The Importance of General Self-Efficacy for the Quality of Life of Adolescents with Chronic Conditions

We investigated the influence of general self-efficacy perceived by adolescents with chronic conditions and parents on quality of life. This cross-sectional study used the general self-efficacy scale and DISABKIDS condition-generic module to survey adolescents (92/293; 31 %) with type I diabetes, juvenile rheumatoid arthritis, cystic fibrosis, kidney/urological conditions, and neuromuscular disorders; and parents (121/293; 41 %). Self perceived and parents’ perceived general self-efficacy of adolescents was compared using paired t-tests, and adolescents’ quality of life and general self-efficacy were compared among conditions using analysis of variance. Bivariate correlations between general self-efficacy and quality of life were identified, and multiple regression sought predictors of quality of life after controlling for background variables. Social quality of life was lowest among those with neuromuscular disorders. General self-efficacy was highest among adolescents with cystic fibrosis and lowest among those with urological conditions. Parents’ perceptions of general self-efficacy were higher than adolescents’ (p ≤ 0.05), although absolute differences were small. General self-efficacy perceived by parents and adolescents was related to emotional, physical, and social quality of life. Adolescents’ perceived self-efficacy predicted all quality of life domains. Parents’ perceptions of the adolescents self-efficacy predicted the adolescents’ social quality of life (β = 0.19; p ≤ 0.01). General self-efficacy of adolescents with chronic conditions as perceived by themselves and their parents is important for adolescents’ quality of life. Interventions to improve general self-efficacy should benefit quality of life among these adolescents.     

Trust as a Means of Bridging the Management of Risk and the Meeting of Need: A Case Study in Mental Health Service Provision

Shifts in public policy towards an increasing focus on risk have been deemed problematic at a number of levels, particularly the tendency for concerns over reputational risk to institutions to trump the interests and needs of service‐users. This article explores the tension between these two dimensions, of risk and need, in a case study of local mental health services – a setting where conflicting objectives to manage risk and meet need are apparent. Media‐driven pressure to ward against the ‘risk’ represented by service‐users tends towards more coercive policy which may obstruct the meeting of need, which in turn may undermine service‐user engagement and hinder risk management. Drawing on qualitative data from interviews with service‐users, professionals and managers, the article explores the process of trust and its facilitative role in meeting need and managing risk. Findings suggest that while existing foci on risk are at times counter‐productive, trust plays a significant role in service‐users' initial and ongoing engagement, communication and co‐operation with professionals. Yet inherent obstacles to trust within mental healthcare contexts remain, due to cultural pressures on professionals, the nature of the illness experience and negative past experiences of in‐patient care.     

Urban Governance Reform Index: An Alignment of Traditional Reform and Public Choice Propositions

The persistent debate on the consolidation versus fragmentation model of government is a result of a dualist conceptualization of governance reform by two competing theories—public choice and traditional reform. Both argue for reform, but their definitions of reform are diametrically opposed and there is no appropriate instrument to measure government reform. We propose an alignment of the traditional reform and public choice traditions and an instrument to measure governance reform by an index comprised of 1) form of government, 2) home-rule status, 3) methods of election, 4) number of elected officials, and 5) number of jurisdictions. The alignment of the two theoretical camps is supported by the selection of the five reform components and their particular operationalizations.     

The case for small area microdata

Summary.  Census data are available in aggregate form for local areas and, through the samples of anonymized records (SARs), as samples of microdata for households and individuals. In 1991 there were two SAR files: a household file and an individual file. These have a high degree of detail on the census variables but little geographical detail, a situation that will be exacerbated for the 2001 SAR owing to the loss of district level geography on the individual SAR. The paper puts forward the case for an additional sample of microdata, also drawn from the census, that has much greater geographical detail. Small area microdata (SAM) are individual level records with local area identifiers and, to maintain confidentiality, reduced detail on the census variables. Population data from seven local authorities, including rural and urban areas, are used to define prototype samples of SAM. The rationale for SAM is given, with examples that demonstrate the role of local area information in the analysis of census data. Since there is a trade-off between the extent of local detail and the extent of detail on variables that can be made available, the confidentiality risk of SAM is assessed empirically. An indicative specification of the SAM is given, having taken into account the results of the confidentiality analysis.     

Challenges that Educators Meet When Teaching Children with Hearing Impairment at Resource Units in Harare, Zimbabwe

Studying on challenges that educators meet when teaching children with hearing impairment at resource units was aimed at developing further the understanding of practices that either promoted or caused barriers to the learning of the pupils with hearing impairment and indicate achievements and failures of the programme. The study was conducted through focusing on the main educational activities and features that characterise pupils learning at resource units. These features were related to organisation of the pupils' learning, meeting pupils' academic and developmental needs, communication, co-operation among educators and educators and parents, and satisfying the educator knowledge needs. Educators cited a variety of challenges on the above named themes which adversely affected progress in the teaching/learning process. They also reported that the main achievement of educating children with hearing impairment at resource units was of developing the child socially and raising awareness in the society on the nature of hearing impairment.     

Information and Risk Perception: A Dynamic Adjustment Process

It is common in catastrophic food-contamination events that consumers fail to adjust instantaneously to a normal consumption level. One explanation is that consumers only gradually accept new positive information as being trustworthy. The gradual establishment of the trustworthiness of the released information depends on both positive and negative media coverage over time. We examine the individual "trust" effects by extending the prospective reference theory (Viscusi, 1989) to include a dynamic adjustment process of risk perception. Conditions that allow aggregation of changes in risk perceptions across individuals are described. The proposed model describes a general updating process of risk perceptions to media coverage and can be applied to explain the temporal impact of media coverage on consumption of a broad range of goods (food or nonfood). A case study of milk contamination is conducted to demonstrate consumer demand adjustment process to a temporarily unfavorable shock. The results suggest that effects of positive and negative information to adjustment of consumption and risk perception are asymmetric over time.     

京城老外速写康为：语言文化交流国际村的村长

目前，在京城常驻工作的外国人口已达4万．这些“洋打工”也在和中国人争抢饭碗，并且为北京税收做出了相应的贡献。另外，在京留学生人数也有3万多人，目前在京各高校的留学生大多数已不只为学汉语，更多转向了应用型学科和自己感兴趣的学科。