Ministry of Health and Social Welfare (MOHSW, the research department at HLH, and the manufacturer of the training material Lærdal Global Health.Costs per life saved were USD 233, while they were USD 4.21 per life year gained. Costs for maintaining the program were USD 80 per life saved and USD 1.44 per life year gained. Costs per disease adjusted life year (DALY averted ranged from International Dollars (ID; a virtual valuta corrected for purchasing power world-wide 12 to 23, according to how DALYs were calculated.The HBB program is a low-cost intervention. Implementation in a very rural faith-based hospital like HLH has been highly cost-effective. To facilitate further global implementation of HBB a cost-effectiveness analysis including government owned institutions, urban hospitals and district facilities is desirable for a more diverse analysis to explore cost-driving factors and predictors of enhanced cost-effectiveness.
Kierfeld, Frauke; Döpfner, Manfred
Externalizing problem behaviour is one of the most frequent and most stable behavioural disorders of childhood and adolescence. The development of applicable alternatives to expensive and restrictedly available treatments becomes increasingly necessary. This pilot study tested bibliotherapy in the form of a manual-assisted self-help programme under minimum contact conditions for parents of children with externalizing problem behaviour. A total of 21 children, aged 6 to 15 years and diagnosed with Attention-Deficit/Hyperactivity Disorder (ADHD) and/or an Oppositional Defiant Disorder, were recruited from an outpatient population. The bibliotherapy lasted 10 weeks and consisted of working through a self-help book for parents (Wackelpeter und Trotzkopf). Initial clinical interviews and pre- and post-treatment evaluations were included, as well as short weekly telephone contacts (approx. 20 min. per contact) with the parents. The children's externalizing behaviour was significantly reduced during the intervention. The parenting skills were strengthened. The satisfaction of the parents with the program was high. Fewer than 20% of the parents indicated a need for an additional intensive behavioural outpatient treatment at the end of the intervention. Bibliotherapy may be an applicable and effective treatment alternative for children with disruptive behaviour disorders, at least in families with the resources necessary for this kind of intervention. The results have to be replicated within randomized control group trials.
Milošević Goran B.
Full Text Available Tax liability is the duty of the taxpayer to pay the tax. The taxpayer is responsible for the fulfillment of tax obligations from the moment of the occurrence of taxable event on which the authority imposed the tax liability. The moment of the occurrence of taxable event shall be determined separately for each tax, in accordance with the relevant tax law. The fulfillment of tax obligations is the payment of the amount owed. for the tax.
Program administrators for 64 Elementary Secondary Education Act (ESEA) programs in New York City were asked to respond to a questionnaire rating scale concerning the helpfulness and quantity of information that had been provided to them by the program evaluators. The rating scale categorized areas of administrative decision making in five…
Klimes-Dougan, Bonnie; Klingbeil, David A; Meller, Sarah J
While the ultimate goal of adolescent suicide-prevention efforts is to decrease the incidence of death by suicide, a critical intermediary goal is directing youths toward effective sources of assistance. To comprehensively review the universal prevention literature and examine the effects of universal prevention programs on student's attitudes and behaviors related to help-seeking. We systematically reviewed studies that assessed help-seeking outcomes including prevention efforts utilizing (1) psychoeducational curricula, (2) gatekeeper training, and (3) public service messaging directed at youths. Of the studies reviewed, 17 studies evaluated the help-seeking outcomes. These studies were identified through a range of sources (e.g., searching online databases, examining references of published articles on suicide prevention). The results of this review suggest that suicide-prevention programming has a limited impact on help-seeking behavior. Although there was some evidence that suicide-prevention programs had a positive impact on students' help-seeking attitudes and behaviors, there was also evidence of no effects or iatrogenic effects. Sex and risk status were moderators of program effects on students help-seeking. Caution is warranted when considering which suicidal prevention interventions best optimize the intended goals. The impact on adolescents' help-seeking behavior is a key concern for educators and mental-health professionals.
Thompson, Hilary H.; Cotton, Jennifer E. M.
In Fall 2014 the University of Maryland Libraries launched a textbook reserves program to help relieve the burden of high textbook costs on students. Although its initial performance was lackluster, workflow refinements and expanded promotion greatly improved usage, resulting in a tenfold increase in circulation and expansion of the program. This…
Full Text Available People love innovation: they are fascinating and usually curious to know how it works. But people love it until it affects them. The biggest obstacle is not technology but it is we humans and the institutions we live in. Both are stubbornly resistant to experimentation and to the change of the routine and the relative corporate organization. During the last fifteen years, a large room has been opened to the technological innovation in the vineyard and in the cellar but the new way to reach the final customer and to keep it loyal have been missed. The customer experience topic and the different gap of the customer satisfaction a producer should monitor and shorten, are rarely developed in the marketing training sessions in the MBA programs. It exists a real gap between the consumer perception and the way in which the wine is promoted. Producers are not aware about the new marketing techniques that should help them to grow and create new jobs on top of the wine production activities.
It also puts forward some ideas on the relation between public participation and the fulfilment of environmental rights and how this may feed into good environmental governance. The article does not aim to contribute to the discourse on good governance or good environmental governance per se. Instead, it introduces the ...
Shirotsuki, Kentaro; Nonaka, Yuji; Abe, Keiichi; Adachi, So-Ichiro; Adachi, Shohei; Kuboki, Tomifusa; Nakao, Mutsuhiro
Computerized cognitive behaviour therapy (CCBT) programs can provide a useful self-help approach to the treatment of psychological problems. Previous studies have shown that CCBT has moderate effects on depression, insomnia, and anxiety. The present study investigated whether a supplement drink that includes L-carnosine enhances the effect of CCBT on psychological well-being. Eighty-seven participants were randomly allocated to a control group, CCBT, or CCBT with supplement drink. The CCBT and CCBT with supplement drink groups received six weekly self-help CCBT program instalments, which consisted of psycho-education about stress management and coping, behaviour activation, and cognitive restructuring. The CCBT group consumed a bottle of the supplement soft drink every morning through the 6 weeks. This program was delivered by an e-learning system on demand and also included a self-help guidebook. Seventy-two participants completed the program or were assess at the end of the study. ANOVA revealed that there were significant interactions (times × groups) for POMS tension-anxiety and fatigue. The CCBT group showed significantly improved tension-anxiety scores, whereas the CCBT with drink group showed significant improvements on fatigue. The self-help CCBT program reduced the subjective experience of tension-anxiety in this group of workers. The addition of a supplement drink enhanced the effect of CCBT on fatigue, providing one possible approach to enhancement of such programs. This study was registered on September 2, 2016 at UMIN. The registration number is UMIN000023903.
Delaney, W; Grube, J W; Ames, G M
This research investigated belief, social support and background predictors of employee likelihood to use an Employee Assistance Program (EAP) for a drinking problem. An anonymous cross-sectional survey was administered in the home. Bivariate analyses and simultaneous equations path analysis were used to explore a model of EAP use. Survey and ethnographic research were conducted in a unionized heavy machinery manufacturing plant in the central states of the United States. A random sample of 852 hourly and salaried employees was selected. In addition to background variables, measures included: likelihood of going to an EAP for a drinking problem, belief the EAP can help, social support for the EAP from co-workers/others, belief that EAP use will harm employment, and supervisor encourages the EAP for potential drinking problems. Belief in EAP efficacy directly increased the likelihood of going to an EAP. Greater perceived social support and supervisor encouragement increased the likelihood of going to an EAP both directly and indirectly through perceived EAP efficacy. Black and union hourly employees were more likely to say they would use an EAP. Males and those who reported drinking during working hours were less likely to say they would use an EAP for a drinking problem. EAP beliefs and social support have significant effects on likelihood to go to an EAP for a drinking problem. EAPs may wish to focus their efforts on creating an environment where there is social support from coworkers and encouragement from supervisors for using EAP services. Union networks and team members have an important role to play in addition to conventional supervisor intervention.
de Graaf, I.M.
In this thesis the implementation of the evidence-based Triple P Positive Parenting Program in the Netherlands was examined. Because parenting is associated with the wellbeing of children, parenting programs are developed to address the child problems. Among all developed parenting programs, the
Learning a computer programming language can be an intimidating experience for most novices. At first glance, the lines of code of a programming language can look like a very complex syntax and together with the abstract concepts involved can represent barriers that for some turn into fear...... of coding . This paper presents and instructional design aimed to introduce students to the basic concepts of programming using visual programming alone as well as visual programming to program robots. Furthermore, the instructional design was applied in a case study: an introductory programming course......, surprise and fear. The results are analyzed and discussed in relation to the influence on students’ ability to overcome the barriers mentioned above as well as students’ learning experience....
Wojtowicz, Magdalena; Day, Victor; McGrath, Patrick J
Attrition is a persistent issue in online self-help programs, but limited research is available on reasons for attrition or successful methods for improving participant retention. One potential approach to understanding attrition and retention in such programs is to examine person-related variables (eg, beliefs and attitudes) that influence behavior. Theoretical models, such as the Theory of Planned Behavior, that describe conditions influencing human behavior may provide a useful framework for predicting participant retention in online-based program. We examined predictors of participant retention in a guided online anxiety, depression, and stress self-help program for university students using the theory of planned behavior. We also explored whether age, symptom severity, and type of coaching (ie, email vs phone) affected participant retention. 65 university students with mild to moderate depression, anxiety, and stress were enrolled in this prospective cohort study. Participants completed a questionnaire based on the theory of planned behavior prior to commencing the online-based program and the Depression Anxiety and Stress Scale (DASS) during the assessment module of the program. Participant retention was operationalized as the number of program modules completed. Perceived control over completing the online program significantly predicted intention to complete the program (F3,62=6.7; P=.001; adjusted R(2)=.2; standardized beta=.436, P=.001). Age (standardized beta=.319, P=.03) and perceived behavioral control (standardized beta=.295, P=.05) predicted the number of program modules completed (F3,61=3.20, P=.03, adjusted R(2) =.11). Initial level of distress (ie, symptom severity) did not predict participant retention (P=.55). Participants who chose phone-based coaching completed more program modules than participants who chose email-based coaching (Mann-Whitney's U=137; P=.004). Participants' age, level of perceived behavioral control, and choice of interaction
Zha Blong Xiong
Full Text Available This paper describes the process by which the Helping Youth Succeed (HYS curriculum was developed for Cambodian, Hmong, Lao, and Vietnamese immigrants in the United States to help address and minimize conflicts between immigrant parents and their adolescent children. A detailed explanation of this model is provided to encourage the development of additional culturally specific parent education curricula for other immigrant/refugee groups and/or diversepopulations.
The assessment process can be integrated with treatment and evaluation for helping teenage suicide attempters and families in short term psychiatric hospitalization programs. The method is an extremely efficient way for the therapist to work within a given time constraint. During family assessment sufficient information can be gathered to…
Shea, Munyi; Cachelin, Fary; Uribe, Luz; Striegel, Ruth H.; Thompson, Douglas; Wilson, G. Terence
Data on the compatibility of evidence-based treatment in ethnic minority groups are limited. This study utilized focus group interviews to elicit Mexican American women's (N = 12) feedback on a cognitive behavior therapy guided self-help program for binge eating disorders. Findings revealed 6 themes to be considered during the cultural adaptation…
Ahrends, Tomasz; Spanjaard, Aldo; Pilzecker, Bas; Bąbała, Nikolina; Bovens, Astrid; Xiao, Yanling; Jacobs, Heinz; Borst, Jannie
CD4+ T cells optimize the cytotoxic T cell (CTL) response in magnitude and quality, by unknown molecular mechanisms. We here present the transcriptomic changes in CTLs resulting from CD4+ T cell help after anti-cancer vaccination or virus infection. The gene expression signatures revealed that CD4+ T cell help during priming optimized CTLs in expression of cytotoxic effector molecules and many other functions that ensured efficacy of CTLs throughout their life cycle. Key features included downregulation of PD-1 and other coinhibitory receptors that impede CTL activity, and increased motility and migration capacities. "Helped" CTLs acquired chemokine receptors that helped them reach their tumor target tissue and metalloprotease activity that enabled them to invade into tumor tissue. A very large part of the "help" program was instilled in CD8+ T cells via CD27 costimulation. The help program thus enhances specific CTL effector functions in response to vaccination or a virus infection. Copyright © 2017 Elsevier Inc. All rights reserved.
de Graaf, I.M.
In this thesis the implementation of the evidence-based Triple P Positive Parenting Program in the Netherlands was examined. Because parenting is associated with the wellbeing of children, parenting programs are developed to address the child problems. Among all developed parenting programs, the Behavioral Family Interventions (BFI) have the strongest empirical evidence. The aim of Triple P is to prevent and offer treatment for mild and severe behavioral, emotional and developmental problems ...
Nabors, Laura; Burbage, Michelle; Woodson, Kenneth D; Swoboda, Christopher
Obesity prevention programs that are delivered in after-school programs are needed as a focus on curriculum can make it difficult to include this health programming during the school day. The current study examined the implementation of 2 pilot programs in different after-school programs for young children. There were 36 children in the intervention groups and 18 children in comparison groups. Children learned about healthy eating and increasing involvement in physical activity. Lessons were based on the Traffic Light Diet. Results indicated improvement in children's reports of their eating habits. Activity levels improved in 1 school, but not in the other. Parents and children were satisfied with the program and children demonstrated good knowledge of the interventions to promote healthy eating. Future studies should include larger sample sizes and evaluation of the effectiveness of different components of the intervention. Nurses can play a key role in disseminating information and designing and leading after-school programs to improve child knowledge about healthy eating and exercise. Nursing students may also benefit from assisting with conducting these types of programs to improve their experience in health prevention programming.
Wei, Yifeng; Hayden, Jill A; Kutcher, Stan; Zygmunt, Austin; McGrath, Patrick
Conduct a systematic review for the effectiveness of school mental health literacy programs to enhance knowledge, reduce stigmatizing attitudes and improve help-seeking behaviours among youth (12-25 years of age). Reviewers independently searched PubMed, PsycINFO, Cochrane Library, CINAHL, ERIC, grey literature and reference lists of included studies. They reached a consensus on the included studies, and rated the risk of bias of each study. Studies that reported three outcomes: knowledge acquisition, stigmatizing attitudes and help-seeking behaviours; and were randomized controlled trials (RCTs), cluster RCTs, quasi-experimental studies, and controlled-before-and-after studies, were eligible. This review resulted in 27 articles including 5 RCTs, 13 quasi-experimental studies, and 9 controlled-before-and-after studies. Whereas most included studies claimed school-based mental health literacy programs improve knowledge, attitudes and help-seeking behaviour, 17 studies met criteria for high risk of bias, 10 studies for moderate risk of bias, and no studies for low risk of bias. Common limitations included the lack of randomization, control for confounding factors, validated measures and report on attrition in most studies. The overall quality of the evidence for knowledge and help-seeking behaviour outcomes was very low, and low for the attitude outcome. Research into school-based mental health literacy is still in its infancy and there is insufficient evidence to claim for positive impact of school mental health literacy programs on knowledge improvement, attitudinal change or help-seeking behaviour. Future research should focus on methods to appropriately determine the evidence of effectiveness on school-based mental health literacy programs, considering the values of both RCTs and other research designs in this approach. Educators should consider the strengths and weaknesses of current mental health literacy programs to inform decisions regarding possible
Graversen, B.K.; van Ours, J.C.
This paper investigates how a mandatory activation program in Denmark affects the job finding rate of unemployed workers.The activation program was introduced in an experimental setting where about half of the workers who became unemployed in the period from November 2005 to March 2006 were randomly
Brandywine School District, Claymont, DE.
The program's goal is to provide high school students an opportunity to become an active force in the advancement of the human condition and to develop positive attitudes to improve their effectiveness in dealing with their environment. The student handbook consists of eight chapters, including an introduction to the program in chapter I. Chapter…
Harriet H. Christensen
Managers of public recreation areas are concerned about increases in vandalism and disregard for regulations and the rights of others by some users. Other than the litter incentive program, none of the approaches for reducing violations have been evaluated or proved effective. The present study evaluated a program to increase involvement of campers in the management of...
Stolle-McAllister, Kathy; Sto Domingo, Mariano R; Carrillo, Amy
The Meyerhoff Scholarship Program (MSP) is widely recognized for its comprehensive approach of integrating students into the science community. The supports provided by the program aim to develop students, primarily Blacks, into scientists by offering them academic, social, and professional opportunities to achieve their academic and career goals. The current study allowed for a rich understanding of the perceptions of current Meyerhoff students and Meyerhoff alumni about how the program works. Three groups of MSP students were included in the study: 1) new Meyerhoff students participating in Summer Bridge (n=45), 2) currently enrolled Meyerhoff students (n=92), and 3) graduates of the MSP who were currently enrolled in STEM graduate studies or had completed an advanced STEM degree (n=19). Students described the importance of several key aspects of the Meyerhoff Scholars Program: financial support, the Summer Bridge Program, formation of Meyerhoff identity, belonging to the Meyerhoff family, and developing networks - all of which serve to integrate students both academically and socially.
Does diabetes disease management save money and improve outcomes? A report of simultaneous short-term savings and quality improvement associated with a health maintenance organization-sponsored disease management program among patients fulfilling health employer data and information set criteria.
Sidorov, Jaan; Shull, Robert; Tomcavage, Janet; Girolami, Sabrina; Lawton, Nadine; Harris, Ronald
Little is known about the impact of disease management programs on medical costs for patients with diabetes. This study compared health care costs for patients who fulfilled health employer data and information set (HEDIS) criteria for diabetes and were in a health maintenance organization (HMO)-sponsored disease management program with costs for those not in disease management. We retrospectively examined paid health care claims and other measures of health care use over 2 years among 6,799 continuously enrolled Geisinger Health Plan patients who fulfilled HEDIS criteria for diabetes. Two groups were compared: those who were enrolled in an opt-in disease management program and those who were not enrolled. We also compared HEDIS data on HbA(1c) testing, percent not in control, lipid testing, diabetic eye screening, and kidney disease screening. All HEDIS measures were based on a hybrid method of claims and chart audits, except for percent not in control, which was based on chart audits only. Of 6,799 patients fulfilling HEDIS criteria for the diagnosis of diabetes, 3,118 (45.9%) patients were enrolled in a disease management program (program), and 3,681 (54.1%) were not enrolled (nonprogram). Both groups had similar male-to-female ratios, and the program patients were 1.4 years younger than the nonprogram patients. Per member per month paid claims averaged 394.62 dollars for program patients compared with 502.48 dollars for nonprogram patients (P 9.5%, as compared with 79 of 548 (14.4%) nonprogram patients. In this HMO, an opt-in disease management program appeared to be associated with a significant reduction in health care costs and other measures of health care use. There was also a simultaneous improvement in HEDIS measures of quality care. These data suggest that disease management may result in savings for sponsored managed care organizations and that improvements in HEDIS measures are not necessarily associated with increased medical costs.
Babey, Susan H; Wu, Shinyi; Cohen, Deborah
For optimal health, physical activity should be an integral and routine part of daily life. Youth spend a significant amount of time at school yet rarely achieve the recommended 60 min of moderate and vigorous physical activity in physical education (PE) classes or recess. This study assessed the following types of school-based opportunities to improve physical activity for youth: after-school programs, before-school programs, PE classes, extended-day PE, and short physical activity breaks during the school day. An economic analysis conducted in 2013 compared school-based approaches to increasing physical activity. Analysis factors included costs, reach, effects on physical activity gains, cost-effectiveness, and other potentially augmenting benefits. Two programs were significantly superior in terms of reach and cost per student: (1) extending the school day with mandatory PE participation and (2) offering short (10-minute) physical activity breaks during regular classroom hours. After-school program costs per student are high and the programs have a smaller reach, but they offer benefits (such as childcare) that may justify their higher costs. Before-school programs did not appear feasible. Incorporating short physical activity breaks into the existing school day would be a cost-effective way to increase school-based activity. This type of program is inexpensive and has broad reach. Inserting activity breaks throughout the day is appropriate, especially when youth are otherwise largely sedentary. Copyright © 2014 Elsevier Inc. All rights reserved.
The U.S. drone program in Pakistan faces strong resistance in Pakistan. Because the program solely seeks to eliminate terrorist groups and leaders through bombing campaigns, with no built in social support, the local population’s anti-American sentiment has reached the highest level in history. This angry mood against U.S. drone programs is spreading throughout the Islamic world. To counter this anti-American sentiment, and increase the drone program’s effectiveness, the U.S. must invest in m...
Take steps to address chronic pain now. Why? Because it's costing the United States 120 billion dollars per year, and much of this expense is due to patients bouncing from clinician to clinician without ever finding relief. Some healthcare organizations and individual practitioners successfully address the problem by taking a multidisciplinary approach to care and equipping patients with strategies to help them take charge.
Johnson, Diane E.
A court-mandated parent education course aimed at reducing effects of divorce on children was evaluated by 1,400 participants over 5 years. Most respondents highly recommended the course and said it helped them become aware of their children's point of view and how to prevent long-term emotional problems. (SK)
Carrard, Isabelle; Crépin, Christelle; Rouget, Patrick; Lam, Tony; Van der Linden, Martial; Golay, Alain
A significant percentage of obese patients suffer from binge eating disorder (BED), with negative consequences on psychological health, quality of life, weight loss treatment and maintenance. Cognitive behavioral therapy (CBT), delivered in traditional or self-help format, is effective in reducing BED symptoms. To improve dissemination, a self-help treatment program composed of eleven CBT based modules was implemented on the Internet and evaluated in a population of adult obese patients with BED. Forty-two obese BED patients wait-listed for a multi-disciplinary obesity treatment took part in the study. Twenty-two patients completing the six-month online guided self-help treatment program were compared to a control group of twenty patients without intervention. Both groups were evaluated before and after six months of Internet self-help treatment or waiting list. A follow-up evaluation was carried out six months later. Participants in the online self-help treatment program showed higher binge eating abstinence rates, lower EDE-Q shape and weight concerns, and improved TFEQ disinhibition of eating and hunger scores compared to the control group. They also scored better on psychological health and quality of life measures after intervention, and gains were maintained at follow-up. No effect was found regarding BMI. The number of modules completed was correlated with a better quality of life improvement at post evaluation. Participants rated the program as useful and easy to use. The Internet seems to be a valuable tool for disseminating CBT for BED obese patients. Acceptance of new technology was good in this population. Further research is needed with a larger sample to corroborate these results.
A grassroots movement of nonprofit, nongovernmental organizations is creating programs in which incarcerated individuals train rescued shelter dogs as therapeutic canines for Veterans with posttraumatic stress disorder (PTSD). Driven in part by reports of Veterans not receiving adequate treatment for PTSD, the programs are the latest iteration of prison-based animal programs and are founded on the principles of animal therapy and healing powers of animals. The far-reaching and deleterious collateral consequences of PTSD create social and economic burdens on the country; providing beneficial interventions for Veterans is a pressing social problem. Without oversight, a patchwork of agencies has developed that provides Veterans with dogs with varying levels of training and differing abilities. To best serve the needs of Veterans, the programs need regulation and standardized methods of training. [Journal of Psychosocial Nursing and Mental Health Services, 54(5), 49-57.]. Copyright 2016, SLACK Incorporated.
Hoelscher, Deanna M; Mitchell, Paul; Dwyer, Johanna; Elder, John; Clesi, Ann; Snyder, Patricia
This article describes the implementation of the U.S. Department of Agriculture's National School Lunch Program (NSLP) standards in school lunch menus in 56 intervention and 20 control schools from the Child and Adolescent Trial for Cardiovascular Health (CATCH) 5 years after the main trial, compared with 12 schools previously unexposed to CATCH. School food service personnel completed questionnaires to assess CATCH guideline implementation, demographic data, behavioral constructs, training, program material use, and participation in competing programs. Five days of menus and recipes were collected from school cafeteria staff, averaged, and compared to USDA School Meal Initiative (SMI) standards. Significant differences between intervention and unexposed schools were found for training and knowledge of CATCH and in mean percentage energy from fat and carbohydrates. Intervention schools most closely met USDA SMI recommendations for fat. Thus, the CATCH Eat Smart Program assisted school cafeterias in meeting USDA guidelines 5 years postimplementation.
The University of North Carolina Eshelman School of Pharmacy launched the Bill and Karen Campbell Faculty Mentoring Program (CMP) in 2006 to support scholarship-intensive junior faculty members. This report describes the origin, expectations, principles, and best practices that led to the introduction of the program, reviews the operational methods chosen for its implementation, provides information about its successes, and analyzes its strengths and limitations. PMID:24672062
The University of North Carolina Eshelman School of Pharmacy launched the Bill and Karen Campbell Faculty Mentoring Program (CMP) in 2006 to support scholarship-intensive junior faculty members. This report describes the origin, expectations, principles, and best practices that led to the introduction of the program, reviews the operational methods chosen for its implementation, provides information about its successes, and analyzes its strengths and limitations.
Full Text Available The U.S. drone program in Pakistan faces strong resistance in Pakistan. Because the program solely seeks to eliminate terrorist groups and leaders through bombing campaigns, with no built in social support, the local population’s anti-American sentiment has reached the highest level in history. This angry mood against U.S. drone programs is spreading throughout the Islamic world. To counter this anti-American sentiment, and increase the drone program’s effectiveness, the U.S. must invest in multifaceted, socio-economic support efforts to educate the population and rebuild the gratuity, trust, and commitment of Pakistan’s people to the “War on Terror.”
Peter P. KIRIAKIDIS; Mary E. JENKINS-WILLIAMS
The problem at the research site, which was one high school within a school district located in northeastern U.S., was that the dropout rate of African American high school males was very high. A mentor-to-mentee program had been implemented to help students graduate from high school at the research site. The experiences of young African American males who participated in a mentor-to-mentee program and graduated from high school had not been examined via a case study. The research questions w...
Esbjørn, Barbara Hoff; Christiansen, Bianca Munkebo; Walczak, Monika Anna
, and Cool Kids manuals for parents and children. The sample consisted of 20 families, and 17 completed treatment. Results: After treatment, intent-to-treat analyses indicated that 65% of the children were free of all anxiety disorders. The corresponding figure for completers was 76.5%. Conclusion: Our...... results suggest that parent-based self-help groups focusing on transfer of control may be a cost-effective way of providing treatment to children with moderate anxiety......Objective: We developed and tested a self-help program with minimal therapist involvement for parents of anxious children. Method: The program focused on transfer of control from therapist to parents of children with moderate anxiety, and consisted of two therapist-led workshops, a Facebook group...
Artze-Vega, Isis; Richardson, Leslie; Traxler, Adrienne
As college student populations grow increasingly diverse, centers for teaching and learning are often charged with promoting inclusive teaching practices. Yet faculty cite many affective barriers to diversity training, and we often preach to the choir. These challenges led us to seek alternate routes for diversity programming, and stereotype…
Castle, David; Crosse, Caroline; Morgain, Dea; McDowell, Caitlin; Rossell, Susan; Thomas, Neil; Phillipou, Andrea; Gilbert, Monica; Moore, Gaye; Fossey, Ellie; Harvey, Carol
Inclusion in work and education remains problematic for many people with a mental illness. We describe a structured programme - the Health Optimisation Program for Employment - that supported people with a mental illness to gain employment or commence studies. Twenty hours of the Health Optimisation Program for Employment were delivered to 600 individuals. Participants were asked to complete an evaluation survey encompassing vocational status and ratings of self-efficacy. Of the 364 participants who completed the baseline assessment, 168 responded to the evaluation survey 6 months after the delivery of the Health Optimisation Program for Employment. Of these, 21.5% had started a new job, while a further 42.8% were either volunteering or studying. Satisfaction with the programme was high and self-efficacy ratings improved significantly over the short term only. The Health Optimisation Program for Employment requires further evaluation using rigorous scientific methodology but these initial results are encouraging in terms of vocational attainment for people with a mental illness, in the Australian context. © The Royal Australian and New Zealand College of Psychiatrists 2016.
Gary, Gretchen; Allred, Shorna; LoGiudice, Elizabeth
Education is an important tool to increase the capacity of local government officials for community flood adaptation. To address flood adaptation and post-flood stream management in municipalities, Cornell Cooperative Extension and collaborators developed an educational program to increase municipal officials' knowledge about how to work…
Carter, Irene; Coyle, James; Leslie, Donald
Increasingly, students are seeking transfer from college to university educational programs. This challenges universities to assess the effectiveness of transfer policies and also challenges colleges to prepare students for continued education. This paper reviews the various transfer procedures used by Canadian universities, barriers experienced…
Margulis, Elizabeth Hellmuth
The widespread practice of including program notes for classical concerts assumes that extramusical information affects musical experience, but the psychological mechanisms underlying this process are little understood. In this study, 16 people without formal musical training heard excerpts from Beethoven String Quartets prefaced by either a…
Elliot, Eloise; Erwin, Heather; Hall, Tina; Heidorn, Brent
The American Alliance for Health, Physical Education, Recreation and Dance recommends that all schools implement a comprehensive school physical activity program. Physical activity is important to the overall health and well-being of everyone, including all school age children. The benefits of physical activity are well documented and include the…
Duke, Adrienne; Norton, Jessica
The evaluation reported in this article examined the effectiveness of a statewide bullying prevention program, Be SAFE. Be SAFE involves use of a positive youth development approach to influence peer groups rather than individual bullies or victims. Through the use of pre- and postprogram questionnaires, we found increases in youths' knowledge of…
Full Text Available The problem can be stated in the following question: Can a faithful fulfill two obligations of assisting at Mass on one Mass? The regulations are to be applied to answer the difficulty come mainly from two canons of 1983 Code of Canon Law: can. 1247 and can. 1248 § 1. Clarifying the problem the paper describes the canons and interprets norms that come from them. The conclusion is that although law allows to give two quite opposite answers to the question, for practical and for pastoral reasons there must be only one obliging response given by the competent ecclesiastical authority. It would be appropriate if diocesan bishop clearly pronounced what behavior is obliging in his diocese in the matter. Christ’s faithful have the right to know unmistakable what they are expected to do.
Bierman, Karen L.; Welsh, Janet A.; Heinrichs, Brenda S.; Nix, Robert L.; Mathis, Erin T.
Head Start enhances school readiness during preschool, but effects diminish after children transition into kindergarten. Designed to promote sustained gains, the REDI (Research-based Developmentally Informed) Parent program (REDI-P) provided home visits before and after the kindergarten transition, giving parents evidence-based learning games, interactive stories, and guided pretend play to use with their children. To evaluate impact, 200 4-year-old children in Head Start REDI classrooms were randomly assigned to REDI-P or a comparison condition (mail-home math games). Beyond the effects of the classroom program, REDI-P promoted significant improvements in child literacy skills, academic performance, self-directed learning, and social competence, demonstrating the utility of the approach in promoting gains in cognitive and social-emotional skills evident after the transition into kindergarten. PMID:26494108
Johnson, R P
Healthcare professionals in general, and those who care for the elderly in particular, must cope with a number of stressors in the working environment. Moreover, because care givers tend to put others' needs before their own, they often place an added burden of stress on themselves. Eldercare professionals must often forego the reward of finding a cure for their patients. In addition, the persons they care for can sometimes become overly dependent, depressed, unappreciative, self-centered, and demanding. The daily effort to deflect or diffuse this negative energy can take its toll on care givers, leading to coping deficiencies that themselves increase workplace tension and stress. Not only individuals, but entire departments can develop dysfunctional reactions to stress. To break this vicious cycle and improve workplace morale, facilities can implement stress management programs. As part of such a program, supervisors and managers identify stressors in the environment and suggest ways to alleviate or eliminate their effects. Once morale improves, coordinators should shift the program's focus to maintaining employee morale.
Full Text Available Abstract Background There is increasing debate about whether the scaled-up investment in HIV/AIDS programs is strengthening or weakening the fragile health systems of many developing countries. This article examines and assesses the evidence and proposes ways forward. Discussion Considerably increased resources have been brought into countries for HIV/AIDS programs by major Global Health Initiatives. Among the positive impacts are the increased awareness of and priority given to public health by governments. In addition, services to people living with HIV/AIDS have rapidly expanded. In many countries infrastructure and laboratories have been strengthened, and in some, primary health care services have been improved. The effect of AIDS on the health work force has been lessened by the provision of antiretroviral treatment to HIV-infected health care workers, by training, and, to an extent, by task-shifting. However, there are reports of concerns, too – among them, a temporal association between increasing AIDS funding and stagnant reproductive health funding, and accusations that scarce personnel are siphoned off from other health care services by offers of better-paying jobs in HIV/AIDS programs. Unfortunately, there is limited hard evidence of these health system impacts. Because service delivery for AIDS has not yet reached a level that could conceivably be considered "as close to Universal Access as possible," countries and development partners must maintain the momentum of investment in HIV/AIDS programs. At the same time, it should be recognized that global action for health is even more underfunded than is the response to the HIV epidemic. The real issue is therefore not whether to fund AIDS or health systems, but how to increase funding for both. Summary The evidence is mixed – mostly positive but some negative – as to the impact on health systems of the scaled-up responses to HIV/AIDS driven primarily by global health partnerships
Nitsch, Martina; Dimopoulos, Christina N; Flaschberger, Edith; Saffran, Kristina; Kruger, Jenna F; Garlock, Lindsay; Wilfley, Denise E; Taylor, Craig B; Jones, Megan
engagement. This study identified salient usability and engagement features associated with participant motivation to use the Healthy Body Image Program and ultimately helped improve the program prior to its implementation. This research demonstrates that improvements in usability and engagement can be achieved by testing and adjusting intervention design and content prior to program launch. The results are consistent with related research and reinforce the need for further research to identify usage patterns and effective means for reducing dropout. Digital health research should include usability studies prior to efficacy trials to help create more user-friendly programs that have a higher likelihood of "real-world" adoption.
Kim, Kim B; Kim, Miyong T; Lee, Hochang B; Nguyen, Tam; Bone, Lee R; Levine, David
To confirm the effectiveness of community health workers' involvement as counselors or case managers in a self-help diabetes management program in 2009 to 2014. Our open-label, randomized controlled trial determined the effectiveness of a self-help intervention among Korean Americans aged 35 to 80 years in the Baltimore-Washington metropolitan area with uncontrolled type 2 diabetes. We measured and analyzed physiological and psychobehavioral health outcomes of the community health worker-counseled (n = 54) and registered nurse (RN)-counseled (n = 51) intervention groups in comparison with the control group (n = 104). The community health workers' performance was comparable to that of the RNs for both psychobehavioral outcomes (e.g., self-efficacy, quality of life) and physiological outcomes. The community health worker-counseled group showed hemoglobin A1C reductions from baseline (-1.2%, -1.5%, -1.3%, and -1.6%, at months 3, 6, 9, and 12, respectively), all of which were greater than reductions in the RN-counseled (-0.7%, -0.9%, -0.9%, and -1.0%) or the control (-0.5%, -0.5%, -0.6%, and -0.7%) groups. Community health workers performed as well as or better than nurses as counselors or case managers in a self-help diabetes management program in a Korean American community.
Full Text Available The state-of-the-art programming of parallel computers is far from being successful. The main challenge today is, therefore, the development of techniques and tools that improve programmers' productivity. Programmability, portability, and reusability are key issues to be solved. In this article we shall report about our ongoing efforts in this direction. After a short discussion of the software dilemma found today, we shall present the Basel approach. We shall summarize our algorithm description methodology and discuss the basic concepts of the proposed skeleton language. An algorithmic example and comments on implementation aspects will explain our work in more detail. We shall summarize the current state of the implementation and conclude with a discussion of related work.
Full Text Available On the basis of a current research project we discuss the use of the computer program NUD*IST for the analysis and archiving of qualitative documents. Our project examines the social evaluation of spectacular criminal offenses and we identify, digitize and analyze documents from the entire 20th century. Since public and scientific discourses are examined, the data of the project are extraordinarily heterogeneous: scientific publications, court records, newspaper reports, and administrative documents. We want to show how to transfer general questions into a systematic categorization with the assistance of NUD*IST. Apart from the functions, possibilities and limitations of the application of NUD*IST, concrete work procedures and difficulties encountered are described. URN: urn:nbn:de:0114-fqs0003211
Perez, Amanda Philyaw; Phillips, Martha M; Cornell, Carol E; Mays, Glen; Adams, Becky
Maintaining a healthy and productive workforce is essential for employers in public and private sectors. Poor nutrition and obesity contribute to chronic diseases and influence health care costs and productivity. Research indicates that eating a healthy diet is associated with lower body mass index and reduced risk for developing chronic disease. The Arkansas Department of Health implemented the Healthy Employee Lifestyle Program to encourage wellness among state health employees. During the pilot year, participants completed a health risk assessment at baseline and again after 1 year that assessed diet and physical activity, other health risk factors, and readiness to make behavioral changes. Participants were encouraged to eat healthfully, participate in regular exercise, report health behaviors using a Web-based reporting system, accumulate points for healthy behaviors, and redeem points for incentives. Differences in participants' (n = 214) reported dietary behaviors between baseline and follow-up were assessed using chi2 analyses and tests of symmetry. Consumption of sweets/desserts, fats, protein, grains, processed meats, and dairy did not differ significantly from baseline to follow-up. However, at follow-up more participants reported eating 3 or more fruits and vegetables per day than at baseline and being in the action and maintenance stages of readiness to change for eating 5 or more fruits and vegetables per day and for eating a diet low in fat. Further study is needed to examine physical activity and other health risk factors to determine whether the program merits a broader dissemination.
Rodgers, Philip T
To familiarize pharmacists with the National Diabetes Education Program (NDEP) and to demonstrate the value of NDEP materials in the care of patients with diabetes. The NDEP website (www.ndep.nih.gov) and PubMed (www.ncbi.nlm.nih.gov/pubmed). NDEP is a collaboration between the National Institutes of Health, Centers for Disease Control and Prevention, and many organization partners. Since 1997, a large number of materials have been created by NDEP using an evidence-based, expert- and patient-reviewed approach to development. Materials are nonbranded and reflect current medical knowledge and practice. Educational materials are available for persons at risk for diabetes, those with diabetes, family members of persons with diabetes, employers, and professionals. The Pharmacy, Podiatry, Optometry, and Dentistry (PPOD) workgroup of NDEP promotes the value of pharmacists and other professionals in diabetes education and management. Resources are available to educate about the value of the PPOD professionals. NDEP provides evidence-based, high-quality educational materials that pharmacists will find useful in the counseling of persons with diabetes.
LeRouge, Cynthia; Dickhut, Kathryn; Lisetti, Christine; Sangameswaran, Savitha; Malasanos, Toree
This research focuses on the potential ability of animated avatars (a digital representation of the user) and virtual agents (a digital representation of a coach, buddy, or teacher) to deliver computer-based interventions for adolescents' chronic weight management. An exploration of the acceptance and desire of teens to interact with avatars and virtual agents for self-management and behavioral modification was undertaken. The utilized approach was inspired by community-based participatory research. Data was collected from 2 phases: Phase 1) focus groups with teens, provider interviews, parent interviews; and Phase 2) mid-range prototype assessment by teens and providers. Data from all stakeholder groups expressed great interest in avatars and virtual agents assisting self-management efforts. Adolescents felt the avatars and virtual agents could: 1) reinforce guidance and support, 2) fit within their lifestyle, and 3) help set future goals, particularly after witnessing the effect of their current behavior(s) on the projected physical appearance (external and internal organs) of avatars. Teens wanted 2 virtual characters: a virtual agent to act as a coach or teacher and an avatar (extension of themselves) to serve as a "buddy" for empathic support and guidance and as a surrogate for rewards. Preferred modalities for use include both mobile devices to accommodate access and desktop to accommodate preferences for maximum screen real estate to support virtualization of functions that are more contemplative and complex (e.g., goal setting). Adolescents expressed a desire for limited co-user access, which they could regulate. Data revealed certain barriers and facilitators that could affect adoption and use. The current study extends the support of teens, parents, and providers for adding avatars or virtual agents to traditional computer-based interactions. Data supports the desire for a personal relationship with a virtual character in support of previous studies. The
Strunk, Catherine M.; Sorter, Michael T.; Ossege, Julianne; King, Keith A.
Many school-based suicide prevention programs do not show a positive impact on help-seeking behaviors among emotionally troubled teens despite their being at high risk for suicide. This study is a secondary analysis of the Surviving the Teens® program evaluation to determine its effect on help-seeking behaviors among troubled youth. Results showed…
Saha, S; Kermode, M; Annear, P L
Women's participation in microfinance-based self-help groups (SHGs) and the resultant social capital may provide a basis to address the gap in health attainment for poor women and their children. We investigated the effect of combining a health program designed to improve health behaviours and outcomes with a microfinance-based SHG program. A mixed method study was conducted among 34 villages selected from three blocks or district subdivisions of India; one in Gujarat, two in Karnataka. A set of 17 villages representing new health program areas were pair-matched with 17 comparison villages. Two rounds of surveys were conducted with a total of 472 respondents, followed by 17 key informant interviews and 17 focus group discussions. Compared to a matched comparison group, women in SHGs that received the health program had higher odds of delivering their babies in an institution (OR: 5.08, 95% CI 1.21-21.35), feeding colostrum to their newborn (OR: 2.83, 95% CI 1.02-5.57), and having a toilet at home (OR: 1.53, 95% CI 0.76-3.09). However, while the change was in the expected direction, there was no statistically significant reduction in diarrhoea among children in the intervention community (OR: 0.86, 95% CI 0.42-1.76), and the hypothesis that the health program would result in decreased out-pocket expenditures on treatment was not supported. Our study found evidence that health programs implemented with microfinance-based SHGs is associated with improved health behaviours. With broad population coverage of SHGs and the social capital produced by their activities, microfinance-based SHGs may provide an avenue for addressing the health needs of poor women. Copyright © 2015 The Authors. Published by Elsevier Ltd.. All rights reserved.
Baird, Katherine M.; Eagles, Paul F. J.
A survey of 299 eighth-grade students who had attended a school-operated two-day residential program during grade six at Durham Forest (Uxbridge, Ontario) Outdoor and Environmental Education Centre showed fulfillment of 8 of the 10 program objectives. Each objective is analyzed with student responses in narrative and graph format. (SAS)
Chaudhury, Sumona; Arlington, Lauren; Brenan, Shelby; Kairuki, Allan Kaijunga; Meda, Amunga Robson; Isangula, Kahabi G; Mponzi, Victor; Bishanga, Dunstan; Thomas, Erica; Msemo, Georgina; Azayo, Mary; Molinier, Alice; Nelson, Brett D
Helping Babies Breathe (HBB) has become the gold standard globally for training birth-attendants in neonatal resuscitation in low-resource settings in efforts to reduce early newborn asphyxia and mortality. The purpose of this study was to do a first-ever activity-based cost-analysis of at-scale HBB program implementation and initial follow-up in a large region of Tanzania and evaluate costs of national scale-up as one component of a multi-method external evaluation of the implementation of HBB at scale in Tanzania. We used activity-based costing to examine budget expense data during the two-month implementation and follow-up of HBB in one of the target regions. Activity-cost centers included administrative, initial training (including resuscitation equipment), and follow-up training expenses. Sensitivity analysis was utilized to project cost scenarios incurred to achieve countrywide expansion of the program across all mainland regions of Tanzania and to model costs of program maintenance over one and five years following initiation. Total costs for the Mbeya Region were $202,240, with the highest proportion due to initial training and equipment (45.2%), followed by central program administration (37.2%), and follow-up visits (17.6%). Within Mbeya, 49 training sessions were undertaken, involving the training of 1,341 health providers from 336 health facilities in eight districts. To similarly expand the HBB program across the 25 regions of mainland Tanzania, the total economic cost is projected to be around $4,000,000 (around $600 per facility). Following sensitivity analyses, the estimated total for all Tanzania initial rollout lies between $2,934,793 to $4,309,595. In order to maintain the program nationally under the current model, it is estimated it would cost $2,019,115 for a further one year and $5,640,794 for a further five years of ongoing program support. HBB implementation is a relatively low-cost intervention with potential for high impact on perinatal
This article analyzes the relationship between social capital and neighborhood-oriented forms of participation within the context of an innovative Dutch neighborhood improvement program. On the basis of a survey among 307 residents, the author studies the link between three dimensions of social
Zilz, David A; Weber, Robert J
Most pharmacy leaders are motivated by altruistic personal and professional goals. Pharmacy leaders want to develop departments that are patient-centered and optimize financial performance, quality, and safety in the medication use process. In addition, many pharmacy leaders want to give back to their communities; this may be in the form of volunteerism, service on leadership boards, or through philanthropy. Because of these many, often competing, personal and professional priorities, life can become chaotic. By taking the time and effort to think about their priorities and to create a comprehensive life plan, pharmacy leaders can integrate all aspects of their lives and achieve their aspirations. An integrated life plan will help the pharmacy leaders to conduct their personal and professional lives with purpose.
Rebecca J. Leonardi; Buchanan-Smith, Hannah M; Gill McIvor; Sarah-Jane Vick
Interaction with animals can be beneficial to humans and animal-assisted interventions (AAIs) are increasingly popular in a range of contexts. Dog training programs (DTPs) are the most popular form of AAI in custodial contexts; prisoners often have multiple needs and DTPs seem to facilitate a diverse range of positive outcomes, including improvements in well-being, behavior, and offending behavior. However, evidence on the efficacy of prison-based DTPs is still limited and these evaluations o...
Vossius, Corinna; Lotto, Editha; Lyanga, Sara; Mduma, Estomih; Msemo, Georgina; Perlman, Jeffrey; Ersdal, Hege L.
Objective The Helping Babies Breathe” (HBB) program is an evidence-based curriculum in basic neonatal care and resuscitation, utilizing simulation-based training to educate large numbers of birth attendants in low-resource countries. We analyzed its cost-effectiveness at a faith-based Haydom Lutheran Hospital (HLH) in rural Tanzania. Methods Data about early neonatal mortality and fresh stillbirth rates were drawn from a linked observational study during one year before and one year after full implementation of the HBB program. Cost data were provided by the Tanzanian Ministry of Health and Social Welfare (MOHSW), the research department at HLH, and the manufacturer of the training material Lærdal Global Health. Findings Costs per life saved were USD 233, while they were USD 4.21 per life year gained. Costs for maintaining the program were USD 80 per life saved and USD 1.44 per life year gained. Costs per disease adjusted life year (DALY) averted ranged from International Dollars (ID; a virtual valuta corrected for purchasing power world-wide) 12 to 23, according to how DALYs were calculated. Conclusion The HBB program is a low-cost intervention. Implementation in a very rural faith-based hospital like HLH has been highly cost-effective. To facilitate further global implementation of HBB a cost-effectiveness analysis including government owned institutions, urban hospitals and district facilities is desirable for a more diverse analysis to explore cost-driving factors and predictors of enhanced cost-effectiveness. PMID:25006802
Belland, Brian R.; Burdo, Ryan; Gu, Jiangyue
Argumentation is central to instruction centered on socio-scientific issues (Sadler & Donnelly in International Journal of Science Education, 28(12), 1463-1488, 2006. doi: 10.1080/09500690600708717). Teachers can play a big role in helping students engage in argumentation and solve authentic scientific problems. To do so, they need to learn one-to-one scaffolding—dynamic support to help students accomplish tasks that they could not complete unaided. This study explores a middle school science teacher's provision of one-to-one scaffolding during a problem-based learning unit, in which students argued about how to optimize the water quality of their local river. The blended professional development program incorporated three 1.5-h seminars, one 8-h workshop, and 4 weeks of online education activities. Data sources were video of three small groups per period, and what students typed in response to prompts from computer-based argumentation scaffolds. Results indicated that the teacher provided one-to-one scaffolding on a par with inquiry-oriented teachers described in the literature.
Peter H Silverstone
Full Text Available We describe initial pilot findings from a novel school-based approach to reduce youth depression and suicidality, the Empowering a Multimodal Pathway Towards Healthy Youth (EMPATHY program. Here we present the findings from the pilot cohort of 3,244 youth aged 11-18 (Grades 6-12. They were screened for depression, suicidality, anxiety, use of drugs, alcohol, or tobacco (DAT, quality-of-life, and self-esteem. Additionally, all students in Grades 7 and 8 (mean ages 12.3 and 13.3 respectively also received an 8-session cognitive-behavioural therapy (CBT based program designed to increase resiliency to depression. Following screening there were rapid interventions for the 125 students (3.9% who were identified as being actively suicidal, as well as for another 378 students (11.7% who were felt to be at higher-risk of self-harm based on a combination of scores from all the scales. The intervention consisted of an interview with the student and their family followed by offering a guided internet-based CBT program. Results from the 2,790 students who completed scales at both baseline and 12-week follow-up showed significant decreases in depression and suicidality. Importantly, there was a marked decrease in the number of students who were actively suicidal (from n=125 at baseline to n=30 at 12-weeks. Of the 503 students offered the CBT program 163 (32% took part, and this group had significantly lower depression scores compared to those who didn't take part. There were no improvements in self-esteem, quality-of-life, or the number of students using DAT. Only 60 students (2% of total screened required external referral during the 24-weeks following study initiation. These results suggest that a multimodal school-based program may provide an effective and pragmatic approach to help reduce youth depression and suicidality. Further research is required to determine longer-term efficacy, reproducibility, and key program elements.ClinicalTrials.gov NCT
Leonardi, Rebecca J; Buchanan-Smith, Hannah M; McIvor, Gill; Vick, Sarah-Jane
Interaction with animals can be beneficial to humans and animal-assisted interventions (AAIs) are increasingly popular in a range of contexts. Dog training programs (DTPs) are the most popular form of AAI in custodial contexts; prisoners often have multiple needs and DTPs seem to facilitate a diverse range of positive outcomes, including improvements in well-being, behavior, and offending behavior. However, evidence on the efficacy of prison-based DTPs is still limited and these evaluations often lack detail or methodological rigor. We examined the experiences of male young offenders (N = 70) using thematic analysis of semi-structured interviews conducted following completion of a DTP. The themes that emerged indicated a broad range of inter-related experiences and positive outcomes. The most prevalent theme related to their experiences with Dogs (including feelings and attitudes), and there were perceived improvements categorized as: Positive Effects (including mood and well-being), Motivation, Charitable Purpose, Self-Efficacy, Improved Skills, Impulsivity, and Emotional Management. These themes mapped well onto outcomes previously identified in research on DTPs, and to the program's core aims of improving behavior, educational engagement, employability, and well-being. The diversity and nature of these themes indicates that DTPs have considerable potential to engage and benefit those individuals with multiple needs, such as young offenders, and ultimately to achieve positive long-term outcomes with significant social, health, and economic impact.
Li, Ho Cheung William; Chan, Sophia Siu Chee; Wan, Zoe Siu Fung; Wang, Man Ping; Lam, Tai Hing
There is a lack of population-based smoking cessation interventions targeting woman smokers in Hong Kong, and in Asia generally. This study aimed to evaluate the effectiveness of a gender-specific smoking cessation program for female smokers in Hong Kong. To evaluate the effectiveness of the service, a total of 457 eligible smokers were recruited. After the baseline questionnaire had been completed, a cessation counseling intervention was given by a trained counselor according to the stage of readiness to quit. Self-reported seven-day point prevalence of abstinence and reduction of cigarette consumption (≥50 %) and self-efficacy in rejecting tobacco were documented at one week and at two, three and six months. The 7-day point prevalence quit rate was 28.4 % (130/457), and 21.9 % (100/457) had reduced their cigarette consumption by at least 50 % at the six-month follow-up. The average daily cigarette consumption was reduced from 8.3 at baseline to 6.3 at six months. Moreover, both internal and external stimuli of anti-smoking self-efficacy increased from baseline to six months. The study provides some evidence for the effectiveness of the gender-specific smoking cessation program for female smokers. Furthermore, helping smokers to improve their self-efficacy in resisting both internal and external stimuli of tobacco use can be a way of enhancing the effectiveness of a smoking cessation intervention.
Garnefski, Nadia; Kraaij, Vivian
The aim of the study was to examine whether a cognitive-behavioral self-help program was effective in improving depressed mood and anxiety in people with acquired deafness. Participants were 45 persons with acquired deafness, randomly allocated to the Cognitive-Behavioral Self-help (CBS) group or the Waiting List Control (WLC) group. Depression…
Giannarelli, Linda; Adelman, Sarah; Schmidt, Stefanie
As part of the "Assessing the New Federalism" project monitoring and assessing the devolution of social programs from the federal to the state and local levels, this study explored how much help employed families get with child care expenses and the types of help they receive. The analysis is based on data from the 1997 and 1999 National…
Rebecca J. Leonardi
Full Text Available Interaction with animals can be beneficial to humans and animal-assisted interventions (AAIs are increasingly popular in a range of contexts. Dog training programs (DTPs are the most popular form of AAI in custodial contexts; prisoners often have multiple needs and DTPs seem to facilitate a diverse range of positive outcomes, including improvements in well-being, behavior, and offending behavior. However, evidence on the efficacy of prison-based DTPs is still limited and these evaluations often lack detail or methodological rigor. We examined the experiences of male young offenders (N = 70 using thematic analysis of semi-structured interviews conducted following completion of a DTP. The themes that emerged indicated a broad range of inter-related experiences and positive outcomes. The most prevalent theme related to their experiences with Dogs (including feelings and attitudes, and there were perceived improvements categorized as: Positive Effects (including mood and well-being, Motivation, Charitable Purpose, Self-Efficacy, Improved Skills, Impulsivity, and Emotional Management. These themes mapped well onto outcomes previously identified in research on DTPs, and to the program’s core aims of improving behavior, educational engagement, employability, and well-being. The diversity and nature of these themes indicates that DTPs have considerable potential to engage and benefit those individuals with multiple needs, such as young offenders, and ultimately to achieve positive long-term outcomes with significant social, health, and economic impact.
Most children in state care do not do as well in school as their peers, but the period of leaving care and transition to adulthood may offer a "turning point" for positive change. Based on a small study of care leavers in England, this article employs the concept of resilience to explore the significance of supportive relationships in…
Smetana, Judith G.; Tasopoulos-Chan, Marina; Gettman, Denise C.; Villalobos, Myriam; Campione-Barr, Nicole; Metzger, Aaron
A sample of 118 predominantly European American families with early and middle adolescents (M[subscript ages]=12.32 and 15.18 years) and 1 parent evaluated hypothetical conflicts between adolescents' and parents' requests for assistance versus the other's personal desires. Evaluations differed by level of need, but in low-need situations,…
Kraaij, V.; van Emmerik, A.; Garnefski, N.; Schroevers, M.J.; Lo-Fo-Wong, D.; Empelen, P.; Dusseldorp, E.; Witlox, R.; Maes, S.
Objective: The aim of the present study was to examine whether low-resource, cost-effective intervention programs can be effective in improving depressed mood in people with HIV. The efficacy of a cognitive-behavioral self-help program (CBS) and a computerized structured writing intervention (SWI)
Cooper, Katelyn M.; Ashley, Michael; Brownell, Sara E.
National calls to improve student academic success in college have sparked the development of bridge programs designed to help students transition from high school to college. We designed a 2-week Summer Bridge program that taught introductory biology content in an active-learning way. Through a set of exploratory interviews, we unexpectedly…
Kraaij, Vivian; van Emmerik, Arnold; Garnefski, Nadia; Schroevers, Maya J.; Lo-Fo-Wong, Deborah; van Empelen, Pepijn; Dusseldorp, Elise; Witlox, Robert; Maes, Stan
Objective: The aim of the present study was to examine whether low-resource, cost-effective intervention programs can be effective in improving depressed mood in people with HIV. The efficacy of a cognitive-behavioral self-help program (CBS) and a computerized structured writing intervention (SWI)
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Disruptive vocalization and resisting personal care is a problem for staff in most skilled nursing facilities. Often these behaviors result in the resident being treated with antipsychotics. The Namaste Care program which takes place in a calm environment and offers a loving touch approach to care, has been successful in eliminating these behaviors. The room or space where Namaste Care takes place is as free from disruption as possible and as the resident is welcomed into the room, the calming music and scent of lavender surrounds them. In this case report, the resident stopped crying out as soon as she entered the room. This resident also became comfortable with being touched when touch was offered in a slow, loving manner. Much to the delight of staff this had a "trickle down" effect as the resident stopped resisting care even when she was out of the Namaste Care room. The result was that this resident's last year of life was filled with loving care until she took her last breath.
Shea, Munyi; Cachelin, Fary M; Gutierrez, Guadalupe; Wang, Sherry; Phimphasone, Phoutdavone
The prevalence of bulimia nervosa (BN) and binge eating disorder (BED) among Latinas is comparable to those of the general population; however, few interventions and treatment trial research have focused on this group. Cognitive-behavioral therapy (CBT) is the treatment of choice for binge eating related disorders. CBT-based guided self-help (CBTgsh)-a low-cost minimal intervention-has also been shown effective in improving binge eating related symptom, but the effectiveness of the CBTgsh among ethnic minority women is not well understood. Cultural adaptation of evidence-based treatments can be an important step for promoting treatment accessibility and engagement among underserved groups. This qualitative study was part of a larger investigation that examined the feasibility and efficacy of a culturally adapted CBTgsh program among Mexican American women with binge eating disorders. Posttreatment focus groups were conducted with 12 Mexican American women with BN or BED who participated in the intervention. Data were analyzed with the grounded theory methodology (Corbin & Strauss, 2008). Three themes emerged from the data: (a) eating behavior and body ideals are socially and culturally constructed, (b) multifaceted support system is crucial to Mexican American women's treatment engagement and success, and (c) the culturally adapted CBTgsh program is feasible and relevant to Mexican American women's experience, but it can be strengthened with increased family and peer involvement. The findings provide suggestions for further adaptation and refinement of the CBTgsh, and implications for future research as well as early intervention for disordered eating in organized care settings. (c) 2016 APA, all rights reserved).
Alcohol e-Help: study protocol for a web-based self-help program to reduce alcohol use in adults with drinking patterns considered harmful, hazardous or suggestive of dependence in middle-income countries.
Schaub, Michael P; Tiburcio, Marcela; Martinez, Nora; Ambekar, Atul; Balhara, Yatan Pal Singh; Wenger, Andreas; Monezi Andrade, André Luiz; Padruchny, Dzianis; Osipchik, Sergey; Gehring, Elise; Poznyak, Vladimir; Rekve, Dag; Souza-Formigoni, Maria Lucia Oliveira
Given the scarcity of alcohol prevention and alcohol use disorder treatments in many low and middle-income countries, the World Health Organization launched an e-health portal on alcohol and health that includes a Web-based self-help program. This paper presents the protocol for a multicentre randomized controlled trial (RCT) to test the efficacy of the internet-based self-help intervention to reduce alcohol use. Two-arm randomized controlled trial (RCT) with follow-up 6 months after randomization. Community samples in middle-income countries. People aged 18+, with Alcohol Use Disorders Identification Test (AUDIT) scores of 8+ indicating hazardous alcohol consumption. Offer of an internet-based self-help intervention, 'Alcohol e-Health', compared with a 'waiting list' control group. The intervention, adapted from a previous program with evidence of effectiveness in a high-income country, consists of modules to reduce or entirely stop drinking. The primary outcome measure is change in the Alcohol Use Disorders Identification Test (AUDIT) score assessed at 6-month follow-up. Secondary outcomes include self-reported the numbers of standard drinks and alcohol-free days in a typical week during the past 6 months, and cessation of harmful or hazardous drinking (AUDIT < 8). Data analysis will be by intention-to-treat, using analysis of covariance to test if program participants will experience a greater reduction in their AUDIT score than controls at follow-up. Secondary outcomes will be analysed by (generalized) linear mixed models. Complier average causal effect and baseline observations carried forward will be used in sensitivity analyses. If the Alcohol e-Health program is found to be effective, the potential public health impact of its expansion into countries with underdeveloped alcohol prevention and alcohol use disorder treatment systems world-wide is considerable. © 2017 Society for the Study of Addiction.
Full Text Available Purpose: to determine effectiveness of problem-oriented program of women’s physical rehabilitation with post mastectomy syndrome in improvement of upper limb’s functional state. Material: 50 women with early symptoms of post mastectomy syndrome at stationary rehabilitation stage, who underwent radical mastectomy by Madden were involved in the research. Testing of movement amplitude in shoulder joint, swelling of upper limb and muscular strength of hand’s flexors was conducted on 2 nd day after surgery and at the end of stationary rehabilitation period (12-14 th day. Results: Main means of the authors’ program were: general and special physical exercises; static and dynamic breathing exercises; breathing through preloaded lips, controlled coughing, autogenic drainage, manual pressing, manual vibration; post-isometric relaxation; elements of labor therapy; lymphatic drainage massage and self massage; topical talks; consultations; auto training. The trainings were conducted individually 2-3 times a day; 20-30 minutes every session. The patients’ independent trainings included: fulfillment of therapeutic positions, self-massage, relaxation exercises and auto-training. Conclusions: application of problem-oriented physical rehabilitation program facilitates improvement of upper limb’s functional potentials of women with post mastectomy syndrome.
Robert Wood Johnson Foundation, 2008
"After School: Connecting Children at Risk With Responsible Adults to Help Reduce Youth Substance Abuse and Other Health-Compromising Behaviors (After School)" helped develop intermediary organizations in Boston, Chicago and the San Francisco Bay Area in order to create citywide systems of after-school programs. The…
Garnefski, Nadia; Kraaij, Vivian; Schroevers, Maya
Objective: Aim was to examine whether a new cognitive-behavioral self-help intervention program was effective in improving depressed mood in people with acquired chronic physical impairments. Methods: Participants were 32 persons with acquired chronic physical impairments and depressive symptoms,
Full text beschikbaar met HU-account. The aim of this study was to investigate, using a mixed-methods design, the added value of a trained Hospital Elder Life Program (HELP) volunteer to the quality of hospital care in the Netherlands. The trained volunteers daily stimulate older patients, at risk
Steunenberg, Bas; van der Mast, Roos; Strijbos, Marije J.; Inouye, Sharon K.; Schuurmans, Marieke J.
The aim of this study was to investigate, using a mixed-methods design, the added value of a trained Hospital Elder Life Program (HELP) volunteer to the quality of hospital care in the Netherlands. The trained volunteers daily stimulate older patients, at risk of a delirium, to eat, to drink, and to
Lancioni, Giulio E.; Singh, Nirbhay N.; O'Reilly, Mark F.; Sigafoos, Jeff; Oliva, Doretta; Campodonico, Francesca; Lang, Russell
The present three single-case studies assessed the effectiveness of technology-based programs to help three persons with multiple disabilities exercise adaptive response schemes independently. The response schemes included (a) left and right head movements for a man who kept his head increasingly static on his wheelchair's headrest (Study I), (b)…
Bernecker, Samantha L; Banschback, Kaitlin; Santorelli, Gennarina D; Constantino, Michael J
Self-guided mental health interventions that are disseminated via the Web have the potential to circumvent barriers to treatment and improve public mental health. However, self-guided interventions often fail to attract consumers and suffer from user nonadherence. Uptake of novel interventions could be improved by consulting consumers from the beginning of the development process in order to assess their interest and their preferences. Interventions can then be tailored using this feedback to optimize appeal. The aim of our study was to determine the level of public interest in a new mental health intervention that incorporates elements of self-help and peer counseling and that is disseminated via a Web-based training course; to identify predictors of interest in the program; and to identify consumer preferences for features of Web-based courses and peer support programs. We surveyed consumers via Amazon's Mechanical Turk to estimate interest in the self-help and peer support program. We assessed associations between demographic and clinical characteristics and interest in the program, and we obtained feedback on desired features of the program. Overall, 63.9% (378/592) of respondents said that they would try the program; interest was lower but still substantial among those who were not willing or able to access traditional mental health services. Female gender, lower income, and openness to using psychotherapy were the most consistent predictors of interest in the program. The majority of respondents, although not all, preferred romantic partners or close friends as peer counselors and would be most likely to access the program if the training course were accessed on a stand-alone website. In general, respondents valued training in active listening skills. In light of the apparent public interest in this program, Web-disseminated self-help and peer support interventions have enormous potential to fill gaps in mental health care. The results of this survey can be
Hilmers, Angela; Chen, Tzu-An; Dave, Jayna M; Thompson, Deborah; Cullen, Karen Weber
Low-income Hispanic women are at greater risk for dietary deficiencies and obesity. We assessed the association between Supplemental Nutrition Assistance Program participation and dietary intake among 661 Hispanic women aged 26-44 years living in Texas. Cross-sectional data was collected using standard methods. Analysis of variance and logistic regression examined the influence of Supplemental Nutrition Assistance Program on diet after adjusting for household characteristics, body mass index, and food security status. Most women did not meet recommended dietary guidelines. Supplemental Nutrition Assistance Program participants consumed higher amounts of total sugars, sweets-desserts, and sugar-sweetened beverages than Supplemental Nutrition Assistance Program nonparticipants. High sodium intakes and low dairy consumption were observed in both groups. Only 27% of low-income eligible women received Supplemental Nutrition Assistance Program benefits. Low-income Hispanic women participating in Supplemental Nutrition Assistance Program reported less healthful dietary patterns than nonparticipants. This may contribute to the increased obesity prevalence and related comorbidities observed in this population. Supplemental Nutrition Assistance Program should play an important role in enhancing the overall dietary quality of low-income households. Policy initiatives such as limiting the purchase of sugar-sweetened beverages and education to enable women to reduce consumption of high sodium processed foods deserve consideration as means to improve the dietary quality of Supplemental Nutrition Assistance Program participants. Effective measures are needed to increase Supplemental Nutrition Assistance Program participation rates among Hispanics. Copyright © 2014 Elsevier Inc. All rights reserved.
Abdul Aziz, Ahmad Faizal; Mohamad, Shaifulfazlee
Protection is as important as other basic needs as it ensures the continuity of the fulfillment of the needs. The fulfillment from Islamic point of view can be categorised into five major areas as prescribed under the Maqasid al-Shariah. Protection can be achieved via Insurance, but it is not acceptable by Islam because of the element of riba, gharar, and maysir in it. Therefore, Takaful or Islamic Insurance is taken as alternative to achieve the same objective but with a different contract a...
Afterschool Alliance, 2008
This 2-page resource describes the benefits of afterschool programs for children, youth, and families, including evidence of improved school attendance and engagement learning, improved test scores and grades, and students at greatest risk showing the greatest gains. Additional benefits of afterschool programs include keeping kids safe, healthy,…
Gardner, Margo; Roth, Jodie L.; Brooks-Gunn, Jeanne
As schools struggle to meet federal achievement standards, after-school programs are increasingly viewed as a potential source of academic support for youth at risk of school failure. The hope among youth advocates and policymakers is that after-school programs can partially compensate for the inequities that plague the nation's schools and play a…
Simmons, Catherine A; Delaney, Matthew J; Lindsey, Leslie; Whalley, Anna; Murry-Drobot, Olliette; Gayle Beck, J
Qualitative responses that 187 service providers gave to a question assessing whether agencies designed to help intimate partner violence (IPV) survivors should screen for mental health-related problems were analyzed using a version of the concept mapping approach. Nine central clusters emerged from the data analysis, which can be linked to three underlying themes: how the identification of mental health-related problems (i.e., labeling) could be misused when working with IPV survivors, ways screening can be appropriately used to help IPV survivors, and barriers that prevent screening. Findings highlight the importance of trauma-informed approaches across all aspects of service delivery. © The Author(s) 2016.
Asgary-Eden, Veronica; Lee, Catherine M
Adoption of evidence-based programs for families by community agencies requires an understanding of variables that influence implementation. Managers and service providers from 64 community agencies reported on variables that affected the implementation of Triple P, an evidence-based parenting program. Both types of stakeholders reported adequate office resources; over half the managers and over two-thirds of service providers reported adequate training. Adequate office resources and positive agency characteristics, including organizational climate, were associated with higher program usage. Service providers' reports of the variables impacted their individual adherence rates; managers had broader perspectives of the quality of implementation in their organizations.
Kauer, Sylvia D; Buhagiar, Kerrie; Blake, Victoria; Cotton, Sue; Sanci, Lena
To explore the feasibility of a dedicated online youth mental health help-seeking intervention and to evaluate using a randomised controlled trial (RCT) study design in order to identify any modifications needed before commencement of the full-scale RCT. A pilot RCT with 1:1 randomisation to either the intervention or comparison arm. An online study conducted Australia-wide. 18-25 year olds living in Australia were recruited via social media. Link is a dedicated online mental health help-seeking navigation tool that matches user's mental health issues, severity and service-type preferences (online, phone and face-to-face) with appropriate youth-friendly services. The comparison arm was usual help-seeking strategies with a link to Google.com. The primary outcome was the number of acceptability and feasibility criteria successfully met. Intervention and study design acceptability and feasibility were assessed by nine criteria. Secondary outcomes, via online surveys (at baseline, 1 week and 1 month) measured service use, help-seeking intentions, psychological distress, barriers to help-seeking, attitudes towards mental health help-seeking, mental health literacy, satisfaction and trust. Fifty-one participants were randomised (intervention: n=24; comparison: n=27). Three out of four of the intervention and two out of five of the study design criteria were met. Unmet criteria could be addressed by modifications to the study design. Qualitative analysis demonstrated that Link was useful to participants and may have increased their positive experiences towards help-seeking. There were no observable differences between arms in any outcome measures and no harms were detected. Generally, the Link intervention and study design were acceptable and feasible with modifications suggested for the four out of nine unmet criteria. The main trial will hence have shorter surveys and a simpler recruitment process, use positive affect as the primary outcome and will not link to
This theoretical discourse x-rays the need for the fulfillment of socialresponsibility as a means of business survival strategy in Niger Delta.Nigerian business organizations especially those operating in the NigerDelta region are having a rough time operating in the environment becauseof their inability to socially respond to ...
Loonstra, B.; Brouwers, A.; Tomic, W.
Abstract Teacher burnout is recognized as a serious problem. In research it has been related to many person-specific variables; one of these, the variable of existential fulfilment, has received very little attention thus far. The present study focuses on the relationship between existential
Full Text Available The article presents the phenomenon of self-fulfilling prophecy and provides some critical thoughts about the possibilities of using it constructively as well as preventing its possible detrimental effects. The phenomenon is first presented historicaly: from the first definition by Merton, through Rosenthal's classical Pygmalion study that brought the topic into social psychology, to an analysis of the extremeness of both positive and negative reactions that the study spawned. This is followed by an overview of modern research regarding the existence of self-fulfilling prophecy; its magnitude, practical importance, and prevalence. Then, Rosenthal's Ten-arrow model and Four-factor theory that aim to explain the factors and mechanism of self-fulfilling prophecy are described. The presentation is completed by an analysis of cultural-historical as well as paradigmatic context that importantly contributed to the importance of self-fulfilling prophecy research in social psychology. In conclusion, some possibilities for diminishing the prevalence of the phenomenon are presented. In regard to this, the role of awareness is especially emphasized, both in the sense of being aware of phenomenon's existence as well as in the sense of understanding its workings.
Tomic, W.; Tomic, E. N.
Abstract The aim of the current study was to determine the prevalence of burnout in primary education teachers and primary school principals and to explore the relationship of existential fulfillment to self-reported burnout scores. Random samples of 215 teachers and 514 principals participated in
Self-determination and fulfillment are central components of personal development in both developing and developed societies. These terms are used frequently by many researchers, especially in the work by Maslow, who particularly emphasized this concept. This article presents a roadmap of sorts that describes the factors that can leverage and…
Zhang, L.; Jiao, J.; Ma, Q.
In view of the dynamic changes in a supply chain network and the significance of order fulfillment processes (OFPs) for the successful implementation of supply chain management, this paper puts forward an accountability-based methodology for companies to reengineer OFPs while considering both
Current innovative psychological therapies have made great progress in addressing existential suffering in dying patients but are often begun to late in the end-of-life process and often ignore religion, which for many is a major component in the meaning-making process. Therefore, this article explores how chaplains (who are familiar with various religious traditions without promoting them) can help prepare senior adults effectively cope with inevitable end-of-life existential issues. The project described in this article provides tools for chaplains to address the real issues that terrify us all, but particularly the elderly: death, isolation, and meaninglessness. It is proposed that the addition of a spiritual will or legacy of the soul added to end-of-life planning can help ameliorate existential suffering at life's end.
Trickey, Rebecca; Kelley-Gillespie, Nancy; Farley, O William
The purpose of this study was to evaluate the effectiveness of the Neighbors Helping Neighbors program. The study included surveys of 49 community-residing older adults and 26 community volunteers. Results showed that older adults perceived their quality of life to have improved after receiving social and environmental services; volunteers felt that their contributions to the program had made a significant difference in their community. This exploratory, descriptive study is only a beginning effort, but it holds great promise for suggesting ways to address the needs of the burgeoning aging population in our society.
Full Text Available Abstract Background Doctors have a relatively high degree of emotional distress, but seek help to a lesser degree and at a later stage than other academic groups. This can be deleterious for themselves and for their patients. Prevention programs have therefore been developed but it is unclear to what extent they reach doctors in need of help. This study describes doctors who participated in a self-referrral, easily accessible, stress relieving, counselling program in Norway, and compares them with a nationwide sample of Norwegian doctors. Methods Two hundred and twenty seven (94% of the doctors, 117 women and 110 men, who came to the resort centre Villa Sana, Modum, Norway, between August 2003 and July 2005, agreed to participate in the study. Socio-demographic data, reasons for and ways of help-seeking, sick-leave, symptoms of depression and anxiety, job stress and burnout were assessed by self-reporting questionnaires. Results Forty-nine percent of the Sana doctors were emotionally exhausted (Maslach compared with 25% of all Norwegian doctors. However, they did not differ on empathy and working capacity, the other two dimensions in Maslach's burnout inventory. Seventy-three percent of the Sana doctors could be in need of treatment for depression or anxiety based on their symptom distress scores, compared with 14% of men and 18% of women doctors in Norway. Twenty-one percent of the Sana doctors had a history of suicidal thoughts, including how to commit the act, as compared to 10% of Norwegian doctors in general. Conclusion Sana doctors displayed a higher degree of emotional exhaustion, symptoms of depression and anxiety as well as job related stress, compared with all Norwegian doctors. This may indicate that the program at Villa Sana to a large extent reaches doctors in need of help. The counselling intervention can help doctors to evaluate their professional and private situation, and, when necessary, enhance motivation for seeking adequate
Rø, Karin E Isaksson; Gude, Tore; Aasland, Olaf G
Doctors have a relatively high degree of emotional distress, but seek help to a lesser degree and at a later stage than other academic groups. This can be deleterious for themselves and for their patients. Prevention programs have therefore been developed but it is unclear to what extent they reach doctors in need of help. This study describes doctors who participated in a self-referrral, easily accessible, stress relieving, counselling program in Norway, and compares them with a nationwide sample of Norwegian doctors. Two hundred and twenty seven (94%) of the doctors, 117 women and 110 men, who came to the resort centre Villa Sana, Modum, Norway, between August 2003 and July 2005, agreed to participate in the study. Socio-demographic data, reasons for and ways of help-seeking, sick-leave, symptoms of depression and anxiety, job stress and burnout were assessed by self-reporting questionnaires. Forty-nine percent of the Sana doctors were emotionally exhausted (Maslach) compared with 25% of all Norwegian doctors. However, they did not differ on empathy and working capacity, the other two dimensions in Maslach's burnout inventory. Seventy-three percent of the Sana doctors could be in need of treatment for depression or anxiety based on their symptom distress scores, compared with 14% of men and 18% of women doctors in Norway. Twenty-one percent of the Sana doctors had a history of suicidal thoughts, including how to commit the act, as compared to 10% of Norwegian doctors in general. Sana doctors displayed a higher degree of emotional exhaustion, symptoms of depression and anxiety as well as job related stress, compared with all Norwegian doctors. This may indicate that the program at Villa Sana to a large extent reaches doctors in need of help. The counselling intervention can help doctors to evaluate their professional and private situation, and, when necessary, enhance motivation for seeking adequate treatment.
Conflict, bullying and harassment are serious concerns in our public schools. This kind of school violence threatens not only students' health and safety, but also their ability to learn and have positive, educational experiences. Numerous individual and environmental factors contribute to students' decisions about how to respond to conflict or seek help for these problems. Conflict mediation is one type of program that has received widespread support and adoption; however, the results of man...
Wurz, Amanda J.; Yamauchi, Yayoi; Pires, Lanie Ann
Objective. A qualitative research methods approach was used to explore the experiences of participants in an ongoing community-based yoga program developed for cancer survivors and their support persons. Methods. 25 participants took part in a series of semistructured focus groups following a seven-week yoga program and at three- and six-month follow-ups. Focus groups were transcribed verbatim and analyzed using a process of inductive thematic analysis. Results. The group was comprised of 20 cancer survivors, who were diagnosed on average 25.40 (20.85) months earlier, and five support persons. Participants had completed the yoga program an average of 3.35 (3.66) times previously and attended approximately 1.64 (0.70) of three possible focus groups. Four key themes were identified: (1) safety and shared understanding; (2) cancer-specific yoga instruction; (3) benefits of yoga participation; (4) mechanisms of yoga practice. Conclusions. Qualitative research provides unique and in-depth insight into the yoga experience. Specifically, cancer survivors and support persons participating in a community-based yoga program discussed their experiences of change over time and were acutely aware of the beneficial effects of yoga on their physical, psychological, and social well-being. Further, participants were able to articulate the mechanisms they perceived as underpinning the relationship between yoga and improved well-being as they developed their yoga practice. PMID:27974899
Michael J. Mackenzie
Full Text Available Objective. A qualitative research methods approach was used to explore the experiences of participants in an ongoing community-based yoga program developed for cancer survivors and their support persons. Methods. 25 participants took part in a series of semistructured focus groups following a seven-week yoga program and at three- and six-month follow-ups. Focus groups were transcribed verbatim and analyzed using a process of inductive thematic analysis. Results. The group was comprised of 20 cancer survivors, who were diagnosed on average 25.40 (20.85 months earlier, and five support persons. Participants had completed the yoga program an average of 3.35 (3.66 times previously and attended approximately 1.64 (0.70 of three possible focus groups. Four key themes were identified: (1 safety and shared understanding; (2 cancer-specific yoga instruction; (3 benefits of yoga participation; (4 mechanisms of yoga practice. Conclusions. Qualitative research provides unique and in-depth insight into the yoga experience. Specifically, cancer survivors and support persons participating in a community-based yoga program discussed their experiences of change over time and were acutely aware of the beneficial effects of yoga on their physical, psychological, and social well-being. Further, participants were able to articulate the mechanisms they perceived as underpinning the relationship between yoga and improved well-being as they developed their yoga practice.
Bierman, Karen L.; Welsh, Janet A.; Heinrichs, Brenda S.; Nix, Robert L.; Mathis, Erin T.
Head Start enhances school readiness during preschool, but effects diminish after children transition into kindergarten. Designed to promote sustained gains, the Research-based Developmentally Informed (REDI) Parent program (REDI-P) provided home visits before and after the kindergarten transition, giving parents evidence-based learning games,…
Paley, Nicholas B.
The Sarasota County School Building Program 1955-1960 is revisited through a detailed examination of how architects and educators collaborated to design an innovative group of public schools that provided opportunities for the transformation of learning space. This multi-dimensioned examination is grounded in an historical contextualization of the…
Gunn, Barbara; Vadasy, Patricia; Smolkowski, Keith
This article discusses the kinds of instructional activities that young children need to develop basic language and literacy skills based on recent research and program evaluations. This includes approaches to develop alphabetic understanding, phonological awareness, vocabulary, and oral language. Activities and materials from the Pre-kindergarten…
Bruno, Paul A.; Love Green, Jennifer K.; Illerbrun, Sara L.; Holness, Duncan A.; Illerbrun, Samantha J.; Haus, Kara A.; Poirier, Sylvianne M.; Sveinson, Katherine L.
The educational literature generally suggests that supplemental instruction (SI) is effective in improving academic performance in traditionally difficult courses. A pilot program of peer teaching based on the SI model was implemented for an undergraduate course in human anatomy. Students in the course were stratified into three groups based on…
Love Green, Jennifer K.; Illerbrun, Sara L.; Holness, Duncan A.; Illerbrun, Samantha J.; Haus, Kara A.; Poirier, Sylvianne M.; Sveinson, Katherine L.
The educational literature generally suggests that supplemental instruction (SI) is effective in improving academic performance in traditionally difficult courses. A pilot program of peer teaching based on the SI model was implemented for an undergraduate course in human anatomy. Students in the course were stratified into three groups based on the number of peer teaching sessions they attended: nonattendees (0 sessions), infrequently attended (1‐3 sessions), and frequently attended (≥ 4 sessions). After controlling for academic preparedness [i.e., admission grade point average (AGPA)] using an analysis of covariance, the final grades of frequent attendees were significantly higher than those of nonattendees (P = 0.025) and infrequent attendees (P = 0.015). A multiple regression analysis was performed to estimate the relative independent contribution of several variables in predicting the final grade. The results suggest that frequent attendance (β = 0.245, P = 0.007) and AGPA (β = 0.555, P student (β = −0.217, P = 0.006) was a significant negative predictor. Collectively, these results suggest that attending a certain number of sessions may be required to gain a noticeable benefit from the program, and that first‐year students (particularly those with a lower level of academic preparedness) would likely stand to benefit from maximally using the program. End‐of‐semester surveys and reports indicate that the program had several additional benefits, both to the students taking the course and to the students who served as program leaders. Anat Sci Educ 9: 132–142. © 2015 The Authors. Anatomical Sciences Education published by Wiley Periodicals Inc. on behalf of the American Association of Anatomists. PMID:26060978
Bruno, Paul A; Love Green, Jennifer K; Illerbrun, Sara L; Holness, Duncan A; Illerbrun, Samantha J; Haus, Kara A; Poirier, Sylvianne M; Sveinson, Katherine L
The educational literature generally suggests that supplemental instruction (SI) is effective in improving academic performance in traditionally difficult courses. A pilot program of peer teaching based on the SI model was implemented for an undergraduate course in human anatomy. Students in the course were stratified into three groups based on the number of peer teaching sessions they attended: nonattendees (0 sessions), infrequently attended (1-3 sessions), and frequently attended (≥ 4 sessions). After controlling for academic preparedness [i.e., admission grade point average (AGPA)] using an analysis of covariance, the final grades of frequent attendees were significantly higher than those of nonattendees (P = 0.025) and infrequent attendees (P = 0.015). A multiple regression analysis was performed to estimate the relative independent contribution of several variables in predicting the final grade. The results suggest that frequent attendance (β = 0.245, P = 0.007) and AGPA (β = 0.555, P < 0.001) were significant positive predictors, while being a first-year student (β = -0.217, P = 0.006) was a significant negative predictor. Collectively, these results suggest that attending a certain number of sessions may be required to gain a noticeable benefit from the program, and that first-year students (particularly those with a lower level of academic preparedness) would likely stand to benefit from maximally using the program. End-of-semester surveys and reports indicate that the program had several additional benefits, both to the students taking the course and to the students who served as program leaders. Published 2015 American Association of Anatomists.
Taggarshe, Deepa; Mittal, Vijay
The implementation of the 80-hour week compounded by the need for the current trainee to be well versed technically with the newer developments in surgery has resulted in limited time for didactic education. Commercial American Board of Surgery in Training examination (ABSITE) review courses are flourishing and may seem to be filling the gap in didactic education. This study ascertained the opinion of the general surgery program directors across the country on the role of the review courses in the ABSITE performance of a surgical resident. A questionnaire was designed and sent out to all program directors using online survey. Sixty-five of 242 program directors completed the questionnaire. Fifty-seven percent belonged to university-based surgical residency programs. Seventy-two percent used ABSITE performance as a measure while evaluating the resident for promotion. Although 60% agreed that review courses help the performance of the residents, 80% did not have any institutional or regional review courses. Ninety percent allowed their residents to attend commercial review courses but 60% did not reimburse them. Program directors do feel that ABSITE by itself is important in evaluating the progression of surgical residents and has a correlation with the boards' pass percentile. Due to the limited hours available for didactics in current surgical residency, intensive review course over a 2- to 3-day period may help the surgical residents to perform better. In the current economy, review courses offered by a consortium of programs geared toward improving ABSITE performance and conducted by the surgical faculty may be of essence. Copyright © 2011 Association of Program Directors in Surgery. Published by Elsevier Inc. All rights reserved.
Full Text Available Currently, we are witnessing a uniform interconnect solutions that allow easier access of small businesses and start-ups to electronic commerce and even their unprecedented development using specialized intermediaries. Thus, a modern distribution system is the e-Fulfillment presented in this paper. In the first part of the paper by presenting the concept and technological developments we have highlighted several classifications thereof. The biggest part presents the main operations are conducted at the operator e-Fulfillment, from taking products from suppliers, management, logistics information needed to store transactions through electronic transfer of goods to customers using courier companies, settlement and billing services, forms of promotion etc. The paper ends with some aspects of the advantages of using these systems, the costs involved and examples for Romania.
Ishikura, Reiji; Tashiro, Nobutada
We reviewed all patients with dissociative disorders (nine patients with dissociative amnesia or dissociative fugue) and conversion disorders (10 patients) who were admitted and treated during the past 15 years. Needs frustrated at the appearance of the symptoms and those fulfilled at discharge were studied in both groups using Maslow's hierarchy of needs. The patients of both groups who encountered troubles in their life events were found to have frustrated needs. These symptoms tended to be accompanied more often by frustrations regarding a 'need for love' in the dissociative disorders group and by frustration in the need for 'self-esteem and self-actualization' in the conversion disorders group. In addition, needs of lower orders were already threatened at onset in many patients. The symptoms disappeared in patients in whom the situation completely improved (needs were fulfilled), but the symptoms were alleviated or unchanged in those in whom the problems remained unresolved.
Jones, Jami I.
Considers the role of school library media specialists in helping teens cope with developmental and emotional challenges. Discusses resiliency research, and opportunities to develop programs and services especially for middle school and high school at-risk teens. (LRW)
Bierman, Karen L; Welsh, Janet A; Heinrichs, Brenda S; Nix, Robert L; Mathis, Erin T
Head Start enhances school readiness during preschool, but effects diminish after children transition into kindergarten. Designed to promote sustained gains, the Research-based Developmentally Informed (REDI) Parent program (REDI-P) provided home visits before and after the kindergarten transition, giving parents evidence-based learning games, interactive stories, and guided pretend play to use with their children. To evaluate impact, two hundred 4-year-old children in Head Start REDI classrooms were randomly assigned to REDI-P or a comparison condition (mail-home math games). Beyond the effects of the classroom program, REDI-P promoted significant improvements in child literacy skills, academic performance, self-directed learning, and social competence, demonstrating the utility of the approach in promoting gains in cognitive and social-emotional skills evident after the transition into kindergarten. © 2015 The Authors. Child Development © 2015 Society for Research in Child Development, Inc.
Full Text Available Genuine partnership between patient groups and medical experts is important but challenging. Our training program meets this challenge by organizing hands-on, lab-based training sessions for members of patient groups. These sessions allow "trainees" to better understand their disease and the biomedical research process, and strengthen links between patients and local researchers. Over the past decade, we and our partner institutes have received more than 900 French patients, with the participation of over 60 researchers and clinicians.
Mathieu, Marion; Hammond, Constance; Karlin, David G
Genuine partnership between patient groups and medical experts is important but challenging. Our training program meets this challenge by organizing hands-on, lab-based training sessions for members of patient groups. These sessions allow "trainees" to better understand their disease and the biomedical research process, and strengthen links between patients and local researchers. Over the past decade, we and our partner institutes have received more than 900 French patients, with the participation of over 60 researchers and clinicians.
Marion Mathieu; Constance Hammond; Karlin, David G.
International audience; Genuine partnership between patient groups and medical experts is important but challenging. Our training program meets this challenge by organizing hands-on, lab-based training sessions for members of patient groups. These sessions allow " trainees " to better understand their disease and the biomedical research process, and strengthen links between patients and local researchers. Over the past decade, we and our partner institutes have received more than 900 French p...
Caldwell, Penelope; Purtzer, Mary Anne
To discover long-term learning outcomes in a short-term study abroad program. Students worked directly with community members to identify health issues, implement educational workshops addressing those issues, and evaluate health outcomes. This is a qualitative, descriptive study. Thematic analysis was conducted using a written questionnaire completed one or more years postimmersion. The sample was 41 nursing students who participated in a 10-day immersion experience in remote Honduras. Four themes emerged revealing evidence of long-term learning. Three of these themes, Embracing Other, Gaining Cultural Competencies, and Experiencing an Ethnocentric Shift, are supported in the literature. The fourth theme, Negotiating Ethical Dilemmas, offers a new finding. Although educators have questioned ethical consequences of study abroad programs, there is a paucity of literature indicating that students are the ones doing the questioning. Implications for educators and community members alike include facilitating dialog about collective worldviews related to global health ethics when designing study abroad programs. © 2014 Wiley Periodicals, Inc.
première partie: Help LEP ou le tunnel de l'infini- pièce radiophonique intéréssant sur l'origine de la matière deuxième partie: Help LEP débat; suite à cette pièce interview avec 3 physiciens du Cern sur le projet LEP et le but du Cern qui est la recherche fondamentale
Full Text Available In the last decade there has been an international drive to determine the needs of the ICT industry and skills required by graduates. The intention is to ensure tertiary education is aligned with industry and to suitably prepare students for employment. Among the various initiatives, embedding of industry certification training is one method commonly used to help achieve this. This paper first looks at the literature on industry alignment and the embedding of ICT certifications. It then gives an overview of the changes in the networking courses taught at Wintec over the last ten years. A study of workplace perceptions of the Cisco Certified Network Associate (CCNA courses at this institute is also described, with conclusions drawn about the effectiveness of embedding this certification. In particular the paper investigates how well the courses meet the needs of the ICT industry in the Hamilton/Waikato region. CCNA course topics that are found to be most useful in the workplace are highlighted, as well as the perceived value of the courses for new employees, employers and for people in their career.
Ho, Rainbow T H; Sing, Cheuk Yan; Wong, Venus P Y
To examine the effectiveness of a body-mind-spirit (BMS) intervention program in improving the holistic well-being and work empowerment among helping professionals in continuous education. Forty-four helping professionals, who were in their first-year part-time postgraduate study, participated in the present study. All participants attended a 3-day BMS intervention program which emphasized a holistic approach to health and well-being. Ratings on their levels of physical distress, daily functioning, affect, spirituality, and psychological empowerment at work were compared before and immediately after the intervention. Participants reported significantly lower levels of negative affect and physical distress, and were less spiritually disoriented after the intervention. Enhanced levels of daily functioning, positive affect, spiritual resilience, and tranquility were also reported. Results also suggested that participants were empowered at work, and specifically felt more able to make an impact on work outcomes. The 3-day BMS intervention program produced a positive and measurable effect on participants' holistic well-being and empowerment at work. Educators in related fields could incorporate holistic practices into the curriculum to better prepare the future practitioners, leading to better outcomes both to the professionals themselves and their clients or patients.
This paper explores the motivations of physicians who promote the health of their communities through the fulfillment of social obligations beyond the boundaries of their own patients. Based on the assumption that physicians do not have social obligations, this paper looks at the normative, motivational question, namely "How should physicians be motivated to fulfill social obligations?" The paper traces the Kantian view of morality and motivation. The distinctions between required, merely permissible, and forbidden actions is drawn. Furthermore, Kant's view that required actions done in accordance with duty are of no moral worth is critiqued from three stand points. First, it is argued that just because motivations outside of Kantian-based duty are not as good, it does not follow that these motivations are of no moral worth. Second, it is argued that there are some motivations behind required actions that are clearly better than other motivations. Third, it is argued that required actions done in accordance with duty are clearly better than those actions done without relevance to duty. The paper concludes that many required actions done in accordance with duty are performed from motivations that do have moral worth.
Cnossen, Ingrid C; van Uden-Kraan, Cornelia F; Rinkel, Rico N P M; Aalders, Ijke J; de Goede, Cees J T; de Bree, Remco; Doornaert, Patricia; Rietveld, Derek H F; Langendijk, Johannes A; Witte, Birgit I; Leemans, C Rene; Verdonck-de Leeuw, Irma M
During a 6-week course of (chemo)radiation many head and neck cancer patients have to endure radiotherapy-induced toxicity, negatively affecting patients' quality of life. Pretreatment counseling combined with self-help exercises could be provided to inform patients and possibly prevent them from having speech, swallowing, and shoulder problems during and after treatment. Our goal was to investigate the feasibility of a multimodal guided self-help exercise program entitled Head Matters during (chemo)radiation in head and neck cancer patients. Head and neck cancer patients treated with primary (chemo)radiation or after surgery were asked to perform Head Matters at home. This prophylactic exercise program, offered in three different formats, aims to reduce the risk of developing speech, swallowing, shoulder problems, and a stiff neck. Weekly coaching was provided by a speech and swallowing therapist. Patients filled out a diary to keep track of their exercise activity. To gain insight into possible barriers and facilitators to exercise adherence, reports of weekly coaching sessions were analyzed by 2 coders independently. Of 41 eligible patients, 34 patients were willing to participate (83% uptake). Of participating patients, 21 patients completed the program (64% adherence rate). The majority of participants (58%) had a moderate to high level of exercise performance. Exercise performance level was not significantly associated with age (P=.50), gender (P=.42), tumor subsite (P=1.00) or tumor stage (P=.20), treatment modality (P=.72), or Head Matters format (Web-based or paper) (P=1.00). Based on patients' diaries and weekly coaching sessions, patients' perceived barriers to exercise were a decreased physical condition, treatment-related barriers, emotional problems, lack of motivation, social barriers, and technical problems. Patients' perceived facilitators included an increased physical condition, feeling motivated, and social and technical facilitators. Head
Böwing, Georgia; Schmidt, Kai Ulrich; Schröder, Stefan Georg
Long-term psychiatric consequences of World War II are currently a main medical and political topic in Germany. This retrospective study examined 33 psychogeriatric cases. PTSD-criteria following ICD-10 were fulfilled in every case. All patients had a delayed subtype of PTSD with a latency of 14-60 years between trauma and onset of disorder. No case of chronic PTSD was found. In 26 cases a depression was diagnosed. Long latencies for PTSD are a typical feature in psychogeriatrics, possibly due to the situation in post-war-Germany probably even more in the Soviet occupied zone, the later German Democratic Republic (GDR). In the GDR it was not at all a public topic to speak about Russian violence (political taboo). The depressive and psychotic comorbidity of psychogeriatric PTSD-patients should be examined more specifically in future studies.
Implementing Competency-Based Medical Education in a Postgraduate Family Medicine Residency Training Program: A Stepwise Approach, Facilitating Factors, and Processes or Steps That Would Have Been Helpful.
Schultz, Karen; Griffiths, Jane
In 2009-2010, the postgraduate residency training program at the Department of Family Medicine, Queen's University, wrestled with the practicalities of competency-based medical education (CBME) implementation when its accrediting body, the College of Family Physicians of Canada, introduced the competency-based Triple C curriculum. The authors used a stepwise approach to implement CMBE; the steps were to (1) identify objectives, (2) identify competencies, (3) map objectives and competencies to learning experiences and assessment processes, (4) plan learning experiences, (5) develop an assessment system, (6) collect and interpret data, (7) adjust individual residents' training programs, and (8) distribute decisions to stakeholders. The authors also note overarching processes, costs, and facil itating factors and processes or steps that would have been helpful for CBME implementation. Early outcomes are encouraging. Residents are being directly observed more often with increased documented feedback about performance based on explicit competency standards (24,000 data points for 150 residents from 2013 to 2015). These multiple observations are being collated in a way that is allowing the identification of patterns of performance, red flags, and competency development trajectory. Outliers are being identified earlier, resulting in earlier individualized modification of their residency training program. The authors will continue to provide and refine faculty development, are developing an entrustable professional activity field note app for handheld devices, and are undertaking research to explore what facilitates learners' competency development, what increases assessors' confidence in making competence decisions, and whether residents are better trained as a result of CBME implementation.
Full Text Available The prevalence of type 2 diabetes among Malaysian adults has increased by more than two folds over the past two decades. Strategies to collaborate with the existing community partners may become a promising channel for wide-scale dissemination of diabetes prevention in the country. The objectives of this study were to determine the effects of community-based lifestyle interventions delivered to adults with prediabetes and their health-related quality of life as compared to the usual care group.This was a quasi-experimental study conducted in two sub-urban communities in Seremban, Malaysia. A total of 268 participants with prediabetes aged between 18 to 65 years old were assigned to either the community-based lifestyle intervention (Co-HELP (n = 122 or the usual care (n = 146 groups. The Co-HELP program was delivered in partnership with the existing community volunteers to incorporate diet, physical activity, and behaviour modification strategies. Participants in the Co-HELP group received twelve group-based sessions and two individual counselling to reinforce behavioural change. Participants in the usual care group received standard health education from primary health providers in the clinic setting. Primary outcomes were fasting blood glucose, 2-hour plasma glucose, and HbA1C. Secondary outcomes included weight, BMI, waist circumference, total cholesterol, triglyceride, LDL cholesterol, HDL cholesterol, systolic and diastolic blood pressure, physical activity, diet, and health-related quality of life (HRQOL.An intention-to-treat analysis of between-groups at 12-month (mean difference, 95% CI revealed that the Co-HELP participants' mean fasting plasma glucose reduced by -0.40 mmol/l (-0.51 to -0.28, p600 METS/min/wk (60.7% vs 32.2%, p<0.001 compared to the usual care group.This study provides evidence that a culturally adapted diabetes prevention program can be implemented in the community setting, with reduction of several diabetes risk
Bonnaire, C; Phan, O
Given the growing use of video games and the growing number of adolescents with Internet gaming disorder (IGD), prevention in this area is necessary. The objective of this study was to investigate the use and most particularly the representations of the risks associated with the use of video games in young adolescents by comparing problematic (PGs) and nonproblematic gamers (NPGs). Gender differences were also explored. Five Parisian middle schools participated in this study and 434 adolescents (231 boys, mage=13.2 years; 203 girls, mage=13.1 years) answered several questions concerning videogames (including the Game Addiction Scale). Among all participants (n=434), 37 students (n=8.8%) could be considered PGs. Of these, 29 (n=78.4%) were boys. Generally, sample students' surf and play a great deal during the week: they spend an average of 2h per day playing video games and 4h per day on the Internet. The number of screens at home is significantly higher in PGs compared to NPGs, the remaining set at a high level (n>10). Most middle school students believe that time spent on video games can have an impact on physical and mental health but they have no impact on academic performance. The two types of video games responsible for problematic use were role-play games and first-person shooter games. Most negative consequences are reported more by girls than boys: eating problems (P=.037), sleep problems (P=.040), vision problems (P=.002), conflicts with parents (Ptime (P=.003), and lack of school investment (Pplaying, playing instead of fulfilling one's obligations and doing nothing but play. Most of the respondents believed that one can be addicted to video games and that they can have an impact on physical and mental health. Adolescents are more aware of the impact gaming generates on themselves than on their relationship with the environment (school and family). These preliminary exploratory findings indicate that preventive action could be promoted for adolescents
Full Text Available We start from a quandary in the field of meaningfulness introduced by Susan Wolf, who attempts to make clear why meaning in life would matter. In common sense terms, fulfilment is considered to play a main role in the conceptualisation of meaningfulness. While initially taking this also for granted Wolf gradually comprehends that fulfilment is not the overall reason why meaning in life matters. She leaves however open the paramount question of what would make it then so particular. In this article, we explore this query to a fuller extent, and maintain that a promising road to an answer lays in the understanding that meaning in life is directive in an ineffable way. In order to fathom what this entails, a distinction between meaningfulness’ and ‘meaning in life’ will prove helpful. Both have often been considered synonyms, but we argue that they are quite distinct, yet intrinsically related. Starting from a subject that is mainly discussed in analytic philosophy, we build a bridge to phenomenological praxis, indicating that we can only understand its core function - its ineffable way of being directive - through phenomenology.
Costain, Lyndel; Croker, Helen
Obesity is a serious and increasing health issue. Approximately two-thirds of adults in the UK are now overweight or obese. Recent public health reports firmly reinforce the importance of engaging individuals to look after their health, including their weight. They also spell out the need for individuals to be supported more actively, on many levels, to enable this 'engagement'. Meanwhile, national surveys indicate that approximately two-thirds of adults are concerned about weight control, with one-third actively trying to lose weight. This finding is hardly surprising considering current weight statistics, plus the plethora of popular diets on offer. Weight-loss methods include diet clubs, diet books, exercise, meal replacements, advice from healthcare professionals and following a self-styled diet. Obesity is a multi-factorial problem, and losing weight and, in particular, maintaining weight loss is difficult and often elusive. It is argued that the modern obesogenic or 'toxic' environment has essentially taken body-weight control from an instinctive 'survival' process to one that needs sustained cognitive and skill-based control. The evidence suggests that health professionals can help individuals achieve longer-term weight control by supporting them in making sustainable lifestyle changes using a range of behavioural techniques. These techniques include: assessing readiness to change; self-monitoring; realistic goal setting; dietary change; increased physical activity; stimulus control; cognitive restructuring; relapse management; establishing ongoing support. Consistently working in a client-centred way is also being increasingly advocated and incorporated into practice to help motivate and encourage, rather than hinder, the individual's progress.
Full Text Available Purpose: to determine trajectories of elite female weight-lifters’ movements. Material: 137 elite sportswomen were tested. Analysis of sportswomen’s bio-kinematic actions was fulfilled with the help of Weight lifting analyzer 3.0 apparatus, Germany. Results: we found correlation of barbell snatch trajectory in respect to different weight categories of sportswomen. General characteristics of barbell trajectory are equal both for men and women. We determined indicators of barbell grip deviation from vertical axis. Optimal barbell trajectory depends on relative length values of body segments and other important factors. Conclusions: it was proved that execution of 2nd type trajectory of barbell horizontal movement is the most wide spread and effective. Such type of trajectory is the most often for high sport results off light weight categories (48-58 kg.
Full Text Available Psychologists have long observed that people conform to majority opinion, a phenomenon sometimes referred to as the ‘bandwagon effect’. In the political domain people learn about prevailing public opinion via ubiquitous polls, which may produce a bandwagon effect. Newer types of information – published probabilities derived from prediction market contract prices and aggregated polling summaries – may have similar effects. Consequently, polls can become self-fulfilling prophecies whereby majorities, whether in support of candidates or policies, grow in a cascading manner. Despite increased attention to whether the measurement of public opinion can itself affect public opinion, the existing empirical literature is surprisingly limited on the bandwagon effects of polls. To address this gap, we conducted an experiment on a diverse national sample in which we randomly assigned people to receive information about different levels of support for three public policies. We find that public opinion as expressed through polls affects individual-level attitudes, although the size of the effect depends on issue characteristics.
Adams, Jenny; Roberts, Joanne; Simms, Kay; Cheng, Dunlei; Hartman, Julie; Bartlett, Charles
We designed a study to measure the functional capacity requirements of firefighters to aid in the development of an occupation-specific training program in cardiac rehabilitation; 23 healthy male firefighters with no history of heart disease completed a fire and rescue obstacle course that simulated 7 common firefighting tasks. They wore complete personal protective equipment and portable metabolic instruments that included a data collection mask. We monitored each subject's oxygen consumption (VO(2)) and working heart rate, then calculated age-predicted maximum heart rates (220 - age) and training target heart rates (85% of age-predicted maximum heart rate). During performance of the obstacle course, the subjects' mean working heart rates and peak heart rates were higher than the calculated training target heart rates (t(22) = 5.69 [working vs target, p <0.001] and t(22) = 15.14 [peak vs target, p <0.001]). These findings, with mean results for peak VO(2) (3,447 ml/min) and metabolic equivalents (11.9 METs), show that our subjects' functional capacity greatly exceeded that typically attained by patients in traditional cardiac rehabilitation programs (5 to 8 METs). In conclusion, our results indicate the need for intense, occupation-specific cardiac rehabilitation training that will help firefighters safely return to work after a cardiac event.
Full Text Available Introduction: It is known that regular listening to specially selected music develops children’s cognitive abilities. Musical influence optimizes many important functions of brain: increases mental workability; accelerates processing of information; improves short term memory. Besides, sensitivity of visual and hearing analyzers strengthens, as well as regulation of arbitrary movements; indicators of verbal and non verbal intellect improve. Purpose: to determine peculiarities of musical rhythm’s mastering by pre-school age children with speech disorders with the help of dance-correction program trainings. Material: the categories of the tested children: children of age - 4-5 and 5-6 years with speech disorders and healthy pre-school age children. Children of 4-5 years’ age composed: main group (n=12, control group (n=16; group of healthy children (n=24. For assessment of verbal thinking and rhythm-motor (or dance abilities we used complex of tests of constantly increasing difficulty. Results: we found that under influence of dance-correcting exercises activation of rhythm-motor abilities and development of cognitive functions happened in children. We also found main functional peculiarities of musical rhythm’s mastering by pre-school age children. It was determined that by the end of pedagogic experiment, main groups of children approached to groups of healthy peers by all tested characteristics. Conclusions: it is recommended to include correcting components (fit ball - dance gymnastic, tales-therapy, logo-rhythm trainings, and game fitness in trainings by choreographic program.
Burn, Janice; Alexander, Paul
.... Initial findings suggest that while a comprehensive model of e-fulfilment is validated these organisations are also providing services not previously recognised as e-fulfilment capabilities by the literature...
Bikle, Daniel D
The negative association of the latitude where people live and the incidence of non cutaneous cancer in that population in North America have been demonstrated in many studies for many types of cancer. Since the intensity of UVB exposure decreases with increasing latitude, and UVB exposure provides the mechanism for vitamin D production in the skin, the hypothesis that increased vitamin D provides protection against the development of cancer has been proposed. This hypothesis has been tested in a substantial number of prospective and case control studies and in a few randomized clinical trials (RTC) assessing whether either vitamin D intake or serum levels of 25 hydroxyvitamin D (25OHD) correlate (inversely) with cancer development. Most of the studies have focused on colorectal, breast, and prostate cancer. The results have been mixed. The most compelling data for a beneficial relationship between vitamin D intake or serum 25OHD levels and cancer have been obtained for colorectal cancer. The bulk of the evidence also favors a beneficial relationship for breast cancer, but the benefit of vitamin D for prostate and skin cancer in clinical populations has been difficult to demonstrate. RTCs in general have been flawed in execution or too small to provide compelling evidence one way or the other. In contrast, animal studies have been quite consistent in their demonstration that vitamin D and/or its active metabolite 1,25 dihydroxyvitamin D (1,25(OH)2D) can prevent the development and/or treat a variety of cancers in a variety of animal models. Furthermore, 1,25(OH)2D has been shown to impact a number of cellular mechanisms that would be expected to underlie its anticancer effects. Thus, there is a dilemma-animal and cellular studies strongly support a role for vitamin D in the prevention and treatment of cancer, but the clinical studies for most cancers have not yet delivered compelling evidence that the promise from preclinical studies has been fulfilled in the
Hepach, Robert; Vaish, Amrisha; Tomasello, Michael
Much is known about young children's helping behavior, but little is known about the underlying motivations and emotions involved. In 2 studies we found that 2-year-old children showed positive emotions of similar magnitude--as measured by changes in their postural elevation using depth sensor imaging technology--after they achieved a goal for…
Pacheco Santos, Leonor Maria; Moura, Erly Catarina; Barradas Barata, Rita de Cássia; Serruya, Suzanne Jacob; da Motta, Marcia Luz; Silva Elias, Flávia Tavares; Angulo-Tuesta, Antonia; de Paula, Ana Patricia; de Melo, Gilvania; Guimarães, Reinaldo; Grabois Gadelha, Carlos Augusto
This commentary describes how the Brazilian Ministry of Health's (MoH) research support policy fulfilled the National Agenda of Priorities in Health Research (NAPHR). In 2003, the MoH started a democratic process in order to establish a priority agenda in health research involving investigators, health managers and community leaders. The Agenda was launched in 2004 and is guiding budget allocations in an attempt to reduce the gap between scientific knowledge and health practice and activities, aiming to contribute to improving Brazilian quality of life. Many strategies were developed, for instance: Cooperation Agreements between the Ministry of Health and the Ministry of Science and Technology; the decentralization of research support at state levels with the participation of local Health Secretariats and Science and Technology Institutions; Health Technology Assessment; innovation in neglected diseases; research networks and multicenter studies in adult, women's and children's health; cardiovascular risk in adolescents; clinical research and stem cell therapy. The budget allocated by the Ministry of Health and partners was expressive: US$419 million to support almost 3,600 projects. The three sub-agenda with the higher proportion of resources were "industrial health complex", "clinical research" and "communicable diseases", which are considered strategic for innovation and national development. The Southeast region conducted 40.5% of all projects and detained 59.7% of the resources, attributable to the concentration of the most traditional health research institutes and universities in the states of São Paulo and Rio de Janeiro. The second most granted region was the Northeast, which reflects the result of a governmental policy to integrate and modernize this densely populated area and the poorest region in the country. Although Brazil began the design and implementation of the NAPHR in 2003, it has done so in accordance with the 'good practice principles
Full Text Available Abstract This commentary describes how the Brazilian Ministry of Health's (MoH research support policy fulfilled the National Agenda of Priorities in Health Research (NAPHR. In 2003, the MoH started a democratic process in order to establish a priority agenda in health research involving investigators, health managers and community leaders. The Agenda was launched in 2004 and is guiding budget allocations in an attempt to reduce the gap between scientific knowledge and health practice and activities, aiming to contribute to improving Brazilian quality of life. Many strategies were developed, for instance: Cooperation Agreements between the Ministry of Health and the Ministry of Science and Technology; the decentralization of research support at state levels with the participation of local Health Secretariats and Science and Technology Institutions; Health Technology Assessment; innovation in neglected diseases; research networks and multicenter studies in adult, women's and children's health; cardiovascular risk in adolescents; clinical research and stem cell therapy. The budget allocated by the Ministry of Health and partners was expressive: US$419 million to support almost 3,600 projects. The three sub-agenda with the higher proportion of resources were "industrial health complex", "clinical research" and "communicable diseases", which are considered strategic for innovation and national development. The Southeast region conducted 40.5% of all projects and detained 59.7% of the resources, attributable to the concentration of the most traditional health research institutes and universities in the states of São Paulo and Rio de Janeiro. The second most granted region was the Northeast, which reflects the result of a governmental policy to integrate and modernize this densely populated area and the poorest region in the country. Although Brazil began the design and implementation of the NAPHR in 2003, it has done so in accordance with the 'good
Can reduce--the effects of chat-counseling and web-based self-help, web-based self-help alone and a waiting list control program on cannabis use in problematic cannabis users: a randomized controlled trial.
Schaub, Michael P; Haug, Severin; Wenger, Andreas; Berg, Oliver; Sullivan, Robin; Beck, Thilo; Stark, Lars
In European countries, including Switzerland, as well as in many states worldwide, cannabis is the most widely used psychoactive substance after alcohol and tobacco. Although approximately one in ten users develop serious problems of dependency, only a minority attends outpatient addiction counseling centers. The offer of a combined web-based self-help and chat counseling treatment could potentially also reach those users who hesitate to approach such treatment centers and help them to reduce their cannabis use. This paper presents the protocol for a three-armed randomized controlled trial that will test the effectiveness of a web-based self-help intervention in combination with, or independent of, tailored chat counseling compared to a waiting list in reducing or enabling the abstention from cannabis use in problematic users. The primary outcome will be the weekly quantity of cannabis used. Secondary outcome measures will include the number of days per week on which cannabis is used, the severity of cannabis use disorder, the severity of cannabis dependence, cannabis withdrawal symptoms, cannabis craving, the use of alcohol, tobacco, and other non-cannabis illicit drugs, changes in mental health symptoms, and treatment retention. The self-help intervention will consist of 8 modules designed to reduce cannabis use based on the principles of motivational interviewing, self-control practices, and methods of cognitive behavioral therapy. The two additional individual chat-counseling sessions in the additional chat condition will be based on the same therapy approaches and tailored to participants' self-help information data and personal problems. The predictive validity of participants' baseline characteristics on treatment retention and outcomes will be explored. To the best of our knowledge, this will be the first randomized controlled trial to test the effectiveness of online self-help therapy in combination or without chat counseling in reducing or enabling the
Shea, Munyi; Cachelin, Fary M.; Gutierrez, Guadalupe; Wang, Sherry; Phimphasone, Phoutdavone
The prevalence of bulimia nervosa (BN) and binge eating disorder (BED) among Latinas is comparable to those of the general population; however, few interventions and treatment trial research have focused on this group. Cognitive-behavioral therapy (CBT) is the treatment of choice for binge eating related disorders. CBT-based guided self-help (CBTgsh)—a low-cost minimal intervention—has also been shown effective in improving binge eating related symptom, but the effectiveness of the CBTgsh among ethnic minority women is not well understood. Cultural adaptation of evidence-based treatments can be an important step for promoting treatment accessibility and engagement among underserved groups. This qualitative study was part of a larger investigation that examined the feasibility and efficacy of a culturally adapted CBTgsh program among Mexican American women with binge eating disorders. Post-treatment focus groups were conducted with 12 Mexican American women with BN or BED who participated in the intervention. Data were analyzed with the grounded theory methodology (Corbin & Strauss, 2008). Three themes emerged from the data: 1) eating behavior and body ideals are socially and culturally constructed, 2) multifaceted support system is crucial to Mexican American women’s treatment engagement and success, and 3) the culturally adapted CBTgsh program is feasible and relevant to Mexican American women’s experience, but it can be strengthened with increased family and peer support. The findings provide suggestions for further adaptation and refinement of the CBTgsh, and implications for future research as well as early intervention for disordered eating in organized care settings. PMID:26462112
Rosner, Benjamin; Kay, Patricia M.
Examines the idea of competency/performance based teacher education to determine if it is a fad, or if it has real promise for reform. The authors urge that a single definition for C/PBTE be developed. They argue that while there are some short-range benefits to be derived from installing a C/PBTE program, it will take years of research and…
Heim, Noor; van Stel, Henk F; Ettema, Roelof G; van der Mast, Roos C; Inouye, Sharon K; Schuurmans, Marieke J
A pragmatic, stepped wedge trial design can be an appealing design to evaluate complex interventions in real-life settings. However, there are certain pitfalls that need to be considered. This paper reports on the experiences and lessons learned from the conduct of a cluster randomized, stepped wedge trial evaluating the effect of the Hospital Elder Life Program (HELP) in a Dutch hospital setting to prevent older patients from developing delirium. We evaluated our trial which was conducted in eight departments in two hospitals in hospitalized patients aged 70 years or older who were at risk for delirium by reflecting on the assumptions that we had and on what we intended to accomplish when we started, as compared to what we actually realized in the different phases of our study. Lessons learned on the design, the timeline, the enrollment of eligible patients and the use of routinely collected data are provided accompanied by recommendations to address challenges. The start of the trial was delayed which caused subsequent time schedule problems. The requirement for individual informed consent for a quality improvement project made the inclusion more prone to selection bias. Most units experienced major difficulties in including patients, leading to excluding two of the eight units from participation. This resulted in failing to include a similar number of patients in the control condition versus the intervention condition. Data on outcomes routinely collected in the electronic patient records were not accessible during the study, and appeared to be often missing during analyses. The stepped wedge, cluster randomized trial poses specific risks in the design and execution of research in real-life settings of which researchers should be aware to prevent negative consequences impacting the validity of their results. Valid conclusions on the effectiveness of the HELP in the Dutch hospital setting are hampered by the limited quantity and quality of routine clinical data
Schmitz, Sandra; Duhoux, François; Machiels, Jean-Pascal
Window of opportunity studies are trials in which patients receive one or more new compounds between their cancer diagnosis and standard treatment (mainly surgery). Patients are generally cancer treatment naïve. Tumor biopsies before and after the investigational treatment are collected for translational research. Similarly, anatomic and functional pre- and post-treatment imaging may be incorporated. Ideally, the investigational treatment is kept short to avoid delaying standard treatment. Window of opportunity trials may expedite drug development, improve our understanding of pharmacodynamic parameters, and help to identify biomarkers for better patient selection. They can, however, have major drawbacks including potential safety and logistical issues, delayed standard treatment, and a probable lack of patient benefit. By focusing on breast and head and neck cancers, in this paper we discuss the advantages, disadvantages and design of window of opportunity studies. Copyright © 2015 Elsevier Ltd. All rights reserved.
Zill, Jördis M; Meyer, Björn; Topp, Janine; Daubmann, Anne; Härter, Martin; Dirmaier, Jörg
Problem drinking is an important global health concern, causing premature mortality and morbidity. Only few problem drinkers seek professional care, unfortunately, because of multiple barriers such as insufficient change motivation, fear of stigmatization or limited access to care. The aim of this study will be to examine the effectiveness of a novel Internet intervention termed Vorvida, which was developed based on established cognitive-behavioral therapy techniques with the aim of reducing problematic alcohol consumption. A two-arm randomized control trial (RCT) will be conducted to determine whether using Vorvida results in greater reductions in self-reported problem drinking, compared with a care-as-usual/waitlist (CAU/WL) control group. There will be a baseline assessment (t0) and follow-up assessments after three (t1) and six months (t2). Inclusion criteria will be: minimum age of 18, an average consumption of alcohol >24/12 g (men/women) per day and an AUDIT-C score ≥ 3, as well as informed consent. Participants will be randomly assigned to the intervention or control condition at a ratio of 1:1. Recruitment, informed consent, randomization and assessment will be Internet-based. Primary outcome will be change in self-reported alcohol consumption between t0 and t1. Secondary outcomes will be self-reported drinking behavior, expectancies of effects of alcohol use, abstinence and relapse tendencies, self-efficacy and motivation to change. This study is expected to establish the extent to which a novel Internet intervention could contribute to reducing problem drinking among adults with mild to severe alcohol use disorders who may or may not seek or access a traditional treatments. Potentially, this program could be an effective and efficient tool to help reduce problem drinking on a population level because a great number of users can be reached simultaneously without adding burden to treating clinicians. German Clinical Trial Registration (DRKS): DRKS
Eakman, Aaron M
The current study used a prospective longitudinal design to determine whether change in meaningful activity over an 11-month period could help explain change in meaning in life in a sample of 174 undergraduate and graduate students. The Engagement in Meaningful Activities Survey, Basic Psychological Needs Scales (i.e., autonomy, competence, relatedness), and the Meaning in Life Questionnaire were used as indicators of the constructs of meaningful activity, basic psychological needs fulfillment, and meaning and purpose in life. The findings were in support of the study hypotheses and indicated that change in meaningful activity explained both change in basic psychological needs fulfillment (i.e., autonomy, competence, relatedness) and change in meaning in life. Further, this study reports findings consistent with results from cross-sectional studies in support of the hypothesis that change in meaningful activity may influence change in meaning in life through two pathways: a direct path of influence from meaningful activity to meaning in life and an indirect path through change in basic psychological needs fulfillment. The current study contributes to a growing literature implicating subjective evaluations of day-to-day action (or meaningful activity) as a fruitful means for exploring relationships between occupation and well-being. Copyright 2014, SLACK Incorporated.
Hazaka, Yusuke; Suzuki, Shinichi; Okamoto, Yuko
By using the state anxiety scale, the present state and wish fulfillment were investigated in order to determine the mitigating effect wish fulfillment has on anxiety and to investigate the relationships between a wish and anxiety. Anxiety, before and after wish fulfillment, was measured using the state anxiety scale. As a result of first examining the difference between the average value of individuals' state anxiety score was seen. Next, according to the kind of wish, the change in the stat...
Nguyen, D; De Leeuw, S; Dullaert, W
This paper provides a systematic review of consumer behaviour and order fulfilment in online retailing. The objective of this review is threefold: first, to identify elements of order fulfilment operations that are relevant to online consumer behaviour (purchase, repurchase, product return); second, to understand the relationship between order fulfilment performance and consumer behaviour; and third, to inspire future research on developing consumer service strategies that takes account of th...
Full Text Available This paper reports on the evaluation of practices of 48 leading e-fulfillment suppliers in the UK. Initial findings suggest that while a comprehensive model of e-fulfilment is validated these organisations are also providing services not previously recognised as e-fulfilment capabilities by the literature. This leads to the development of a staged model of transformation, which implies that the industry will embrace radical change in some sectors and lead to a new definition of e-fulfillment businesses. More in depth investigation leads to a proposed definition, and a methodology to measure the degree of transformation.
definition of reference standards for diagnosis of childhood TB. Innovative research and development funding ensuring de-linkage of research and development costs from the price of the new product, such as a prize fund mechanism, could help focus these efforts towards the delivery of a much-needed point-of-care diagnostic test for TB.
Conclusion: We believe that this program will offer parents of children with burns information and support, decrease symptoms of stress, and that parents will perceive the program as useful. If the program is found to be beneficial, it could be implemented in burn care as it is accessible and cost-effective.
van der Smissen, A.I.M.; Schalk, R.; Freese, C.
Purpose This study aims to examine how organizational change and attitude towards change affects the fulfillment of the psychological contract. The influence of type of change, impact of change, former change experiences and frequency of change on fulfillment of the psychological contract is
Cnossen, Ingrid C; van Uden-Kraan, Cornelia F; Rinkel, Rico N. P. M; Aalders, IJke J; de Goede, Cees J. T; de Bree, Remco; Doornaert, Patricia; Rietveld, Derek H. F; Langendijk, Johannes A; Witte, Birgit I; Leemans, C. Rene; Verdonck-de Leeuw, Irma M
.... Pretreatment counseling combined with self-help exercises could be provided to inform patients and possibly prevent them from having speech, swallowing, and shoulder problems during and after treatment. Objective...
Sweet, Shane N; Noreau, Luc; Leblond, Jean; Martin Ginis, Kathleen A
To test the hypothesis among people with spinal cord injury (SCI) that greater fulfillment of peer support needs to be associated with greater participation and life satisfaction. A secondary objective was to identify characteristics of people in great need of SCI peer support. The participants consisted of a population-based sample of 1549 adults with SCI. The participants completed a survey with questions on peer support, participation, life satisfaction and provided demographic and SCI-related information. A secondary analysis of cross-sectional survey data was conducted. A set of regression analyses tested the primary purpose and a partition analysis was conducted to examine the secondary objective. In regression analyses, peer support need fulfillment was positively associated with autonomous-outdoors participation (p peer support need fulfillment was not related with overall participation or other subdomains of participation: autonomy indoors, social relationships and family role. The number of unmet SCI-related needs, injury characteristics and education were associated with fulfillment of SCI peer support needs. The results provide some evidence that SCI peer support plays an important role in promoting participation and life satisfaction. Individuals with many SCI-related unmet needs are most likely to report a need for peer support. The receipt of peer support after a spinal cord injury (SCI) is positively related to aspects of social participation and life satisfaction. Provision of peer support can play an important role in the SCI rehabilitation process. Education, injury-related characteristics, and the number of other unmet needs are factors that rehabilitation professionals can use to identify those in particular need of peer support. Rehabilitation professionals should encourage patients who have sustained an SCI, to participate in peer support programs.
Bowie, Lillian; Bronte-Tinkew, Jacinta
Out-of-school time programs provide intervention and prevention services to young people who are deemed "at-risk" with the goal of improving their social, emotional, and academic development. However, research indicates that children and youth who are most "at-risk" are less likely to participate in out-of-school time programs, and do so less…
An advanced physics lab has been developed into a course that fulfills the requirements for a university studies program `COM3' course using Standard Teaching (ST) methods. The COM3 course is a capstone course under the new USP2015 study requirements for all majors. It replaces the WC writing requirement, typically filled in the English Dept., and adds the teaching of oral and digital communication skills. ST is a method that replaces typical assessments (homework / exam grades) with new assessments that measure certain specified learning outcomes. In combination with oral assessments and an oral final exam, the ST proves an efficient tool to implement the USP Learning Outcomes into a physics course. COM3 requires an unprecedented seven learning outcomes in a single course. Variety of learning outcomes: interdisciplinary goals, levels of writing (with drafting steps), organizational structure, standard language metrics, research and presentation deliverance skills, appropriate addressing of a variety of audiences, etc. With other assessment approaches than ST this variety would be difficult to meet in a physics course. An extended ST rubric has been developed for this course and will be presented and discussed in some detail.
Full Text Available The aim of this study is to determine the fulfilment level of students who come from Turkic Republics to study in Turkey, regarding their academic and social expectations. The qualita-tive research technique and phenomenological design were used in the study. Data of this research was collected via a semistructured interview form consisting 11 openended questions and probes, which were developed by the researchers. A total of 39 undergraduate and postgraduate students from Azerbaijan, Kazakhstan, Kyrgyzstan, Turkmenistan and Uzbekistan participated in the present study. This study indicated that, while expecting satisfactory accommodation the students also anticipated having quality education enabling them for better employment opportunities upon graduation. Some of the students thought that graduate studies in Turkey would be a bridge to Europe. However, it has been found out that students have several academical, social and educational support service problems. According to findings it can be recommended to improve internationalization in higher education, student-centered environment and current educational and training content, organization of orientation programs, submission of international student office and guidance and consultancy services and enhancing the education support services and dormitory facilities.
Kumar, M; Battepathi, P; Bangalore, P
Recent studies have shown that patient reported outcome measures (PROMs) may not completely reflect the satisfaction of patients with the intervention. The purpose of the study was to develop and validate a novel 'patient reported fulfilment of expectation' (PROFEX) questionnaire and to study the correlation between scores on PROMs (patient reported outcome measures such as SF-36 and WOMAC) and the post-operative fulfilment of expectations. In this study, a novel 20-item 'expectation' questionnaire was developed, validated and administered pre-operatively to 523 patients who underwent total knee arthroplasty for osteoarthritis. The 'fulfilment' questionnaire was administered one year following the operation. Physician-reported (Knee Society Scores) and patient-reported (WOMAC, SF-36) outcome measures were also administered. Both components of PROFEX questionnaire were found to have good reliability and internal consistency. No significant correlation existed between post-operative fulfilment scores and the 'improvement' scores of WOMAC, SF-36 and Knee Society scores. Lower pre-operative expectations were associated with higher post-operative fulfilment scores, but the magnitude of this correlation was low. The lack of correlation between the scores on PROMs and the PROFEX scores shows that the scores on the PROMs do not reflect the sense of fulfilment of the patients with the outcomes. Instruments that directly measure fulfilment of expectations are necessary to gain insight into the requirements of the patients. Copyright © 2015 Elsevier Masson SAS. All rights reserved.
Junnette B. Hasco
Full Text Available One of the four-fold functions of State Universities and Colleges in accordance by their mandates was to provide assistance to communities; this was achieved thru conducting different skills and development trainings in partnership with Local Government Units (LGU’s. This study was conducted to assess the current Extension program of the Polytechnic University of the Philippines (PUP. Some 74 beneficiaries from the 23 centers of Sta. Mesa, Manila were identified through the use of purposive sampling. The data gathering made use of aided surveys. Weighted Mean and Pearson Product Moment of Correlation was used to treat and process statistical data. Findings revealed that the Extension Services conducted by the PUP Salin Kaalaman Tungo sa Kaunlaran Extension Program (SALIN were highly effective regarding Information Dissemination, Staff and Officials, Trainings and Programs, Trainers and Speakers, Programs, Accommodation and Venue and the personal impact of the Extension Program to the Beneficiaries. Satisfaction rating on the extension program was also high. Further, this study found out that as respondents are satisfied with the implementation of SALIN, the greater the chance of positive assessment on the effectiveness of the project. The study also disclosed problems and recommendations identified by the respondents. In addressing the research gaps, this study further identified recommendations to enhance capabilities of program implementers such as better execution in the delivery of extension services, fund sourcing and forging linkages or networking.
Gonzalez, Gabriella C.; Bozick, Robert; Tharp-Taylor, Shannah; Phillips, Andrea
This report presents a detailed assessment of the extent to which "The Pittsburgh Promise"--a postsecondary education scholarship intended to remedy the area's population decline, foster high school completion and college readiness among Pittsburgh district students, and prepare a capable and energetic workforce for the city--has met its…
Cnossen, I.C.; van Uden-Kraan, C.F.; Rinkel, R.N.; Aalders, I.J.; de Goede, C.J.T.; de Bree, R.; Doornaert, P.; Rietveld, D.H.F.; Langendijk, J.A.; Witte, B.I.; Leemans, C.R.; de Leeuw, I.M.
Background: During a 6-week course of (chemo)radiation many head and neck cancer patients have to endure radiotherapy-induced toxicity, negatively affecting patients' quality of life. Pretreatment counseling combined with self-help exercises could be provided to inform patients and possibly prevent
Cnossen, Ingrid C.; van Uden-Kraan, Cornelia F.; Rinkel, Rico N. P. M.; Aalders, IJke J.; de Goede, Cees J. T.; de Bree, Remco; Doornaert, Patricia; Rietveld, Derek H. F.; Langendijk, Johannes A.; Witte, Birgit I.; Leemans, C. Rene; Verdonck-de Leeuw, Irma M.
Background: During a 6-week course of (chemo) radiation many head and neck cancer patients have to endure radiotherapy-induced toxicity, negatively affecting patients' quality of life. Pretreatment counseling combined with self-help exercises could be provided to inform patients and possibly prevent
Kabbani, Nader S.; Yazbeck, Myra
Households with children in the United States are more likely to experience food insecurity than households with no children. However, households with children are less likely to experience hunger. This finding suggests that food insecure households with children may be drawing on personal and/or public resources to help them avoid hunger. In this…
... Special Issues Subscribe July 2014 Print this issue Physical Activity Helps Seniors Stay Mobile En español Send us your comments A carefully structured, moderate physical activity program helped vulnerable older people maintain their mobility. ...
... Employment and Training Administration Lexisnexis, a Subsidiary of Reed Elsevier Customer Service Department...; Lexisnexis, a Subsidiary of Reed Elsevier Customer Service Department and Fulfillment Department, Including..., 2012, applicable to workers of Lexisnexis, a subsidiary of Reed Elsevier, Inc., Customer Service...
Full Text Available We examine the relationships between coaching practices, psychological contract fulfillment and the impact it has on satisfaction and in-role behavior of student-athletes. We surveyed a total of 183 student-athletes in Canada. Utilizing Partial Least Squares path modeling algorithm, the results confirm that the extent of psychological contract fulfillment is positively related to satisfaction and role-behavior. In addition, practices of compensation, information sharing, and security (i.e. ensuring continuation of position on the team are related to fulfillment of psychological contracts. However, the data does not provide support for the idea that training is related to the fulfillment of psychological contracts. The results suggest that universities can manage students-athletes’ expectations by institutionalizing coaching practices that signal commitments for compensation, information sharing, and provide assurance of position on the team. Such practices have potential to improve the athlete’s performance.
Technology Access for Product Innovation (TAP-IN), the largest technology deployment project funded by TRP, was competitively selected through a national solicitation for proposals. TAP-IN was created to help companies access and apply defense technologies and help defense-dependent companies enter new commercial markets. Defense technologies included technologies developed by DoD, DOE, NASA, and their contractors. TAP-IN was structured to provide region-based technology access services that were able to draw on technology resources nationwide. TAP-IN provided expert assistance in all stages of the commercialization process from concept through prototype design to capital sourcing and marketing strategy. TAP-IN helped companies locate new technology, identify business partners, secure financing, develop ideas for new products, identify new markets, license technology, solve technical problems, and develop company-specific applications of federal technology. TAP-IN leveraged NASA's existing commercial technology network to create an integrated national network of organizations that assisted companies in every state. In addition to NASA's six regional technology transfer centers (RTTCs), TAP-IN included business and technology development organizations in every state, the Industrial Designers Society of America, and the Federal Laboratory Consortium (FLC).
Denomme, William James; Benhanoh, Orry
There is a growing body of research demonstrating that families of individuals with substance use and concurrent disorders (SUCD) experience a wide range of biopsychosocial problems that significantly impedes their quality of life and health. However, there has been a relative lack of treatment programs primarily focused on improving the well-being and quality of life of these family members. The current study assessed the efficacy of such a program at reducing stress, increasing perceived social support from family and friends, and increasing general, dyadic, and self-rated family functioning within these concerned family members. A sample of 125 family members of individuals with SUCDs was recruited, of which 97 participated in the treatment program and 28 were used as the comparison group. Results indicated that the treatment program significantly reduced stress, increased perceived social support from family and friends, and increased general, dyadic and self-rated family functioning. A perceived personal benefits questionnaire demonstrated that participants had a better understanding of SUCDs, better coping capabilities in regard to emotional difficulties, adopted stronger coping methods, participated in more leisure activities, and improved their relationship with the individual with a SUCD. The results of the current study further demonstrate the need to implement more of these family-member oriented psycho-educational treatment programs. Copyright © 2017 Elsevier Inc. All rights reserved.
Agatz, Niels; Fleischmann, Moritz; Nunen, Jo
textabstractThis review addresses the specific supply chain management issues of Internet fulfillment in a multi-channel environment. It provides a systematic overview of managerial planning tasks and reviews corresponding quantitative models. In this way, we aim to enhance the understanding of multi-channel e-fulfillment and to identify gaps between relevant managerial issues and academic literature, thereby indicating directions for future research. One of the recurrent patterns in today’s ...
Trybou, Jeroen; Gemmel, Paul
The aim of the study was to examine the relationship between the perceived quality of organisational exchange and nurses' customer-oriented behaviours. Hospitals face increasing competitive market conditions. Registered nurses interact closely with patients and therefore play an important front-office role towards patients. A cross-sectional study was conducted. Registered nurses (n = 151) of a Belgian hospital received a questionnaire to assess the fulfilment of administrative and professional organisational obligations and their customer-oriented behaviours. We found a positive relationship between psychological contract fulfilment and nurses' customer-oriented behaviours. More precisely administrative and professional psychological contract fulfilment relates significantly to nurses' service delivery and external representation. In case of internal influence only administrative psychological contract fulfilment was significantly related. Nurses' perceptions of the fulfilment of administrative and professional obligations are important to their customer-oriented behaviours. Nurse managers must be aware of the impact of fulfilling both administrative and professional obligations of registered nurses in order to optimise their customer-oriented behaviours. © 2016 John Wiley & Sons Ltd.
Although social psychology has always had an interest in helping behavior, only recently has the full complexity of helping relations begun to be researched. Help seeking and receiving in the educational setting raise many issues regarding the use and effectiveness of the help itself. Central to all helping relations is the seeking/receiving…
Bauer, K. W.; Neumark-Sztainer, D.; Hannan, P. J.; Fulkerson, J. A.; Story, M.
Identifying factors that contribute to students' behavior and weight improvements during school-based obesity prevention interventions is critical for the development of effective programs. The current study aims to determine whether the support and resources that adolescent girls received from their families were associated with improvements in…
Poulin, David; Martinez, David; Aenchbacher, Amy; Aiello, Rocco; Doyle, Mike; Hilgenbrinck, Linda; Busse, Sean; Cappuccio, Jim
In Part III of the feature, physical educators and adapted physical educators offer current best practices as models of implementation for readers. Contributions included are: (1) Answer to the Dear Colleague Letter from the Anchorage School District's Adapted Sport Program (David Poulin); (2) Georgia's Adapted Physical Educators Response to the…
King, Keith A.; Strunk, Catherine M.; Sorter, Michael T.
Background: Suicide ranks as the third leading cause of death among youth aged 15-24 years. Schools provide ideal opportunities for suicide prevention efforts. However, research is needed to identify programs that effectively impact youth suicidal ideation and behavior. This study examined the immediate and 3-month effect of Surviving the Teens[R]…
PACER Center, 2006
Although high school students cannot control every aspect of their school education, they do have the power to make changes in their education program. As they influence major parts of their IEP, they gain more freedom and more control over what happens to them. This action sheet describes three steps for high school students to consider in taking…
Argues that parents can help their children take more pleasure in writing and thus build their confidence and competence in mastering composition skills. Describes the Parents-as-Tutors Program and some of its methods, which include teaching the student to edit message, punctuation, and spelling. (AEW)
Parents of struggling learners are often unsure of how to assist their children at home. The author provides useful strategies and tips for principals to help parents support and encourage their children who are slow learners.
Full Text Available Although outcome expectancies are regarded as key determinants of health behavior change, studies on the role of their degree of fulfillment in long-term activity changes are lacking. This study investigated the impact of (un-fulfilled outcome expectancies (OE on (un-successful attempts to increase physical activity, assuming that disengagement is the logical consequence of perceived futility. Participants (n = 138 of a longitudinal cohort study with three measurement waves were assigned to eight different groups according to a staging algorithm of their self-reported, one-year-long physical activity behavior track. Stages were validated by objective changes in objective fitness, e.g. Physical Working Capacity (PWC. Social cognitive variables, self-efficacy, proximal and distal OE and fulfillment of OE, were assessed via self-report. Discriminant analyses revealed that OE fulfillment was the predominant predictor for differentiating between successful and unsuccessful behavior change. Amongst OE, proximal OE concerning emotional rewards, in conjunction with action self-efficacy, further improved discriminatory power. OE adjustment warranting hedonic rewards appears to be a crucial mechanism as it facilitates long-term changes through interventions aimed at increasing physical activity rates. Theoretical models might benefit by including the concept of fulfilled expectations acting in terms of feedback loops between volitional and motivational processes.
... 21 Food and Drugs 4 2010-04-01 2010-04-01 false Fulfillment houses, shipping and mailing services... Samples § 203.36 Fulfillment houses, shipping and mailing services, comarketing agreements, and third... manufacturer or authorized distributor of record that uses a fulfillment house, shipping or mailing service, or...
Barakat, Sarah; Maguire, Sarah; Surgenor, Lois; Donnelly, Brooke; Miceska, Blagica; Fromholtz, Kirsty; Russell, Janice; Hay, Phillipa; Touyz, Stephen
Background: Despite cognitive behavioural therapy (CBT) being regarded as the first-line treatment option for bulimia nervosa (BN), barriers such as its time-consuming and expensive nature limit patient access. In order to broaden treatment availability and affordability, the efficacy and convenience of CBT could be improved through the use of online treatments and selective emphasis on its most 'potent' components of which behavioural techniques form the focus. Method: Twenty-six individuals with BN were enrolled in an online CBT-based self-help programme and 17 completed four weeks of regular eating and food-monitoring using the online Food Diary tool. Participants were contacted for a weekly check-in phone call and had their bulimic symptom severity assessed at five time points (baseline and weeks 1-4). Results: There was a significant decrease in the frequency of self-reported objective binge episodes, associated loss of control and objective binge days reported between pre- and post-treatment measures. Significant improvements were also observed in most subscales of the Eating Disorder Examination-Questionnaire. Conclusion: This study provides encouraging preliminary evidence of the potential of behavioural techniques of online CBT in the treatment of BN. Online therapy with this focus is potentially a viable and practical form of treatment delivery in this illness group. These preliminary findings support the need for larger studies using control groups.
Barakat, Sarah; Maguire, Sarah; Surgenor, Lois; Donnelly, Brooke; Miceska, Blagica; Fromholtz, Kirsty; Russell, Janice; Hay, Phillipa; Touyz, Stephen
Background: Despite cognitive behavioural therapy (CBT) being regarded as the first-line treatment option for bulimia nervosa (BN), barriers such as its time-consuming and expensive nature limit patient access. In order to broaden treatment availability and affordability, the efficacy and convenience of CBT could be improved through the use of online treatments and selective emphasis on its most ‘potent’ components of which behavioural techniques form the focus. Method: Twenty-six individuals with BN were enrolled in an online CBT-based self-help programme and 17 completed four weeks of regular eating and food-monitoring using the online Food Diary tool. Participants were contacted for a weekly check-in phone call and had their bulimic symptom severity assessed at five time points (baseline and weeks 1–4). Results: There was a significant decrease in the frequency of self-reported objective binge episodes, associated loss of control and objective binge days reported between pre- and post-treatment measures. Significant improvements were also observed in most subscales of the Eating Disorder Examination-Questionnaire. Conclusion: This study provides encouraging preliminary evidence of the potential of behavioural techniques of online CBT in the treatment of BN. Online therapy with this focus is potentially a viable and practical form of treatment delivery in this illness group. These preliminary findings support the need for larger studies using control groups. PMID:28672851
Full Text Available Background: Despite cognitive behavioural therapy (CBT being regarded as the first-line treatment option for bulimia nervosa (BN, barriers such as its time-consuming and expensive nature limit patient access. In order to broaden treatment availability and affordability, the efficacy and convenience of CBT could be improved through the use of online treatments and selective emphasis on its most ‘potent’ components of which behavioural techniques form the focus. Method: Twenty-six individuals with BN were enrolled in an online CBT-based self-help programme and 17 completed four weeks of regular eating and food-monitoring using the online Food Diary tool. Participants were contacted for a weekly check-in phone call and had their bulimic symptom severity assessed at five time points (baseline and weeks 1–4. Results: There was a significant decrease in the frequency of self-reported objective binge episodes, associated loss of control and objective binge days reported between pre- and post-treatment measures. Significant improvements were also observed in most subscales of the Eating Disorder Examination-Questionnaire. Conclusion: This study provides encouraging preliminary evidence of the potential of behavioural techniques of online CBT in the treatment of BN. Online therapy with this focus is potentially a viable and practical form of treatment delivery in this illness group. These preliminary findings support the need for larger studies using control groups.
Henderson, David J; Wayne, Sandy J; Shore, Lynn M; Bommer, William H; Tetrick, Lois E
Prior integrations of the leader-member exchange (LMX) and psychological contract literatures have not clarified how within-group LMX differentiation influences employees' attitudes and behaviors in the employment relationship. Therefore, using a sample of 278 members and managers of 31 intact work groups at 4 manufacturing plants, the authors examined how LMX operating at the within-group level (relative LMX, or RLMX) and the group level influenced perceptions of psychological contract fulfillment and employee-level outcomes. Controlling for individual-level perceptions of LMX quality, results indicated a positive relationship between RLMX and fulfillment, which was strengthened as group-level variability in LMX quality increased. Perceptions of fulfillment mediated the relationship between RLMX and performance and sportsmanship behaviors. The importance of conceptualizing LMX as simultaneously operating at multiple levels is highlighted.
Scherr, Kyle C.; Madon, Stephanie; Guyll, Max; Willard, Jennifer; Spoth, Richard
This research examined whether self-verification acts as a general mediational process of self-fulfilling prophecies. The authors tested this hypothesis by examining whether self-verification processes mediated self-fulfilling prophecy effects within a different context and with a different belief and a different outcome than has been used in prior research. Results of longitudinal data obtained from mothers and their adolescents (N = 332) indicated that mothers’ beliefs about their adolescents’ educational outcomes had a significant indirect effect on adolescents’ academic attainment through adolescents’ educational aspirations. This effect, observed over a six year span, provided evidence that mothers’ self-fulfilling effects occurred, in part, because mothers’ false beliefs influenced their adolescents’ own educational aspirations which adolescents then self-verified through their educational attainment. The theoretical and applied implications of these findings are discussed. PMID:21357755
Gonzales-Achuy, Elena; Huamán-Espino, Lucio; Aparco, Juan Pablo; Pillaca, Jenny; Gutiérrez, César
To identify the factors associated with growth and development monitoring (CRED) fulfillment for children Amazonas, Loreto, and Pasco, Peru between January and December 2012. A paired case-control study was performed. A case was the child who did not complete 11 of the CRED checks until the age of 11 months and, as a control, that child with 11 CRED checks with the same age. The correlation among factors with CRED fulfillment was determined using the McNemar test (p Amazonas, the opposite effect was observed (OR, 0.58; 95% CI, 0.41-0.81). The factors related to CRED fulfillment in children <1 year of age varied among regions. One of the main identified obstacles is the multiple functions that must be performed by professionals working in CRED, owing to which, child care opportunities are lost. Hence, adequate staffing must be ensured while instilling ever-present proper patient treatment.
Jose Guillermo Garcia
Full Text Available A consensus between the reformers of the public administration exists on a matter that changes are not decreed, but that these require, for their effective fulfillment of certain conditions, like stimulation of actors affected by the reforms, to recognize the new scenario like favorable and therefore, to act in its name. Under this premise, this paper analyzes the voluntary fulfillment of the taxes payment as reformative institution of the Venezuelan tax system, which has implied the development of a formal incentives structure promoting the initiative of conscious tax payment.
Betts, LR; Gkimitzoudis, T; Spenser, KA; Baguley, T
The roles that young people fulfil in face-to-face bullying have been well documented and there is some evidence that young people take on similar roles in cyber bullying. A person centred analytical approach was adopted to identify the roles that young people fulfil across five different types of cyber bullying assessed for up to nine media. Four hundred and forty (281 female and 154 male) 16- to 19-year-olds completed measures to assess their involvement in various types of cyber bullying a...
Lenev Vladimir Stepanovitch
Full Text Available The article presents a convincing system of mathematical reasoning allowing us to pass over the stages of recurrent formulas as well as the induction methods in the process of developing analytic formulas using computer programs. The article elaborates the ideas on how to make the computer derive analytic formulas. The author offers us a generalization consisting in using the method of summing up to the more wide range of series, as well as finding approximate specific solutions to some differential equations and summarizations, which can occur, for example, in finite element method. The suggested method of summing the degrees with the coefficient is generalized to:a The total formulas for the powers degrees of real numbers which are not the rational numbers. This will lead to approximate results.b The representation of sums is connected to the solutions of certain differential equations (Cauchy problem, where we can obtain the partial equations in the form of power series with rational coefficients.
Parish, Joycelyn G.; Parish, Thomas S.
Reviews successful attempts to help students who perform below their potential. Argues that effective measures for helping underachieving students include: teachers believing in their students, and making the classroom a place which provides love, belonging, power, fun, and freedom. (RS)
... chosen to help where the caregiver needs it. Education and Information Coping Skills Counseling Family Meetings Home Care Help Hospice Care for the Cancer Patient Caregivers have a very hard job and it's ...
La Lecture de textes scientifiques rediges dans une langue etrangere enseignee a l'aide de manuels programes (Reading of Scientific Texts Edited in a Foreign Language, Taught with the Help of Programmed Textbooks)
The article discusses programmed instruction in reading a foreign language to provide students in a specialized discipline with tools they need to understand specialized texts. Recent studies indicate the validity of teaching for reading comprehension only. Two examples of programs in scientific Dutch are attached. (Text is in French.) (AMH)
Mirjam de Klerk; Alice de Boer; Sjoerd Kooiker; Inger Plaisier; Peggy Schyns
Original title: Hulp geboden The help provided to people with a care need is about to undergo major changes in the Netherlands. People who need help will be expected to rely more on help from members of their network. What are the opportunities for informal carers and volunteers, and where
Turkdogan, Turgut; Duru, Erdinc
The aim of this study is to examine the role of fulfillment level of university students' basic needs in predicting the level of their subjective well being. The participants were 627 students (56% female, 44% male) attending different faculties of Pamukkale University. In this study, subjective well being was measured with Life Satisfaction Scale…
N.A.H. Agatz (Niels); M. Fleischmann (Moritz); J.A.E.E. van Nunen (Jo)
textabstractThis review addresses the specific supply chain management issues of Internet fulfillment in a multi-channel environment. It provides a systematic overview of managerial planning tasks and reviews corresponding quantitative models. In this way, we aim to enhance the understanding of
Trybou, Jeroen; Gemmel, Paul; Desmidt, Sebastian; Annemans, Lieven
To be successful, hospitals must increasingly collaborate with their medical staff. One strategic tool that plays an important role is the mission statement of hospitals. The goal of this research was to study the relationship between the fulfillment of administrative and professional obligations of hospitals on physicians' motivation to contribute to the mission of the hospital. Furthermore the mediating role of the physicians' emotional attachment to the hospital and moderation effect of the exchange with the head physicians were considered. Self-employed physicians of six hospitals participated in a survey. Descriptive analyses and linear regression were used to analyse the data. The results indicate that affective commitment mediated the relationship between psychological contract fulfillment and mission statement motivation. In addition, the quality of exchange with the Chief Medical Officer moderated the relationship between the fulfillment of administrative obligations and affective commitment positively. This study extends our understanding of social exchange processes and mission statement motivation of physicians. We showed that when physicians perceive a high level of fulfillment of their psychological contract they are more committed and more motivated to contribute to the mission statement. A high quality relationship between physician and Chief Medical Officer can enhance this reciprocity dynamic.
Duberman, Josh; Zeller, Martin
Provides an introduction to fulfilling the information needs of technology transfer. Highlights include a definition of technology transfer; government and university involvement; industry's role; publishers; an annotated list of information sources and contacts; technology assessment, including patent searching, competitive intelligence, and…
Lub, X.D.; Bal, P.M.; Blomme, R.J.; Schalk, R.
This paper investigates generational differences in the relations between psychological contract fulfillment and work attitudes. Data were collected from a sample of 909 employees in the Dutch service sector. Structural equation modeling analyses were used to test the moderating effects of
Lub, X.D.; Bal, P.M.; Blomme, R.J.; Schalk, R.
This paper investigates generational differences in the relations between psychological contract fulfillment and work attitudes. Data were collected from a sample of 909 employees in the Dutch service sector. Structural equation modeling analyses were used to test the moderating effects of
Lub, X.D.; Bal, P.M.; Blomme, R.J.; Schalk, M.J.D.
This paper investigates generational differences in the relations between psychological contract fulfillment and work attitudes. Data were collected from a sample of 909 employees in the Dutch service sector. Structural equation modeling analyses were used to test the moderating effects of
Petropoulos Petalas, D.; Schie, H.T. van; Hendriks Vettehen, P.G.J.
This study addresses the self-fulfilling prophecy effect, in the domain of economic decision-making. We present experimental data in support of the hypothesis that speculative forecasts of economic change can impact individuals' economic decision behavior, prior to any realized changes. In a
Chambel, Maria Jose; Castanheira, Filipa
The aim of this study is to analyse psychological contract fulfilment as a mechanism through which training affects stress in call centres. The hypotheses were tested on a sample of 412 call centre operators, using structural equation modelling to analyse their survey responses. Our results demonstrated that training is negatively related to…
Zimmerman, Aaron Samuel
In this commentary, I explore a method of teacher reflection developed by Korthagen and colleagues, which they refer to as "core reflection" (Korthagen, Kim, & Green, 2013). Specifically, I have noticed that the process of "core reflection" bears a strong resemblance to self-fulfilling prophecies and other "placebo…
Evelein, F.; Korthagen, F.; Brekelmans, M.
This study focuses on an under-researched area, namely the fulfilment of basic psychological needs of student teachers during their first teaching experiences. Based on the Self-determination Theory of Ryan and Deci [(2002). Overview of self-determination theory: An organismic dialectical
Hetland, Hilde; Hetland, Jorn; Andreassen, Cecilie Schou; Pallesen, Stale; Notelaers, Guy
Purpose: The purpose of this paper is to explore the relationship between transformational leadership and a transactional leadership component (management by exception-active), and fulfillment of the basic needs of autonomy, competence and relatedness. Design/methodology/approach: The paper is based on cross sectional data from 661 employees who…
Korthagen, Fred A J; Evelein, Frits G.
This study examines the relation between fulfillment of the three basic psychological needs in 36 student teachers and their teaching behavior, based on Self-Determination Theory (Deci & Ryan, 2002) and the Model for Interpersonal Teacher Behavior (Wubbels, Den Brok, Van Tartwijk, & Levy, 2012).
Full Text Available Introduction: Quality and quantity of sleep dissorder are the commonest problems that faced by elderly. These problems can increase activity of sympathetic nerve and muscle stress. Javanese traditional music is one of the method to increase the fulfillment of the need of sleep. The objective of this study was to analyze the effect of Javanese traditional music on the fulfillment of the need of sleep in elderly. Method: Design of this study was a pre experimental design. The population was elderly with sleep disorders in Panti Sosial Tresna Werdha Blitar. There were 12 respondents which recruited by using purposive sampling who met to the inclusion criteria. The independent variable of this study was the Javanese traditional music and the dependent variable was the fulfillment of sleep in elderly. Data were collected by using structured questionnaire and biophysiological measurement and then analyzed by using Wilcoxon Signed Rank Test and Paired t-Test with level of significance α≤0.05. Result: The result showed that there was an effect of Javanese traditional music on quality of sleep (p=0.001, had an effect to increase the duration of sleep (p=0.00001, beside that it could reduce heart rate (p=0.001 and respiratory rate (p=0.00001. However, Javanese traditional music did not had significant effect to reduce sistolic blood pressure (p=0,104 and diastolic blood pressure (p=0339. Discussion: Conclution: Javanese traditional music had significant effect on the fulfillment of the need of sleep in elderly. Further research should measure the effect of Javanese traditional music on the fulfillment of the need of sleep with the rate of melatonin and EEG (Electro Encephalo Graphy.
Wright, Madeleine E.
This book is a comprehensive guide to the philosophy, organization, and management of a mentoring program for African American girls. It is based on a program sponsored by the Wheeler Avenue Baptist Church in Houston (Texas). This program matches between 25 and 50 young women with Christian women mentors. The program emphasizes Christian values,…
Full Text Available One important motivation for people behaving prosocially is that they want to avoid negative and obtain positive emotions. In the prosocial behavior literature however, the motivations to avoid negative emotions (e.g. guilt and to approach positive emotions (e.g. warm glow are rarely separated, and sometimes even aggregated into a single mood-management construct. The aim of this study was to investigate whether anticipated guilt if not helping and anticipated warm glow if helping are influenced similarly or differently when varying situational factors related to personal responsibility to help. Helping scenarios were created and pilot tests established that each helping scenario could be formulated both in a high-responsibility version and in a low-responsibility version. In Study 1 participants read high-responsibility and low-responsibility helping scenarios, and rated either their anticipated guilt if not helping or their anticipated warm glow if helping (i.e. separate evaluation. Study 2 was similar but here participants rated both their anticipated guilt if not helping and their anticipated warm glow if helping (i.e. joint evaluation. Anticipated guilt was clearly higher in the high-responsibility versions, but anticipated warm glow was unaffected (in Studies 1a and 1b, or even higher in the low-responsibility versions (Study 2. In Studies 3 (where anticipated guilt and warm glow were evaluated separately and 4 (where they were evaluated jointly, personal responsibility to help was manipulated within-subjects. Anticipated guilt was again constantly higher in the high-responsibility versions but for many types of responsibility-manipulations, anticipated warm glow was higher in the low-responsibility versions. The results suggest that we anticipate guilt if not fulfilling our responsibility but that we anticipate warm glow primarily when doing over and beyond our responsibility. We argue that future studies investigating motivations for
Gardner, I A
On-farm HACCP (hazard analysis critical control points) monitoring requires cost-effective, yet accurate and reproducible tests that can determine the status of cows, milk, and the dairy environment. Tests need to be field-validated, and their limitations need to be established so that appropriate screening strategies can be initiated and test results can be rationally interpreted. For infections and residues of low prevalence, tests or testing strategies that are highly specific help to minimize false-positive results and excessive costs to the dairy industry. The determination of the numbers of samples to be tested in HACCP monitoring programs depends on the specific purpose of the test and the likely prevalence of the agent or residue at the critical control point. The absence of positive samples from a herd test should not be interpreted as freedom from a particular agent or residue unless the entire herd has been tested with a test that is 100% sensitive. The current lack of field-validated tests for most of the chemical and infectious agents of concern makes it difficult to ensure that the stated goals of HACCP programs are consistently achieved.
Full Text Available The extensive usage of information and communication technologies (ICT within healthcare, like electronic health records, Ambient Assisted Living (AAL and telemedicine, results in a continuously increasing amount of heterogeneous data. Data, on the one hand, is not tantamount to information on the other. Data has to be transformed into demand fulfilling information to cope with one of the biggest problems in information science: data and information overload. The objective of this paper is to introduce technologies like Complex Event Processing (CEP to develop approaches to cope with the problem of information overload in healthcare according to the principles of Information Logistics (ILOG. We will present a solution that is called TiEE (Telemedical ILOG Event Engine to process vital signs in real-time and aggregate them to relevant pattern, resulting in demand fulfilling information.
Full Text Available Climate change is one of the most important challenges that humanity faces in the 21st century, which is seriously considered by the European Union. In this context, the objective of this paper is to analyze the extent to which the EU has fulfilled its obligations in the first commitment period of the Kyoto Protocol, and also to expose the obligations stipulated for the second period (2013-2020. The approach is to display in the first part of the work the fulfillment by the European Union of the Kyoto objectives, and in the second part, to analyze the successful implementation in the EU of the flexible mechanisms provided through the Protocol.
Flaer, Paul J; Benjamin, Paul L; Lopez, Manuel G; Patterson, Chip
Community Smiles/Dade County Dental Research Clinic provides dental care to the indigent population of Miami-Dade County. A local board of directors governs the organization, with dental procedures performed by volunteer professionals from the community. The research clinic partners with community organizations to obtain sustained funding from diverse sources. The clinic has a long-term commitment to the growth and development of children in the community. Certainly, changing the structure and focus of the clinic toward children's dental care and seeking community funding and resources to institute this program was an experiment. In his four years as clinic director and chief executive officer (CEO) at Community Smiles, the late Dr. Robert M. Wolf brought increased clinic productivity and organizational change that expanded community involvement. Dr. Wolf's tenure at Community Smiles brought general increases in patients care in terms of patients visits, new patients and number of procedures performed. However, the key to his administration as clinic director and CEO was the production and integration of a children's dentistry program into the mainstream activities of the clinic. Furthermore, he oversaw the successful corporate reorganization of Community Smiles as the clinic emerged under a non-profit corporate structure employing multi-faceted community resources. Emphasizing new dental programs for children in the community is culturally and socially competent--positively impacting the public health. Community Smiles became a venue where disparities were largely eliminated and access to dental treatment increased. Health care was promoted as Community Smiles became a place that helped build a healthier community.
Full Text Available Adopting the euro currency implies the fulfilment of Maastricht convergence criteria, which implies a number of challenges for the macroeconomic policy mix, due to the existence of the conflict between them. The paper analyzes empirically the main monetary policy strategy in the context of euro in Romania.The results of the study show that inflation targeting is an optimal monetary policy strategy to achieve real and nominal convergence criteria.
Full Text Available Purpose: to analyze results of official combat mission’s fulfillment (militarized cross with shooting and throwing of grenades by military educational establishment’s cadets. Material: in the research 80 2nd year cadets of different specialties participated. The cadets fulfilled exercise in full military equipment. They started and finished by military units and total time, registered by indicators of the last team member, was considered. The distance was 6 km and included: run on even surface; overcoming of obstacle course; two firing lines with shooting in lying and standing position at human height target; throwing of training grenade (F 1 for distance of not less than 35 m. For every slip in shooting 10 seconds of penalty time was accounted; for failure in throwing grenade - 40 seconds of penalty time. Results: the conducted study permitted to assess different sides of cadets’ profile training, i.e. physical, fire and tactic. All units finished in full strength, i.e. coordination of actions was good. The best total time of cross fulfillment was demonstrated by cadets of “special purpose units” specialty. The best shooting results were in cadets of “automobile transport” specialty - 90%, who also were the best in throwing grenade - 40%. Not very high indicator of this speed-power exercise says about inability to overcome general fatigue and fulfill combat task at the utmost. Conclusions: Complex technology of trainings with their combining with profile disciplines (physical, tactic and fire first of all train cadets to act coordinately; to be responsible for each other; it will facilitate development and perfection of basic physical qualities, formation of main physical skills; increase percentage of sharpshooting in conditions of significant physical loads.
Describes the Ikaiyurluki Mikelnguut (Helping Our Children) project in the Yukon Kuskokwim Delta of Alaska where trained natural helpers are helping Yup'ik Eskimo villagers to cope with crisis situations--notably teenage suicide and drug and alcohol abuse. (Author/BB)
... chapter Join our online community Helping Friends and Family Part of living well with Alzheimerâs is adjusting to your ânew normalâ and helping family and friends do the same. Knowing what to ...
National Aeronautics and Space Administration — The NASA SBIR and STTR programs fund the research, development, and demonstration of innovative technologies that fulfill NASA needs as described in the annual...
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Full Text Available Background. Physician wellness is a vital element of a well-functioning health care system. Not only is physician wellness empirically associated with quality and patient outcomes, but its ramifications span individual, interpersonal, organizational, and societal levels. The purpose of this study was to explore academic physicians’ perceptions about their work-related wellness, including the following questions: (a What are the workplace barriers and facilitators to their wellness? (b What workplace solutions do theythinkwouldimprove their wellness? (cWhat motivates their work? and (d What existing wellness programs are they aware of? Methods. A multi-method design was applied to conduct a total of 19 focus group sessions in 17 clinical departments. All academic faculty ranks and career lines were represented in the 64 participating physicians, who began the sessions with five open-ended survey questions pertaining to physician wellness in their work environment. Participants entered their answers into a web-based survey program that enabled anonymous data collection. The initial survey component was followed by semi-structured focus group discussion. Data analysis of this qualitative study was informed by the general inductive approach as well as a review of extant literature through September 2015 on physician wellness, professional fulfillment, satisfaction, dissatisfaction, burnout and work-life. Results. Factors intrinsic to the work of physicians dominated the expressed reasons for work motivation. These factors all related to the theme of overall contribution, with categories of meaningful work, patient care, teaching, scientific discovery, self-motivation and matching of career interests. Extrinsic factors such as perceptions of suboptimal goal alignment, inadequate support, restricted autonomy, lack of appreciation, and suboptimal compensation and benefits dominated the risk of professional dissatisfaction. Discussion. Our findings
Custers, Annette F J; Cillessen, Antonius H J; Westerhof, Gerben J; Kuin, Yolande; Riksen-Walraven, J Marianne
Based on self-determination theory and adaptation theories, the study aim was to investigate the relationship between need fulfillment (of autonomy, relatedness, and competence), need importance, and depressive symptoms during the first months of living in a nursing home. Eight-month longitudinal questionnaire study in which 75 persons newly admitted to units for physically frail residents participated at baseline. Twenty-three longitudinal participants were remaining at the third and final measurement wave. The results show a main effect of need fulfillment and an interaction effect of need fulfillment and need importance on depressive symptoms over time. A prototypical plot shows that residents with low need fulfillment had higher initial levels of depressive symptoms that decreased modestly over time, regardless of their need importance. Residents with high need fulfillment had lower initial levels of depressive symptoms, but their trajectories differed for participants with low and high need importance. Residents with low need importance started with lower levels of depressive symptoms but remained stable over time, whereas residents with high need importance had more depressive symptoms at T1 that decreased slightly over time. In general, depressive symptoms do not change over time. However, individual trajectories of depressive symptoms seem to depend on individual need fulfillment and need importance. The residents that consider need fulfillment to be highly important but experience low need fulfillment had higher initial levels of depressive symptoms that decreased modestly over time, although the level of depressive symptoms remained higher as compared to the other residents.
Chao, Blenda A
The educational content of direct-to-consumer (DTC) fulfillment materials was evaluated. A list of prescription drug products advertised to consumers via broadcast media from August 1997 through April 20, 2002, was obtained from the Food and Drug Administration (FDA). The prescription products were categorized by disease state on the basis of their FDA-approved indications. Eight disease states were selected for analysis purposes and included acne, allergic rhinitis, depression, diabetes, hypercholesterolemia, migraine, overactive bladder, and osteoporosis. A total of 31 products were advertised directly to consumers for the eight targeted disease states, 26 of which met the inclusion criteria. The educational content of the advertisements for these 26 products was assessed by analyzing the materials' consistency, instructiveness, and consumer orientation. Two of the 26 materials analyzed contained claims that potentially broadened a drug's indication from that listed in the FDA-approved labeling. The majority of materials listed the condition name (92%), symptom information (77%), the drug's mechanism of action (65%), the drug's time to onset of action (54%), and supportive behaviors (62%). Twenty of 24 DTC fulfillment materials (83%) were not written at the reading level of eighth grade or lower. Fifteen of the 26 mailings contained educational diagrams, 52% of which met the criteria for necessity, and a greater percentage met the criteria for suitability (90%), familiarity (86%), overall layout (88%), single concept (86%), and lack of distracting elements (100%). DTC fulfillment materials appear to have more educational content than DTC print advertisements but are still overwhelmingly deficient in meeting the recommended sixth to eighth-grade reading level.
Assem A. Elghazaly
Full Text Available Chronic myelomonocytic leukaemia (CMML and juvenile myelomonocytic leukaemia (JMML are two disease entities that come under the myelodysplastic/myeloproliferative neoplasms category. Each of the two conditions has its own diagnostic criteria. In addition, they have different ages of presentation; while CMML is typically a disease of the elderly, JMML is a disease of young children. Here we are presenting the case of a 27-year-old male patient who, at the time of diagnosis, fulfilled the diagnostic criteria of both diseases. In addition he had radiological changes of type 1 neurofibromatosis. Possible explanations of the patient case have been discussed.
This podcast gives suggestions for helping a person with diabetes manage the disease. Created: 10/4/2007 by National Diabetes Education Program (NDEP), a joint program of the Centers for Disease Control and Prevention and the National Institutes of Health. Date Released: 11/6/2007.
Raabe, Johannes; Readdy, Tucker
Cheerleading is one of the fastest-growing sports in the United States. Members of spirit squads play an undeniable role in developing a university's athletic image, and participation in cheer has the potential to affect adolescents and young adults in a positive manner. Yet, cheerleaders also encounter stereotypes, constant trivialization, and a relative lack of external rewards. Given this complex contextual and situational environment, the current investigation was designed to better understand why people are motivated to participate in collegiate cheerleading. More specifically, guided by the premises of self-determination theory (SDT), this study explored motivational profiles and basic psychological need satisfaction (i.e., competence, autonomy, and relatedness) across different contexts and situations that comprise the collegiate cheerleading environment. Consistent with established guidelines for qualitative inquiry, 12 collegiate cheerleaders were interviewed at 3 separate time points during the course of 1 academic semester. Deductive and inductive qualitative analyses yielded 3 higher-order themes, including: (a) context specificity of basic psychological need satisfaction, (b) contribution of performance to motivation, and (c) occurrences of intrinsic motivation. These results highlighted the complex nature of motivation and basic psychological need fulfillment, including a potential synergism between relatedness and competence fulfillment as well as an influence of academics on sport motivation. These nuances add to the theoretical understanding of SDT and offer valuable insight for coaches and sport psychology professionals working with collegiate spirit squads.
Sami Abdo Radman Al-Dubai
Full Text Available This study was the first to explore factors associated with emotional burnout (EB among medical residents in Malaysia. A cross-sectional study was conducted in a universal sample of 205 medical residents in a Malaysian general hospital. The self-administered questionnaire used consisted of questions on sociodemographics and work characteristics, sources of job stress, professional fulfillment, engagement, and EB. EB was measured using the emotional exhaustion subscale, the Maslach Burnout Inventory (MBI. Mean (±SD age of the respondents was 26.5 (±1.6. The most common source of job stress was “fear of making mistakes.” Most of the participants were dissatisfied with the increase of residentship period from one year to two years. A high level of EB was reported by 36.6% of the respondents. In multivariate analysis, the most important correlates of EB were sources of job stress, professional fulfillment, and engagement. A high prevalence of EB was found among medical residents. Sociodemographic characteristics, performance pressure, and satisfaction with policies were significantly associated with EB. Although this study was limited by its cross-sectional design, its findings posit a sufficient foundation to relevant authorities to construct, amend, and amalgamate existing and future policies.
J.M. Timmermans; A. de Boer; C. van Campen; M.M.Y. de Klerk; J.S.J. de Wit; I Woittiez
Original title: Vrij om te helpen. Anyone combining paid work with caring for relatives or close friends who need lots of help will quickly run out of time. It is even possible that they will become overburdened due to the effort of combining tasks. For this reason, the government is
Vardiman, Phillip; Carrand, David; Gallagher, Philip M.
Stretching prior to activity is universally accepted as an important way to improve performance and help prevent injury. Likewise, limited flexibility has been shown to decrease functional ability and predispose a person to injuries. Although this is commonly accepted, appropriate stretching for children and adolescents involved with sports and…
... to keep family relationships and friendships over time. Exercise can also help prevent depression or lift your mood. Stay active and involved in life. Talk to your physician if you are feeling depressed. Teeth & ... Lungs: Regular aerobic exercise keeps lung capacity up. Smoking leads to chronic ...
Ensuring a Blind Peer Review. Open Journal Systems Help. Journal Home > Editorial Process > Editor's Role > Submission Summary. Submission Summary. The Summary page for each submission is used by the Editor to manage the submission files and its associated metadata or indexing information.
Woods, G E
A short account is given of a voluntary organization, PACE, formed by parents of young handicapped children in Leeds. PACE provides friendship and help to other parents, arranges the toy library, riding for the disabled and other activities for the children. It also raises money that is needed for special projects.
Spencer, Maria Gutierrez, Comp.; Almance, Sofia, Comp.
Written in Spanish and English, the booklet briefly discusses what parents can do to help their child learn at school. The booklet briefly notes the importance of getting enough sleep; eating breakfast; praising the child; developing the five senses; visiting the doctor; having a home and garden; talking, listening, and reading to the child;…
This book presents a range of strategies for adult literacy tutors and offers a wealth of practical advice on teaching spelling within the context of writing. Chapters 1-3 offer basic information on talking with the student about spelling, finding out how the student spells and helping the student to see himself/herself as a "good" speller, and…
Vicent Ripoll, Ignacio de Loyola
EDU - HelpDesk és una aplicació destinada a gestionar les incidències TIC d'un centre educatiu. Pretén comunicar al coordinador TIC les possibles avaries o errors informàtics que un professor o el personal d'administració i serveis es pot trobar, per tal que aquest les pugui solucionar de manera àgil i efectiva. A més a més, l'aplicació permet consultar un historial de totes les incidències o avaries que s'han produït en el centre. EDU - HelpDesk es una aplicación destinada a gestionar la...
To what extent could performance-based schemes help increase the effectiveness of prevention of mother-to-child transmission of HIV (PMTCT programs in resource-limited settings? a summary of the published evidence
Full Text Available Abstract Background In resource-limited settings, HIV/AIDS remains a serious threat to the social and physical well-being of women of childbearing age, pregnant women, mothers and infants. Discussion In sub-Saharan African countries with high prevalence rates, pediatric HIV/AIDS acquired through mother-to-child transmission (MTCT can in largely be prevented by using well-established biomedical interventions. Logistical and socio-cultural barriers continue, however, to undermine the successful prevention of MTCT (PMTCT. In this paper, we review reports on maternal, neonatal and child health, as well as HIV care and treatment services that look at program incentives. Summary These studies suggest that comprehensive PMTCT strategies aiming to maximize health-worker motivation in developing countries must involve a mix of both financial and non-financial incentives. The establishment of robust ethical and regulatory standards in public-sector HIV care centers could reduce barriers to PMTCT service provision in sub-Saharan Africa and help them in achieving universal PMTCT targets.
Shayler, David J
The creation and utilization of the International Space Station (ISS) is a milestone in space exploration. But without the Space Shuttle, it would have remained an impossible dream. Assembling and Supplying the ISS is the story of how, between 1998 and 2011, the Shuttle became the platform which enabled the construction and continued operation of the primary scientific research facility in Earth orbit. Fulfilling an objective it had been designed to complete decades before, 37 Shuttle missions carried the majority of the hardware needed to build the ISS and then acted as a ferry and supply train for early resident crews to the station. Building upon the decades of development and experience described in the companion volume Linking the Space Shuttle and Space Stations: Early Docking Technologies from Concept to Implementation, this book explores • a purpose-built hardware processing facility • challenging spacewalking objectives • extensive robotic operations • undocking a unmanned orbiter The experie...
Weinstein, Rhona S; Gregory, Anne; Strambler, Michael J
The civil rights struggle for equal educational opportunity has yet to be achieved at the start of the 21st century. Inequality persists but problem and remedy are refrained from integrating schools, to ensuring equal access in resegregated settings, to closing the performance gap. As seen through ecological theory (R. S. Weinstein, 2002b), complex, multilayered, and interactive negative self-fulfilling prophecies create or perpetuate educational inequities and unequal outcomes. Society has failed to grapple with its entrenched roots in the achievement culture of schools. If this insidious dynamic is to be changed, an educational system that sorts for differentiated pathways must be replaced with one that develops the talents of all. Psychology has a critical role to play in promoting a new understanding of malleable human capabilities and optimal conditions for their nurturance in schooling. ((c) 2004 APA, all rights reserved)
Lansky, Melvin R
Understanding of the instigatory dynamics of the dream is essential to the understanding of the dream as a fulfilled wish. Both the meaning and the function of the dream can be understood only in relation to the instigating disruption that drives the dream into being. It is the instigator of the dream that connects the working of the inner world with events in the external world. The literature on the process of dream instigation is scant, still deriving from Freud's metaphor of "capitalist and entrepreneur." Hidden shame conflicts that react to the dreamer's anticipation of danger of exposure and shame are significant factors in the instigation of the dream. Clinical material in support of this view is presented in the form of a verbatim session that included a dream.
Full Text Available This paper discusses the factors which, in the absence of strong financial regulation, sustain the Iron Law of the Financial Markets asserting that speculative booms and busts occur more or less regularly from 17 century to the present. The first factor is that financial markets are self-fulfilling system. The second is that human nature does not change and is based on egoism, materialism, loss aversion, exaggerated hopes and fears, emulation, propensity to gamble, herd behavior and so on. Lastly, there is the extreme brevity of the financial memory. In order to enable economic authorities and/or individuals to detect timely that the unsustainable boom is under the way, we have identified the common features of historically recorded speculative episodes. Stages through which the system passes on its way from unsustainable rise to inevitable fall are: displacement, boom, overtrading, financial distress and discredit or revulsion.
Davidson, O B; Eden, D
The Pygmalion effect is a self-fulfilling prophecy (SFP) in which raising leader expectations boosts subordinate performance. Although attempts to produce Pygmalion effects have been successful repeatedly among men, attempts to produce Pygmalion effects with female leaders have yielded null results. Also, only 1 experiment has demonstrated the Golem effect (i.e., negative SFP in which low leader expectations impair subordinate performance). In 2 field experiments testing the SFP hypothesis among women leading disadvantaged women, experimental leaders were led to believe that their trainees had higher than usual potential. In reality, the trainees had been assigned randomly. Manipulation checks confirmed that the treatment raised leader expectations toward experimental trainees. Analysis of variance of performance detected the predicted SFP effects in both experiments. These were the first-ever experimental confirmations of SFP among women as leaders.
As health was defined as a state of complete physical, mental, and social well-being, and not merely an absence of disease or infirmity, the bio-psychosocial paradigm of health and illness attests that curing occurs when the science of medicine (the biomedical and pathos-physiological aspects of disease) and the art of medicine (the psychological, social, and interpersonal aspects of illness) merge into one unified holistic approach to patient care (Hojat, 2007). In this context the relationship between health care professionals and patients also become an indispensable tool in clinical situations to achieve better patient outcomes (Engel, 1990). In our pilot study in year 2009 we try to verify how are the medical students and students of health care (University of Maribor, Faculty of Medicine and Faculty of Health Care) prepared for their sensitive professional relationship in their future. Testing together 211 students (N=157 women, N=57 men), we compared the level of emotional empathy, altruistic love, values, and behaviorof 40 medical students, 118 students of health care and the group of 53 students of economics. Because of their professional choice, we expected that the medical and health care students would have higher empathy and altruism scores than the students of economics. Following the self-determination behavioral theory and its concept of autonomy support (Deci, Ryan, 2000), we anticipated also that the fulfilment of basic psychological needs could be important factor in everyday health care clinical practice. As the fulfilment of needs of autonomy, competence and relatedness could lead to increased autonomy supportive orientation in interactions with other subjects, and can be useful factor that prepare doctors or nurses for active participation in relationship with patients, we verified and compared the included groups also in this way.
Al-Dubai, Sami Abdo Radman; Ganasegeran, Kurubaran; Perianayagam, Wilson; Rampal, Krishna Gopal
This study was the first to explore factors associated with emotional burnout (EB) among medical residents in Malaysia. A cross-sectional study was conducted in a universal sample of 205 medical residents in a Malaysian general hospital. The self-administered questionnaire used consisted of questions on sociodemographics and work characteristics, sources of job stress, professional fulfillment, engagement, and EB. EB was measured using the emotional exhaustion subscale, the Maslach Burnout Inventory (MBI). Mean (±SD) age of the respondents was 26.5 (±1.6). The most common source of job stress was "fear of making mistakes." Most of the participants were dissatisfied with the increase of residentship period from one year to two years. A high level of EB was reported by 36.6% of the respondents. In multivariate analysis, the most important correlates of EB were sources of job stress, professional fulfillment, and engagement. A high prevalence of EB was found among medical residents. Sociodemographic characteristics, performance pressure, and satisfaction with policies were significantly associated with EB. Although this study was limited by its cross-sectional design, its findings posit a sufficient foundation to relevant authorities to construct, amend, and amalgamate existing and future policies. Nothing will sustain you more potently than the power to recognize in your humdrum routine, as perhaps it may be thought, the true poetry of life-the poetry of the common place, of the common man, of the plain, toil-worn woman, with their loves and their joys, their sorrows and their grief.SirWilliam Osler, Aphorisms from the Student Life (Aequanimitas, 1952).
van den Heuvel, S.R.H.; Schalk, R.; Freese, C.; van Assen, M.A.L.M.
Purpose The purpose of this paper is to examine how the quality of change information influences employees’ attitude toward organizational change and turnover intention. Additionally, the role of engagement, psychological contract fulfillment and trust in the relationship between change information
Sjoerd van den Heuvel; Charissa Freese; René Schalk; Marcel van Assen
Purpose The purpose of this paper is to examine how the quality of change information influences employees’ attitude toward organizational change and turnover intention. Additionally, the role of engagement, psychological contract fulfillment and trust in the relationship between change information
Hilyer, James C.; And Others
The effects of physical fitness programs on graduate students suggest that these programs can improve physiological functioning. Intense, systematic physical fitness programs, when delivered in a helping relationship, help improve self-concept, reduce depression, anxiety, somatic complaints, tension, and fatigue, reduce the effect of fear, and…
Nowadays, college and university auxiliary services departments are turning to text messaging types of technologies to move a host of programs and offerings into the mobile environment. A July 2007 study by Youth Trends indicated that 95 percent of college freshmen come to school with a cell phone or other handheld device, and 78 percent of them…
Akkerman, Alma; Kef, Sabina; Meininger, Herman P
Knowledge on what contributes to job satisfaction of people with intellectual disabilities is limited. Using self-determination theory, we investigated whether fulfillment of basic psychological needs (i.e., autonomy, relatedness, competence) affected job satisfaction, and explored associations between workplace participation, need fulfillment and job satisfaction. A total of 117 persons with intellectual disabilities, recruited from a Dutch care organization, were interviewed on need fulfillment at work and job satisfaction. Data on workplace participation was obtained from staff. Questionnaires were based on well-established instruments. Basic psychological need fulfillment predicted higher levels of job satisfaction. Level of workplace participation was not associated with need fulfillment or job satisfaction. Allowing workers with intellectual disabilities to act with a sense of volition, feel effective, able to meet challenges, and connected to others is essential and contributes to job satisfaction. It is needed to pay attention to this, both in selection and design of workplaces and in support style. Implications for rehabilitation Knowledge on factors that contribute to job satisfaction is necessary to improve employment situations and employment success of people with intellectual disabilities. In order to achieve job satisfaction, it is essential that workplaces allow for fulfillment of the basic psychological needs for autonomy, relatedness, and competence of people with intellectual disabilities. People with intellectual disabilities are able to report on their needs and satisfaction, and it is important that their own perspective is taken into account in decisions regarding their employment situation.
Melia, F.; Frisch, D. H.
Techniques to establish communication between earth and extraterrestrial intelligent beings are examined analytically, emphasizing that the success of searches for extraterrestrial intelligence (SETIs) depends on the selection by both sender and receiver of one of a few mutually helpful SETI strategies. An equation for estimating the probability that an SETI will result in the recognition of an ETI signal is developed, and numerical results for various SETI strategies are presented in tables. A minimum approach employing 10 40-m 20-kW dish antennas for a 30-yr SETI in a 2500-light-year disk is proposed.
Laasonen, M.; Lahtinen, M.; Lustre, L.
The greatest power losses in electricity transmission arise through a phenomenon called load losses. Corona losses caused by the surface discharge of electricity also constitute a considerable cost item. IVS, the nationwide network company, is investigating corona- induced losses, and has also commissioned similar research from IVO International, the Technical Research Centre of Finland (VTT) and from Tampere University of Technology. The research work strives to gain more in-depth knowledge on the phenomenon of frosting and its impact on corona losses. The correct prediction of frost helps reduce corona losses, while also cutting costs considerably. (orig.)
... CHILD'S ACADEMIC SUCCESS Helping Your Child Through Early Adolescence -- Helping Your Child Series PDF (1 MB) For ... Acknowledgements Tips to Help Your Child through Early Adolescence No Child Left Behind < Previous page | ^ Top ^ | Next ...
The first THE Port hackathon problem-solving workshop was held at CERN from 31 October to 2 November in the framework of the 60th anniversary celebrations. The aim of the event was to develop technological projects that can help to solve the day-to-day needs of people living in areas of the planet that experience conflicts or natural disasters. Collage of shots from THE Port hackathon. Credit: THE Port association The event was dedicated to humanitarian and social topics inspired by members of non-governmental organisations. “There is plenty of room for technology to help in humanitarian fields. That’s why we came up with the idea of bringing people together to work on these topics,” explains Ines Knäpper, Project Manager of THE Port hackathon. “We started six months ago setting up THE Port association.* The success of the event was only possible because of the joint effort of a team of roughly twenty people. They were inspired by the aim...
Makara Fuller, Kara; Karabenick, Stuart
Teachers work within a network of teachers at their school whose members can be an important source of advice and help, yet they must seek help from their colleagues in order to benefit from this network. This study employs social network analysis to examine how help-seeking patterns among teachers are related to teachers’ curricular domain, years of experience, and gender. Additionally, we examined how help-seeking beliefs (instrumental, expedient, and perceived threat) are related to help-s...
The effort to combat AIDS Ghana, which has 334 reported cases of AIDS as of June 1988, is led by both a full time AIDS director from the Ministry of Health and the Technical Committee on AIDS. This report focuses on the 2 programs in the capital Accra that try to stop the spread of AIDS by working with the prostitute population, and programs by the Technical Committee on AIDS to combat AIDS in rural areas. One was developed by the Family Health International (FHI) and the other was developed by the Planned Parenthood Association of Ghana (PPAG). FHI's pilot project starts by educating volunteer prostitute "leaders" (a title given those enrolled) about AIDS, protective barrier methods of contraception, and common types of misinformation. All participants were encouraged to give up prostitution, and those who didn't became "leaders" who were in charged of both educating 10 other prostitutes and supplying them with the free condoms supplied by FHI. The program even checks the willingness of those enrolled to practice safe sex by having men pose as customers to see if the prostitutes are offering condoms to sexual partners and/or using spermicides. These men do not have sex with the women, but they do pay them for their time. PPAG's AIDS prevention program takes a different approach. This program tries to provide prostitutes with an alternative source of income. When prostitutes were polled about reasons for selecting their profession, most replied that they entered it during a period of economic hardship and were desperate for income. The PPAG provides these women with capital to start feasible small businesses. The highest incidence of AIDS is in eastern Ghana where many who left during hard times went to areas with a higher incidence of AIDS (i.e. the Ivory Coast), and then returned to be taken care of by family when stricken ill. The Technical Committee set up a home care project that treats patients at home and thus allows district health staff to monitor the
Arbyn, M; Snijders, P J F; Meijer, C J L M; Berkhof, J; Cuschieri, K; Kocjan, B J; Poljak, M
Several countries are in the process of switching to high-risk human papillomavirus (hrHPV) testing for cervical cancer screening. Given the multitude of available tests, validated assays which assure high-quality screening need to be identified. A systematic review was conducted to answer the question which hrHPV tests fulfil the criteria defined by an international expert team in 2009, based on reproducibility and relative sensitivity and specificity compared to Hybrid Capture-2 or GP5+/6+ PCR-enzyme immunoassay. These latter two hrHPV DNA assays were validated in large randomized trials and cohorts with a follow-up duration of 8 years or more. Eligible studies citing the 2009 guideline were retrieved from Scopus (http://www.scopus.com) and from a meta-analysis assessing the relative accuracy of new hrHPV assays versus the standard comparator tests to detect high-grade cervical intraepithelial neoplasia or cancer in primary screening. The cobas 4800 HPV test and Abbott RealTime High Risk HPV test were consistently validated in two and three studies, respectively, whereas the PapilloCheck HPV-screening test, BD Onclarity HPV assay and the HPV-Risk assay were validated each in one study. Other tests which partially fulfil the 2009 guidelines are the following: Cervista HPV HR Test, GP5+/6+ PCR-LMNX, an in-house E6/E7 RT quantitative PCR and MALDI-TOF (matrix-assisted laser desorption-ionization time-of-flight). The APTIMA HPV assay targeting E6/E7 mRNA of hrHPV was also fully validated. However, the cross-sectional equivalency criteria of the 2009 guidelines were set up for HPV DNA assays. Demonstration of a low risk of CIN3+ after a negative APTIMA test over a longer period is awaited to inform us about its utility in cervical cancer screening at 5-year or longer intervals. Copyright © 2015 European Society of Clinical Microbiology and Infectious Diseases. Published by Elsevier Ltd. All rights reserved.
The CERN & Society mission: ‘To spread the CERN spirit of scientific curiosity for the inspiration and benefit of society.’ Digital library schools in Africa, Arts@CERN, a beam line for schools competition and perhaps soon a dedicated biomedical research facility: CERN infrastructure and expertise have a great influence on society, and we have the potential to do much more. For that, however, we need help, and that’s why we have launched the CERN & Society initiative, which this week sees the publication of a new website for those who want to understand more about how our research touches everyday life, as well as for those who wish to help CERN in this new endeavour. Fundamental research fulfils a very human need. The quest to understand the universe we live in is as old as humanity itself, and CERN is in the vanguard of that effort today. For our scientists and engineers, pushing technology to the limit is part of their day job, and in doing so they ...
van de Ven, Wynand P M M; Beck, Konstantin; Buchner, Florian; Schokkaert, Erik; Schut, F T Erik; Shmueli, Amir; Wasem, Juergen
From the mid-1990s several countries have introduced elements of regulated competition in healthcare. The aim of this paper is to identify the most important preconditions for achieving efficiency and affordability under regulated competition in healthcare, and to indicate to what extent these preconditions are fulfilled in Belgium, Germany, Israel, the Netherlands and Switzerland. These experiences can be worthwhile for other countries (considering) implementing regulated competition (e.g. Australia, Czech Republic, Ireland, Russia, Slovakia, US). We identify and discuss ten preconditions derived from the theoretical model of regulated competition and assess the extent to which each of these preconditions is fulfilled in Belgium, Germany, Israel, the Netherlands and Switzerland. After more than a decade of healthcare reforms in none of these countries all preconditions are completely fulfilled. The following preconditions are least fulfilled: consumer information and transparency, contestable markets, freedom to contract and integrate, and competition regulation. The extent to which the preconditions are fulfilled differs substantially across the five countries. Despite substantial progress in the last years in improving the risk equalization systems, insurers are still confronted with substantial incentives for risk selection, in particular in Israel and Switzerland. Imperfect risk adjustment implies that governments are faced with a complex tradeoff between efficiency, affordability and selection. Implementing regulated competition in healthcare is complex, given the preconditions that have to be fulfilled. Moreover, since not all preconditions can be fulfilled simultaneously, tradeoffs have to be made with implications for the levels of efficiency and affordability that can be achieved. Therefore the optimal set of preconditions is not only an empirical question but ultimately also a matter of societal preferences. Copyright © 2013 Elsevier Ireland Ltd. All
Morry, Marian M; Kito, Mie
Relational-interdependent self-construal (RISC) is the tendency to think of oneself in terms of relationships with close others, and it influences relationship cognitions (e.g., closeness, commitment, perceived similarity). The authors expected individuals high in RISC to report more relationship supportive behaviors (RSB; e.g., higher levels of trust, more intimate disclosures), experience greater fulfillment of friendship functions (FrFu; e.g., help, emotional security, stimulating companionship), and report higher relationship quality than individuals low in RISC. The authors also hypothesized that RSB would mediate the RISC-friendship function and the RISC-relationship quality relations and that FrFu would mediate the relation between RSB and relationship quality. Structural equation modeling supported the authors' hypotheses. These effects did not differ across friendship type (same or cross sex). The authors discuss the importance of self-construal for relationship research.
Hammond, Matthew D; Overall, Nickola C
The current research demonstrates how benevolent sexism functions to undermine women's competence while facilitating men's access to heterosexual intimacy by prompting different support behaviors by men and women. Objective coders rated the support provision exhibited during heterosexual couples' (N = 100) video-recorded discussions of each other's personal goals. Men who endorsed benevolent sexism provided more dependency-oriented support, including directly providing plans and solutions and neglecting the recipient's own abilities, which led to their female partners feeling less competent and less positively regarded. In contrast, women who endorsed benevolent sexism provided greater relationship-oriented support, characterized by affection and emphasizing the positive relationship outcomes associated with their partner's goals, which led their male partners to perceive greater regard and intimacy in their relationship. This study is the first to investigate how benevolent sexism prompts naturalistic support behaviors that can impede women's capacity for independent success while supporting the fulfillment of men's intimacy needs. © 2015 by the Society for Personality and Social Psychology, Inc.
Puts, David A; Pope, Lauramarie E; Hill, Alexander K; Cárdenas, Rodrigo A; Welling, Lisa L M; Wheatley, John R; Marc Breedlove, S
Across human societies and many nonhuman animals, males have greater interest in uncommitted sex (more unrestricted sociosexuality) than do females. Testosterone shows positive associations with male-typical sociosexual behavior in nonhuman animals. Yet, it remains unclear whether the human sex difference in sociosexual psychology (attitudes and desires) is mediated by testosterone, whether any relationships between testosterone and sociosexuality differ between men and women, and what the nature of these possible relationships might be. In studies to resolve these questions, we examined relationships between salivary testosterone concentrations and sociosexual psychology and behavior in men and women. We measured testosterone in all men in our sample, but only in those women taking oral contraception (OC-using women) in order to reduce the influence of ovulatory cycle variation in ovarian hormone production. We found that OC-using women did not differ from normally-ovulating women in sociosexual psychology or behavior, but that circulating testosterone mediated the sex difference in human sociosexuality and predicted sociosexual psychology in men but not OC-using women. Moreover, when sociosexual psychology was controlled, men's sociosexual behavior (number of sexual partners) was negatively related to testosterone, suggesting that testosterone drives sociosexual psychology in men and is inhibited when those desires are fulfilled. This more complex relationship between androgens and male sexuality may reconcile some conflicting prior reports. Copyright © 2015 Elsevier Inc. All rights reserved.
Today, the frequency and the rate of success resulting from advances in medicine have made organ transplantations an everyday occurrence. Still, organ transplantations and donations modify the subjective experience of human beings as regards the image they have of themselves, of body, of life and of death. If the concern of the quality of life and the survival of the patients is a completely human phenomenon, the fact remains that the possibility of organ transplantation and its justification depend a great deal on the culture in which we live. The exploration of the philosophical tradition allows for a reconsideration of organ transplantation. If we listen to people who have experienced the decline of one of their organs and their own rebirth through the organ of someone else, we arrive at the conclusion that they went through an extreme experience in which nothing appeared as before. All those experiences intensify philosophical questionings on the meaning of life with respect to self fulfilment. The concept of nature as the experience of others can be an authentic source from which to nourish our thoughts about organ transplantation. However, and this is our hypothesis, we need something more if we are to decide something about our own life. We need a hermeneutical stance in relation to ourselves and to our world. Philosophical counselling, as a long established tradition originating with Pythagoras and later reframed by the German philosopher Achenbach could be useful in inspiring a reflection on the good life, chiefly as it takes the form of a Socratic dialogue.
Joko Tri Haryanto
Full Text Available As with other aspects, the element of meeting the needs of national defence and security becomes very crucial aspect. These elements are not only coming from the domestic, but also related to the system of inter-state relations. To ensure the creation of the defence system and optimal security, policy will require minimum essential forces (MEF, which will outline the major components of the minimum requirements of national defence should be prepared to face any threats. The fulfilment of MEF must also provide welfare impacts for the region. For this reason this study was conducted with the purpose of calculating the impact of compliance with the MEF on the welfare of the region, especially in West Java province. IRIO using spatial approach, it can be concluded that the domestic defence industry is projected to have a role that is quite high, especially for the regional economy. To the West Java region, industrial goods of metal, in which there is the defence industry, encourage the creation of outputs and increase the income of workers. Although most of the economy and its impact enjoyed by workers in the territory, region or other provinces also continue to enjoy the effects of the increase in output and labour income.
Full Text Available The mysticism of the Orthodox Church provides spiritual fulfillment of man in three stages: purification, enlightenment or knowledge, and perfection or union with God. Purification is the removal of passions and their replacement with virtues. For example, the philokalic texts, which are a collection of texts written by 25 Holy Fathers, form a true handbook containing various themes, but all of them educate on “the love of divine beauty” or “the love of virtue”, as the etymology of the chosen title for the compilation. Of these, the study of the mind and its dynamics is a predilection for most authors, some of whom have offered real treatises on this subject. This study limits the presentation of some Church Fathers who have spoken of this argument. The mind is a place where good and evil thought stake on a continuous struggle that positively or negatively influences human behaviour and closeness to God. For this reason, man’s special attention is needed on the mind, that is, a permanent nepsis.
Lanaj, Klodiana; Johnson, Russell E; Lee, Stephanie M
Although a large body of work has examined the benefits of transformational leadership, this work has predominantly focused on recipients of such behaviors. Recent research and theory, however, suggest that there are also benefits for those performing behaviors reflective of transformational leadership. Across 2 experience-sampling studies, we investigate the effects of such behaviors on actors' daily affective states. Drawing from affective events theory and self-determination theory we hypothesize and find that engaging in behaviors reflective of transformational leadership is associated with improvement in actors' daily affect, more so than engaging in behaviors reflective of transactional, consideration, initiating structure, and participative leadership. Behaviors reflective of transformational leadership improved actors' affect in part by fulfilling their daily needs. Furthermore, extraversion and neuroticism moderated these effects such that extraverts benefitted less whereas neurotics benefitted more from these behaviors in terms of affective changes. We consider the theoretical and practical implications of these findings and offer directions for future research. (c) 2016 APA, all rights reserved).
Full Text Available This paper builds on the findings of a workshop held at the 2015 International Conference on Digital Preservation (iPRES, entitled, “Using Open-Source Tools to Fulfill Digital Preservation Requirements” (OSS4PRES hereafter. This day-long workshop brought together participants from across the library and archives community, including practitioners, proprietary vendors, and representatives from open-source projects. The resulting conversations were surprisingly revealing: while OSS’ significance within the preservation landscape was made clear, participants noted that there are a number of roadblocks that discourage or altogether prevent its use in many organizations. Overcoming these challenges will be necessary to further widespread, sustainable OSS adoption within the digital preservation community. This article will mine the rich discussions that took place at OSS4PRES to (1 summarize the workshop’s key themes and major points of debate, (2 provide a comprehensive analysis of the opportunities, gaps, and challenges that using OSS entails at a philosophical, institutional, and individual level, and (3 offer a tangible set of recommendations for future work designed to broaden community engagement and enhance the sustainability of open source initiatives, drawing on both participants’ experience as well as additional research.
Zook, Lester R.
Outdoor adventure programs can provide opportunities for personal growth in areas commonly neglected by our mechanistic society. The specific qualities and abilities required of leaders in order for programs to fulfill their human growth potential are discussed. (MT)
"Intelligent Agent" computer programs are roaming the Internet and watching the skies. These programs, using Grid computing technology, will help astronomers detect some of the most dramatic events in the universe, such as massive supernova explosions (1 page).
Describes elements for the set of activities to ensure that control strategies are put into effect and that air quality goals and standards are fulfilled, permitting programs, and additional resources related to implementation under the Clean Air Act.
Full Text Available Lars Schröder,1 Gerhard Homme,1,2 Stephan Sahm3,4 1Department of Gynecology and Obstetrics, Center of Integrated Oncology, University Hospital Bonn, Bonn, 2Institute of Medical Biometry, Epidemiology and Informatics, Johannes Gutenberg University, Mainz, 3Department of Gastroenterology and Oncology, Ketteler Hospital, Offenbach, 4Institute for Ethics and History of Medicine, Johann Wolfgang Goethe University, Frankfurt, Germany Background: Despite a recent statutory ruling stating the binding nature of advance directives (ADs, only a minority of the population has signed one. Yet, a majority deem it of utmost importance to ensure their wishes are followed through in case they are no longer able to decide. The reasons for this discrepancy have not yet been investigated sufficiently.Patients and methods: This article is based on a survey of patients using a well-established structured questionnaire. First, patients were asked about their attitudes with respect to six therapeutic options at the end of life: intravenous fluids, artificial feeding, antibiotics, analgesia, chemotherapy/dialysis, and artificial ventilation; and second, they were asked about the negative effects related to the idea of ADs surveying their apprehensions: coercion to fulfill an AD, dictatorial reading of what had been laid down, and abuse of ADs.Results: A total of 1,260 interviewees completed the questionnaires. A significant percentage of interviewees were indecisive with respect to therapeutic options, ranging from 25% (analgesia to 45% (artificial feeding. There was no connection to health status. Apprehensions about unwanted effects of ADs were widespread, at 51%, 35%, and 43% for coercion, dictatorial reading, and abuse, respectively.Conclusion: A significant percentage of interviewees were unable to anticipate decisions about treatment options at the end of life. Apprehensions about negative adverse effects of ADs are widespread. Keywords: advance directive, living
Full Text Available Yasushi Obase1, Keiji Mouri1, Hiroki Shimizu1, Yoshihiro Ohue1, Yoshihiro Kobashi1, Kazue Kawahara2, Mikio Oka11Department of Respiratory Medicine, Kawasaki Medical School, 2Department of Clinical Nutrition, Faculty of Health Science and Technology, Kawasaki University of Medical Welfare, Kurashiki, Okayama, JapanBackground and objective: Whereas nutrition deficits are recognized as an expression of systemic inflammation in the elderly with diagnosed chronic obstructive pulmonary disease (COPD, if they occur in symptomatic elderly smokers, unfulfilled COPD criteria are not confirmed.Methods: Respiratory function, anthropometry assessment, and diet intake evaluation of 13 COPD patients (COPD group, ten symptomatic elderly smokers (SYSM group, and 27 healthy volunteers (control group were compared. All were 70 years old or older.Results: The SYSM group had lower body weight, body mass index, percentage ideal body weight, body fat percentage, arm muscle circumference, tricep skin fold thickness, serum albumin, prealbumin, and transferrin than the control group and were similar to the COPD group (P < 0.05 each and nonsignificant each. Resting energy expenditure was no different among the groups. Intake of energy, vitamins (A, B1, B2, and C, calcium, iron, fiber, and sodium was also lower in the SYSM group than in the control group (P < 0.05 all and was similar to the COPD group.Conclusion: Elderly smokers who are symptomatic but who do not fulfill the COPD diagnostic criteria have nutritional deficits related to insufficient energy intake that are similar to those seen in COPD patients.Keywords: chronic obstructive pulmonary disease (COPD, nutritional status, body composition, resting energy expenditure (REE
Pastor, P., E-mail: firstname.lastname@example.org [CEA, IRFM, Institut de Recherche sur la Fusion par confinement Magnétique (France); Villedieu, E.; Allegretti, L.; Vincent, B.; Barbuti, A.; Bruno, V.; Coquillat, P.; Dechelle, C.; Gargiulo, L.; Le, R.; Malard, P.; Martinez, A.; Nouailletas, R. [CEA, IRFM, Institut de Recherche sur la Fusion par confinement Magnétique (France); Yuntao, Song; Yong, Cheng; Chen, Liu; Hansheng, Feng; Shanshuang, Shi [ASIPP, Institute of Plasma Physics, Chinese Academy of Sciences, Hefei, Anhui (China)
Highlights: • We propose an overview of the work which has been done to upgrade the control system of the AIA robot (articulated inspection arm) to fulfill daily operation requirements for tokamak inspection. • The control system is based on the use of new position sensors, new electronics design and new supervisor software. • Final tests are ongoing in the EAST scale 1 tokamak mock-up. Routine operation of the robot at EAST will start in the beginning of 2015. - Abstract: An articulated inspection arm (AIA) has been developed by CEA for visual inspection between pulses inside the Tore Supra tokamak vacuum vessel without breaking temperature and vacuum conditions. The eight meters length robot is composed of a shuttle and six articulated segments with a video camera at its end. A demonstration prototype has been achieved in 2008 at Tore Supra (Gargiulo, 2007; Houry, 2008; Perrot, 2003). A project to upgrade the AIA into a fully operational robot has been undertaken by IRFM and ASIPP in an Associated Laboratory. It will be in operation first in the EAST machine and afterwards in Tore Supra in its WEST (W/Tungsten Environment in Steady-state Tokamak) configuration where it is of paramount importance to survey possible degradation of W component surface. The control system of the robot has been extensively upgraded. The effort has been focused on three areas: (1) improvement of the arm position accuracy, (2) increase of the operational robustness, (3) use of a powerful graphical user interface including simulation of trajectories and robot deployment capabilities in a 3D viewer environment. The aim of this paper is to detail the architecture of the AIA control system.
Arijana Mataga Tintor
Full Text Available The present paper presents the experience of researching the resilience of the local community and the fulfilment of the rights of the child. The aim of research was to place the assessment of the rights of the child in the function of local community resilience, focusing on one particular group of rights: the right to participate. This concept is defined through the view of the local community from the perspective of children, parents and teachers, within the context of the realisation of child rights at the local level, which has a direct influence on the development and upbringing of children. The local community selected for study was the town of Velika Gorica in the Republic of Croatia, and the research included qualitative data collected through interviews in seven focus groups. The study included 13 children, 9 parents and 10 teachers. The results show that the key element of children’s understanding of the concept of child rights is respect and appreciation from adults despite differences in the amount and type of power possessed by children. Theunderstanding of the concept of child rights from the perspective ofadults is based on the need for these rights due to children’s dependence, immaturity and need for protection. Discussion about resilience opens up a new dimension for nonprofessional interpretation. The concept of resilience produced ambiguous reactions among children, parents and teachers, being perceived in two ways: as “positive” and “negative”. In all three focus groups, participants agree that there is a connection between child rights and resilience. They explain the connection as clear, logical and conditioned by interaction.
UNESCO Institute for Lifelong Learning, 2014
In some countries, the scale of the youth illiteracy problem calls for critical and targeted responses. It is important to help young people in developing countries gain basic literacy skills so that they can contribute to the development of productive, peaceful, and democratic societies. While national commitments and support are important, the…
Shaia, Wendy E.; Finigan-Carr, Nadine
Community schooling is an effective tool for combating the effects of poverty by integrating academic, social service, health, and economic supports for students, families, and community members. But this is complex work, requiring extraordinarily careful planning and assessment. This article suggests a planning framework that can help community…
Elena Nikolaevna Shutenko
Full Text Available A productive college education must ensure the process of self-fulfillment of an individual’s personality in the educational system and encourage an increase in the basic abilities of a student as a subject of their learning and professional activities.The article states that the research results on the personal organization of students is connected to the performance of their self-fulfillment in the process of the academic studies. The innovation of the research is associated with the fact that self-fulfillment during the learning period is developed as a sociological category that reflects the process of socializing and depends on the structure and essence of the educational and social environment.The aim of the research is to discover, through empirical method, the features under consideration in the process of the students’ fulfillment through their personal characteristics: needs and motivations, purposes, features of self-attitude and orientations in connection with the purpose of life.The research methods: piloting questionnaires, observation, interviews, focus groups, sociological surveys (questionnaires, and complex sociological and psychological tests (use of battery of tests and questionnaires. Statistical methods: analysis of the authenticity of differences and correlational analysis.The research results show that the connection presence was established between the students’ self-fulfillment in college, their ambition to learn, their sense of wholeness, consistency of their attitude and a purpose-oriented way of life.The area for use of the results: the modernization of college studies based on the principle of the self-fulfillment by the young students in the learning process.DOI: http://dx.doi.org/10.12731/2218-7405-2013-8-47
Gamertsfelder, Jacob O.
There are many tools that systems engineers use in today's space programs. In my time in the Commercial Crew Program I sought to improve one of the vital tools for the verification and validation team. This was my main project but only a small part of what I have done in the department. I have also had the chance to learn from the best and see actual hardware, this real world experience will help me be a better aerospace engineer when I enter the workforce. I look forward to seeing the Commercial Crew Program progress to launch.
This podcast features Christine Thompson, Community Programs Manager at the Nevada Cancer Coalition, and author of a recent study detailing a school-based program to help Nevada school children establish healthy sun safety habits and decrease UV exposure. Christine answers questions about her research and what impact her what impact the program had on childrenâs skin health. Created: 11/28/2017 by Preventing Chronic Disease (PCD), National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP). Date Released: 11/28/2017.
Trombino, D. F.
The D.M.S.O. is the only full-time optical solar observatory in the Sunshine State. Its instruments are made available on a NO CHARGE basis to deserving Central Florida amateur astronomers, undergraduate students at nearby Stetson University and other local colleges. We are privately owned and completely independent of federal funding. Our research is supported through small, individual and corporate donations (mainly equipment) and the voluntary manpower of trained amateur solar observers. The D.M.S.O. is an affiliate of the Museum of Art & Sciences, Daytona Beach, and maintains ties with the Department of Physics and Computer Sciences at Stetson University in DeLand. Daily solar observations are made in while-light, H-alpha and calcium II K-line wavelengths using University grade Day-Star filters in conjunction with a long focus 15cm refractor and two 12 cm refractors. Particular attention is given to the morphology of sunspots, plage, flares, prominence and other features. Our results are reported to the Solar Sections of the B.A.A. (England), A.L.P.O. (U.S.A.) and SONNE, (Germany). Our East coast location enables us to record photospheric and chromospheric activity well in advance of West coast observatories: an obvious advantage. Numerous lakes at our site provides us with exceptional seeing -- at times approaching one arc/sec. Future plans call for high resolution CCD/video solar patrol monitoring, simultaneously in three wavelengths at 15 second intervals. This and other projects, including establishing a web page, will be undertaken in cooperation with the Computer Sciences Institute at Stetson University. We do no have all the answers, but we may have the solution to your problems. We welcome the opportunity to discuss your needs and our future cooperative goals. We need each other and we want to help! Please leave your card and feel free to contact me at the above address. Our E-mail address is NLTsolar@aol.com, if you prefer.
Committee on Maximizing the Potential of Women in Academic Science and Engineering; National Academy of Sciences; National Academy of Engineering
.... Women make up an increasing proportion of science and engineering majors at all institutions, including top programs such as those at the Massachusetts Institute of Technology where women make up 51...
Aleven, Vincent; Roll, Ido; McLaren, Bruce M.; Koedinger, Kenneth R.
Help seeking is an important process in self-regulated learning (SRL). It may influence learning with intelligent tutoring systems (ITSs), because many ITSs provide help, often at the student's request. The Help Tutor was a tutor agent that gave in-context, real-time feedback on students' help-seeking behavior, as they were learning with an ITS.…
Did you get any help? A post-hoc secondary analysis of a randomized controlled trial of psychoeducation for patients with antisocial personality disorder in outpatient substance abuse treatment programs.
Thylstrup, Birgitte; Schrøder, Sidsel; Fridell, Mats; Hesse, Morten
People in treatment for substance use disorder commonly have comorbid personality disorders, including antisocial personality disorder. Little is known about treatments that specifically address comorbid antisocial personality disorder. Self-rated help received for antisocial personality disorder was assessed during follow-ups at 3, 9 and 15 months post-randomization of a randomized trial of psychoeducation for people with comorbid substance use and antisocial personality disorder (n = 175). Randomization to psychoeducation was associated with increased perceived help for antisocial personality disorder. Perceived help for antisocial personality disorder was in turn associated with more days abstinent and higher treatment satisfaction at the 3-month follow-up, and reduced risk of dropping out of treatment after the 3-month follow-up, and perceived help mediated the effects of random assignment on days abstinent at 3-month. Brief psychoeducation for antisocial personality disorder increased patients' self-rated help for antisocial personality disorder in substance abuse treatment, and reporting having received help for antisocial personality disorder was in turn associated with better short-term outcomes, e.g., days abstinent, dropout from treatment and treatment satisfaction. ISRCTN registry, ISRCTN67266318 , retrospectively registered 17/7/2012.
Lipson, David A; Barnacle, Helen; Birk, Ruby; Brealey, Noushin; Locantore, Nicholas; Lomas, David A; Ludwig-Sengpiel, Andrea; Mohindra, Rajat; Tabberer, Maggie; Zhu, Chang-Qing; Pascoe, Steven J
Randomized data comparing triple therapy with dual inhaled corticosteroid (ICS)/long-acting β 2 -agonist (LABA) therapy in patients with chronic obstructive pulmonary disease (COPD) are limited. We compared the effects of once-daily triple therapy on lung function and health-related quality of life with twice-daily ICS/LABA therapy in patients with COPD. The FULFIL (Lung Function and Quality of Life Assessment in Chronic Obstructive Pulmonary Disease with Closed Triple Therapy) trial was a randomized, double-blind, double-dummy study comparing 24 weeks of once-daily triple therapy (fluticasone furoate/umeclidinium/vilanterol 100 μg/62.5 μg/25 μg; ELLIPTA inhaler) with twice-daily ICS/LABA therapy (budesonide/formoterol 400 μg/12 μg; Turbuhaler). A patient subgroup remained on blinded treatment for up to 52 weeks. Co-primary endpoints were change from baseline in trough FEV 1 and in St. George's Respiratory Questionnaire (SGRQ) total score at Week 24. In the intent-to-treat population (n = 1,810) at Week 24 for triple therapy (n = 911) and ICS/LABA therapy (n = 899), mean changes from baseline in FEV 1 were 142 ml (95% confidence interval [CI], 126 to 158) and -29 ml (95% CI, -46 to -13), respectively, and mean changes from baseline in SGRQ scores were -6.6 units (95% CI, -7.4 to -5.7) and -4.3 units (95% CI, -5.2 to -3.4), respectively. For both endpoints, the between-group differences were statistically significant (P < 0.001). There was a statistically significant reduction in moderate/severe exacerbation rate with triple therapy versus dual ICS/LABA therapy (35% reduction; 95% CI, 14-51; P = 0.002). The safety profile of triple therapy reflected the known profiles of the components. These results support the benefits of single-inhaler triple therapy compared with ICS/LABA therapy in patients with advanced COPD. Clinical trial registered with www.clinicaltrials.gov (NCT02345161).
Karnaze, MM; Levine, LJ
The android Data from Star Trek admired human emotion whereas Spock viewed emotion as irrational and maladaptive. The theory that emotions fulfil adaptive functions is widely accepted in academic psychology but little is known about laypeople's theories. The present study assessed the extent to which laypeople share Data's view of emotion as helpful or Spock's view of emotion as a hindrance. We also assessed how help and hinder theory endorsement were related to reasoning, emotion regulation,...
Salganik, Matthew J.; Watts, Duncan J.
Individuals influence each others' decisions about cultural products such as songs, books, and movies; but to what extent can the perception of success become a "self-fulfilling prophecy"? We have explored this question experimentally by artificially inverting the true popularity of songs in an online "music market," in which 12,207 participants…
Vos, Joel; Menko, Fred H.; Oosterwijk, Jan C.; van Asperen, Christi J.; Stiggelbout, Anne M.; Tibben, Aad
Background Many cancer-patients undergo DNA testing in the BRCA1/2 genes to receive information about the likelihood that cancer is heritable. Previous nonsystematic studies suggested that DNA testing often does not fulfill the counselees' needs for certainty. We explored the balance between the
Pollack, Rachel H.
Successful college and university telephone fund-raising campaigns depend on basic techniques such as asking for larger donations and attaining a high fulfillment rate, but these techniques require careful caller training. Specific approaches include role-playing, encouraging taking time to build rapport, requiring follow-up on pledges, letting…
Social Perception and Social Reality (Jussim 2012) reviews the evidence in social psychology and related fields and reaches three conclusions: (1) Although errors, biases, and self-fulfilling prophecies in person perception are real, reliable, and occasionally quite powerful, on average, they tend to be weak, fragile, and fleeting. (2) Perceptions of individuals and groups tend to be at least moderately, and often highly accurate. (3) Conclusions based on the research on error, bias, and self-fulfilling prophecies routinely greatly overstate their power and pervasiveness, and consistently ignore evidence of accuracy, agreement, and rationality in social perception. The weight of the evidence - including some of the most classic research widely interpreted as testifying to the power of biased and self-fulfilling processes - is that interpersonal expectations relate to social reality primarily because they reflect rather than cause social reality. This is the case not only for teacher expectations, but also for social stereotypes, both as perceptions of groups, and as the bases of expectations regarding individuals. The time is long overdue to replace cherry-picked and unjustified stories emphasizing error, bias, the power of self-fulfilling prophecies, and the inaccuracy of stereotypes, with conclusions that more closely correspond to the full range of empirical findings, which includes multiple failed replications of classic expectancy studies, meta-analyses consistently demonstrating small or at best moderate expectancy effects, and high accuracy in social perception.
Melati Purba Bestari
Full Text Available Modern libraries are characterized by the diversity of information services to users, including to fulfill the information needs of researchers. Fulfilling the information requirements for this research group is very important because the information provided affect the quality of research. Library of STIE Perbanas Surabaya efforts to fulfill the information needs of researchers is to provide research resources through the provision of access annual and financial report for go public company. To provide convenience to users who do research and need annual and financial report for go public, library of STIE Perbanas Surabaya provide easy access through online catalog. To fulfill the annual and financial report for go public company, library tracked data on Indonesian stock exchange and go public company. Library attempts to provide easy access to information is expected to support a process that requires researchers and annual and financial report data so as to improve the quality and quantity of scientific works in the field of economics science, especially for subject of banking, finance and business.
Ko, W.; Miccinesi, G.; Beccaro, M.; Moreels, S.; Donker, G.A.; Onwuteaka-Philipsen, B.; Alonso, T.V.; Deliens, L.; Block, L. van den
Aim: This study aimed to explore clinical and care-related factors associated with fulfilling cancer patients’ preference for home death across four countries: Belgium (BE), the Netherlands (NL), Italy (IT), and Spain (ES). Methods: A mortality follow-back study was undertaken from 2009 to 2011 via
... Submit Button Past Emails Tourette Syndrome: Help Stop Bullying Language: English (US) Español (Spanish) Recommend on Facebook ... you can increase acceptance by helping to stop bullying of children with TS. Bullying doesn’t just ...
Batman, Renee F.
Access to higher education has been and remains a critical issue, yet research typically focuses on students and programs which may overlook the role of the faculty. Through an in-depth case study, the perspectives of tenured and tenure-track faculty at a predominately White, Midwestern land-grant, research institution are described as they relate…
In preparing its second brief in the Brown v. Board of Education case, the NAACP relied heavily on the knowledge and research skills of many scholars who had pursued graduate studies with awards from the Julius Rosenwald Fund, which was devoted to the advancement of African Americans and improvement in race relations. The fellowship program also…
Full Text Available In light of a continuing education intervention (entitled “On the other side” conducted with a multi-professional group at a Northern Italian hospital, this paper offers a reflection on educational needs analysis for healthcare professionals. This process has been extensively investigated, including in the context of healthcare training, leading to the call for a multi-method approach to developing professionals’ competencies in the interest of optimizing their patients’ health and quality of life. However, when professionals’ deepest inner need is for self-care to help them cope with the perceived heavy demands of clinical practice, educators may usefully adopt the phenomenological approach, which involves bracketing, the ability to see, taking responsibility and attending to professionals’ emotional experience. The analysis of professionals’ self-care needs should be viewed as a continuous process, to be implemented on an ongoing basis throughout the entire educational intervention, and as a practice that itself requires a caring attitude.
Mirzakhani, Kobra; Shorab, Nahid Jahani
Self-confidence is one of the main components of clinical competence, and it is considered to be an important indicator of ability and competence. The aim of this study was to determine the confidence of midwifery graduates from Mashhad College of nursing and midwifery in fulfilling the required clinical skills. The study was in the form of a cross-sectional study, and it was performed in 2011 on 50 midwifery graduates who had been working in health centers in Mashhad for six months to three years providing midwifery services, as well as on their supervisors having a minimum of 6 months experiences of responsibility in these centers. The research tools included self-assessment tools of self-confidence in midwives and assessment tools of self-confidence in midwifery graduates in fulfilling clinical skills performed by the supervisors. The validity of the tools was confirmed by face validity and content validity, and the reliability of the test was confirmed by test-retest (r = 0.82). After the data were extracted and encoded, they were analyzed using SPSS software version 11.5, descriptive statistics, the t-test, and Pearson's test. Among the midwifery graduates, 84.57% of them had confidence in the area of management of low-risk situations, and 55.51% had confidence in their ability to manage high-risk situations. The self-confidence levels of graduates in fulfilling clinical skills in the management of low-risk and high-risk situations were significantly different (P self-confidence (P self-confidence of graduates in fulfilling clinical skills in the management of high-risk situations. In order to achieve such improvement, it is necessary to identify and use methods of increasing graduates' self-confidence in the learning environment by developing an enhanced midwifery curriculum and improved teaching methods.
Vos, Joël; Menko, Fred H; Oosterwijk, Jan C; van Asperen, Christi J; Stiggelbout, Anne M; Tibben, Aad
Many cancer-patients undergo DNA testing in the BRCA1/2 genes to receive information about the likelihood that cancer is heritable. Previous nonsystematic studies suggested that DNA testing often does not fulfill the counselees' needs for certainty. We explored the balance between the counselees' need for certainty and perceived certainty (NfC-PC, i.e., level of fulfillment of NfC) regarding the specific domains of DNA test result, heredity and cancer. We also examined relationships of NfC-PC with coping styles and distress. Before disclosure of BRCA1/2 test results for hereditary breast/ovarian cancer (T1), questionnaires were filled in by 467 cancer-patients. Another questionnaire (T2) was filled in after disclosure of pathogenic mutation results (n = 30), uninformative results (n = 202) or unclassified-variants (n = 16). Before and after DNA test result disclosure, overall 58-94% of all counselees experienced unfulfilled NfC regarding the DNA test result, heredity and cancer. Compared with T1, the communication of pathogenic mutations (T2) caused more fulfillment of the NfC about the DNA test result, but less about cancer and heredity (p NfC > PC). Compared with T1, uninformative results (T2) caused more fulfillments of all needs than before disclosure (p NfC and PC between the domains of DNA-test result, heredity and cancer (p NfC-PC) were uncorrelated with cognitive understanding of the DNA test result. The counselees' NfC needs more attention in research and practice, for example, when the potential uncertainties of testing are discussed. The counselees' NfC may be assessed and used in tailored, mutual communication of DNA test results. Copyright © 2012 John Wiley & Sons, Ltd.
Michael V Holmes
Full Text Available BACKGROUND: Studies of the genetic basis of drug response could help clarify mechanisms of drug action/metabolism, and facilitate development of genotype-based predictive tests of efficacy or toxicity (pharmacogenetics. OBJECTIVES: We conducted a systematic review and field synopsis of pharmacogenetic studies to quantify the scope and quality of available evidence in this field in order to inform future research. DATA SOURCES: Original research articles were identified in Medline, reference lists from 24 meta-analyses/systematic reviews/review articles and U.S. Food and Drug Administration website of approved pharmacogenetic tests. STUDY ELIGIBILITY CRITERIA, PARTICIPANTS, AND INTERVENTION CRITERIA: We included any study in which either intended or adverse response to drug therapy was examined in relation to genetic variation in the germline or cancer cells in humans. STUDY APPRAISAL AND SYNTHESIS METHODS: Study characteristics and data reported in abstracts were recorded. We further analysed full text from a random 10% subset of articles spanning the different subclasses of study. RESULTS: From 102,264 Medline hits and 1,641 articles from other sources, we identified 1,668 primary research articles (1987 to 2007, inclusive. A high proportion of remaining articles were reviews/commentaries (ratio of reviews to primary research approximately 25 ratio 1. The majority of studies (81.8% were set in Europe and North America focussing on cancer, cardiovascular disease and neurology/psychiatry. There was predominantly a candidate gene approach using common alleles, which despite small sample sizes (median 93 [IQR 40-222] with no trend to an increase over time, generated a high proportion (74.5% of nominally significant (por=4 studies, only 31 meta-analyses were identified. The majority (69.4% of end-points were continuous and likely surrogate rather than hard (binary clinical end-points. CONCLUSIONS AND IMPLICATIONS OF KEY FINDINGS: The high
Teen depression - helping; Teen depression - talk therapy; Teen depression - medicine ... teen the most. The most effective treatments for depression are: Talk therapy Antidepressant medicines If your teen ...
Osteoporosis treatment: Medications can help Osteoporosis treatment may involve medication along with lifestyle change. Get answers to some of the most common questions about osteoporosis treatment. By ...
Kotler, Martin; And Others
Self-help among low-income people is vitally important. In no area is self-help more important than in overcoming poverty's burdens and energizing the escape from poverty. This document comprises an inventory of self-help and mutual-help programs that feature active involvement of members of the low-income population. The programs in this…
... Submission of Proposed Information Collection to OMB; Self-Help Homeownership Opportunity Program (SHOP... from Ms. Pollard. Title of Proposal: Self-Help Homeownership Opportunity Program (SHOP). OMB Approval... self-help homeownership housing programs. SHOP funds are appropriated by Congress, generally annually...
Full Text Available Using the "net send" command, native to Windows XP, librarians at the University of California, Riverside created a "help button" for the reference desk. The simple script file sends a message to librarians' workstations in their offices and logs the date and time of use. This paper describes that program.
The Great String Revival: For Decades, School String Programs Have Been Overshadowed by Bands and Choirs. Many Teachers Say It's Time to Change that--And They've Got Lots of Ideas about What You Can Do to Help
According to the Austin-based Amati Foundation (a nonprofit group that supports programs for the stringed arts), over the past several decades the number of public school districts offering instruction for violin, viola, and cello has plummeted, from as high as 80 percent in 1960 to less than 19 percent today. Lack of public funding for stringed…
... Ophthalmologist Patient Stories Español Eye Health / Tips & Prevention Marijuana Sections Does Marijuana Help Treat Glaucoma? Why Eye ... Don't Recommend Marijuana for Glaucoma Infographic Does Marijuana Help Treat Glaucoma? Leer en Español: La Marihuana ...
Household hazardous waste disposal project. Metro toxicant program report number 1d. SLEUTH (strategies and lessons to eliminate unused toxicants: help) - Educational activities on the disposal of household hazardous waste. Final report 1981-82
Dyckman, C.; Luboff, C.; Smith-Greathouse, L.
This report presents a number of educational activities for students in the elementary and secondary grades that will help them understand the issues related to, and the best disposal options for hazardous household wastes. Teachers are provided with a series of illustrated lessons and quizzes, problem solving exercises, and role playing games. The projects are designed to define terms and concepts for understanding hazardous wastes, provide information on disposal systems available in King County, indicate problems with current disposal practices, and discuss personal responsibility for proper waste disposal.
Full Text Available ABSTRAKLatar Belakang:Buku KIA salah satu alat deteksi dini risiko tinggi ibu hamil. Cakupan deteksi dini risiko tinggi tahun 2011 dan 2012 di Kabupaten Bangkalan masih di bawah target yaitu 12%. Berdasarkan SDKI 2012 rata-rata angka kematian ibu (AKI tercatat mencapai 359 per 100 ribu kelahiran hidup. Rata-rata kematian ini jauh melonjak dibanding hasil SDKI 2007 yang mencapai 228 per 100 ribu. Tujuan penelitian:Mengetahui motivasi bidan, beban kerja, dan bidan terlatih dalam kelengkapan pengisian buku KIA. Metode: Penelitian observasional, desain crossectional. Pengumpulan data kuantitatif dan kualitatif. Data sekunder diperoleh dari ketersediaan buku KIA, pelatihan, pembinaan bidan dan kelengkapan pengisian buku KIA pada ibu hamil dan ibu bayi yang baik pengisiannya di Puskesmas Kedundung, Kabupaten Bangkalan. Sampel bidan yang menjalankan tugas di puskesmas lebih dari 1 tahun keatas dan pendidikan minimal DIII Kebidanan. Kelengkapan pengisian buku KIA dilihat pada lembar isian identitas keluarga, menyambut persalinan, catatan kesehatan ibu hamil, catatan kesehatan ibu bersalin, catatan kesehatan ibu nifas, keterangan lahir, KMS, pemeriksaan neonatus, catatan kesehatan anak, pemberian vitamin A. Hasil: Kelengkapan pengisian buku KIA pada ibu hamil dan ibu bayi yang baik pengisiannya di Puskesmas Geger yaitu 0,66 (kategori baik adalah 0,51–1,00. Puskesmas Kedundung kurang baik yaitu 0,34 (kategori kurang baik 0,00–0,50. Motivasi bidan di Puskesmas Geger sebagian besar motivasinya kurang (50,0%, beban kerja selama ini berat (83,3%. Di Puskesmas Kedundung sebagian besar bidan motivasi baik (66,7% danbeban kerja tidak berat atau kurang berat. Pelatihan bidan dalam 2 tahun terakhir ini tidak pernah mengikuti atau diadakan pelatihan tentang pengisian buku KIA oleh Dinas Kesehatan maupun oleh Puskesmas. Saran: Puskesmas agar membentuk tim kerja tingkat puskesmas sesuai program yang dijalankan untuk meringankan beban kerja bidan. Kepada Dinas
Jo, Hang-Hyun; Lee, Hyun Keun; Park, Hyunggyu
We study collective helping behavior and bystander effects in a coevolving helping network model. A node and a link of the network represents an agent who renders or receives help and a friendly relation between agents, respectively. A helping trial of an agent depends on relations with other involved agents and its result (success or failure) updates the relation between the helper and the recipient. We study the network link dynamics and its steady states analytically and numerically. The full phase diagram is presented with various kinds of active and inactive phases and the nature of phase transitions are explored. We find various interesting bystander effects, consistent with the field study results, of which the underlying mechanism is proposed.
Nazha, Aziz; Sekeres, Mikkael A; Gore, Steven D; Zeidan, Amer M
Myelodysplastic syndromes (MDS) are heterogeneous hematopoietic neoplasms that are driven by somatically acquired genetic mutations and epigenetic alterations. Accurate risk stratification is essential for delivery of risk-adaptive therapeutic interventions. The current prognostic tools sum the impact of clinical, pathologic, and laboratory parameters. Newer technologies with next-generation targeted deep sequencing and whole-genome and -exome sequencing have identified several recurrent mutations that play a vital role in the pathophysiology of MDS and the impact of these genetic changes on disease phenotype. Equally important, well-annotated databases of MDS patients with paired clinicopathologic and genetic data have enabled better understanding of the independent prognostic impact of several molecular mutations on important clinical endpoints such as overall survival and probability of leukemic progression. Cumulative evidence suggests that genomic data can also be used clinically to aid with the diagnosis, prognosis, prediction of response to specific therapies, and the development of novel and rationally targeted therapies. However, the optimal use of this mutational profiling remains a work in progress and currently there is no standard set of genes or techniques that are recommended for routine use in the clinic. In this review, we discuss the genomic revolution and its impact on our understanding of MDS biology and risk stratification. We also discuss the current role and the challenges of the application of genetic mutational data into daily clinical practice and how future research could help improve the prognostication precision and specific therapy selection for patients with MDS. Heterogeneity in clinical outcomes of MDS is partly related to interpatient variability of recurrent somatic mutations that drive disease phenotype and progression. Although clinical risk stratification tools have functioned well in prognostication for patients with MDS
Full Text Available The aim of this study was to assess the strength and direction of the correlation between cognitive appraisal, emotional state, social functioning and the effectiveness of a weight-loss program undertaken by obese subjects. The out-patient weight-loss program encompassed 150 obese women. Assessments were carried out at four time points: at the start of the weight-loss program and then after a 5%, 10% and a 15% reduction of the initial body mass. The research tools used were: a survey, the Situation Appraisal Questionnaire (SAQ, the Emotional State Questionnaire (ESQ, and the Q-Sort Social Functioning Questionnaire. The cognitive appraisal, emotional state and social functioning of the study group changed significantly (P<0.001. Significantly more individuals with a 15% body mass reduction, as compared with individuals with no body mass reduction, had an early obesity onset, i.e. at the age of <10 years old (P<0.001. Significantly more individuals with no body mass reduction, compared with individuals with a 15% reduction, had a later obesity onset, i.e. between the ages of 20 and 30 (P<0.001 and between 50 and 60 (P<0.001. Significantly more individuals with a 15% body mass reduction, compared with individuals with no mass reduction, had previously experienced the jojo effect (P<0.001 and had successfully lost weight (P<0.001. Significantly more individuals with no body mass reduction, compared with individuals with a15% reduction, had a history of unsuccessful attempts at reducing body mass (P<0.001. We conclude that the attitude of obese patients towards a weight-loss program is not a deciding factor for its effectiveness. As body mass reduces, the attitude improves.
Full Text Available Previous research showed that infants and toddlers are inclined to help prosocial agents and assign a positive valence to fair distributions. Also, they expect that positive and negative actions directed toward distributors will conform to reciprocity principles. This study investigates whether toddlers are selective in helping others, as a function of others’ previous distributive actions. Toddlers were presented with real-life events in which two actresses distributed resources either equally or unequally between two puppets. Then, they played together with a ball that accidentally fell to the ground and asked participants to help them to retrieve it. Participants preferred to help the actress who performed equal distributions. This finding suggests that by the second year children’s prosocial actions are modulated by their emerging sense of fairness.HighlightsToddlers (mean age = 25 months are selective in helping distributors.Toddlers prefer helping a fair rather than an unfair distributor.Toddlers’ selective helping provides evidence for an early sense of fairness.
Sprafkin, Joyce N.; And Others
The possibility that regularly broadcast entertainment television programs can facilitate prosocial behavior in children was investigated. First graders exposed to prosocial altruistic episodes demonstrated more helping behaviors in a real-life context than control children did. (GO)
... Pediatrician Ages & Stages Prenatal Baby Toddler Preschool Gradeschool Teen Dating & Sex Fitness Nutrition Driving Safety School Substance Use Young Adult Healthy Children > Ages & Stages > Teen > Dating & Sex > Helping Teens Resist Sexual Pressure Ages & Stages Listen ...
... news/fullstory_167586.html Yoga May Help Ease Depression It's not a cure-all but has great ... studies suggest that practicing yoga may also ease depression. But the leader of a session on yoga ...
income elasticity coefficient amp603I produced 0001 shows that red chili are normal goods are inelastic. In the SWOT analysis performed strategic analysis of the factors that affect the internal and external demand amount of red pepper in Solok. SWOT analysis shows that the most strategic efforts that can be done to meet the demand of red pepper in Solok can be seen from SO strategy Strengths and opportunies created. Moving on from the factors that most influence the demand for red chili in Solok is a number of people the suggestions can be submitted by the authors is to improve program implementation berencana.Penelitian family on analysis of the factors that influence the demand for red chilli Capsicum annuum L in Solok and compliance efforts implemented in March to April 2016. the purpose of this study consisted of 1 analyze the factors affecting the demand for red chili in Solok 2 analyze the elasticity of demand for red chili in Solok 3 know the effort that can be done to meet the demand of red chilli in Solok. To achieve the objectives of the first and second use secondary data for 15 fifteen years and to achieve the objectives the third used primary data. The method used is descriptive analytical method a method that is used to describe phenomena that exist which takes place in the present or past. The variables were observed in this study is the X1 price of red chilli X2 the price of green chili X3 onion prices X4 population X5 income and Y the number of requests red chili which is then analyzed by multiple linear regression elasticity of demand and SWOT. The results of that research addressing the factors that influence the demand for red chili in Solok is the price of red chilli itself the price of green chili as a substitute goods the number of population and income while onion prices affect the amount of red chili demand in Solok. But simultaneously variable X1 red chili prices X2 the price of green chili X3 onion prices X4 population and X5 income strongly
Moate, Randall M.; Cox, Jane A.; Brown, Steven R.; West, Erin M.
Thirty-five novice counselors completed a Q sort that assessed their perceptions of what was most helpful about teachers of didactic classes in their master's degree program. Participants perceived teachers who used a contextual teaching pedagogy and had an authentic, empathic, and compassionate way of being as helpful to their learning.
Hong, Jingfang; Song, Yongxia; Liu, Jingjing; Wang, Weili; Wang, Wenru
This study aimed to (1) explore the needs of cancer patients regarding common nursing professional social support from the perspective of physicians and nurses, (2) identify what type of needs clinical nurses actually fulfill and what remains to be improved, and (3) analyze the potential reasons for the gap between the identified needs and those that are fulfilled. A qualitative approach using focus group interviews was adopted to explore the perception and provision of cancer patients' needs regarding nursing professional social support. A purposive sample of 32 health care professionals was recruited from two teaching hospitals in Anhui province, China. Five focus group interviews were conducted and all interviews were tape-recorded and transcribed verbatim. A content analysis was performed with the data. The healthcare professionals perceived various nursing professional support needs of cancer patients; these include informational, emotional/psychological, and technical support needs; the mobilization of social resources; and palliative care during certain stages. The findings also indicated that there are still many unmet needs, especially needs related to the mobilization of social resources and palliative care. The reasons for the deficiencies in the fulfillment of these needs varied and included both subjective and objective aspects, such as the patients' lack of awareness of how to search for professional support, a shortage of professional staff, and the lack of a culturally appropriate assessment tool. Cancer patients' supportive care needs were not always fully provided by nurses, even when these needs were identified by healthcare professionals. Nursing professional social support needs should be assessed quickly and effectively so that the appropriate interventions can be offered to cancer patients.
Anastasia A. Katou
Full Text Available Purpose: This study examines the impact of HR practices on organizational performance through the mediating role of psychological contract (expressed by the influence of employer on employee promises fulfilment through employee attitudes and further examines whether this relationship remains stable during periods of external economic crisis. Methodology: The analysis is based on structural equation modelling using two national samples of a two time study of Greek private and public organizations in the manufacturing, services and trade sectors. The first data collection took place in 2008 (treated as a control period and the second in 2010 (treated as an economic crisis period. Findings: The study is providing proof that the employee attitudes of satisfaction, commitment and motivation, constitute a nested mediating epicentre of the HR practices – organizational performance relationship, meaning that employee attitudes are positively influencing employee promises fulfilment and organizational performance and being positively influenced by employer promises fulfilment and HR practices. Research limitations/implications: Although data was collected using the same questionnaire at the two time periods of 2008 and 2010, the design of the study is not longitudinal. As a result, the study does not allow for dynamic causal inferences. Value: The study supports the view that although the structure of the relationship between HR practices and organizational performance does not change in periods of economic crisis, the strength of this structure is weaker compared to normal economic periods. Additionally, this study provides a greater understanding of the process by which psychological contract mediates the relationship between HR practices and organizational performance, with special reference to economic crisis.
Mirzakhani, Kobra; Shorab, Nahid Jahani
Introduction: Self-confidence is one of the main components of clinical competence, and it is considered to be an important indicator of ability and competence. The aim of this study was to determine the confidence of midwifery graduates from Mashhad College of nursing and midwifery in fulfilling the required clinical skills. Methods: The study was in the form of a cross-sectional study, and it was performed in 2011 on 50 midwifery graduates who had been working in health centers in Mashhad for six months to three years providing midwifery services, as well as on their supervisors having a minimum of 6 months experiences of responsibility in these centers. The research tools included self-assessment tools of self-confidence in midwives and assessment tools of self-confidence in midwifery graduates in fulfilling clinical skills performed by the supervisors. The validity of the tools was confirmed by face validity and content validity, and the reliability of the test was confirmed by test-retest (r = 0.82). After the data were extracted and encoded, they were analyzed using SPSS software version 11.5, descriptive statistics, the t-test, and Pearson’s test. Results: Among the midwifery graduates, 84.57% of them had confidence in the area of management of low-risk situations, and 55.51% had confidence in their ability to manage high-risk situations. The self-confidence levels of graduates in fulfilling clinical skills in the management of low-risk and high-risk situations were significantly different (P midwifery curriculum and improved teaching methods. PMID:26435829
Ramesh Kumar Moona Haji Mohamed; Che Supian Mohamad Nor
The purpose of this paper is to trace McGregor’s X-Y theory and its relationship with fulfillment of psychological contract. This is a review article relying on literature reviews and synthesizing concepts and ideas from related sources. McGregor’s X-Y theory is a natural rule for managing people. McGregor’s ideas suggest that there are two fundamental approaches to managing people. Theory X management style generally get poor results compare with managers use theory Y, which produces better ...
Soerensen, K. E.; Olsen, H. G.; Skovgaard, Kerstin
Summary Sepsis is a common and often fatal complication in human patients in intensive care units. Relevant and well characterized animal models of sepsis may provide valuable information on pathophysiological mechanisms and be a mean of testing new therapeutic strategies. Large animal models...... the haemostatic and vascular alterations in a novel porcine model of severe S. aureus sepsis, investigating whether the changes fulfill the human clinical criteria for DIC. Five pigs were inoculated intravenously with S. aureus and two control animals were sham-inoculated. Blood samples were collected...
Healthier students are better learners: high-quality, strategically planned, and effectively coordinated school health programs must be a fundamental mission of schools to help close the achievement gap.
Basch, Charles E
To discuss implications for educational policy and practice relevant to closing the achievement gap based on the literature review and synthesis presented in 7 articles of the October 2011 special issue of the Journal of School Health. Implications for closing the achievement gap are drawn from analyses of current literature. During the past several decades, school reform efforts to close the achievement gap have focused on various strategies, yielding very limited progress. Educationally relevant health disparities influence students' motivation and ability to learn, but reducing these disparities has been largely overlooked as an element of an overall strategy for closing the achievement gap. If these health problems are not addressed, the educational benefits of other school reform efforts will be jeopardized. Healthier students are better learners. School health programs and services that are evidence based, strategically planned to influence academic achievement, and effectively coordinated warrant validation as a cohesive school improvement initiative for closing the achievement gap. National, state, and local responsibilities for supporting school health are outlined, including shared strategies; leadership from the U.S. Department of Education; policy development; guidance, technical assistance, and professional development; accountability and data and software systems; and a research agenda. To date, the U.S. Department of Education has not provided leadership for integrating evidence-based, strategically planned, and effectively coordinated school health programs and services into the fundamental mission of schools. Now is an opportune time for change. © 2011, American School Health Association.
Karanci, Nuray A; Gök, Ali Can; Yıldırım, Büşra; Borhan, Nilsu
Social support is an important facilitator of the quality of life for people with schizophrenia. This study examines what is perceived as helpful and unhelpful support from the members of the natural social networks by 32 Turkish people with schizophrenia. Semi-structured interviews and thematic analysis were used to examine what is perceived as helpful and unhelpful support. The findings suggested that instrumental, emotional and socialization supports were the general categories that capture the perceptions of support. Intrusion and belittling/rejection appeared as unhelpful. It is important to take these perceptions into account in providing psychoeducation to families and in designing psychosocial intervention programs.
De Carvalho, Irene Stuart Torrié; Granfeldt, Yvonne; Dejmek, Petr; Håkansson, Andreas
Linear programming has been used extensively as a tool for nutritional recommendations. Extending the methodology to food formulation presents new challenges, since not all combinations of nutritious ingredients will produce an acceptable food. Furthermore, it would help in implementation and in ensuring the feasibility of the suggested recommendations. To extend the previously used linear programming methodology from diet optimization to food formulation using consistency constraints. In addition, to exemplify usability using the case of a porridge mix formulation for emergency situations in rural Mozambique. The linear programming method was extended with a consistency constraint based on previously published empirical studies on swelling of starch in soft porridges. The new method was exemplified using the formulation of a nutritious, minimum-cost porridge mix for children aged 1 to 2 years for use as a complete relief food, based primarily on local ingredients, in rural Mozambique. A nutritious porridge fulfilling the consistency constraints was found; however, the minimum cost was unfeasible with local ingredients only. This illustrates the challenges in formulating nutritious yet economically feasible foods from local ingredients. The high cost was caused by the high cost of mineral-rich foods. A nutritious, low-cost porridge that fulfills the consistency constraints was obtained by including supplements of zinc and calcium salts as ingredients. The optimizations were successful in fulfilling all constraints and provided a feasible porridge, showing that the extended constrained linear programming methodology provides a systematic tool for designing nutritious foods.
Blackford, Martha G; Falletta, Lynn; Andrews, David A; Reed, Michael D
To fulfill Food and Drug Administration and Department of Health and Human Services emergency care research informed consent requirements, our burn center planned and executed a deferred consent strategy gaining Institutional Review Board (IRB) approval to proceed with the clinical study. These federal regulations dictate public disclosure and community consultation unique to acute care research. Our regional burn center developed and implemented a deferred consent public notification and community consultation paradigm appropriate for a burn study. Published accounts of deferred consent strategies focus on acute care resuscitation practices. We adapted those strategies to design and conduct a comprehensive public notification/community consultation plan to satisfy deferred consent requirements for burn center research. To implement a robust media campaign we engaged the hospital's public relations department, distributed media materials, recruited hospital staff for speaking engagements, enlisted community volunteers, and developed initiatives to inform "hard-to-reach" populations. The hospital's IRB determined we fulfilled our obligation to notify the defined community. Our communication strategy should provide a paradigm other burn centers may appropriate and adapt when planning and executing a deferred consent initiative. Copyright © 2012 Elsevier Ltd and ISBI. All rights reserved.
Patton, Kevin; Parker, Melissa; Tannehill, Deborah
For school administrators to facilitate impactful teacher professional development, a shift in thinking that goes beyond the acquisition of new skills and knowledge to helping teachers rethink their practice is required. Based on review of the professional development literature and our own continued observations of professional development, this…
ECHO, Enforcement and Compliance History Online, provides compliance and enforcement information for approximately 800,000 EPA-regulated facilities nationwide. ECHO includes permit, inspection, violation, enforcement action, and penalty information about facilities regulated under the Clean Air Act (CAA) Stationary Source Program, Clean Water Act (CWA) National Pollutant Elimination Discharge System (NPDES), and/or Resource Conservation and Recovery Act (RCRA). Information also is provided on surrounding demographics when available. Search Results Help explains how to navigate the search results page and describes the data presented.
JAVIER A SIMONETTI
Full Text Available Biodiversity conservation needs to be informed by science. On this regard, scientific efforts ought to be allocated to tackle research priorities; offer sound and explicit advice, and results ought to be translated into conservation plans and programs. If such conditions are met, scientists would be fulfilling their social contract, sensu Lubchenco. In this brief essay I analyze the fulfillment of such a contract in Chile. In general, the scarce priorities set for addressing conservation issues are not considered, only a third of scientific publications in conservation-related issues offer explicit advice and a minor fraction of relevant scientific information is considered in the preparation of conservation plans. Current mismatch between conservation science and practice weakens longstanding efforts to achieve an effective conservation of the Chilean biota. Suggestions are advanced to close the gap.La conservación de la biodiversidad requiere apoyo científico. En este sentido, desde el ámbito científico se deberían destinar esfuerzos para abordar las prioridades de investigación, ofrecer recomendaciones explícitas, y los resultados de la investigación científica deberían ser incorporados a los planes y programas de investigación. De cumplirse estos pasos, los científicos estarían satisfaciendo su contrato social, sensu Lubchenco. En este breve ensayo analizo el cumplimiento de tal contrato en Chile. En general, el escaso conjunto de prioridades existente no ha sido abordado, solamente un tercio de las publicaciones científicas en temas de conservación biológica ofrecen consejo explícito y una fracción menor de la información relevante y pertinente es considerada en la elaboración de planes y programas de conservación. El desacople entre la ciencia y la práctica de la conservación debilita esfuerzos de larga data tendientes a lograr una efectiva conservación de la biota chilena. Para intentar cerrar esta brecha, ofrezco
Haymes, Michael; Green, Logan
Maturity in conative development (type of motivation included in Maslow's needs hierarchy) was found to be predictive of helping behavior in middle class white male college students. The effects of safety and esteem needs were compared, and the acceptance of responsibility was also investigated. (GDC)
Hill, Lynn T.
Examines three reasons teachers leave their profession and approaches for helping them to love their work. Suggests that when teachers feel challenged, in control of their lives, and have a sense of belonging, their needs have been met. Then they can become the adult attachment figure that children must have in order to have their own needs…
... methods and still want to speak to the bullying child's parents, it's best to do so in a context ... can help kids learn how to deal with bullying if it happens. For some parents, it may be tempting to tell a kid ...
A health and weight loss programme supported by nurses and delivered by professional football clubs in Scotland has been hailed a success in helping men to lose weight sustainably. It uses participants love of football to motivate them to make healthy lifestyle changes.
Scholarships from the Florence Nightingale Foundation are providing nurses with the financial means to put innovative ideas into practice. Nurses from all four countries of the UK can apply for leadership, travel and research scholarships to support their career development and help improve patient care.
Mirjam de Klerk; Alice de Boer; Sjoerd Kooiker; Peggy Schyns
Original title: Informele hulp: wie doet er wat? There is currently a great deal of interest in the Netherlands in people’s reliance on their own networks in times of need. What can people do for each other when someone needs help because of health problems? And what are they already
Milosavljevic, Maria; Oberlander, Jon
Electronic hypertext catalogues provide an important channel for information provision. However, static hypertext documents cannot be dynamically adapted to help the user find what he/she is looking for. We demonstrate that natural language generation techniques can be used to produce tailored hypertext documents, and we focus on two key benefits of the resulting DYNAMIC HYPERTEXT. First, documents can be tailored more precisely to an individual’s needs and background, thus aiding the search ...
Discusses the philosophy behind LOGO and presents several examples of how it has been adapted for use with physically and mentally handicapped and learning disabled children to promote academic and social development through computer programing. (MBR)
... URBAN DEVELOPMENT Notice of Proposed Information Collection: Comment Request Self- Help Homeownership... electronic submission of responses. The Self-Help Homeownership Opportunity Program (SHOP) is authorized by..., geographically diverse basis through the provision of self-help homeownership housing programs. SHOP funds are...
Dostal, T.; Krasa, J.
The EU Water Framework Directive (WFD) brings relatively strict demands concerning surface waters protection, soil protection and watershed management. Water quality and soil conservation are among the priorities of European environmental policy. The aims and corresponding limits are clearly and strictly formulated but the ways how to fulfill the task remain unspecified. Moreover the side effects and synergic effects are not considered. Therefore there is no recommended methodology for implementing the protection measures. At the Faculty of Civil Engineering (Czech Technical University in Prague) we deal with development and use of various methods routinely applicable in catchment management and engineering praxis. Mainly we focus on soil conservation, sediment transport assessment, retention capacity of landscape evaluation and flood prevention. Our contribution will present overview of applicable approaches and methods useful for the WFD implementation and for Watershed management strategy defining. Very important part of the problem is use of high precision data sources available for environmental modeling. Data in similar formats and precision (considering soil properties, land use and land cover, precipitation, etc.) exist throughout Europe, but the data availability for research is very limited. In spite of the INSPIRE Directive the European coordination here is low. Typical example can be found in Map of soil loss and sediment transport within Czech Republic. Methodically simple approach (using USLE - Wischmeier et al., 1978) was applied to whole Czech territory in coordination with GIS already in 2001 (Dostal et al.,2001). The map was consistently updated and in 2007 the LPIS database allowed us to estimate soil erosion rates in scale of individual parcels (Dostal et al., 2007). Each agricultural field block was assessed in 25m resolution raster (484 835 individual parcels, 35 301 km2). The data were then used for preparing Watershed management strategy
Moss, Simon A; Wilson, Samuel G
According to some scholars, if individuals experience over three times as many positive emotions as negative emotions, they are more likely to thrive. We contend, however, that perhaps positive and negative emotions that overlap in time are likely to enhance wellbeing. Specifically, if positive and negative emotions are experienced simultaneously rather than separately-called ambivalent emotions-the fundamental needs of individuals are fulfilled more frequently. Considerable evidence supports this perspective. First, many emotions that enhance wellbeing, although classified as positive, also coincide with negative feelings. Second, ambivalent emotions, rather than positive or negative emotions separately, facilitate creativity and resilience. Third, ambivalent emotions activate distinct cognitive systems that enable individuals to form attainable goals, refine their skills, and enhance their relationships. Copyright © 2015 Elsevier Inc. All rights reserved.
Full Text Available BACKGROUND: Human resource capacity is vital to the scale-up of voluntary medical male circumcision (VMMC services. VMMC providers are at risk of "burnout" from performing a single task repeatedly in a high volume work environment that produces long work hours and intense work effort. METHODS AND FINDINGS: The Systematic Monitoring of the Voluntary Medical Male Circumcision Scale-up (SYMMACS surveyed VMMC providers in Kenya, South Africa, Tanzania, and Zimbabwe in 2011 (n = 357 and 2012 (n = 591. Providers self-reported on their training, work experience, levels of job-fulfillment and work fatigue/burnout. Data analysis included a descriptive analysis of VMMC provider characteristics, and both bivariate and multivariate analyses of factors associated with provider work fatigue/burnout. In 2012, Kenyan providers had worked in VMMC for a median of 31 months compared to South Africa (10 months, Tanzania (15 months, and Zimbabwe (11 months. More than three-quarters (78 - 99% of providers in all countries in 2012 reported that VMMC is a personally fulfilling job. However, 67% of Kenyan providers reported starting to experience work fatigue/burnout compared to South Africa (33%, Zimbabwe (17%, and Tanzania (15%. Despite the high level of work fatigue/burnout in Kenya, none of the measured factors (i.e., gender, age, full-time versus part-time status, length of service, number of operations performed, or cadre were significantly associated with work fatigue/burnout in 2011. In 2012, logistic regression found increases in age (p<.05 and number of months working in VMMC (p<.01 were associated with an increased likelihood of experiencing work fatigue/burnout, while higher career total VMMCs decreased the likelihood of experiencing burnout. CONCLUSION: Given cross-country differences, further elucidation of cultural and other contextual factors that may influence provider burnout is required. Continuing to emphasize the contribution that providers make in
Miyaoka, Yoshiko; Akimoto, Yoshie; Ueda, Kayoko; Ujiie, Yuri; Kametani, Machiko; Uchiide, Yoko; Kamo, Toshiko
Some women with depressive disorders experience severe premenstrual symptoms. However, there have been few studies in which premenstrual symptoms in women suffering from depressive disorders were assessed. In this study, we aimed to investigate premenstrual symptoms in women with depressive disorders using the premenstrual dysphoric disorder (PMDD) scale. We administered questionnaires to 65 Japanese female outpatients who had been diagnosed with a major depressive disorder or dysthymic disorder and to 303 healthy women as control subjects. The questionnaire consisted of items on demographics and the PMDD scale, which was modified from the premenstrual symptoms screening tool (PSST) developed by Steiner et al. (Arch Womens Ment Health 2003, 6:203-209). Twenty-eight women (43.1%) with depressive disorder fulfilled certain items of the PMDD scale. These women are considered to have coexisting PMDD and a depressive disorder, or to have premenstrual exacerbation (PME) of a depressive disorder. On the other hand, 18 women (5.9%) in the control group were diagnosed as having PMDD. The depressive disorder group who fulfilled the PMDD criteria had more knowledge of the term premenstrual syndrome (PMS) and took more actions to attenuate premenstrual symptoms than the control group with PMDD. Our findings demonstrated that the occurrence of severe premenstrual symptoms is much higher in women with depressive disorders than in healthy subjects. This is partially due to this group containing women with PME, but mainly due to it containing women with PMDD. The higher percentage of PMDD suggests similarity between PMDD and other depressive disorders. Furthermore, educating healthy Japanese women and women with depressive disorders about premenstrual symptoms and evidence-based treatment for them is necessary.
Full Text Available Abstract Background Some women with depressive disorders experience severe premenstrual symptoms. However, there have been few studies in which premenstrual symptoms in women suffering from depressive disorders were assessed. In this study, we aimed to investigate premenstrual symptoms in women with depressive disorders using the premenstrual dysphoric disorder (PMDD scale. Methods We administered questionnaires to 65 Japanese female outpatients who had been diagnosed with a major depressive disorder or dysthymic disorder and to 303 healthy women as control subjects. The questionnaire consisted of items on demographics and the PMDD scale, which was modified from the premenstrual symptoms screening tool (PSST developed by Steiner et al. (Arch Womens Ment Health 2003, 6:203-209. Results Twenty-eight women (43.1% with depressive disorder fulfilled certain items of the PMDD scale. These women are considered to have coexisting PMDD and a depressive disorder, or to have premenstrual exacerbation (PME of a depressive disorder. On the other hand, 18 women (5.9% in the control group were diagnosed as having PMDD. The depressive disorder group who fulfilled the PMDD criteria had more knowledge of the term premenstrual syndrome (PMS and took more actions to attenuate premenstrual symptoms than the control group with PMDD. Conclusions Our findings demonstrated that the occurrence of severe premenstrual symptoms is much higher in women with depressive disorders than in healthy subjects. This is partially due to this group containing women with PME, but mainly due to it containing women with PMDD. The higher percentage of PMDD suggests similarity between PMDD and other depressive disorders. Furthermore, educating healthy Japanese women and women with depressive disorders about premenstrual symptoms and evidence-based treatment for them is necessary.
Mascolo, Annamaria; Scavone, Cristina; Sessa, Maurizio; di Mauro, Gabriella; Cimmaruta, Daniela; Orlando, Valentina; Rossi, Francesco; Sportiello, Liberata; Capuano, Annalisa
Causality assessment is a fundamental biomedical technique for the signal detection performed by Pharmacovigilance centers in a Spontaneous reporting system. Moreover, it is a crucial and important practice for detecting preventable adverse drug reactions. Among different methods for causality assessment, algorithms (such as the Naranjo, or Begaud Methods) seem for their operational procedure and easier applicability one of the most commonly used methods. With the upcoming of the new European Pharmacovigilance legislation including in the definition of the adverse event also effects resulting from abuse, misuse and medication error, all well-known preventable causes of ADRs, there was an emerging need to evaluate whether algorithms could fulfill this new definition. In this review, twenty-two algorithmic methods were identified and none of them seemed to fulfill perfectly the new criteria of adverse event although some of them come close. In fact, several issues were arisen in applying causality assessment algorithms to these new definitions as for example the impossibility to answer the rechallenge question in case of medication error or AEFI (Adverse Event Following Immunization). Moreover, the exact conditions at which events occurred, as for example dosage or mode of administration should be considered to better assess causality in conditions of abuse/overdose, or misuse as well as in conditions of lack of expected efficacy reports for biotechnological drugs and adverse event occurring after mixing of vaccines. Therefore, this review highlights the need of updating algorithmic methods to allow a perfect applicability in all possible clinical scenarios accordingly or not with the terms of marketing authorization. Copyright © 2017 Elsevier Ltd. All rights reserved.
Olswang, Steven Glenn; And Others
The rights of students to complete programs into which they have matriculated and the obligations of colleges and universities to maintain these programs for sufficient periods of time to fulfill any existing contracts with students are discussed. Contract principles are applied in protecting a student's right to complete degree programs. (MLW)
Nichola Jayne Raihani
Full Text Available Humans regularly help strangers, even when interactions are apparently unobserved and unlikely to be repeated. Such situations have been simulated in the laboratory using anonymous one-shot games (e.g. prisoner's dilemma where the payoff matrices used make helping biologically altruistic. As in real-life, participants often cooperate in the lab in these one-shot games with non-relatives, despite that fact that helping is under negative selection under these circumstances. Two broad explanations for such behavior prevail. The 'big mistake' or 'mismatch' theorists argue that behavior is constrained by psychological mechanisms that evolved predominantly in the context of repeated interactions with known individuals. In contrast, the cultural group selection theorists posit that humans have been selected to cooperate in anonymous one-shot interactions due to strong between-group competition, which creates interdependence among in-group members. We present these two hypotheses before discussing alternative routes by which humans could increase their direct fitness by cooperating with strangers under natural conditions. In doing so, we explain why the standard lab games do not capture real-life in various important aspects. First, asymmetries in the cost of perceptual errors regarding the context of the interaction (one-shot versus repeated; anonymous versus public might have selected for strategies that minimize the chance of making costly behavioral errors. Second, helping strangers might be a successful strategy for identifying other cooperative individuals in the population, where partner choice can turn strangers into interaction partners. Third, in many real-world situations individuals are able to parcel investments such that a one-shot interaction is turned into a repeated game of many decisions. Finally, in contrast to the assumptions of the prisoner's dilemma model, it is possible that benefits of cooperation follow a non-linear function of
This module provides information on development and use of a Material Safety Data Sheet (MSDS) software program that seeks to link literacy skills education, safety training, and human-centered design. Section 1 discusses the development of the software program that helps workers understand the MSDSs that accompany the chemicals with which they…
Mission of the Carlsbad Area Office (CAO) is to protect human health and the environment by opening and operating the Waste Isolation Pilot Plant (WIPP) for safe disposal of TRU waste, and establishing an effective system for management of TRU waste from generation to disposal. To help in fulfilling this mission and to ensure that risks and environmental impacts are identified and minimized, and that safety, reliability, and performance are optimized, CAO`s policy is to establish and maintain an effective quality assurance (QA) program that supports compliance with applicable Federal, State, and local regulations, and DOE orders and requirements. This document establishes QA program requirements for all programs, projects, and activities sponsored by CAO.
In an effort to increase public awareness in Japan of global population and reproductive health issues, 5 Japanese journalists from Japan Broadcasting Corporation (NHK), Kyodo News, Nihon Keizai Shimbun, Yomiuri Shimbun, and FM Hokkaido traveled with a JOICFP team in Mexico for 12 days in October 1988. It is hoped that, following their experience in Mexico, the journalists will help to create favorable public opinion in Japan toward development assistance in population. The UNFPA Mexico office, the Japanese embassy, JICA, central and local ministries of health, and nongovernmental organizations (NGOs) in Mexico City and rural areas were visited during the tour. Specific sites and programs visited include a NGO in Catemaco, Veracruz state, a junior high school sexuality education program funded by the Packard Foundation, a community guest house for child deliveries in Puebla State, and a MEXFAM clinic funded by the owner of a towel factory. As a result of the study tour, an 8-minute program was aired on NHK, featuring an interview with the director of MEXFAM. The journalists learned from the tour.
This study examined how health information management (HIM) educational programs can use the Malcolm Baldrige National Quality Award Model (MBNQAM) educational criteria to meet the self-assessment requirement for Commission on Accreditation for Health Informatics and Information Management Education (CAHIIM) accreditation. An existing instrument, Quantum Performance Group's Organizational Assessment Survey authored by Dr. Mark Blazey, was used in this study. The instrument was designed to self-assess the entire organization. Results of the study demonstrate how the MBNQAM can be used to successfully self-assess HIM programs. This research adds to the body of literature surrounding the application of the MBNQAM for HIM programs and provides new information to deans, administrators, and educators that may be useful, as an added component, when self-assessing HIM programs. The results of this study will help to establish a foundation for HIM programs to strengthen the self-assessment process, providing a strong starting point for strategic planning prioritization for HIM program improvement initiatives. The improved process will help in maturing the HIM program while fulfilling accreditation requirements for self-assessment. As additional HIM programs formalize the self-assessment process, benchmarking opportunities with other HIM programs will be created.
Wiser, R.; Olson, S.; Bird, L.; Swezey, B.
This report analyzes actual utility green pricing program data to provide further insight into which program features might help maximize both customer participation in green pricing programs and the amount of renewable energy purchased by customers in those programs.
The apprenticeship system, long considered an educational relic by some educators and policy makers, is gaining new attention as a model for improving job skills and meeting national college-completion goals. A number of states and community and technical colleges are working to strengthen and expand apprenticeship opportunities. They offer…
Organon has developed the Reminder Card to help women patients remember their regular intake of oral contraceptive (OC) pills. About 50% of women take birth control pills as prescribed, 25% miss a pill per month, and 25% miss two or more pills in the same time frame. The plastic card, about the size and shape of a credit card, contains a microchip timer. Reminder cards are available to providers who use the Starter Kits issued by the company for new-start patients on the Mircette OC. When patients begin their first pack of pills, they select the time of day they prefer to have the Reminder Card emit its tiny beep. The time is set into the microchip timer and the card is programmed to sound automatically at the pre-set time each day for the next three months. The direction for using the Reminder Card is outlined.
Full Text Available Dogs are particularly skilful during communicative interactions with humans. Dogs' abilities to use human communicative cues in cooperative contexts outcompete those of other species, and might be the result of selection pressures during domestication. Dogs also produce signals to direct the attention of humans towards outside entities, a behaviour often referred to as showing behaviour. This showing behaviour in dogs is thought to be something dogs use intentionally and referentially. However, there is currently no evidence that dogs communicate helpfully, i.e. to inform an ignorant human about a target that is of interest to the human but not to the dog. Communicating with a helpful motive is particularly interesting because it might suggest that dogs understand the human's goals and need for information. In study 1, we assessed whether dogs would abandon an object that they find interesting in favour of an object useful for their human partner, a random novel distractor, or an empty container. Results showed that it was mainly self-interest that was driving the dogs' behaviour. The dogs mainly directed their behaviour towards the object they had an interest in, but dogs were more persistent when showing the object relevant to the human, suggesting that to some extent they took the humans interest into account. Another possibility is that dogs' behaviour was driven by an egocentric motivation to interact with novel targets and that the dogs' neophila might have masked their helpful tendencies. Therefore, in study 2 the dogs had initial access to both objects, and were expected to indicate only one (relevant or distractor. The human partner interacted with the dog using vocal communication in half of the trials, and remaining silent in the other half. Dogs from both experimental groups, i.e. indicating the relevant object or indicating the distractor, established joint attention with the human. However, the human's vocal communication and the
Piotti, Patrizia; Kaminski, Juliane
Dogs are particularly skilful during communicative interactions with humans. Dogs' abilities to use human communicative cues in cooperative contexts outcompete those of other species, and might be the result of selection pressures during domestication. Dogs also produce signals to direct the attention of humans towards outside entities, a behaviour often referred to as showing behaviour. This showing behaviour in dogs is thought to be something dogs use intentionally and referentially. However, there is currently no evidence that dogs communicate helpfully, i.e. to inform an ignorant human about a target that is of interest to the human but not to the dog. Communicating with a helpful motive is particularly interesting because it might suggest that dogs understand the human's goals and need for information. In study 1, we assessed whether dogs would abandon an object that they find interesting in favour of an object useful for their human partner, a random novel distractor, or an empty container. Results showed that it was mainly self-interest that was driving the dogs' behaviour. The dogs mainly directed their behaviour towards the object they had an interest in, but dogs were more persistent when showing the object relevant to the human, suggesting that to some extent they took the humans interest into account. Another possibility is that dogs' behaviour was driven by an egocentric motivation to interact with novel targets and that the dogs' neophila might have masked their helpful tendencies. Therefore, in study 2 the dogs had initial access to both objects, and were expected to indicate only one (relevant or distractor). The human partner interacted with the dog using vocal communication in half of the trials, and remaining silent in the other half. Dogs from both experimental groups, i.e. indicating the relevant object or indicating the distractor, established joint attention with the human. However, the human's vocal communication and the presence of the
Forzoni, Silvia; Perez, Michela; Martignetti, Angelo; Crispino, Sergio
Art therapy has been shown to be helpful to cancer patients at different stages in the course of their illness, especially during isolation for bone marrow transplantation, during radiotherapy treatment, and after treatment. The aim of this study is twofold: (1) to assess whether patients during chemotherapy sessions perceive art therapy as helpful and (2) to outline in which way art therapy is perceived as helpful. 157 cancer patients attending an Oncology Day Hospital (Siena, Italy) met the art therapist during their chemotherapy sessions. The art therapist used the same art therapy technique with each patient during the first encounter ("free collage"); afterward the relationship would evolve in different ways according to the patients' needs. A psychologist interviewed a randomized group of 54 patients after the chemotherapy treatment using a semistructured questionnaire. Out of the 54 patients, 3 found art therapy "not helpful" ("childish," "just a chat," "not interesting"). The other 51 patients described their art therapy experience as "helpful." From patients' statements, three main groups emerged: (1) art therapy was perceived as generally helpful (e.g., "relaxing," "creative"; 37.3%), (2) art therapy was perceived as helpful because of the dyadic relationship (e.g., "talking about oneself and feeling listened to"; 33.3%), and (3) art therapy was perceived as helpful because of the triadic relationship, patient-image-art therapist (e.g., "expressing emotions and searching for meanings"; 29.4%). These data have clinical implications, as they show that art therapy may be useful to support patients during the stressful time of chemotherapy treatment. Different patients use it to fulfil their own different needs, whether it is a need to relax (improved mood) or to talk (self-narrative) or to visually express and elaborate emotions (discovering new meanings). Some illustrations of patients using the art therapy process to fulfill these three different needs are
Puts, David A.; Pope, Lauramarie E.; Hill, Alexander K.; Cárdenas, Rodrigo A.; Welling, Lisa L. M.; Wheatley, John R.; Breedlove, S. Marc
Across human societies and many nonhuman animals, males have greater interest in uncommitted sex (more unrestricted sociosexuality) than do females. Testosterone shows positive associations with male-typical sociosexual behavior in nonhuman animals. Yet, it remains unclear whether the human sex difference in sociosexual psychology (attitudes and desires) is mediated by testosterone, whether any relationships between testosterone and sociosexuality differ between men and women, and what the nature of these possible relationships might be. In studies to resolve these questions, we examined relationships between salivary testosterone concentrations and sociosexual psychology and behavior in men and women. We measured testosterone in all men in our sample, but only in those women taking oral contraception (OC-using women) in order to reduce the influence of ovulatory cycle variation in ovarian hormone production. We found that OC-using women did not differ from normally-ovulating women in sociosexual psychology or behavior, but that circulating testosterone mediated the sex difference in human sociosexuality and predicted sociosexual psychology in men but not OC-using women. Moreover, when sociosexual psychology was controlled, men’s sociosexual behavior (number of sexual partners) was negatively related to testosterone, suggesting that testosterone drives sociosexual psychology in men and is inhibited when those desires are fulfilled. This more complex relationship between androgen and male sexuality may reconcile some conflicting prior reports. PMID:25644313
Full Text Available This article examines a brief statement made by Patrick D Miller in his commentary on Deuteronomy, namely that scholars quite likely have missed the most important Old Testament passage relating to the kind� of kingship Jesus manifested in his earthly ministry.Deuteronomy 17:14-20 gives a job description for an upcoming, earthly king; it carries messianic dimensions. Christian scholars, however, primarily have pointed to Isaiah and the messianic passages of the royal psalms to provide indication from the Old Testament� that Jesus indeed� fulfilled� the promises therein of the promised king and the Messiah. Reading like a modern �Position Available� advertisement, the qualifications for kingship in Deuteronomy begin by saying the coming king must be God�s choice, an Israelite and not a foreigner; frugal, not prone to displays of wealth and military might; and careful to keep his heart faithful to the Lord. Furthermore, a king�s first duty is to write for himself a copy of the law and to read it throughout his life. The kind of kingship Jesus displayed during his ministry indeed exemplified his personal knowledge and careful following of the law, his total obedience to� the law, his reverence for the law, and his humility before his disciples�all qualifications for earthly kingship �advertised� in the pericope. The Gospel of Matthew resonates with passages showing that Jesus� answered the advertisement, met the job description, and fulfilled the qualifications for kingship outlined prophetically by Moses in Deuteronomy.
The objectives of certification and accreditation are the deployment and examination of quality improvement measures in health care services. The quality management system of the ISO 9001 is created to install measures and tools leading to assured and improved quality in health care. Only some experiences with certification fulfilling ISO 9001 criteria exist in the German health care system. Evidence-based clinical guidelines can serve as references for the development of standards in quality measurement. Only little data exists on the implementation strategy of guidelines and evaluation, respectively. A pilot quality management system in consistence with ISO 9001 criteria was developed for ambulatory, gastroenterological services. National guidelines of the German Society of Gastroenterology and Metabolism and the recommendations of the German Association of Physicians for quality assurance of gastrointestinal endoscopy were included in the documentation and internal auditing. This pilot quality management system is suitable for the first steps in the introduction of quality management in ambulatory health care. This system shows validity for accreditation and certification of gastrointestinal health care units as well.
Full Text Available The need for fresh water in the world of industry is increasing with the rapid development of the global industry. The shipping industry is having a significant impact as part of a global industry concerning the sector of freshwater demand on ships. Freshwater supplies on ro-pax vessels are very important because they are the source of crew and passenger life when ships sail. Fulfillment of freshwater needs on a ro-pax vessel is made in a conventional system by filling clean water into a freshwater tank from the port. In this final project will be analyzed technical and economical on designing fresh water system using reverse osmosis system with solar panel as power supply and compare it with conventional system on ship KM. SABUK NUSANTARA 56. This Final Project includes installation design, size of fresh water tank, amount of cargo, investment cost and operational cost. The conclusion obtained in this final project is a reverse osmosis (RO system with solar panels as a very efficient power supply when applied to ro-pax ships such as ships KM SABUK NUSANTARA 56 because with this system the ship is able to produce their own fresh water, the size of the freshwater tank is smaller, for new shiploads can be increased. For the percentage of total cost of fresh water needs is dearer about 52 percent compared to conventional system and payload value increased 29.2 percent compared to conventional system.
Full Text Available The objective of the paper is the verification of the fulfilment of the purposes of Basel II, Pillar 3 – market discipline during the recent financial crisis. The objective of the paper is to describe the current state of the working out of the project that is focused on the analysis of the market participants’ interest in mandatory disclosure of financial information by a commercial bank by means of advanced methods of web log mining. The output of the realized project will be the verification of the assumptions related to the purposes of Basel III by means of the web mining methods, the recommendations for possible reduction of mandatory disclosure of information under Basel II and III, the proposal of the methodology for data preparation for web log mining in this application domain and the generalised procedure for users’ behaviour modelling dependent on time. The schedule of the project has been divided into three phases. The paper deals with its first phase that is focusing on the data pre-processing, analysis and evaluation of the required information under Basel II, Pillar 3 since 2008 and its disclosure into the web site of a commercial bank. The authors introduce the methodologies for data preparation and known heuristic methods for path completion into web log files with respect to the particularity of investigated application domain. They propose scientific methods for modelling users’ behaviour of the webpages related to Pillar 3 with respect to time.
Mühlmann, Charlotte; Madsen, Trine; Hjorthøj, Carsten Rygaard
BACKGROUND: Suicidal thoughts are common, causing distress for millions of people all over the world. However, people with suicidal thoughts might not access support due to financial restraints, stigma or a lack of available treatment offers. Self-help programs provided online could overcome...... these barriers, and previous efforts show promising results in terms of reducing suicidal thoughts. This study aims to examine the effectiveness of an online self-help intervention in reducing suicidal thoughts among people at risk of suicide. The Danish Self-help Online against Suicidal thoughts (SOS) trial...... to the intervention condition (N = 219) or the control condition (N = 219). The intervention condition consists of a 6-week, Internet-based self-help therapy intervention. The format of the intervention is self-help, but the participants can be guided by the trial manager. The control condition consists of a waiting...
Full Text Available The American Psychiatric Association removed homosexuality from its list of mental disorders in 1974. Before that, for more than a century, homosexuality and bisexuality were assumed to be mental illnesses. Studies have shown that there is no difference between homosexual and heterosexual individuals with regard to psychological functioning. However, an effect of stress related to stigmatisation was observed in the cases of homosexuality. Such kind of stress may increase the risk of suicide attempts, substance abuse, human immunodeficiency virus (HIV/acquired immunodeficiency syndrome (AIDS, and emotional distress. Findings of researches have suggested that there is a need for better education and training of mental health practitioners in this area. Therefore, in the present paper, few cases of homosexuality are discussed in the context of effect of stigmatisation and aspects of intimate relationships in these individuals. Further, the role of psychologists/professionals as therapists in providing their help to homosexual clients has also been presented.
You may find it useful to glue the information below, e.g. near/at your computer, for those occasions when access to computer services is not possible. It presents the way to contact the Computing Help Desk (hosted by IT Division as an entry point for general computing issues). Do not hesitate to contact us (by email to User.Relations@cern.ch) for additional information or feedback regarding this matter.Your contact for general computing problems or queriesPhone number:(+41 22 76) 78888Opening Hours:From Monday to Friday 8:30-17:30Email:Helpdesk@cern.chWeb:http://consult.cern.ch/service/helpdeskMiguel MarquinaIT Division/UserSupport
Miguel MARQUINA; Roger WOOLNOUGH; IT/User Support
The way to contact the Computing Help Desk (also known as 'UCO' and hosted by IT Division as an entry point for general computing issues) has been streamlined in order to facilitate access to it. A new telephone line and email address have been set: Phone number: 78888Email: Helpdesk@cern.chhopefully easier to remember. Both entries are operational since last December. The previous number and email address remain valid and have been turned into aliases of the above. However we encourage using the latter at your convenience from now on. For additional information please see the article published at the CERN Computing Newsletter 233:http://consult.cern.ch/cnl/233/art_uco.htmlDo not hesitate to contact us (by email to User.Relations@cern.ch) for additional information or feedback regarding this matter.Nicole Cremel, Miguel Marquina, Roger WoolnoughIT/UserSupport
There are quite a few good programing languages and environments for teaching kids how to program. They help beginners learn basic programming constructs usually with help of interactive environment. In this thesis I will describe and compare a few of those languages and environments. Scratch is a language and programming environment that is also intended for learning programming using blocks that make writing complicated instructions easier and reduce beginners' difficulties with syntax erro...
Lin, Jia-Ling; Zaki, Eman; Schmidt, Jason; Woolston, Don
Helping students appreciate physics education is a formidable task, considering that many students struggle to pass introductory physics courses. Numerous efforts have been made for this undertaking because it is an important step leading to successful learning. In an out-of-classroom academic program, the Supplemental Instruction (SI) Program, we have used the approach, INSPIRE (inquiry, network, skillfulness, perseverance, intuition, reasoning, and effort), to help more students value their experiences in these courses. The method basically includes key elements outlined by experts in physics education . Student responses have been encouraging. Having undergraduates as facilitators in the program is advantageous in promoting principles of physics education. Their training emphasizes tenacity, resourcefulness, understanding, support, and teamwork, i.e. TRUST. We present the organization and focus of the SI Program, and discuss how these improve learning atmosphere and facilitate learning.  Edward F. Redish et al, Am J. Phys. 66(3), March 1998.
The practice of medicine in general and nephrology in particular grows increasingly complex with each passing year. In parallel with this trend, the purchasers of health care are slowly shifting the reimbursement paradigm from one based on rewarding transactions, or work performed, to one that rewards value delivered. Within this context, the health-care value equation is broadly defined as quality divided by costs. Health information technology has been widely recognized as 1 of the foundations for delivering better care at lower costs. As the largest purchaser of health care in the world, the Centers for Medicare and Medicaid Services has deployed a series of interrelated programs designed to spur the adoption and utilization of health information technology. This review examines our known collective experience in the practice of nephrology to date with several of these programs and attempts to answer the following question: Is health information technology helping or hindering the delivery of value to the nation's health-care system? Through this review, it was concluded overall that the effect of health information technology appears positive; however, it cannot be objectively determined because of the infancy of its utilization in the practice of medicine. Copyright © 2014 National Kidney Foundation, Inc. Published by Elsevier Inc. All rights reserved.
Madon, Stephanie; Guyll, Max; Buller, Ashley A; Scherr, Kyle C; Willard, Jennifer; Spoth, Richard
This research examined whether self-fulfilling prophecy effects are mediated by self-verification, informational conformity, and modeling processes. The authors examined these mediational processes across multiple time frames with longitudinal data obtained from two samples of mother-child dyads (N-sub-1 = 486; N-sub-2 = 287), with children's alcohol use as the outcome variable. The results provided consistent support for the mediational process of self-verification. In both samples and across several years of adolescence, there was a significant indirect effect of mothers' beliefs on children's alcohol use through children's self-assessed likelihood of drinking alcohol in the future. Comparatively less support was found for informational conformity and modeling processes as mediators of mothers' self-fulfilling effects. The potential for self-fulfilling prophecies to produce long-lasting changes in targets' behavior via self-verification processes are discussed. (c) 2008 APA, all rights reserved
Madon, Stephanie; Guyll, Max; Buller, Ashley A.; Scherr, Kyle C.; Willard, Jennifer; Spoth, Richard
This research examined whether self-fulfilling prophecy effects are mediated by self-verification, informational conformity, and modeling processes. The authors examined these mediational processes across multiple time frames with longitudinal data obtained from two samples of mother – child dyads (N1 = 487; N2 = 287). Children’s alcohol use was the outcome variable. The results provided consistent support for the mediational process of self-verification. In both samples and across several years of adolescence, there was a significant indirect effect of mothers’ beliefs on children’s alcohol use through children’s self-assessed likelihood of drinking alcohol in the future. Comparatively less support was found for informational conformity and modeling processes as mediators of mothers’ self-fulfilling effects. The potential for self-fulfilling prophecies to produce long lasting changes in targets’ behavior via self-verification processes are discussed. PMID:18665708
Junod Perron, Noelle; Humair, Jean-Paul; Gaspoz, Jean-Michel
QUESTION UNDER STUDY/PRINCIPLES: Ambulatory care is a mandatory component of post-graduate training in general internal medicine. Academic outpatient clinics face challenges in training residents in terms of exposure to sufficient patient case-mix, diversity of clinical activities and continuity of care while fulfilling their mission to provide care to vulnerable populations. We report the development and evaluation of a new postgraduate curriculum in ambulatory care in Geneva, Switzerland, designed to overcome such challenges. The content of learning activities was adapted to core competencies and learning objectives. In the new 2-year curriculum, residents had their working week divided into 2½ days of continuity clinic over two years, and 2½ days of 6 to 12 months rotations (e.g., walk-in clinics). Team work was consolidated through the creation of subunits including an attending physician, 1-2 senior residents during one year and 6- to 8 residents, who met in bi-monthly meetings with other health professionals. In both local and national surveys, residents and senior residents expressed an overall global satisfaction with the new curriculum. Nursing and administrative staff were less satisfied, because of reduced residents' time in each unit. Interprofessional meetings were highly appreciated for both patient care and team building. Management of residents' absences became more complex. The new curriculum met its goals in gaining residents' satisfaction and in reinforcing interprofessional collaboration although management of human resources became more complex. It also gave insights into challenges to be addressed when disseminating a new curriculum, such as strong leadership, educational expertise and management skills and tools.
Fisher, Colin M.; Pillemer, Julianna; Amabile, Teresa M.
Through an inductive, multi-method field study at a major design firm, we investigated the helping process in project work and how that process affects the success of a helping episode, as perceived by help-givers and/or -receivers. We used daily diary entries and weekly interviews from four project teams, and a separate sample of critical incident interviews, to induce process models of successful and unsuccessful helping episodes. We found that, in unsuccessful episodes, help-givers and -re...
The Black Women's Health Project, part of the Black Coalition on AIDS in San Francisco, has surveyed young women to determine why they choose risky behaviors that put them at risk for HIV and other STDs, and unplanned pregnancies. Twenty-nine girls participated in a series of focus groups and discussions. The girls had basic questions about how AIDS is transmitted and questions related to self-esteem. The girls discussed a number of scenarios designed to make them understand that their risky behaviors are dangerous. The findings suggest that self-esteem is a problem for young women. Young black women need to learn to practice safe sex, negotiate sexual relationships, and protect themselves. The groups also recommend mentoring programs and workshops.
Ormsby, Rachel A.
This document provides technical information and programming guidance for the maintenance and future development of the Thermal Analyst's Help Desk. Help Desk is an expert system that operates within the EXSYSTM expert system shell, and is used to determine first approximations of thermal capacity for spacecraft and instruments. The five analyses supported in Help Desk are: (1) surface area required for a radiating surface, (2) equilibrium temperature of a surface, (3) enclosure temperature and heat loads for a defined position in orbit, (4) enclosure temperature and heat loads over a complete orbit and, (5) selection of appropriate surface properties. The two geometries supported by Help Desk are a single flat plate and a rectangular box enclosure. The technical information includes the mathematical approach and analytical derivations used in the analyses such as: radiation heat balance, view factor calculation, and orbit determination with coordinate transformation. The programming guide for developers describes techniques for enhancement of Help Desk. Examples are provided showing the addition of new features, user interface development and enhancement, and external program interfaces.
Skinner, Barbara; Madden, Mary Catherine
An examination of literature on the issue of help seeking (HS) has revealed a common theme: students will not always ask for help, even when they are aware that help is needed. The purpose of this action research study was to examine HS and help avoidance in the context of setting tasks in two types of English language-learning environment: a…
Schug, Mark C.; Kepner, Henry S., Jr.
The special responsibility of the social studies program is to help students understand the personal and social issues related to computer technology. Students must understand how computer technology influences us in our roles as consumers, workers, citizens, and family members. Curriculum materials dealing with these topics need to be developed.…
Ryan, Katherine C.
Employee assistance programs (EAPs) are emerging as an efficient way to address employee rights, particularly in light of the Americans with Disabilities Act and the Family and Medical Leave Act. Well-managed EAPs help maintain a healthy, motivated, productive workforce, show effort to provide reasonable accommodation of employee needs, and may…
Coogan, Mercy Hardie
Student health professionals, working as assistants to communities with serious health care problems, helped develop the Shuqualak health center in an area with the highest infant mortality rate in the United States. Describes the Community Technical Assistance Program and the history of the Shuqualak project. (SB)
Vagliani, R.; Ilinca, A. [Quebec Univ., Rimouski, PQ (Canada). Laboratoire de Recherche en Energie Eolienne
This paper presented the laboratory work of a research study on wind engineering. It described and interpreted all the tools that were created to facilitate the study. In particular, it demonstrated how data from the AnemoScope Wind Energy Simulation Toolkit can be retrieved. AnemoScope combines mesoscale and microscale wind models with advanced visualization for computer analysis. It allows users to determine the ideal locations to install wind turbines by providing the science and technology to perform pinpoint wind-energy studies. This paper also demonstrated how to retrieve real data from Environment Canada as well as topographical data from the Geobase Internet site and combine them into a Global Mapper software. The information provided can be used to effectively compare results with actual data from AnemoScope with those provided from Environment Canada based on topography. 10 refs, 15 tabs, 33 figs.
Caldeira, Kimberly M.; Kasperski, Sarah J.; Sharma, Eva; Vincent, Kathryn B.; O’Grady, Kevin E.; Wish, Eric D.; Arria, Amelia M.
The prevalence of substance use disorders (SUD) and aspects of the help-seeking process among a high-risk sample of 946 students at one large public university were assessed in personal interviews during the first three years of college. After statistically adjusting for purposive sampling, an estimated 46.8%wt of all third-year students met DSM-IV criteria for SUD involving alcohol and/or marijuana at least once. Of 548 SUD cases, 3.6% perceived a need for help with substance use problems; 16.4% were encouraged by someone else to seek help. Help-seeking was rare among SUD cases (8.8%), but significantly elevated among individuals who perceived a need (90.0%) or experienced social pressures from parents (32.5%), friends (34.2%), or another person (58.3%). Resources accessed for help included educational programs (38%), health professionals (27%), and twelve-step programs (19%). College students have high rates of substance use problems but rarely recognize a need for treatment or seek help. Results highlight the opportunity for early intervention with college students with SUD. PMID:19553064
Program activities are described for the Youth Counseling Services and Family Planning Education Project, established in 1990 by the Family Guidance Association of Ethiopia. The project operates out of two locations and has five staff and a doctor who visits two times a week. Thus far 5300 adolescents have received contraception and about 500 youth have received medical consultations. Services include counseling, films about adolescent sexuality and contraceptive methods, booklets on family life education and contraception, and a drama group that does community outreach. Services aim to treat and prevent sexually transmitted diseases an AIDS, to improve reproductive health, and to provide family planning services. Services are a joint effort of staff, community, school teachers, and youth that aims to break down cultural barriers that prevent use of services. Material for films and theater comes from locally written or prepared materials. For example a teenager wrote the play "Yetwatwa Chorka" about adolescent pregnancy. Another radio dramatization has a plot relating to the conflict between traditional and modern values. The drama troupe also does radio dialogues about contraception and family issues and makes advertisements about condoms and HIV transmission. The producer director of media outreach is reported to be well known for his role in the productions. The centers are considered popular and more outreach is planned for out of school youth.
Alvarez, K.; van Leeuwen, E.
This paper shows that receiving help could be psychologically harmful for recipients, and passing on help to others after receiving help ("helping forward") is a good strategy to improve and restore help recipients' self-competence. Participants (N=87) received autonomy- or dependency-oriented help
... gov/ency/patientinstructions/000133.htm Daily bowel care program To use the sharing features on this page, ... Work with your health care provider. Basic Bowel Program Keeping active helps prevent constipation. Try to walk, ...
A compilation and index of the ERDA materials sciences program is presented. This compilation is intended for use by administrators, managers, and scientists to help coordinate research and as an aid in selecting new programs. (GHT)
Al-Khathami, Abdullah Dukhail
The Saudi Diploma in Family Medicine (SDFM) was enacted in 2007 to fulfill the needs of qualified Primary Health Care providers in Saudi Arabia. Evaluation is not only an integral process for designing educational training programs, but an effective evaluation strategy that helps achieve program objectives and enhances the quality of learning objectives: (1) Construct a self-administered questionnaire based on Context, input, process and product (CIPP) format to seek trainees' perceptions about the SDFM program; (2) identify the strengths and weaknesses of the SDFM program in relation to the learning outcomes; and (3) define the main obstacles to achieve the outcomes. A self-administered questionnaire was designed based on the CIPP evaluation format after. its validity and reliability were tested through piloting. Then, all the SDFM program trainees were included. The study response rate was 91.2%. More than 77% of the trainees stated that they had achieved the program objectives; a significant difference was found among Saudis and non-Saudis (p = 0.002). The training period was reported by 84% as a main barrier to achieve the program objectives, particularly the hospital rotation period. Results indicate an overall satisfaction with the training objectives and the teaching methods used. These findings can be useful for the policy makers to implement the suggested recommendations and deal with obstacles to improve the SDFM program in order to provide effective and efficient primary care services.
Brown, J. P.
The proposed NASA Public Service Communication Satellite Program consists of four different activities designed to fulfill the needs of public service sector. These are: interaction with the users, experimentation with existing satellites, development of a limited capability satellite for the earliest possible launch, and initiation of an R&D program to develop the greatly increased capability that future systems will require. This paper will discuss NASA efforts in each of these areas.
... 7 Agriculture 13 2010-01-01 2009-01-01 true Self-Help Technical Assistance Grant Predevelopment... SERVICE AGENCY, DEPARTMENT OF AGRICULTURE (CONTINUED) PROGRAM REGULATIONS (CONTINUED) HOUSING Self-Help Technical Assistance Grants Pt. 1944, Subpt. I, Exh. D Exhibit D to Subpart I of Part 1944—Self-Help...
Gebauer, J.E.; Sedikides, C.; Wagner, J.; Bleidorn, W.; Rentfrow, P.J.; Potter, J.; Gosling, S.D.
What is the function of self-esteem? We classified relevant theoretical work into 3 perspectives. The cultural norm-fulfillment perspective regards self-esteem a result of adherence to cultural norms. The interpersonal-belonging perspective regards self-esteem as a sociometer of interpersonal
Martinez, José Eduardo; Paiva, Eduardo S; Rezende, Marcelo C; Heymann, Roberto E; Helfenstein, Milton; Ranzolin, Aline; Provenza, Jose Roberto; Ribeiro, Luiz Severiano; Souza, Eduardo J R; Feldman, Daniel P; Assis, Marcos Renato de
EpiFibro (Brazilian Epidemiological Study of Fibromyalgia) was created to study Fibromyalgia patients. Patients were included since 2011 according to the 1990 American College of Rheumatology Classification Criteria for Fibromyalgia (ACR1990). To determine how many patients still fulfill the ACR1990 and the ACR2010 criteria in 2014; to determine the correlation between the impact of FM and to describe data on the follow-up evaluation. This is a cross sectional study in a multicenter cohort of patients. The data was collected between 2013 and 2015. Physician included patients that fulfilled the ACR1990 criteria on the date of entry. The follow-up data were considered only for patients with at least two evaluations. A minimally significant change was considered to be a 30% variation of parameters scores. 810 patients' data were analyzed. Patients presented a mean age of 51.8±11.5 years old. There were 786 female. Most patients met both criteria. There was a greater fulfilling of the ACR2010. There was a moderate correlation between Polysymptomatic Distress Scale and Fibromyalgia Impact Questionnaire. Three hundred fourteen patients with more than one assessment were found, but 88 patients were excluded. Thus, 226 patients with one follow-up monitoring parameter were considered (Fibromyalgia Impact Questionnaire: 222; Polysymptomatic Distress Scale: 199; both: 195). The mean follow-up time was 9.1±7.5 months (1-44). Most patients became stable. InEpiFibro, most patients fulfill simultaneously the ACR1990 and ACR2010. A larger number of patients fulfill the ACR2010 at the time of the evaluation. There was a moderate correlation between the Polysymptomatic Distress Scale and the Fibromyalgia Impact Questionnaire. Most patients remained stable over time. Copyright © 2016 Elsevier Editora Ltda. All rights reserved.
Martinez, José Eduardo; Paiva, Eduardo S; Rezende, Marcelo C; Heymann, Roberto E; Helfenstein, Milton; Ranzolin, Aline; Provenza, Jose Roberto; Ribeiro, Luiz Severiano; Souza, Eduardo J R; Feldman, Daniel P; Assis, Marcos Renato de
EpiFibro (Brazilian Epidemiological Study of Fibromyalgia) was created to study Fibromyalgia patients. Patients were included since 2011 according to the 1990 American College of Rheumatology Classification Criteria for Fibromyalgia (ACR1990). To determine how many patients still fulfill the ACR1990 and the ACR2010 criteria in 2014; to determine the correlation between the impact of FM and to describe data on the follow-up evaluation. This is a cross sectional study in a multicenter cohort of patients. The data was collected between 2013 and 2015. Physician included patients that fulfilled the ACR1990 criteria on the date of entry. The follow-up data were considered only for patients with at least two evaluations. A minimally significant change was considered to be a 30% variation of parameters scores. 810 patients' data were analyzed. Patients presented a mean age of 51.8±11.5 years old. There were 786 female. Most patients met both criteria. There was a greater fulfilling of the ACR2010. There was a moderate correlation between PDS and FIQ. Three hundred fourteen patients with more than one assessment were found, but 88 patients were excluded. Thus, 226 patients with one follow-up monitoring parameter were considered. (FIQ: 222; PDS: 199; both: 195). The mean follow-up time was 9.1±7.5 months (1- 44). Most patients became stable. InEpiFibro, most patients fulfill simultaneously the ACR1990 and ACR2010. A larger number of patients fulfill the ACR2010 at the time of the evaluation. There was a moderate correlation. Most patients remained stable over time. Copyright © 2016. Published by Elsevier Editora Ltda.
... helpful to turn to others outside your immediate circle. A support group can help you cope better ... So at first, you may benefit from simply listening. Over time, though, contributing your own ideas and ...
Mashuri, A.; Burhan, O.; van Leeuwen, E.; Mashuri, A.
We examined how immigrants' acculturation style (multiculturalism versus assimilation) affects the host society's willingness to help immigrants. The results from this experiment supported our expectations in showing that multiculturalism triggered less immigrant helping than assimilation, but only
Helping You Choose Quality Behavioral Health Care Selecting quality behavioral health care services for yourself, a relative or friend requires special ... for and what to ask will help you choose an organization that provides safe, quality care, treatment ...
永井, 智; 小池, 春妙
This study investigated the relationship among factors of seeking professional help in Japanese university students. Two hundred and thirty-eight students completed a questionnaire about their attitude toward seeking professional help, intention to seek professional help, concerns regarding counseling, expectations from counseling, help-seeking preference, and previous counseling experience. An analysis of variance indicated that（ a） students who have previous counseling experience had a more...
Stanhope, Linda; And Others
Investigated the relationship between children's temperaments, in interaction with situational factors, and their helping behavior. Twenty-four preschool children were presented with four opportunities for helping a female adult. Mothers rated children's helpfulness at home. Multiple measures of sociablity were gathered from mothers and preschool…
Mors, Marie Louise; Miller, Stewart; McDonald, Michael
This study develops a framework that draws upon the socio-psychology and network literatures to explain helping behavior in an executive’s multinational network. Focusing on executives' perceptions of willingness to help, we examine network structure (geographic and organizational boundaries...... for the role of network structural characteristics in that organizational boundaries rather than geographic boundaries influence perceived helping behavior....
Yamada, Yukari; Siersma, Volkert; Avlund, Kirsten
The effect of home help services has been inconsistent. Raising the hypothesis that receiving small amounts of home help may postpone or prevent institutionalization, the aim of the present study is to analyze how light and heavy use of home help services was related to the risk for institutional...
Many people want to help their friends and loved ones quit smoking. But, they often don't know how. Here are 6 frequently asked questions about how to help someone quit smoking to help you get the information you need.
Cardenas-Claros, Monica S.; Gruba, Paul A.
This paper is a systematic review of research investigating help options in the different language skills in computer-assisted language learning (CALL). In this review, emerging themes along with is-sues affecting help option research are identified and discussed. We argue that help options in CALL are application resources that do not only seem…
Laeeq, Kulsoom; Weatherly, Robert A; Masood, Hamid; Thompson, Richard E; Brown, David J; Cummings, Charles W; Bhatti, Nasir I
To identify the barriers faced by otolaryngology program directors as they implement competency-based education and assessment and to identify preferred approaches to meet these challenges as suggested by program directors. A national survey of otolaryngology-head and neck surgery program directors. We developed a 20-item questionnaire that was distributed to 102 otolaryngology program directors through SurveyMonkey. Nonrespondents were reminded by follow-up email and phone calls. Results were analyzed by descriptive statistical analysis. A total of 88 (86%) program directors responded to the survey. There was a marked discrepancy between the income received and time spent performing the duties of the program director. Program director workload was recognized as the most important barrier to the implementation of competency-based education. Creating a practical clearinghouse of existing and emerging assessment tools was given the highest rating among the approaches to meet the challenges faced by program directors. Program directors in otolaryngology do not have sufficient financial support, protected time, and personnel to fulfill their administrative and educational responsibilities. They should be provided with additional institutional assistance to help them achieve the goals of the Accreditation Council for Graduate Medical Education outcome project.
Stolzenburg, S; Freitag, S; Evans-Lacko, S; Speerforck, S; Schmidt, S; Schomerus, G
Many people with mental illness do not seek professional help. Beliefs about the causes of their current health problem seem relevant for initiating treatment. Our aim was to find out to what extent the perceived causes of current untreated mental health problems determine whether a person considers herself/himself as having a mental illness, perceives need for professional help and plans to seek help in the near future. In a cross-sectional study, we examined 207 untreated persons with a depressive syndrome, all fulfilling criteria for a current mental illness as confirmed with a structured diagnostic interview (Mini International Neuropsychiatric Interview). The sample was recruited in the community using adverts, flyers and social media. We elicited causal explanations for the present problem, depression literacy, self-identification as having a mental illness, perceived need for professional help, help-seeking intentions, severity of depressive symptoms (Patient Health Questionnaire - Depression), and whether respondents had previously sought mental healthcare. Most participants fulfilled diagnostic criteria for a mood disorder (n = 181, 87.4%) and/or neurotic, stress-related and somatoform disorders (n = 120, 58.0%) according to the ICD-10. N = 94 (45.4%) participants had never received mental health treatment previously. Exploratory factor analysis of a list of 25 different causal explanations resulted in five factors: biomedical causes, person-related causes, childhood trauma, current stress and unhealthy behaviour. Attributing the present problem to biomedical causes, person-related causes, childhood trauma and stress were all associated with stronger self-identification as having a mental illness. In persons who had never received mental health treatment previously, attribution to biomedical causes was related to greater perceived need and stronger help-seeking intentions. In those with treatment experience, lower attribution to person-related causes and
Nakre, Priya Devadas; Harikiran, A G
In recent years, attention has been drawn toward assessing the effectiveness of oral health education programs. This is in line with demand for evidence based research and will help to inform policy makers on how to allocate resources. (1) Collect and collate all information on oral health education programs. (2) Assess the programs based on various coding criteria. (3) Assess effectiveness of oral health education programs on oral health status and knowledge, attitude and practice. A search of all published articles in Medline was done using the keywords "oral health education, dental health education, oral health promotion". The resulting titles and abstracts provided the basis for initial decisions and selection of articles. Out of the primary list of articles, a total number of 40 articles were selected as they fulfilled the following inclusion criteria: (1). Articles on oral health programs with an oral health education component (2). Articles published after the year 1990 (3). Articles published in English. The full text of the articles was then obtained from either the internet or libraries of dental research colleges and hospitals in and around Bangalore. A set of important variables were identified and grouped under five headings to make them amenable for coding. The coding variables were then described under various subheadings to allow us to compare the chosen articles. Oral health education is effective in improving the knowledge attitude and practice of oral health and in reducing plaque, bleeding on probing of the gingiva and caries increment. This study identifies a few important variables which contribute to the effectiveness of the programs. There is an indication in this review that the most successful oral health programs are labor intensive, involve significant others and has received funding and additional support. A balance between inputs and outputs and health care resources available will determine if the program can be recommended for
Tirez, Kristof; Vanhoof, Chris; Bronders, Jan; Seuntjens, Piet; Bleux, Nico; Berghmans, Patrick; De Brucker, Nicole; Vanhaecke, Frank
Undoubtedly, the most important advance in the environmental regulatory monitoring of elements of the last decade is the widespread introduction of ICP-mass spectrometry (ICP-MS) due to standards developed by the European Committee for Standardization. The versatility of ICP-MS units as a tool for the determination of major, minor and trace elements (Al, As, Ba, Ca, Cd, Co, Cr, Cu, Fe, Hg, K, Mg, Mn, Mo, Na, Ni, P, Pb, Sb, Se, Sn, Ti, V and Zn) in surface water, groundwater, river sediment, topsoil, subsoil, fine particulates and atmospheric deposition is illustrated in this paper. Ranges of background concentrations for major, minor and trace elements obtained from a regional case study (Flanders, Belgium) are summarized for all of these environmental compartments and discussed in the context of a harmonized implementation of European regulatory monitoring requirements. The results were derived from monitoring programs in support of EU environmental quality directives and were based on a selection of (non-polluted) background locations. Because of the availability of ICP-MS instruments nowadays, it can be argued that the main hindrance for meeting the European environmental monitoring requirements is no longer the technical feasibility of analysis at these concentration levels, but rather (i) potential contamination during sampling and analysis, (ii) too limited implementation of quality control programs, validating the routinely applied methods (including sampling and low level verification) and (iii) lack of harmonization in reporting of the chemical environmental status between the individual member states.
Full Text Available The vision of Aceh Government in 2012-2017 is Aceh are dignified, prosperous, just, and independent based on the legislation of Aceh government as a form of Memorandum of Understanding. One of the visions of Aceh government 2012-2017 is the improved welfare of Acehnese people through quality health services through increasing life expectancy, infant mortality, decreasing the prevalence of malnutrition as well as the effectiveness of the treatment of infectious diseases to the achievement of the MDG’s. Model policies adopted by the Aceh government is monitoring and track record of cases, tv monitor, routine and case sms, a special program policy model, and the model of budget balancing. Model policies adopted by the district/city government is making a supporting program, All Village Midwives Must Live in the Village, deliveries assistance is performed by professional health workers, adjustment to the ability of APBK. Support new regulation of Regent Regulation (Perbub on Malaria Elimination and No Smoking Area. MDG’s target is not entirely in accordance with the indicator being built, because it requires adjustments in accordance with the ability of both district or city areas. Regulatory support is not adequate to support the achievement of the MDG’s in the field of health.
Mühlmann, Charlotte; Madsen, Trine; Hjorthøj, Carsten
BACKGROUND: Suicidal thoughts are common, causing distress for millions of people all over the world. However, people with suicidal thoughts might not access support due to financial restraints, stigma or a lack of available treatment offers. Self-help programs provided online could overcome...... these barriers, and previous efforts show promising results in terms of reducing suicidal thoughts. This study aims to examine the effectiveness of an online self-help intervention in reducing suicidal thoughts among people at risk of suicide. The Danish Self-help Online against Suicidal thoughts (SOS) trial...... is a partial replication of a previously conducted Dutch trial. METHODS AND DESIGN: A randomized, waiting-list controlled trial with 1:1 allocation ratio will be carried out. A total of 438 people with suicidal thoughts will be recruited from the Danish suicide hotline, The Lifeline's, website and allocated...
Rahmasari, Indah. 2014. A Semiotic Analysis on The Help Movie Posters.Study Program of English, Department of Languages and Literature, Faculty ofCultural Studies, Universitas Brawijaya. Supervisor: Yana Shanti Manipuspika;Co-Supervisor: Emy SudarwatiKeywords: semiotics, movie poster, sign, denotation, connotation, myth. Movie posters normally contain many kinds of verbal and visual signs.The images with text that appear in the movie poster inform the viewer aboutwhat approximately happened a...
Adamsen, L; Rasmussen, J M
. Involvement in self-help groups is a relatively new area of nursing practice and nursing research and serves an important function in that it sheds light on a rather unique form of social practice that is partly organized and managed by the participants themselves. By implementing modern sociological theory......AIM: The paper discusses two themes: first, professional involvement in self-help groups and secondly, sociological evidence on self-help groups in postmodern society. BACKGROUND: Self-help groups are a growing phenomenon across national borders and social/political systems. They affect...... and significance of self-help groups. FINDINGS: New empirical sociological evidence shows that health care professionals - nurses, psychologists, social workers - have become an integrated part and thus essential actors in self-help groups within as well as outside the framework of the formal health care system...
Kuo, Su-Chen; Lin, Kuan-Chia; Hsu, Chi-Ho; Yang, Cherng-Chia; Chang, Min-Yu; Tsao, Chien-Ming; Lin, Lie-Chu
In many western countries, pregnant women often prepare birth plans, outlining how they would like their childbirth experiences to proceed. However there have been no experimental studies to evaluate the effect of birth plans. The objective of this research was to evaluate the effects of birth plans on women's fulfilment of their childbirth expectations, their control over the birth process, and overall experiences. A randomised, single-blind controlled trial study design was used. This study involved seven hospitals and 10 obstetricians in Taiwan. Participants included primiparous women, each under the care of one of seven Taiwanese medical facilities, and who had been pregnant for at least 32 weeks. They were also at least 18 years old, and had no pregnancy complications. An exclusion criterion was elective caesarean as a mode of delivery. A total of 296 women in hospital clinics who met the study criteria were allocated by block randomisation to experimental (n=155) or control (n=141) groups. The women completed their basic personal information and a childbirth expectations questionnaire when they were recruited. One day after delivery, all the participants completed a questionnaire about the childbirth experience, control and fulfilment of their childbirth expectations. The experimental group had a statistically higher degree of positive childbirth experiences than that of the control group (t=2.48, p=0.01). The experimental group also showed a higher degree of childbirth control (t=9.60, pcontrol groups in prenatal birth expectations, but a significant difference (t=2.63, p=0.01) in the degree of fulfilment of their childbirth expectations after delivery. On a subscale measuring the fulfilment of childbirth expectations, there was a statistically higher degree of mastery and participation (t=3.74, pcontrol group. The results justify the clinical implementation of birth plans. Providing birth plans in medical facilities is an effective means of fulfilling
This is the ``first effort`` to prepare an inventory of existing educational programs, focused primarily on inner-city youth, in operation in Washington, DC, Baltimore, and Philadelphia. The purpose of the inventory is to identify existing programs which could be augmented, adapted, or otherwise strengthened to help fulfil the mission of the Department of Energy-sponsored Inner-City Energy and Environmental Education Consortium, the mission of which is to recruit and retain inner-city youth to pursue careers in energy-related scientific and technical areas and in environmental restoration and waste management. The Consortium does not want to ``reinvent the wheel`` and all of its members need to learn what others are doing. Each of the 30 participating academic institutions was invited to submit as many program descriptions as they wished. Due to the summer holidays, or because they did not believe than they were carrying out programs relevant to the mission of the Consortium, some institutions did not submit any program descriptions. In addition, several industries, governmental agencies, and not-for-profit institutions were invited to submit program descriptions.
Full Text Available This paper addresses an indispensable skill using a unique method to teach a critical component: helping children learn to read by using computer-assisted oral reading to help children learn vocabulary. We build on Project LISTENs Reading Tutor, a computer program that adapts automatic speech recognition to listen to children read aloud, and helps them learn to read (http://www.cs.cmu.edu/~listen. To learn a word from reading with the Reading Tutor, students must encounter the word and learn the meaning of the word in context. We modified the Reading Tutor first to help students encounter new words and then to help them learn the meanings of new words. We then compared the Reading Tutor to classroom instruction and to human-assisted oral reading as part of a yearlong study with 144 second and third graders. The result: Second graders did about the same on word comprehension in all three conditions. However, third graders who read with the 1999 Reading Tutor, modified as described in this paper, performed statistically significantly better than other third graders in a classroom control on word comprehension gains and even comparably with other third graders who read one-on-one with human tutors.
Center for Mental Health in Schools at UCLA, 2005
In the aftermath of a natural disaster, schools may need to plan to address the suffering and loss of many. These Guidance Notes discuss five areas in which schools can help students cope with loss: (1) Fostering Resiliency; (2) Facilitating and Fostering Social Ties and Resources; (3) Stages of Grieving; (4) Helping Students Deal with Loss; and…
Day-Watkins, Jessica; Murray, Rachel; Connell, James E.
This study is a replication and extension of Reeve, Reeve, Townsend, and Poulson (2007) evaluating the effects of a treatment package that included multiple-exemplar training, video modeling, prompting, and reinforcement on helping of 3 adolescents with autism. Results demonstrated that all participants acquired the helping responses. Probes…
Crosbie, Janet; Garlie, Norman W.
The authors rewiew the literature on the current state of training for health professionals to cope with death and dying. They also comment on recent changes in cultural attitudes toward death. Representatives of the helping professions (counselors, teachers, nurses, doctors, clergy, social workers) should be better prepared to help people deal…
Hrymak, Marilyn J.; Smart, Laura S.
Describes a workshop designed to help elementary teachers understand the recent literature on the effects of divorce on children and help the children through the crisis. Indicates that secondary home economics teachers may have to deal with students who have not adjusted to divorce. (JOW)
Miller, Stewart; Mors, Marie Louise; McDonald, Michael
Drawing on research on helping behavior in networks at the upper echelons, we develop and test theory about helping behavior in senior executive networks. We examine the location and relational dependence of the network contact. Our results reveal that executives are more likely to perceive insid...
Schnyder, Nina; Panczak, Radoslaw; Groth, Nicola; Schultze-Lutter, Frauke
BackgroundMental disorders create high individual and societal costs and burden, partly because help-seeking is often delayed or completely avoided. Stigma related to mental disorders or mental health services is regarded as a main reason for insufficient help-seeking.AimsTo estimate the impact of four stigma types (help-seeking attitudes and personal, self and perceived public stigma) on active help-seeking in the general population.MethodA systematic review of three electronic databases was followed by random effect meta-analyses according to the stigma types.ResultsTwenty-seven studies fulfilled eligibility criteria. Participants' own negative attitudes towards mental health help-seeking (OR = 0.80, 95% CI 0.73-0.88) and their stigmatising attitudes towards people with a mental illness (OR = 0.82, 95% CI 0.69-0.98) were associated with less active help-seeking. Self-stigma showed insignificant association (OR = 0.88, 95% CI 0.76-1.03), whereas perceived public stigma was not associated.ConclusionsPersonal attitudes towards mental illness or help-seeking are associated with active help-seeking for mental problems. Campaigns promoting help-seeking and fighting mental illness-related stigma should target these personal attitudes rather than broad public opinion. © The Royal College of Psychiatrists 2017.
Bond, Briony; Wright, John; Bacon, Alison
Self-help groups can have a large impact on individuals well-being and could reduce costs for healthcare services. Previous research supports the effectiveness of self-help groups, but explanations for this are lacking. Identifying the active ingredients which encourage positive change could inform effectiveness of these groups producing the best outcomes for members. This research investigated how members and facilitators of a borderline personality disorder self-help group (BPD SHG) interacted and made sense of their experiences in group meetings, to determine what aspects of interaction were helpful. Naturalistic data was collected from 10 participants via audio recording and analysed using interpretative phenomenological analysis. Three emergent themes are discussed: humour, praise and experiential knowledge. These are suggested to be active ingredients which are critical for the effectiveness of this BPD SHG, with particular focus on the facilitator's contribution.
Castellucci, Arthur, Ed.
Five members of a school library administration class developed guidelines for a Volunteer Mother Program in public school libraries. Guidelines were stated for the following aspects of volunteer programs: (1) reasons for using volunteers; (2) introduction to the program; (3) recruitment; (4) qualifications; (5) amount of help needed; (6)…
Nadler, Arie; Chernyak-Hai, Lily
On the basis of expectation states theory and Weiner's attributional model of help giving (Weiner, 1980), we predicted that low-status help seekers would be viewed as chronically dependent and their need as due to lack of ability, leading to the giving of dependency-oriented help (i.e., full solution to the problem). High-status help seekers were expected to be viewed as competent and their request as representing their high motivation to overcome a transient difficulty, resulting in autonomy-oriented help (i.e., tools to solve the problem). Help seeking is viewed as a stigma-consistent behavior that implies weakness when help seekers are low-status individuals and as strength when they are high-status individuals. Three experiments supported these predictions. The 4th experiment indicated that low-status persons who seek autonomy-oriented help are not seen as chronically dependent. Implications of these findings for helping and inequality are discussed.
Arvid Erlandsson; Amanda Åsa Jungstrand; Daniel Vastfjall
One important motivation for people behaving prosocially is that they want to avoid negative and obtain positive emotions. In the prosocial behavior literature however, the motivations to avoid negative emotions (e.g. guilt) and to approach positive emotions (e.g. warm glow) are rarely separated, and sometimes even aggregated into a single mood-management construct. The aim of this study was to investigate whether anticipated guilt if not helping and anticipated warm glow if helping are influ...
Habib, Maria A.
The current mission mandates of the National 4-H Headquarters are Citizenship, Healthy Living, and Science. Robotics programs are excellent in fulfilling the Science mandate. Robotics engages students in STEM (Science, Engineering, Technology, and Mathematics) fields by providing interactive, hands-on, minds-on, cross-disciplinary learning…
... the fulfillment of Program objectives are to be considered allowable costs. The two types of nutrition... to two hematological tests for anemia per individual per certification period. The first test shall be to determine anemia status. The second test may be performed only in follow up to a finding of...
Piet-pelon, N J; Sukop, S
Recent surveys by the Vietnamese Ministry of Health suggest that 60% of married women desire no more children. Yet only 2% of currently married women and less than 1/2 of 1% of their partners use sterilization. Underscoring the high unmet need for effective family planning, over 1 million abortions (legal in Vietnam for the past 20 years) are performed annually. This rate corresponds to 1 abortion for every live birth. The Ministry of Health has recently welcomed a variety of organizations, including AVSC, whose assistance can help expand the country's family planning programs. Sorely lacking in supplies, equipment, and trained personnel, Vietnam has merited priority status--2nd only to China and India--from the UNFPA, which has committed $36 million over the next 4 years. Other organizations currently working in Vietnam include the Population Council, the Population Crisis Committee, and the International Planned Parenthood Federation. Despite enormous casualties during the war years, and a decrease since the 1970s in average family size from 6 to 4 children, the population of Vietnam has continued to grow rapidly, far outpacing economic growth. Currently 67 million, the population is expected to reach 80 million by the year 2000. The average Vietnamese annual income is only $195, among the lowest in the world. Doi moi, the process of economic reform begun in 1986, coupled with new government incentives for families who have no more than 2 children, is changing the face of family planning in Vietnam. Newly opened pharmacies sell imported birth control pills and condoms (to those who can afford them), while government hospitals and health clinics provide mainly IUDs, in addition to limited supplies of pills and condoms. Throughout the country, some 8000 community-level health centers are staffed by nurse-midwives trained in family planning. Voluntary sterilization is available at the district, provincial, and national hospitals. All married women may obtain family
Olson, Gary; Talbert, Pearson
In 2005, St. Luke's Hospital in Chesterfield, Mo., launched the "Passport to Wellness" program to help employers reduce preventable illnesses by providing access to screenings, health education, health coaching, disease management, and healthy lifestyle programs. The program was designed to influence consumer choice of hospitals and physicians and influence health insurance purchasing decisions. St. Luke's program also met goals created by local businesses, including identifying health risks of each employer's workforce and reducing health-related costs.
Ben-Ami Bartal, Inbal; Shan, Haozhe; Molasky, Nora M R; Murray, Teresa M; Williams, Jasper Z; Decety, Jean; Mason, Peggy
Despite decades of research with humans, the biological mechanisms that motivate an individual to help others remain poorly understood. In order to investigate the roots of pro-sociality in mammals, we established the helping behavior test, a paradigm in which rats are faced with a conspecific trapped in a restrainer that can only be opened from the outside. Over the course of repeated test sessions, rats exposed to a trapped cagemate learn to open the door to the restrainer, thereby helping the trapped rat to escape (Ben-Ami Bartal et al., 2011). The discovery of this natural behavior provides a unique opportunity to probe the motivation of rodent helping behavior, leading to a deeper understanding of biological influences on human pro-sociality. To determine if an affective response motivates door-opening, rats receiving midazolam, a benzodiazepine anxiolytic, were tested in the helping behavior test. Midazolam-treated rats showed less helping behavior than saline-treated rats or rats receiving no injection. Yet, midazolam-treated rats opened a restrainer containing chocolate, highlighting the socially specific effects of the anxiolytic. To determine if midazolam interferes with helping through a sympatholytic effect, the peripherally restricted beta-adrenergic receptor antagonist nadolol was administered; nadolol did not interfere with helping. The corticosterone response of rats exposed to a trapped cagemate was measured and compared to the rats' subsequent helping behavior. Rats with the greatest corticosterone responses showed the least helping behavior and those with the smallest responses showed the most consistent helping at the shortest latency. These results are discussed in terms of their implications for the interaction between stress and pro-social behavior. Finally, we observed that door-opening appeared to be reinforcing. A novel analytical tool was designed to interrogate the pattern of door-opening for signs that a rat's behavior on one session
Full Text Available Frédéric Mistral is the only figure in the Felibrige to have devoted a significant portion of his oeuvre to the Middle Ages. This essay offers a new reading of his two works situated in the Middle Ages – the romance Nerto (1884, and the drama La Rèino Jano (Queen Joanna (1890. It argues that as a belated Romantic, Mistral repudiates the evils of modernity. His medievalism reflects and gives voice to his own political vision whereby the contemporary situation is displaced into a wish-fulfillment fourteenth century, in which France is conspicuous by its absence.
Participation by US firms in the development of Clean Coal. Technology (CCT) projects in foreign countries will help the United States achieve multiple national objectives simultaneously--addressing critical goals related to energy, environmental technology, industrial competitiveness and international trade. US participation in these projects will result in an improved global environment, an improvement in the balance of payments and an increase in US jobs. Meanwhile, host countries will benefit from the development of economically- and environmentally-sound power facilities. The Clean Air Act Amendments of 1990 (Public Law 101-549, Section 409) as supplemented by a requirement in the Energy Policy Act of 1992 (Public Law 102-486, Section 1331(f)) requires that the Secretary of Energy, acting through the Trade Promotion Coordinating Committee Subgroup on Clean Coal Technologies, submit a report to Congress with information on the status of recommendations made in the US Department of Energy, Clean Coal Technology Export Programs, Report to the United States Congress, February 1992. Specific emphasis is placed on the adequacy of financial assistance for export of CCTS. This report fulfills the requirements of the Act. In addition, although this report focuses on CCT power projects, the issues it raises about the financing of these projects are also relevant to other CCT projects such as industrial applications or coal preparation, as well as to a much broader range of energy and environmental technology projects worldwide.
Yamazaki, Yuka; Uka, Takanori; Marui, Eiji
In Japan, the field of Basic Sciences encompasses clinical, academic, and translational research, as well as the teaching of medical sciences, with both an MD and PhD typically required. In this study, it was hypothesized that the characteristics of a Basic Sciences career path could offer the professional advancement and personal fulfillment that many female medical doctors would find advantageous. Moreover, encouraging interest in Basic Sciences could help stem shortages that Japan is experiencing in medical fields, as noted in the three principal contributing factors: premature resignation of female clinicians, an imbalance of female physicians engaged in research, and a shortage of medical doctors in the Basic Sciences. This study examines the professional and personal fulfillment expressed by Japanese female medical doctors who hold positions in Basic Sciences. Topics include career advancement, interest in medical research, and greater flexibility for parenting. A cross-sectional questionnaire survey was distributed at all 80 medical schools in Japan, directed to 228 female medical doctors whose academic rank was assistant professor or higher in departments of Basic Sciences in 2012. Chi-square tests and the binary logistic regression model were used to investigate the impact of parenthood on career satisfaction, academic rank, salary, etc. The survey response rate of female physicians in Basic Sciences was 54.0%. Regardless of parental status, one in three respondents cited research interest as their rationale for entering Basic Sciences, well over twice other motivations. A majority had clinical experience, with clinical duties maintained part-time by about half of respondents and particularly parents. Only one third expressed afterthoughts about relinquishing full-time clinical practice, with physicians who were parents expressing stronger regrets. Parental status had little effect on academic rank and income within the Basic Sciences, CONCLUSION
Molnar, S. [Systemexpert Consulting Ltd., Budapest (Hungary)
In Hungary there are four main governmental programs, which may result in a decrease of emissions of anthropogenic greenhouse gases (GHGs): (1) National program of energy efficiency improvement and energy conservation, (2) Afforestation program, (3) Volatile organic compounds (VOC) emission reduction program, and (4) Program to reduce the use of ozone depleting substances. These ambitious programs were launched in the beginning of the 90`s, but they have been slowed down because of budgetary problems. The comprehensive action plan for mitigation of GHG emissions should be based on these ongoing programs. These programs should be expanded by further measures and programs in order to fulfill the requirements of the FCCC. In the next sections the results and prospects of the above mentioned programs will be summarized. Also the results of the mitigation study supported by the U.S. Country Studies Program are included.
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Papadopoulos, Irena; Sgorbissa, Antonio; Koulouglioti, Christina
Robots, along with sensors and telemedicine, have been identified as technologies that can assist and prolong independent living for older people, with robots especially being used to help prevent social isolation and depression.
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Full Text Available The article discussed the idea of skilled helping in relation to what has been put forward as practical theological facilitation. It has been argued that various helping relationships, amongst which the author refers to coaching, facilitation, and therapy has more in common than what differentiates them if epistemology is viewed as a unifying concept. As such the scope of practical theology in terms of the contexts and themes in which it might be involved is said to widen. The public dimension of the organisational context, more so than the congregational context, has been put forward as an important habitus of practical-theological facilitation. The organisational involvement of the practical-theological facilitator in terms of professional-vocational skilled helping takes on an actual role through facilitation and other helping modalities.
Skip Navigation Bar Home Current Issue Past Issues Fruit Flies Help Human Sleep Research Past Issues / Summer ... courtesy of NIGMS Neuroscientist Chiara Cirelli uses experimental fruit flies to study sleep. Although it may be ...
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Stea, Diego; Pedersen, Torben; Foss, Nicolai Juul
behaviour. However, high-quality relationships imply higher mutual understanding between the actors, and hence lower cognitive costs. In turn, the position (and threshold) of the curve between network size and interpersonal helping should be influenced by the quality of the relationship between the provider...... and the beneficiaries of help. Analysis of employee-level, single-firm data supports these ideas, providing preliminary evidence that quality of relationship compensates for the difficulties that may arise from having large social networks....