Can we create a therapeutic relationship with nursing home residents in the later stages of Alzheimer's disease?

1. Despite their entrance into advanced illness, the majority (83%) of participants in the study displayed evidence of having begun a therapeutic relationship with their assigned advanced practice nurse. 2. With one exception, those participants who did not evidence development of the relationship had severely limited speech, perseverative speech, or did not speak at all. 3. It is time to challenge the assumption that individuals in the middle and later stages of Alzheimer's disease are not good candidates for developing a therapeutic relationship.     

Carved in flesh? Inscribing body, identity and desire

This paper opens up questions regarding the ways in which reading the body leads to limited and limiting notions of identity. These questions are based around a critique of an ethnography of lesbian body-modification which I problematize in a number of ways. I suggest that reading the body of another is both methodologically and politically problematic. I reflect on how this approach confuses the complexity of body and identity and the ways in which this relates to establishing problematic boundaries of lesbian identity. I suggest an embodied identity cannot be fully understood or incorporated within any notion of the body as fixed or finite, and that neglecting the variability and mutability of the body is antithetical to political strategies of inclusion and equality.     

Testosterone metabolism,dose–response relationships and receptor polymorphisms: selected pharmacological/toxicological considerations on benefits versus risks of testosterone therapy in men

In this review selected toxicological problems related to testosterone therapy in hypogonadal men are discussed. Applying ‘classical’ pharmacological/toxicological findings (e.g. animal studies on short- and long-term toxicity) to clinical situations is not very helpful. Molecular biological knowledge and especially evaluation of epidemiological studies, as well as intervention studies, on testosterone therapy in hypogonadal men are more useful. Potential risks include overdosage for lifestyle reasons, e.g. excessive muscle building and reduction of visceral obesity, when erythrocytosis occurs concomitantly. Modern galenic formulations of testosterone administration (e.g. transdermal gel, suitable testosterone esters for intramuscular application and newer oral preparations) avoid supraphysiological serum concentrations, therefore significantly reducing the toxicological risk. A hypothetical model of the toxicological risks of testosterone therapy is given that is based on the influence of testosterone metabolism (aromatization vs. reduction) of the respective parameter/target chosen. Finally, the great influence of polymorphisms of the androgen receptor on the assessment of toxicological risk and on the individualization of androgen therapy is shown. Already existing national, continental and international guidelines or recommendations for the testosterone therapy should be harmonized.     

More than half of the men in a Swedish population of men aged 55, 65 and 75 believe in ‘a male climacteric’

Aim.?Symptoms of late-onset hypogonadism (LOH) are often unspecific, and the existence of a male climacteric has been much debated. In this study, we investigate aging men's thoughts about, and beliefs, in a ‘male climacteric’.

Methods.?A questionnaire was developed including background demographic data, symptoms possibly related to LOH and questions about men's thoughts and beliefs in a ‘male climacteric’. All men, 55-, 65- and 75-years old, living in Linkoping, Sweden (n?=?1885) received the questionnaire.

Results.?One thousand three hundred fifty-six (72%) questionnaires were eligible for evaluation, 65.4% of the responders had heard of a ‘male climacteric’, and 42.2% believed it existed but only 3% had sought medical advice for these symptoms. More than half believed that a ‘male climacteric’ was related to decreased libido and less strong erections. Almost half of the men thought that decreased memory and/or dystymia and anxiousness were related to a male climacteric.

Conclusions.?The majority of men have heard of a male climacteric, but only a minority had consulted a practitioner about their symptoms. More information and knowledge are needed, for the general population to better motivate men to seek medical advice and also for the health care professionals to better deal with the symptoms of LOH.     

Allocation of resources in asymmetric competitions: How do the weak maintain a chance of winning?

To maintain a chance of occasionally beating a stronger player in a competition waged over several fields, a weaker player should give up on some of the fields and concentrate resources on the remaining ones. But when do weak players actually do this? And which fields do they give up when the fields differ in their likelihood of being assessed? We report an experimental study of resource allocation in which asymmetric pairs of players compete over asymmetric fields. Symmetric players and symmetric fields are used for control. We find that players behave as follows: (1) Average wins are the same in the symmetric and asymmetric fields conditions and correspond to relative player strength. (2) The proportion of fields given up on decreases with a player’s greater relative strength, increases for asymmetric field likelihoods, and increases when competitions are framed in meaningful context; this proportion is related to wins. (3) When field likelihoods are asymmetric, players’ resource allocation is correlated with likelihood. Wins generally increase with that correlation but the relation is different for players of different strength. (4) The proportion of fields given up on and the correlation with likelihood change with experience towards the values corresponding to higher wins.     

A sign of the times? Weak and strong polarization in the U.S. Congress, 1973–2016

Claims that the United States Congress is (becoming more) polarized are widespread, but what is polarization? In this paper, I draw on notions of intergroup relations to distinguish two forms. Weak polarization occurs when relations between the polarized groups are merely absent, while strong polarization occurs when the relations between the polarized groups are negative. I apply the Stochastic Degree Sequence Model to data on bill co-sponsorship in both the U.S. House of Representatives and U.S. Senate, from 1973 (93rd session) to 2016 (114th session) to infer a series of signed networks of political relationships among legislators, which I then use to answer two research questions. First, can the widely reported finding of increasing weak polarization in the U.S. Congress be replicated when using a statistical model to make inferences about when positive political relations exist? Second, is the (increasing) polarization observed in the U.S. Congress only weak polarization, or is it strong polarization? I find that both chambers exhibit both weak and strong polarization, that both forms are increasing, and that they are structured by political party affiliation. However, I also find these trends are unrelated to which party holds the majority in a chamber.     

Freedom or money? The dilemma of migrant live‐in elderly carers in times of COVID‐19

As a consequence of the lockdown measures imposed by the Belgian government to fight against COVID‐19, migrant live‐in elderly carers had to choose between safeguarding their job — at the detriment of their personal freedom, their health and their working conditions — and safeguarding their freedom but losing their job — at the detriment of their economic survival and that of their families. This article explores this dilemma from an intersectionality perspective. In order to understand their experience in times of COVID‐19 and their response to this dilemma, I analyse their position as women, as migrants, as elderly care workers, as family breadwinners and as ‘quasi‐family members’ in the families of their employer — which correspond to five interlocking systems of oppression.     

Are children safer with kin? A comparison of maltreatment risk in out-of-home care

Safety, or the absence of maltreatment, is the primary mandate of the child protection services (CPS) system, both for children living at home and those living away from home. Yet, few research studies have examined maltreatment in out-of-home care due to the low incidence rate and data limitations. This study used statewide administrative data to estimate the association between placement type and experiencing a maltreatment investigation or substantiation in out-of-home care. Over 6% of informal TANF-funded kinship placements experienced an investigation alleging maltreatment by an out-of-home caregiver, compared with just over 3% for formal kinship care and non-relative foster care. However, the monthly risk of maltreatment was lowest in informal kinship care because these placements tended to endure longer before maltreatment occurred. Substantiated maltreatment during an out-of-home placement was rare across all placement types. For both investigated and substantiated maltreatment, risk was highest in the first 3 months.     

Can urban greening increase vector abundance in cities? The impact of mowing,local vegetation,and landscape composition on adult mosquito populations

Worldwide, cities are investing in greenspace to enhance urban quality of life and conserve biodiversity. Cities should ensure these investments do not unintentionally result in ecosystem disservices. Municipal management decisions regarding urban greenspaces, such as mowing frequency, could influence mosquito communities and public health. We examined how mowing, resultant vegetation characteristics, and landscape context influenced adult mosquito abundance in urban vacant lots. We sampled adult Culex and Aedes mosquitoes in a network of vacant lots within eight Cleveland, Ohio, USA neighborhoods in 2015 and 2016 using CO₂-baited light traps and grass-infused gravid traps. For each lot, we quantified vegetation characteristics, including plant diversity, bloom area, and biomass, as well as the surrounding landscape composition at radii of 60 and 1000 m. We found that periodic mowing did not significantly affect mosquito abundances. However, vacant lots with more diverse plant communities were associated with a greater light trap capture of both Culex and Aedes. Both mosquito genera declined in light trap catches with increased impervious surface at 60 m. Similarly, Culex (gravid trap) declined with the amount of built infrastructure at 1000 m. In contrast, Aedes (light trap) increased with the concentration of buildings in the landscape at 1000 m. Our findings indicate that reducing the frequency of mowing within vacant lots will not necessarily increase adult mosquito abundance. Nonetheless, mosquito surveillance and management should be considered when planning conservation-focused greenspaces, as vegetation design choices and the landscape context of a site do influence vector abundance and potentially disease risk.

     

Caregiver perceptions of children in their care and motivations for the care work in children's homes in Ghana: Children of God or children of white men?

The perceptions and motivations that workers have in their work and work environment are important determinants of the quality of work they do. For people who work in residential institutions where children who have lost the care of their parents receive care, these perceptions and motivations become a crucial part in determining the quality of services or care the children are given. This study set out to explore the perceptions and motivations of caregivers in the institutional context in Ghana. Adopting a qualitative, phenomenological approach, data were collected from 35 caregivers in two children's homes in Ghana through participant observations, focus group discussions and in-depth interviews. It emerged that caregivers perceived the children in their care first as children of God and then as children of white men and were predominantly motivated by their religious convictions to keep doing ‘the work of God’. Other motivations included personal life situations and economic aspects of the job. Implications for the workers and children in this environment are discussed.     

To risk or derisk the soul of the university? The peril in educational globalization

Educational globalization is taking place amid the competing narratives of hyperglobalization and deglobalization. This article shows that these narratives fail to capture what is really happening. Aggregate empirical data for the period since the 2008 financial crisis evidence neither an appreciable rise nor a substantial decline in the overall level of globalization. Against this backdrop, a grid of risks that market-based university reforms pose to the soul of the university can be garnered from five scholars’ comments on the author of this article’s book Implausible Dream: The World-Class University and Repurposing Higher Education. The risk factors are bracketed under the following headings: control mechanisms and diminishing reflexivity, misrule, numerical governance, the ethos of competitiveness, and the conventional organization of knowledge. This calculus of risks has important implications for crafting strategies for derisking the core purposes of higher education institutions. They revolve around a central motif: strengthening the democratic tradition at universities.     

Recommendations on the diagnosis,treatment and monitoring of late-onset hypogonadism in men – a suggested update

Abstract

Recommendations on the diagnosis, treatment and monitoring of late-onset hypogonadism (LOH) in men were first published by ISSAM in 2002 In 2005, and, in 2008, updated recommendations were published in the International Journal of Andrology, the Journal of Andrology, the Aging Male and European Urology. Towards discussions at the next ISSAM/ESSAM meeting in Moscow, 29 November 2013, we suggest the following update.     

If you feed them, will they come? The use of social marketing to increase interest in attending a college alcohol program

The authors used social marketing to design and test advertisement components aimed at increasing students' interest in attending an alcohol program focused on reaching students who drink heavily, although the authors offered no such program. Participants were undergraduate students in introductory psychology courses (N = 551). Questionnaires included measures assessing demographic information, alcohol use and negative consequences, and interest in attending an alcohol program in response to exposure to 1 of 12 systematically varied advertisements. The authors found that approximately 20% of participants across all ad types indicated some level of interest in attending the alcohol program. Students who use alcohol reported more interest in attending when an informational message was used. Of the participants offered food, 41.9% indicated the food offered in the advertisement impacted their interest in attending. Results suggest market segmentation plays a role in developing effective advertisements to recruit different groups of students based on their reported drinking behavior.     

'Russian love,' or, what of lesbian studies in Russia?

This piece discusses the problems attending to the development of Lesbian Studies in Russia.     

How do heat and flood risk drive residential green infrastructure implementation in Phoenix,Arizona?

Urban Ecosystems - Green infrastructure is an increasingly popular strategy to simultaneously address challenges associated with urbanization and global environmental change, including increased...     

A middle‐class global mobility? The working lives of Indian men in a west London hotel

In this article we examine the working lives of young, single, middle‐class Indian men employed in the increasingly global hospitality sector in London, UK. Using a case study of a single hotel, we investigate a particular form of Indian middle‐class global mobility that differs from both the well‐documented ‘low status’, unskilled migrant as well as the highly‐skilled, science oriented migrants. We explore how their jobs both reinforce and challenge middle‐class Indian notions of masculinity, as well as how the recruitment process is both gendered and economically selective. We suggest that the transnational formation of Indian middle‐class identity is drawn from four main categories: a middle‐class lifestyle in India, class‐based motivations, the gendered and class based recruitment process of the UK hospitality industry, and the performance of class‐based gender identities.     

Exploring the intention-behavior relationship in the prediction of sexual risk behaviors: can it be strengthened?

Many theoretical models examining health risk behaviors, such as sexual risk taking, assume intentions directly predict behavior, and intentions are sometimes measured as a proxy for behavior. Given that there is often a discrepancy between intentions and behaviors (e.g., Sheeran, 2002 ), this study addressed factors that predict intention-behavior congruence. Specifically, utilizing a prospective design, the goal of the study was to determine if characteristics of university students' last sexual encounter predicted whether those students who intended to use condoms, contraception, or dual methods did so in their last sexual encounter with both relationship and casual partners. The seven tested variables were condom planning and preparatory behaviors, mood, sexual arousal, substance use, perceived partner attractiveness, intention certainty, and intention stability. Data were collected from 520 American undergraduate students at a medium-sized university. The six discriminant function analyses examining the intention-behavior relationship were able to correctly classify between 74% and 92% of the participants concerning whether intenders engaged in safe sex behaviors. The variables that best discriminated between behavior engagement over the six analyses were intention stability, intention certainty, and engagement in condom preparatory behaviors. The implications of these results for sexual risk prevention and intervention research are discussed.     

Affective machines or the inner self? Drawing the boundaries of the female body in the socialist romantic imagination

This article explores two conflicting aesthetics of the female body in post-Stalinist Soviet science fiction. One represented women of the communist future as explorers of the space frontier in assemblages with machines, testing the cultural border between the female and the technological. Another appealed to the mysterious female nature as the Other of human culture, pushing forward the understanding of socialist progress as a masculine project. This article argues that both aesthetics grew within the cultural phenomenon of socialist Romanticism, which emerged in the mid-1950s as a reaction to Stalin-era quasi-Enlightenment rationality and its dominant style of socialist realism.