Nurses' working tasks and MSDs back symptoms: results from a national survey

Healthcare workers, namely registered nurses (RN), are frequently exposed to work-related musculoskeletal disorders (WRMSDs) risk factors. Identifying the symptoms of these disorders is one of the first epidemiological steps to managing them. This study aims to identify WRMSDs prevalence symptoms in Portuguese RN. During 8 months (2010-2011) the National Public Health School and the Portuguese Registered Nurses Board made a call to all RN to answer an online WRMSDs questionnaire. Respondents (n=2140) are mostly females (77.4%) and work mainly in hospitals (n=1396) and in primary healthcare centers (n=421). Results show high symptoms prevalence (last 12 months) in the lower back (60.6%), the upper back (44.5%), and the neck (48.6%). Nurses' activity, especially patient hygiene in bed, is a strong contributor (p>0.05) to pain in the upper back (OR=1.39 [1.09-1.80]) and lower back (OR=1.4 [1.08-1.84]). Patient holdup without mechanical support has the highest relationship (p>0.05) between work tasks and symptoms in the last 12 months in the upper back (OR=1.50 [1.19-1.90]). Prevalence rates of WRMSDs symptoms in Portuguese nurses are no different from other studies with Swedish, Italian and Greek nurses. Maybe changes in healthcare systems didn't change the way care is delivered and we must rethink how to prevent nurses WRMSDs.     

A Content Analysis of Career Development Theory,Research, and Practice—2013

This annual review of the career counseling and development literature presents a content analysis of refereed journal articles published in 2013. Four research questions guided the analysis: (a) What content topics were included in career development articles published in refereed journals in 2013? (b) To what extent are theory, research, and practice integrated in career development articles published in refereed journals in 2013? (c) What variation exists in the characteristics of career development articles published in refereed journals in 2013? and (d) What variation exists in the content included in theory, research, and practice articles? A total of 360 unique topics were identified in 357 articles from 24 journals. Results indicated that topic content in journals evolved slowly with limited integration of theory, research, and practice. Implications are suggested for (a) future topic content; (b) better integration of theory, research, and practice; (c) education and training; (d) journal editorial policy; and (e) future content analyses of journal articles.     

Perceived professional standards and roles of public relations in China: Through the lens of Chinese public relations practitioners

As the first quantitative examination of perceived public relations professional standards in China using an online survey, this study was designed based on the standards of professional standards inventory Cameron, Sallot, & Lariscy (1996) constructed and tested among practitioners in the U.S. The survey results suggest six dimensions of perceived standards of professional performance: (1) role and function in organizational strategic planning, (2) sufficiency in professional training and preparedness, (3) gender and racial equity, (4) situational constraints, (5) licensing and organizational support, and (6) participation in the organizational decision-making team. Four dimensions of public relations roles were also identified by the survey participants: (1) brand promotion facilitator, (2) public information specialist, (3) media relations counsel, and (4) conflict management expert. Primary practice area was found to affect how Chinese practitioners perceive the six clusters of professional standards and the four identified public relations roles. These findings provide insights for both practitioners and researchers on how Chinese public relations practitioners view public relations as a profession and how the profession currently holds its professional standards in China.     

Sources of health insurance and characteristics of the uninsured. Analysis of the March 1993 Current Population Survey

This Issue Brief/Special Report examines the extent of health insurance coverage in the United States, the characteristics of the uninsured population by employment status, firm size, industry, income, location, family type, gender and age, race and origin, and education, as well as how the uninsured population has changed over the last several years. Eighty-three percent of nonelderly Americans and 99 percent of elderly Americans (aged 65 and over) were covered by either public or private health insurance in 1992, according to EBRI tabulations of the March 1993 Current Population Survey (CPS). The March 1993 CPS is the most recent data available on the number and characteristics of uninsured Americans. In 1992, 17.$ percent of the nonelderly population--or 38.5 million people--were not covered by private health insurance and did not receive publicly financed health assistance. This compares with 36.3 million in 1991 (16.6 percent), 35.7 million in 1990 (16.5 percent), 34.4 million in 1989 (16.1 percent, and 33.6 million in 1988 (15.9 percent). The most important determinant of health insurance coverage is employment. Nearly two-thirds of the nonelderly (62.5 percent) have employment-based coverage. Workers were much more likely to be covered by employment-based health plans than nonworkers (71 percent, compared with 40 percent). A primary reason for the increase in the number of uninsured between 1991 and 1992 is a decline in employment-based coverage among individuals (and their families) working for small firms. Forty-two percent of the additional 2.2 million individuals without coverage between 1991 and 1992 were in families in which the family head worked for an employer with fewer than 25 employees. The number of children who were uninsured in 1992 was 9.8 million, or 14.8 percent of all children. This compares with 9.5 million and 14.7 percent in 1991. The increase in the number and proportion of uninsured children was partially offset by an increase in the proportion of children with Medicaid. In 12 states and the District of Columbia, more than 20 percent of the population was uninsured in 1992 (table 3). These states and their uninsured rates were Nevada (26.6 percent), Oklahoma (25.8 percent), Louisiana (25.7 percent), Texas (25.7 percent), the District of Columbia (25.5 percent), Florida (24.2 percent), Arkansas (23.5 percent), California (22.2 percent), South Carolina (20.8 percent) and Alabama (20.1 percent).     

Aging,Health, and Social Policy:

Seven major turning points in the evolution of U.S. aging policy are identified and reviewed: (1) the Social Security Act (2) the Great Society (3) the federalization of Old Age Assistance (4) the enactment of comprehensive social services (5) Social Security improvements (6) New Federalism, and (7) medical cost-containment policies under Medicare and Medicaid. In the 1980s, significant and growing problems of uninsurance and underinsurance for health care have re-emerged. Simultaneously, state Medicaid programs are characterized by their increasing variation and inequities, while there has been a decline in access for the poor. The future of aging policy will be decided in the context of four socio-demographic realities: (1) population aging (2) trends in mortality and morbidity (3) the relationship between income and health, and (4) aging as a woman's issue. The article concludes with a call for a recommitment to the public interest and to public solutions which affirm that health care is an inalienable right.     

Economic Hardship and Psychological Distress in Custodial Mothers

The present research examined the relationship between economic hardship and post-divorce psychological distress of custodial mothers. Economic hardship was measured in terms of: (1)current income level; (2) drop in income; and (3) negative economic events. Drop in income was further subdivided into (a) actual amount of drop; (b) ratio of income post-to pre-separation; (c) per person ration of income; and (d) ratio of income per person corrected for reduced financial needs. The HSCL (Derogatis, 1974) measured psychological distress, while four items from the Divorce Events Schedule for Adults (Braver et al., 1987) measured negative economic events. The subjects were 77 custodial mothers, recently separated and either divorced or seeking a divorce. Results documented both an increase in psychological suffering relative to a random sampleand substantial economic declines (about 30%). Further, there were significant unique relationships between the HSCL and both drop in income and the experience of negative economic events (but not current income).     

Sexuality in the Global South: 50 Years of Published Research in the Journal of Sex Research—Inclusions,Omissions, and Future Possibilities

Sexuality researchers from a range of disciplines have called for more global inclusiveness in sexualities research, particularly in the Global South (GS). We investigated the degree to which sexuality researchers have published work focused on the GS by conducting a content analysis of 50 years of research published in the Journal of Sex Research (JSR). We examined all research articles, brief research reports, and clinical notes published in JSR from 1965 to 2014 (N = 1,626). Overall, a small percentage of articles focused on the GS with no increase over time (4.8%; N = 78). Articles in the GS focused on Asia (37.2%), Latin America (28.2%), Sub-Saharan Africa (23.1%), the Middle East (6.4%), and a mix of GS regions (5.1%). Topics related to sexual and reproductive health were most prevalent (19.2%), followed by articles on sexual risk, sexually transmitted infections (STIs), and human immunodeficiency virus (HIV) (17.9%), sexual norms, attitudes, and beliefs (16.7%), sex work (11.5%), cultural practices (10.3%), gay, lesbian, and bisexual issues (9.0%), intimate partner relationships (3.8%), and sexual violence (3.8%); the remaining categories (transgender and transsexual populations, sex research methods, sex testing, and women’s sexuality) were negligible. We conclude with recommendations for improving the quantity, quality, and scope of global sexuality research in JSR.     

Pathological Gambling and Couple: Towards an Integrative Systemic Model

This article is a critical literature review of pathological gambling focused in the family factors, particularly in the couple dynamics. Its main goal is to develop an explicative integrative systemic model of pathological gambling, based in these couple dynamics. To achieve that aim, a bibliography search was made, using on-line data bases (e.g., EBSCO Host) and recognized books in pathological gambling subject, as well as in the systemic approach in general. This process privileged the recent works (about 70 % of the reviewed literature was published in the last decade), however, also considered some classic works (the oldest one dates back to 1970). The guiding focus of this literature search evolves according to the following steps: (1) search of general comprehension of pathological gambling (19 references), (2) search specification to the subject “pathological gambling and family” (24 references), (3) search specification to the subject “pathological gambling and couple”(11 references), (4) search of systemic information which integrates the evidence resulted in the previous steps (4 references). The developed model is constituted by different levels of systemic complexity (social context, family of origin, couple and individual) and explains the problem as a signal of perturbation in the marital subsystem vital functions (e.g., power and control) though the regularities of marital dynamics of pathological gamblers. Furthermore, it gives theoretical evidence of the systemic familiar intervention in the pathological gambling.     

REVIEWS

Proffessional Books:-Walter, J. L., & Peller, J. E. (1992). Becoming solution-focused in brief therapy.
Proffessional Books:-Nelson, T. S., & trepper, T. S. (Eds.). (1993). 101 interventions in family therapy .
Proffessional Books:-Imber-Black, E. (Ed.). (1993). Secrets in families and family therapy .
Proffessional Books:-Hanks, R. S., Matocha, L., & Sussman, M. B. (Eds.). (1992). Publishing in journals on the family .
Proffessional Books:-Shapiro, C. H. (1993). When part of the self is lost: Helping clients heal after sexual and reproductive losses .
Self-Help Books:-Smith, S. L. (1993). Making peace with your adult children: A guide to family healing .
Self-Help Books:-Gilbert, R. M. (1992). Extraordinary relationships: A new way of thinking about human interactions .
Audio And Videotapereviews:- Working with Couples in Conflict . (1992). (Audiotape of a workshop of a workshop by Susan M. Heitler).
Audio And Videotape Reviews:- Couples and Communication (1992). (Videotape for teaching communication skills to couples).     

Evaluation of diagnostic procedures : A review of the issues

The expensive proliferation of new diagnostic medical technologies necessitates their rigorous evaluation. Diagnosis seeks to improve health outcomes by providing better information to guide treatment decisions. Evaluation may focus on various links in the management of patients by investigating (1) how diagnostic technologies affect the the information available to the physician, (2) how improved Information affects treatment decisions, and (3) how altered treatment decision affect health outcomes. For diagnostic procedures that do improve health outcomes, the gain in health status should be weighed against potential cost increases. This comparison may be made using risk-benefit and cost-effectiveness analyses. Experience in evaluating diagnostic technologies has shown the importance of (1) estimating effect size, (2) randomizing, (3) blinding, (4) enhancing external validity, (5) accounting for patient characteristics, and (6) reflecting patient values. Errors in adopting new diagnostic procedures may be reduced through better coordination of development, evaluation, and dissemination. This requires (1) improved evaluative decision making, (2) restraint among potential users, and (3) accelerated evaluation.     

Invertebrate diversity in newly established mulch habitats in a Midwestern urban landscape

The invertebrate fauna in artificial urban habitats has yet to be systematically investigated. The current field study in central Ohio was undertaken to assess the numbers and types of macroinvertebrates in mulched and unmulched plots during a one-year period. Invertebrates quickly infiltrated the plots with bare soil (control) and any of four types of mulch (shredded hardwood, shredded recycled wood, pine bark mini-nuggets, and pea gravel). One month after establishing the plots, invertebrates were present in numbers comparable to subsequent months. Invertebrates found in the plots were primarily saprophytic taxa: millipedes (32.6%), segmented worms (19.8%), isopods (6.7%), and various beetle families (1.5%). Predatory taxa included centipedes (9.8%), ants (9.7%), carabid beetles and staphylinid beetles (7.3%), and spiders (0.9%). Types of invertebrates were similar in all ground cover types, but numbers of invertebrates differed significantly. Invertebrates were present year-round in mulched plots, and plots with organic mulch harbored significantly more invertebrates than plots mulched with pea gravel. Bare soil always contained the fewest number of invertebrates. There was no significant difference in numbers of invertebrates based on the cardinal side of the building.     

Birth Cohort Differences in Sexual Identity Development Milestones Among HIV-Negative Gay and Bisexual Men in the United States

The coming-out process for gay and bisexual men (GBM) involves crossing sexual identity development (SID) milestones: (1) self-awareness of sexual attraction to the same sex, (2) self-acceptance of an identity as gay or bisexual, (3) disclosure of this sexual identity to others, and (4) having sex with someone of the same sex. We examined trends in SID milestones by birth cohort in a 2015 U.S. national sample of GBM (n = 1,023). Birth cohort was independent of when men first felt sexually attracted to someone of the same sex (median age 11 to 12). However, with the exception of age of first same-sex attraction, older cohorts tended to pass other milestones at later ages than younger cohorts. Latent class analysis (LCA) of SID milestone patterns identified three subgroups. The majority (84%) began sexual identity development with same-sex attraction around the onset of puberty (i.e., around age 10) and progressed to self-identification, same-sex sexual activity, and coming out—in that order. The other two classes felt same-sex attraction during teen years (ages 12.5 to 18.0) but achieved the remaining SID milestones later in life. For 13% of men, this was during early adulthood; for 3% of men, this was in middle adulthood. Findings highlight the need to monitor ongoing generational differences in passing SID milestones.     

EU-Mediterranean youths in the crisis: substitution vs. income effect

The economic crisis that erupted in 2008 has had particularly adverse effects on the youth labour market outcomes in the European Union Mediterranean economies. So far little evidence is available on the reaction of the young to the adverse conditions their household members faced due to the crisis. Youths could have decided to prolong or stay in education instead of participating on the labour market (substitution effect) or they could have decided to increase their participation (income effect). By using the EU Labour Force Survey data, we explore the probability of young adults changing their labour market status from (i) inactivity to employment, (ii) inactivity to unemployment, (iii) employment to education, and (iv) unemployment to education in response to labour market outcome changes in their households: (i) both parents losing the job; (ii) one of the parents losing the job, (iii) both parents becoming inactive, (iv) one of the parents becoming inactive, and (v) both parents remaining unemployed. Estimated probit models include seven EU Mediterranean countries during the 2006–2015 period. Results support both income and substitution effect, without clear identification of the dominance of one effect over the other.     

401(k) plan asset allocation, account balances, and loan activity in 2009

CONSISTENT SAMPLE: Because 401(k) balances can fluctuate with market returns from year to year, meaningful analysis of 401(k) plans must examine how participants' accounts have performed over the long term. Looking at consistent participants in the EBRI/ICI 401(k) database over the six-year period from 2003 to 2009 (which included one of the worst bear markets for stocks since the Great Depression), the study found: After rising in 2003 and for the next four consecutive years, the average 401(k) retirement account fell 27.8 percent in 2008, before rising 31.9 percent in 2009. The average 401(k) account balance moved up and down with stock market performance, but over the entire six-year time period increased at an average annual growth rate of 10.5 percent, attaining $109,723 at year-end 2009. The median (or midpoint, half above and half below) 401(k) account balance increased at an average annual growth rate of 14.7 percent over the 2003-2009 period to $59,381 at year-end 2009. THE BULK OF 401(K) ASSETS CONTINUED TO BE INVESTED IN STOCKS: On average, at year-end 2009, 60 percent of 401(k) participants' assets were invested in equity securities through equity funds, the equity portion of balanced funds, and company stock. Thirty-six percent was in fixed-income securities such as stable-value investments and bond and money funds. MORE THAN THREE-QUARTERS OF 401(K) PLANS INCLUDED TARGET-DATE FUNDS IN THEIR INVESTMENT LINEUP AT YEAR-END 2009: At year-end 2009, nearly 10 percent of the assets in the EBRI/ICI 401(k) database was invested in target-date funds and 33 percent of 401(k) participants held target-date funds. Also known as lifecycle funds, they are designed to simplify investing and to automate account rebalancing. NEW EMPLOYEES CONTINUED TO USE BALANCED FUNDS, INCLUDING TARGET-DATE FUNDS: Across all but the oldest age group, more new or recent hires invested their 401(k) assets in balanced funds, including target-date funds. At year-end 2009, about 42 percent of the account balances of recently hired participants in their 20s were invested in balanced funds, compared with 36 percent in 2008, and about 7 percent in 1998. At year-end 2009, 31 percent of the account balances of recently hired participants in their 20s was invested in lifecycle funds, compared with almost 23 percent at year-end 2008. 401(K) PARTICIPANTS CONTINUED TO SEEK DIVERSIFICATION OF THEIR INVESTMENTS: The share of 401(k) accounts invested in company stock continued to shrink, falling by half of a percentage point (to 9.2 percent) in 2009. That continued a steady decline that started in 1999. Recently hired 401(k) participants contributed to this trend: They tended to be less likely to hold employer stock. PARTICIPANTS' 401(K) LOAN ACTIVITY ROSE IN 2009: In 2009, 21 percent of all 401(k) participants eligible for loans had a loan outstanding against their 401(k) account, compared with 18 percent at year-end 2008 and year-end 2007. Loans outstanding amounted to 15 percent of the remaining account balance, on average, at year-end 2009, compared with 16 percent at year-end 2008. Loan amounts remained in line with the past few years in terms of typical dollar amounts.     

Ending Sexual Harassment: Protecting the Progress of #MeToo

ABSTRACT

How can we best protect and safeguard the progress of the #MeToo movement? This article presents 11 reforms designed to ensure the movement’s drive toward justice. These fall into three areas. The first concern process reforms designed to (a) protect all those involved—accusers and the accused—in investigations of sexual harassment, (b) end differential treatment of those found guilty, and (c) ensure punishments are commensurate with the crime and proportional in terms of other transgressors. The second set of reforms focus on transparency of the process, including clarifying (a) how to file charges, (b) who makes decisions, (c) relevant public information on how charges and procedures are followed, (d) what transgressions result in which punishments, and (e) how complaints are investigated to protect the rights and privacy of all. Finally, I address cultural issues that address (a) our portrayal of women, (b) our societal attempts to prepare young people so they can better protect themselves, and (c) attempts to encourage bystanders to intervene in the face of sexual harassment of others.     

Levels of uric acid in erectile dysfunction of different aetiology

Erectile dysfunction is a common disease characterized by endothelial dysfunction. The aetiology of ED is often multifactorial but evidence is being accumulated in favor of the proper function of the vascular endothelium that is essential to achieving and maintaining penile erection. Uric acid itself causes endothelial dysfunction via decreased nitric oxide production. This study aims to evaluate the serum uric acid (SUA) levels in 180 ED patients, diagnosed with the International Index of Erectile Function-5 (IIEF-5) and 30 non-ED control. Serum uric acid was analyzed with a commercially available kit using ModularEVO (Roche, Monza, Italy). Within-assay and between-assay variations were 3.0% and 6.0%, respectively. Out of the ED patients, 85 were classified as arteriogenic (A-ED) and 95 as non-arteriogenic (NA-ED) with penile-echo-color-Doppler. Uric acid levels (median and range in mg/dL) in A-ED patients (5.8, 4.3–7.5) were significantly higher (p?p?相似文献   

Philanthropic styles

The challenge of resource development, particularly among major donors, has led nonprofits to adopt marketing techniques, including market segmentation. The benefit segmentation approach used in this study of the giving motivations of 218 major donors reveals seven philanthropic styles: (1) Communitarians, (2) the Devout, (3) Investors, (4) Socialites, (5) Repayers, (6) Altruists, and (7) Dynasts. Examples of how knowledge of philanthropic styles can aid in nonprofit resource development are provided.     

New Challenges for Bilingual Education in the Basque Country

In this paper, we focus on bilingual education in the Basque Country. The main achievements of the Basque educational system are to be found in the progressive expansion of more intensive linguistic models, the social acceptance of teaching through and in Basque, and the positive academic results of pupils. The main problems associated with bilingual education are: (1) the difficult situation of Basque in Navarre and the French Basque Country; (2) the contradictions involved in what we refer to as linguistic model A (Castilian) of the education system, as well as the need to completely reassess it; (3) the uncertain future of Basque language use at the secondary and tertiary school levels, especially in vocational training and at the Universities; (4) the large gap between schooling and competence in the Basque language (on the one hand) and its use in everyday life (on the other); (5) the existence of two comprehensive plans for the revitalisation of Basque, and the introduction of a plurilingual programme (Basque-Spanish-English), and the extent to which generalisation is suitable; and finally (6) the need to review all existing bilingual educational systems to transform them into genuine intercultural programmes.     

Assessment of physical activity in older people with and without cognitive impairment

The purpose of this study was to validate a new interview-administered physical activity questionnaire (Assessment of Physical Activity in Frail Older People; APAFOP) in older people with and without cognitive impairment. The authors assessed feasibility, validity, and test-retest reliability in 168 people (n = 78 with, n = 88 without cognitive impairment). Concurrent validity was assessed against an inertia-based motion sensor and an established questionnaire. Sensitivity to change was tested in an ongoing study in patients with mild to moderate dementia (n = 81). Assessment of physical activity by the APAFOP and the motion sensor correlated well in the total sample (TS; p = .705), as well as in the subsamples with cognitive impairment (CI; p = .585) and without CI (p = .787). Excellent feasibility with an acceptance rate of 100%, test-retest reliability (intraclass correlation coefficients ranging from .973 (TS) to .975 (CI) to .966 (no CI), and sensitivity to change (effect sizes: 0.35-1.47) were found in both subsamples.