Screening for recommended antenatal risk factors: How long does it take?

Background

Detection and management of antenatal risk factors is critical for quality care.

Building the adult protective services system of tomorrow: The role of the APS national voluntary consensus guidelines

In 2015, the Administration for Community Living (ACL) established the first federal “home” for Adult Protective Services (APS). This leadership has included working collaboratively with state Adult Protective Service systems to ensure that older adults and adults with disabilities are afforded the same protections against abuse, neglect, and financial exploitation regardless of where in the country they live. As part of that leadership, ACL created draft Voluntary Consensus Guidelines for State APS Systems. ACL undertook a process of public and stakeholder engagement and analyzed the resulting comments to improve upon the initial draft of the draft to arrive at the final version. This article examines the comments, including the concerns raised by the commenters about specific areas of the Guidelines, areas identified for future research, and reflections and opinions on the role of the federal government in guiding the development of the field of adult protection.     

Conversations for Connection: An Outcome Assessment of the Hold‐Me‐Tight Relationship‐Education Program,and Recommendations for Improving Future Research Methodology in Relationship Education

The Hold Me Tight (HMT) program is a new approach to relationship education based on Emotionally‐Focused Therapy (Johnson, 2004), an evidence‐based approach to couple therapy. In this exploratory longitudinal research, we examined individual growth in relationship satisfaction and trust for partners in 95 couples in 16 HMT groups across four occasions of measurement: Baseline, Pre‐Program, Post‐Program and at either 3‐ or 6‐month Follow‐Up. We found that relationship satisfaction and trust increased during program participation, and declined during follow‐up. We believe our findings provide support for the short‐term effectiveness of the HMT program, and suggest a longer period of program delivery may result in improved retention of gains. Finally, we present recommendations for improving the design of future longitudinal research in relationship education.     

Do actions reduce perceived risk? A longitudinal analysis of the relationship between risk perception and actions in response to forest disturbance in Colorado

As residents living in hazard-prone areas face on-going environmental threats, the actions they take to mitigate such risks are likely motivated by various factors. Whereas risk perception has been considered a key determinant of related behavioral responses, little is known about how risk mitigation actions influence subsequent perceived risk. In other words, do actions to prevent or mitigate risk reduce risk perception? This longitudinal study considers the dynamic relationships between risk perception and risk-mitigating behavior in the context of forest disturbance in north-central Colorado. Based on panel survey data collected in 2007 and 2018, the results provide a first look at changes in perceived forest risks as they relate to individual and community actions in response to an extensive mountain pine beetle outbreak. Analysis revealed that the perception of direct forest risks (forest fire and falling trees) increased, whereas indirect forest risk perception (concern on broader threats to local community) decreased across the two study phases. Higher individual or community activeness (level of actions) was associated with subsequent reductions in perceived forest fire risk, smaller increases in direct risk perception, and larger decreases in indirect risk perception. These findings contribute insights into the complex risk reappraisal process in forest hazard contexts, with direct implications for risk communication and management strategies.     

Measuring active living in Canada: A time-use perspective

In Canada there is an increasing prevalence of chronic medical conditions and diseases related to a modifiable risk factor - physical inactivity. Therefore, it is important to have regular, robust, population-based surveillance of physical activity engagement that can be used to develop policy interventions and measure their success. The primary objective of this study is to describe the methods used to quantify the proportion of Canadians engaging in physical activities at the intensities and durations required to either maintain or enhance their health. Results indicate the overall proportion of Canadians meeting maintenance levels of physical activity has increased between 1992 (76.2%), 1998 (77.3%), and 2005 (82.5%), but over the same time the proportion meeting enhancement levels of physical activity has decreased (38.1%, 36.6%, and 30.6%, respectively). Furthermore, the results demonstrate the potential applications of time-use data for public health and quality of life research.     

Appetite for Destruction? China,Ecologically Unequal Exchange,and Forest Loss

We test the hypothesis from the theory of ecologically unequal exchange that agricultural exports to China are related to increased forest loss in low- and middle-income nations exporting to it. We do so by analyzing data for 75 low- and middle-income nations using ordinary least squares regression. We find support for our hypothesis that flows of agricultural exports from low- and middle-income nations to China are related to increased forest loss in exporting nations. We also find that a country's total agricultural exports, proximity of forest to infrastructure, and protected areas tend to increase forest loss.     

Understanding human ambivalence about sex: the effects of stripping sex of meaning

We offer a theoretical perspective to provide insight into why people are ambivalent about sex and why cultures regulate sex and attach symbolic meaning to it. Building on terror management theory, we propose that sex is problematic for humankind in part because it reminds us of our creaturely mortal nature. Two experiments investigated the effects of reminding people of the similarity between humans and other animals on their reactions to the physical aspects of sex. In Study 1, priming human-animal similarities led to increased accessibility of death-related thoughts after thinking about the physical but not romantic aspects of sex. In Study 2, when participants were reminded of similarities between humans and other animals, mortality salience resulted in decreased attraction to the physical but not romantic aspects of sex. In each study, priming thoughts about how humans are distinct from animals eliminated the association between sex and death.     

‘An Earthquake Shocked Up the Land!’ Children's Communication During Play With Siblings and Friends

The construction of shared meanings strategies (e.g., introductions, extensions) and use of internal state language (e.g., references to mental states) during play were examined across two relationship contexts (siblings and friends) in 65 focal kindergarten‐aged children (M age = 56.4 months; SD = 5.71 months). Strategies to construct shared meanings were associated with play session; specifically focal children employed introductions more often with their siblings whereas positive/neutral responses and prosocial strategies were used more frequently with their friends. Findings regarding birth order position indicated that older focal children were more likely to engage in non‐maintenance (e.g., negative) behaviors and explanations with their siblings whereas younger focal children employed extensions of play ideas more often with their siblings than friends. Associations between shared meaning strategies and internal state language were positively correlated across both relationship contexts, with more significant associations found in the sibling play session. Findings highlight the high level of sophisticated play interaction among children during play; these interactions were rich and varied and are discussed in light of recent research and theory.     

Declaring Conflict of Interest – Current State of Affairs in the Ophthalmic Literature

The importance of transparency with financial ties in biomedical research is widely recognized, and most peer-reviewed journals require declarations of Conflicts of Interest (COI). Nonetheless, variability in the consistency of declarations of COI has been sparsely assessed. To assess consistency and rates of COI declarations in the ophthalmic literature and the effectiveness of journal COI policies. We analyzed consistency and completeness of declaration of COI in the ophthalmic literature and compared the levels of completeness to specific journal requirements. Six-hundred forty-two peer reviewed articles satisfied the inclusion criteria. In 64%, COIs were unreported, in 25% declaration of COI was incomplete, and 11% of the articles reviewed had complete declaration of COI. Of the 33 journals in which the most frequently published authors’ articles appeared, 10 required the authors to complete the International Committee of Medical Journal Editors (ICMJE) form or an equivalent form, but this did not affect the rates of COI declaration. In a random sampling of the most frequently published authors in the field of ophthalmology, declaration of COI was low and highly inconsistent. Requiring a standardized COI form has no significant effect on the rate of accurate COI reporting. Our findings lend support to the growing body of literature that shows that journals and editors may need to take a more active role in ensuring accurate and consistent COI reporting.