Religiosity, denominational affiliation and sexual behaviors among people with HIV in the United States

This study sought to describe religiosity and denominational affiliation among the U.S. population living with HIV and to test whether either is associated with HIV-related sexual risk behaviors. A nationally representative sample of 1,421 people in care for HIV, 932 of whom reported recent sexual activity, was utilized. Religiosity was associated with fewer sexual partners and a lower likelihood of engaging in unprotected sex and in high-risk sex. Catholics were less likely to report unprotected sex than were other Christians, adherents of non-Christian religions, and those reporting no religious affiliation. Catholics were also less likely than other Christians to report high-risk sex and reported fewer sexual partners compared to those of non-Christian religions. We did not observe a difference between Catholics and Evangelicals in the three sexual behaviors investigated. Results suggest that religiosity and some religious teachings may promote safer sex among people with HIV.     

Rehabilitation Programs for Elderly Women Inpatients with Schizophrenia

ABSTRACT

This study aims to describe rehabilitation and resocialization methods we believe to be appropriate for application to female patients with schizophrenia, in a psychiatric unit with a predominantly older population. We briefly describe the unit and the interventions used as an example of the proposed rehabilitation and resocialization methods applied. The article provides an overview to guide accurate intervention, particularly in inpatient women, in different types of cognitive impairment under the broad category of schizophrenia. Our clinical approach includes a token economy approach, cognitive remediation therapy, and social skills training. The token economy intervention is particularly directed to patients that present with a high mental deterioration and/or debility. Cognitive remediation training is applicable to subjects with both cognitive and social dysfunction, but that do not possess signs of an organic cerebral illness or of substance abuse. Social skills training can be the third step to resocialization, training verbal and nonverbal communication competencies.     

Effects of Video-Guided Group vs. Solitary Meditation on Mindfulness and Social Connectivity: A Pilot Study

Clinical Social Work Journal - Interest in mindfulness meditation continues to grow as accumulating evidence suggests mindfulness training encourages more positive functioning. However, basic...     

“The adoption and implementation of performance measurement process in Italian public organisations: the influence of political,cultural and rational factors”

One of the main challenges in the field of performance measurement and management in public organisations is about how to use and manage performance measures effectively. This study aims to examine the stages involved in the process of utilisation of performance measures, i.e. adoption and implementation, and to investigate the political, cultural and rational factors that affect this process. For this purpose, a theoretical model from the literature has been extended and tested by using the data gathered through a survey involving the managers of several departments of Italian regions and municipal districts. The final sample has included 201 usable observations. The data analysis has been conducted using structural equation modelling. A significant cause-and-effect relationship was found between the stages of adoption and implementation. Moreover, it was found that adoption is driven significantly by rational factors. Otherwise actual implementation is influenced by factors addressed both by political considerations, such as external interest groups and by rational evaluations such as resources. The effects of other rational and cultural factors on implementation stage are mediated by adoption.     

Governance and Performance of a Mixed Public-Private Enterprise: An Assessment of a Company in the Estonian Water Sector

Local governments are increasingly entering into partnerships with the private sector in the “externalization” of public service delivery. While the financial and non-financial interests of the partners involved may appear to be in opposition and potentially un-reconcilable, this is not always the case, especially where governance arrangements exist to align and balance the requirements of financial and non-financial performance. Such arrangements are analysed here with reference to Estonia’s largest water company with mixed public-private ownership. It has a business-like management that facilitates a combination of good non-financial performance (quality and affordability) and considerable financial performance (profitability).     

Effect of autocorrelation when estimating the trend of a time series via penalized least squares with controlled smoothness

This paper studies the effect of autocorrelation on the smoothness of the trend of a univariate time series estimated by means of penalized least squares. An index of smoothness is deduced for the case of a time series represented by a signal-plus-noise model, where the noise follows an autoregressive process of order one. This index is useful for measuring the distortion of the amount of smoothness by incorporating the effect of autocorrelation. Different autocorrelation values are used to appreciate the numerical effect on smoothness for estimated trends of time series with different sample sizes. For comparative purposes, several graphs of two simulated time series are presented, where the estimated trend is compared with and without autocorrelation in the noise. Some findings are as follows, on the one hand, when the autocorrelation is negative (no matter how large) or positive but small, the estimated trend gets very close to the true trend. Even in this case, the estimation is improved by fixing the index of smoothness according to the sample size. On the other hand, when the autocorrelation is positive and large the simulated and estimated trends lie far away from the true trend. This situation is mitigated by fixing an appropriate index of smoothness for the estimated trend in accordance to the sample size at hand. Finally, an empirical example serves to illustrate the use of the smoothness index when estimating the trend of Mexico’s quarterly GDP.     

A geostatistical approach to define guidelines for radon prone area identification

Radon is a natural radioactive gas known to be the main contributor to natural background radiation exposure and the major leading cause of lung cancer second to smoking. Indoor radon concentration levels of 200 and 400 Bq/m³ are reference values suggested by the 90/143/Euratom recommendation, above which mitigation measures should be taken in new and old buildings, respectively, to reduce exposure to radon. Despite this international recommendation, Italy still does not have mandatory regulations or guidelines to deal with radon in dwellings. Monitoring surveys have been undertaken in a number of western European countries in order to assess the exposure of people to this radioactive gas and to identify radon prone areas. However, such campaigns provide concentration values in each single dwelling included in the sample, while it is often necessary to provide measures of the pollutant concentration which refer to sub-areas of the region under study. This requires a realignment of the spatial data from the level at which they are collected (points) to the level at which they are necessary (areas). This is known as change of support problem.In this paper, we propose a methodology based on geostatistical simulations in order to solve this problem and to identify radon prone areas which may be suggested for national guidelines.     

Ergonomics in designing process: dialogue between designers, executors and users in the maintenance activity of radars in an oil refinery

This paper aims to discuss the role of ergonomics in design process using the dialogue developed by designers, implementers and users in an oil refinery. It was possible to identify the need of minimizing the postural constraints, risk of accidents, mechanical shocks and to enlarge safety perception in the access and permanency of the users at the workspace. It has been determined and validated by workers and managers to implement different deadlines depending on programming, viability and execution time for the improvements proposed. In a long-term: it was proposed the substitution of the ladders with time planning according to the maintenance program of the tanks; in a short-time: it was suggested the expansion of the existing platforms, implementation of a walkway connection provided with guardrails between the upper access of the side ladder and the repositioning of radar set and aerial aiming at the usage by workers at the workstation of the new platform. It was also elaborated eight typologies of intervention, according to the request, type of tank, material stored, and its setting place. The design process arises from ergonomics workplace analysis that presents concepts for solutions which was a mediator tool to be settled between users and implementers.     

Analysis of the ergonomic usage of the ARMflex in the odontological area

The aim of this paper is to analyze the importance and applicability of ARMflex in the odontological area and its influence in preventing or stopping the involuntary habit of improperly positioning the hand under the face or under the pillow. The ergonomic usage of ARMflex influences the design in odontological areas and innovates in the semi-immobilization of the patient to prevent future orthodontic problems.