Conceptual framework of planning a people-oriented hospital and peripheral health maintenance services

For development of a people-oriented hospital and primary care facilities in its peripheral health maintenance services, a rethinking of the planning concepts of the roles, attributes and various components, viz. user, provider, institutional, social and financial control is required. The emphasis in discussion of the various elements of the planning process is on need-orientation for the rural disadvantaged and availability of limited resources.     

Solution-focused group therapy for level 1 substance abusers

The present study compared solution-focused group therapy (SFGT) with a traditional problem-focused treatment for level 1 substance abusers. Outcome research on the effectiveness of solution-focused group therapy is minimal, especially in treating substance abusers. In the present study, clients were measured before and after treatment to determine therapeutic effectiveness. Clients in the solution-focused group significantly improved on both the Beck Depression Inventory and the Outcome Questionnaire. The clients in the comparison group did not improve significantly on either measure. Therapist skill level and adherence to theoretical models were measured in each group to reduce confounding variables.     

The Incarcerated Parent: Examining Mother-Child Conflict at the Margins through a Bio-Ecological Lens

ABSTRACT

This study examined conflict, parenting communication style, and attitudes regarding the parent-child relationship for a marginalized special population: incarcerated mothers and their children. Bronfenbrenner’s bio-ecological perspective served as a guiding framework, based on its ability to consider family interactions across ecological contexts, both proximal and distal to the developing child’s home setting. Fifty incarcerated mothers in the central U.S. provided in-depth interviews and individual self-report surveys. Findings indicate that incarcerated mothers most frequently used an authoritative parenting communication style in conflict situations that ended positively, and authoritarian style in conflict that ended negatively. Authoritative parenting was associated with incarcerated mothers’ reports of greater satisfaction with parenting. Study findings suggest that parenting communication style can help support efforts to reduce recidivism. Contextualizing these findings within Bronfenbrenner’s model, the present study affirms the role of proximal as well as distal factors governing relational communication between incarcerated mothers and their children.     

Functional principal component analysis of spatially correlated data

This paper focuses on the analysis of spatially correlated functional data. We propose a parametric model for spatial correlation and the between-curve correlation is modeled by correlating functional principal component scores of the functional data. Additionally, in the sparse observation framework, we propose a novel approach of spatial principal analysis by conditional expectation to explicitly estimate spatial correlations and reconstruct individual curves. Assuming spatial stationarity, empirical spatial correlations are calculated as the ratio of eigenvalues of the smoothed covariance surface Cov\((X_i(s),X_i(t))\) and cross-covariance surface Cov\((X_i(s), X_j(t))\) at locations indexed by i and j. Then a anisotropy Matérn spatial correlation model is fitted to empirical correlations. Finally, principal component scores are estimated to reconstruct the sparsely observed curves. This framework can naturally accommodate arbitrary covariance structures, but there is an enormous reduction in computation if one can assume the separability of temporal and spatial components. We demonstrate the consistency of our estimates and propose hypothesis tests to examine the separability as well as the isotropy effect of spatial correlation. Using simulation studies, we show that these methods have some clear advantages over existing methods of curve reconstruction and estimation of model parameters.     

Shame and the city – ‘looting’, emotions and social structure

The sociology of violence is an emerging field but one in which there remains a tension between structural explanations and phenomenological‐situational ones that focus on the micro conditions of violence. This article proposes an analytical framework for connecting these levels through a critical appropriation of Scheff's theory of the shame‐rage cycle. It argues that while shame is a significant condition for violent action, Scheff does not have a theory of violence in itself but treats the connections between shame‐rage and violence as largely self‐evident. While emotions such as shame have agental properties, as Scheff and others argue, these need to be situated within structural and cultural conditions that are likely to evoke shame. Moreover, to develop Scheff's approach further, violence needs to be understood as being communicative and invoking normative justifications, which mediate the effects of shame‐rage. This analysis is developed with reference to recent instances of collective disorder, especially the English riots in August 2011, which is based on published research and media accounts from participants. The acquisition of consumer goods through ‘looting’ was public performance in spaces where a ‘moral holiday’ permitted a brief revaluation of the social order. Through this example the article shows how an underlying configuration of inequality, exclusion and shame coalesced into events in which the violence was a form of performative communication. This articulated ‘ugly feelings’ that invoked normative justification for participation, at least at the time of the disturbances. The discussion provides an integrated account of structural‐emotional conditions for violence combined with the dynamics of situated actions within particular spaces. It aims to do two things – to provide a framework for analysing the structural and affective bases for violence and to offer a nuanced understanding of ‘violence’ with reference to public disorder.     

Risk Attitude,Ambiguity Intolerance and Decision Making: An Exploratory Investigation*

Although recent research has identified attitudes towards ambiguity and risk to be important determinants of choice behavior [8] [18], no prior work jointly assessed the roles of both attitudes. We conducted a laboratory experiment using a real decision scenario and conducted exploratory analyses of the relationship between attitudes towards risk and ambiguity and the decision taken by the subjects. The results support the prediction that attitudes towards both risk and ambiguity affect choice behavior. Our exploratory analyses indicate interesting avenues for future research, including an examination of the decision process itself.     

Design and implementation of ergonomic performance measurement system at a steel plant in India

Management of Tata Steel, the largest steel making company of India in the private sector, felt the need to develop a framework to determine the levels of ergonomic performance at its different workplaces. The objectives of the study are manifold: to identify and characterize the ergonomic variables for a given worksystem with regard to work efficiency, operator safety, and working conditions, to design a comprehensive Ergonomic Performance Indicator (EPI) for quantitative determination of the ergonomic status and maturity of a given worksystem. The study team of IIT Kharagpur consists of three faculty members and the management of Tata Steel formed a team of eleven members for implementation of EPI model. In order to design and develop the EPI model with total participation and understanding of the concerned personnel of Tata Steel, a three-phase action plan for the project was prepared. The project consists of three phases: preparation and data collection, detailed structuring and validation of EPI model. Identification of ergonomic performance factors, development of interaction matrix, design of assessment tool, and testing and validation of assessment tool (EPI) in varied situations are the major steps in these phases. The case study discusses in detail the EPI model and its applications.     

Health Literacy and Happiness: A Community-based Study

The relationship between health literacy and happiness was explored using a cross-sectional survey of community-dwelling older primary-care patients. Health literacy status was estimated with the following previously validated question: “How confident are you in filling out medical forms by yourself?” Happiness was measured using an adapted Subjective Happiness Scale. Of all patients (n = 383), 62% were younger than 65, 28% were men, and 39% were African–American. In bivariate analysis, health literacy was positively correlated with happiness (Spearman’s ρ = 0.261; p < 0.001). Multivariable logistic regression revealed that lowest-quartile happiness was associated with poverty (OR: 2.25; 95% CI: 1.17–4.31), unfavorable self-rated health (OR: 4.16; 95% CI: 2.34–7.40), and lower health literacy (OR: 2.31; 95% CI: 1.23–4.32). The results suggest that inadequate health literacy may be an obstacle to happiness above and beyond its effect on poverty and health, and offers partial support for the inclusion of general and health literacy scores in composite quality-of-life and human development indices. Though alternative explanations are possible, we speculate that the association between health literacy and happiness might be mediated by a sense of personal control.