Walking the Tightrope: Developing a Systems Approach to Balance Safety and Mobility for an Aging Society

In an aging population, safety and mobility are often viewed as being in conflict, when in fact they are two values that must be reflected equally in transportation policy. The challenge for policy makers and for society is to emphasize and optimize both. To achieve this, a comprehensive systems approach to driver health, personal decision-making and planning, community and transportation systems construction, vehicle design, and licensing regulations is needed. Such an approach requires crafting policies based on conceptualizing the issue as a continuum of resources facilitating safety and mobility regardless of driving status. The discussion that follows reviews components of the issue and suggestions for developing a comprehensive approach.     

Tracing Stigma in Long-Term Care Insurance in Israel: Stakeholders’ Views of Policy Implementation

A rapidly expanding number of baby boomers provide care to aging parents. This study examines associations between caregiver status and outcomes related to awareness and anticipation of future long-term care (LTC) needs using 2007 Connecticut Long-Term Care Needs Assessment survey data. Baby boomers who were adult child caregivers (n = 353) versus baby boomers who were not (n = 1242) were more likely to anticipate some future LTC needs and to have considered certain financing strategies. Although baby boomer adult child caregivers more readily anticipate some future LTC needs, they are not taking specific actions. It is important to address the need for public education directed toward those who are currently (or have recently completed) caring for aging parents.     

Counseling issues related to maternal substance abuse and subsequent sudden infant death syndrome in offspring

Recent reports linking maternal prenatal drug use to SIDS in offspring raise six specific issues related to professional intervention: (1) blaming addicted parents compounds the normal guilt experienced after SIDS; (2) low self-esteem often underlies drug usage; (3) punitive intervention by child protective agencies may lead to parental mistrust of health professionals, reducing access to help; (4) society's increasing tendency to criminalize drug use during pregnancy may expose women to prosecution if a SIDS death occurs; (5) the debate over monitoring at risk infants is further complicated if caretakers use drugs; and (6) recent articles have suggested that the majority of SIDS deaths may be the result of homicide, neglect, environmental hazards, etc. For addicted parents, a SIDS death increases the risk of social fragmentation and poses challenges to professional interventions.The destructive effects of the Sudden Infant Death Syndrome go far beyond the lost lives of infants. The psychiatric morbidity among surviving family members can be severe and prolonged. Professional counseling seems vital in the prevention and treatment of a disabling guilt that follows the death of a child. (Bergman et al., 1969)     

Knowledge of Acute Human Immnuodeficiency Virus Infection Among Gay and Bisexual Male College Students

Abstract

Objective: To examine human immunodeficiency virus (HIV)–related knowledge, attitudes, and behaviors in at-risk college men who have sex with men (MSM), focusing on knowledge about acute HIV infection (AHI). Participants and Methods: A one-time anonymous survey was administered to college students attending a lesbian, gay, bisexual, transgender, and queer conference in February 2012. This article reports on a study subsample of MSM. Results: A total of 100 MSM completed the survey. Participants had an average age of 20.4 years. Sixty-six percent reported condom use the last time they had sex. Only 46% had ever heard of symptoms related to AHI. Forty-two percent would likely seek medical care when showing acute symptoms in a setting consistent with AHI. Conclusion: Despite having multiple risk factors for HIV infection, many MSM college students are unaware of AHI. HIV prevention programs should target this population and include information about signs, symptoms, and diagnosis of AHI.     

On the importance of getting even: A study of the origins and intention of revenge

This essay is an abbreviated study of revenge; its ubiquity, its function in maintaining biological and psychological order, balance and stability of one's sense of self, and its place with respect to a community's laws, religions and culture. Also commented on are its connections to feelings of spite, envy and guilt, and to the concepts of fairness, justice and harmony.     

QUALITY‐ADJUSTED HUMAN CAPITAL AND PRODUCTIVITY GROWTH

This article examines the influence of quality‐adjusted educational attainment on growth and tests whether it facilitates the transfer of technology developed at the frontier for a panel of 60 countries. Using outcomes of pathogen stress as instruments, the results show that quality‐adjusted educational attainment and its interaction with distance to the frontier play important roles for growth. (JEL I20, O30, O40)     

The Effectiveness of Educational Programs to Improve Recognition and Reporting of Elder Abuse and Neglect: A Systematic Review of the Literature

Health professionals often lack adequate protocols or knowledge to detect, manage, and prevent elder maltreatment. This systematic review describes and evaluates existing literature on the effectiveness of educational interventions to improve health professionals' recognition and reporting of elder abuse and neglect. Fourteen articles described 22 programs ranging from brief didactics to experiential learning and targeted a variety of health and social service audiences. Most evaluations were limited to satisfaction measures. These programs may result in increased awareness, collaboration, and improved case finding. However, using the published literature to guide new program planning is constrained by lack of details and limited evaluations.     

Urban and peri-urban aquaculture as an immediate source of food fish: Perspectives of Dhaka City,Bangladesh

This paper describes the present status of aquaculture activities in Dhaka City and its surrounding areas including the system of fish marketing and distribution and environmental and socioeconomic issues. Dhaka City contains over 10 million people and is expanding day by day. Demand of fish in the last 10 years has increased as a result of increases in population and income levels. The annual per capita consumption of fish is reported to drop by 0.5 kg since 1985. The reason for this decline is increased prices and decreased supply of fish. Fish supply to the city comes from catch in the rivers-estuaries and floodlands of Dhaka district, neighboring districts, imports from other areas and aquaculture in surrounding areas of the city. Considerable quantities of fish are imported from India, Myanmar and Thailand. Seasonal patterns are common both in supply and consumption of fish. Along with traditional rural household aquaculture, in recent years, urban and peri-urban aquaculture has also been popular. Three broad types of aquaculture activities are found in and around Dhaka City; these are polyculture of carp in ponds, monoculture of catfishs in ponds, and pen and cage aquaculture in open waters. The carp includes both Indian major carp and Chinese carp and some minor carp. The catfish group includes mainly Thai pangas (Pangasius sutchi). Tilapia (Oreochromis niloticus) is also widely popular among the farmers. The technology used for aquaculture is improved extensive to semi-intensive. Increasing demand for fish in the city markets has encouraged the expansion of peri-urban aquaculture with a corresponding increase in the proportion of farmed fish in the markets.