Longitudinal Prevalence and Correlates of Elder Mistreatment Among Older Adults Receiving Home Visiting Nursing

The objectives of this study were to identify elder mistreatment (EM) prevalence among a cohort of older adults receiving visiting nurse care in their homes, determine EM subtypes, and identify factors associated with EM. EM data were collected by nurses during monthly home visits for up to 24 months. It took the nurses a mean of 10.5 visits to discern EM. Fifty-four (7.4%) of 724 patients were identified as mistreated, of which 33 had enough information to subtype the EM. Of these 33, 27 were victims of neglect, 16 of psychological abuse, and 10 of financial exploitation, and 17 suffered more than one type. Among the entire sample, 11 variables were positively correlated with EM presence. Nurses visiting older adults in their homes should be aware that their patients are, as a group, vulnerable to EM, and that the factors identified here may be specific markers of greater risk.     

Creating trust with major donors: The service encounter model

Although the wealthy individuals who create charitable trusts exert considerable influence on the $123 billion of charitable giving, very little is known about this segment. Aside from data about the size of donations and emerging information about their motivations, the philanthropic and marketing literature is largely silent on issues surrounding major philanthropic acts. For example, what aspects of the service encounter catalyze support and create a successful experience? What are the prior constituent, voluntary, and donor behaviors of individuals who create trusts exceeding $1 million? What support is required from nonprofit and external legal and financial advisers? This article provides a model of the trust creation process framed by insights from the services marketing literature, documents the process empirically, and draws out implications for nonprofit resource development.     

Differences in Pharmacokinetics Between Children and Adults—II. Children''s Variability in Drug Elimination Half-Lives and in Some Parameters Needed for Physiologically-Based Pharmacokinetic Modeling

In earlier work we assembled a database of classical pharmacokinetic parameters (e.g., elimination half-lives; volumes of distribution) in children and adults. These data were then analyzed to define mean differences between adults and children of various age groups. In this article, we first analyze the variability in half-life observations where individual data exist. The major findings are as follows. The age groups defined in the earlier analysis of arithmetic mean data (0-1 week premature; 0-1 week full term; 1 week to 2 months; 2-6 months; 6 months to 2 years; 2-12 years; and 12-18 years) are reasonable for depicting child/adult pharmacokinetic differences, but data for some of the earliest age groups are highly variable. The fraction of individual children's half-lives observed to exceed the adult mean half-life by more than the 3.2-fold uncertainty factor commonly attributed to interindividual pharmacokinetic variability is 27% (16/59) for the 0-1 week age group, and 19% (5/26) in the 1 week to 2 month age group, compared to 0/87 for all the other age groups combined between 2 months and 18 years. Children within specific age groups appear to differ from adults with respect to the amount of variability and the form of the distribution of half-lives across the population. The data indicate departure from simple unimodal distributions, particularly in the 1 week to 2 month age group, suggesting that key developmental steps affecting drug removal tend to occur in that period. Finally, in preparation for age-dependent physiologically-based pharmacokinetic modeling, nationally representative NHANES III data are analyzed for distributions of body size and fat content. The data from about age 3 to age 10 reveal important departures from simple unimodal distributional forms-in the direction suggesting a subpopulation of children that are markedly heavier than those in the major mode. For risk assessment modeling, this means that analysts will need to consider "mixed" distributions (e.g., two or more normal or log-normal modes) in which the proportions of children falling within the major versus highweight/fat modes in the mixture changes as a function of age. Biologically, the most natural interpretation of this is that these subpopulations represent children who have or have not yet received particular signals for change in growth pattern. These apparently distinct subpopulations would be expected to exhibit different disposition of xenobiotics, particularly those that are highly lipophilic and poorly metabolized.     

Using Resilience to Reconceptualise Child Protection Workforce Capacity

Abstract

Current approaches to managing and supporting staff and addressing turnover in child protection predominantly rely on deficit-based models that focus on limitations, shortcomings, and psychopathology. This article explores an alternative approach, drawing on models of resilience, which is an emerging field linked to trauma and adversity. To date, the concept of resilience has seen limited application to staff and employment issues. In child protection, staff typically face a range of adverse and traumatic experiences that have flow-on implications, creating difficulties for staff recruitment and retention and reduced service quality. This article commences with discussion of the multifactorial influences of the troubled state of contemporary child protection systems on staffing problems. Links between these and difficulties with the predominant deficit models are then considered. The article concludes with a discussion of the relevance and utility of resilience models in developing alternative approaches to child protection staffing issues.     

American Military Government after Two Wars

Researchers have argued for increased collaboration between teachers and museum educators to improve the outcomes of museum education on students; however, significant gaps in understanding between the two remain impediments to effective collaboration. We surveyed fifty-one museum educators, conducted in-depth interviews with ten of these respondents, and analyzed the data with use of an inductive lens. In this article we use a composite dialogue between a museum educator and a teacher to present a series of questions teachers should ask of, and information they should provide to, museum educators. Such questions and information can be used to initiate more effective collaborative relationships that may ultimately improve the quality of museum education for our students. We argue that gaps in museum educators’ understanding about teachers’ needs, objectives, and concerns about museum visits could be bridged if teachers knew what questions to ask and what information to volunteer to museum educators before arranging a museum visit.     

Cause-related marketing,philanthropy, and the arts

Joint fundraising and promotional programs between businesses and nonprofits, often referred to as cause-related marketing, have been on the rise. During the 1980s, many large corporations initiated cause-related marketing programs. Less is known, however, about how widespread cause-related marketing has become among medium-size companies. In the study of 478 medium-size businesses reported here, one-fifth made contributions to nonprofits as part of cause-related marketing programs, and more were becoming interested, but many of the businesses were dissatisfied with the effect of their contributions to nonprofits. Satisfied business participants actively recommended nonprofits to other business owners and intended to increase their own contributions. The authors provide additional insights on business donor motivation through their application of the Seven Faces framework.