Barriers to Managing Coronary Artery Disease Among Older Women

Numerous barriers to managing coronary artery disease (CAD) among older women are reported in the literature; however, few studies adjust for demographic and health status differences. A survey assessing barriers and other factors was distributed to a stratified random sampling of older women with CAD. Factor analysis and multiple logistic regression procedures were used to estimate the impact of these issues on receiving a CAD-related office visit. The most problematic barriers included denial and low health literacy. Efforts to promote patient awareness of heart health and better communication between patients and clinicians may alleviate these barriers.     

Older Adults’ Experiences of Sexual Difficulties: Qualitative Findings From the English Longitudinal Study on Ageing (ELSA)

There is a growing body of evidence demonstrating that sexual activity is important to the quality of life of older adults, and that it can be influenced by physical, psychological, and social factors. However, older adults’ experiences of sexual difficulties remain relatively unexplored. This article draws on qualitative data collected as part of the English Longitudinal Study of Ageing (ELSA). Participants answered a Sexual Relationships and Activities Questionnaire (SRA-Q), which included an open comment box for further details, 1,084 (1/7) of which were completed. These data were analyzed using Template Analysis, and findings on the experiences of sexual difficulties are presented in this article. Sexual difficulties were contextualized within the couple relationship and could be detrimental to the relationship, particularly if the partner would not seek professional help. Participants reported that sexual difficulties could also have a negative impact on psychological well-being, described mainly as frustration, depression, and sadness. For some participants the supportive nature of their relationship buffered these impacts. Few had sought professional help; those who had reported helpful and unhelpful experiences. These findings add to the limited evidence base and have implications for health care in the context of global aging and a growing recognition of older adults’ sexual rights.     

Grillin’ with My Grandchild©: multigenerational programming for grandfathers and grandchildren

This article describes the Grillin’ with My Grandchild^© multigenerational relationship education program which is designed to encourage the enhancement and maintenance of a meaningful grandfather-grandchild relationship. During this multi-session program, grandfather and grandchild participants engage in several activities which include creating an electronic memory book as well as grilling and eating food together. They learn through facilitated discussion and by sharing personal experiences what it means to be a grandfather and a grandchild. Facilitated discussion about nutritional grilling practices and safe food grilling are implemented at each session. Grandfather-grandchild dyads interact with other familial dyads in their group and experience a sense of community and familiarity. Future research into the relational and psychological benefits of the program are suggested.     

Systemische Resilienz – Die Perspektiven und das Resilienz-Quadarat

In the article results of resilience research are presented and a systemic concept of resilience is derived, which differentiates the term from other models regarding psychic health. The resilience square shows essential factors for resilience. Based on this the idea of resilience is transferred to systems and organizations. The article deepens the resilience approach of Mohr (2016).     

QUANTIFYING THE LIFE CYCLE OF SCHOLARLY ARTICLES ACROSS FIELDS OF ECONOMIC RESEARCH

Does the life cycle of economic papers differ across fields of economic research? By constructing and analyzing a large dataset that combines information on 9,672 articles published in the top five economic journals from 1970 to 2000 with detailed yearly citation data obtained from Google Scholar, we find that published articles do have a life cycle that differs across fields of economic research (which we divide into the categories of applied, applied theory, econometric methods, and theory). Applied and applied theory papers are the clear winners in terms of citation counts. For the first years after their publication, they receive higher numbers of citations per year than papers in other fields of research do. They also reach a higher peak number of citations per year and apparently sustain those peak levels for longer, in addition to being cited over longer periods of time (i.e., they have a longer lifespan). Citation patterns are much less favorable for theoretical papers, which are the object of fewer citations per annum in the first years following publication, have lower peak numbers and a shorter lifespan. Econometric method papers are a special case; the pattern for most of these papers is similar to the pattern for theory papers, but the most successful papers (as measured by the number of citations) on econometric methods are also the most successful papers in the entire discipline of economics. (JEL A14)     

Demographic change and shifting views about marine resources and the coastal environment in Downeast Maine

Connections to the sea often define the character of coastal towns. However, as migrants arrive and economic diversification occurs, views about the use of marine resources and the ocean environment can change. Using survey data from Maine, we examined whether shifting demographics affect public perceptions of marine resource uses and coastal environmental concerns. We tested resource use and environmental items against a common set of demographic, background, and place-related variables. Results indicate that the level of education and the county of residence predict Mainers?? views about different marine resource uses and ocean-related environmental issues. Political party affiliation strongly influences environmental concern but not views about the use of marine resources. Migration history, on the other hand, has little effect. Understanding community contexts as well as individual background and ideological orientations will be critical as managers attempt to balance alternative uses of marine resources and resolve coastal environmental problems.     

Moralische Arbeitsteilung

In modernity, organizations are the most powerful actors. All the more important is the “dark side” of organizational morality. While organizations, on the one hand, ensure or claim to ensure efficiency and reliance they have, on the other, a considerable potential to suppress the moral point of view and to produce or fabricate legitimation. The paper concentrates on this dark side—on problems of the moral division of labor, the organization of hypocrisy, legitimation through procedures, rent-seeking and the related corporate power vis-à-vis law, regulation and politics.