“Like My Grandparent,But Not”: A Qualitative Investigation of Skip‐Generation Stepgrandchild–Stepgrandparent Relationships

Families have become increasingly diverse and complex, which has made defining family membership more ambiguous. Issues surrounding family identity, belonging, and shared kinship are relevant in many types of complex families, but they are critically important for stepfamilies. In this study the authors examined stepgrandchild–stepgrandparent relationships; specifically, they explored how 27 stepgrandchildren (M age = 20.8) thought and felt about their relationships with 35 skip‐generation stepgrandparents (i.e., stepgrandparents who did not help raise stepgrandchildren's parents but who have been in the lives of stepgrandchildren from birth or early childhood). Most stepgrandchild–stepgrandparent relationships (n = 24/35) were described as emotionally close and supportive. Stepgrandchildren who perceived stepgrandparents as fulfilling traditional grandparent roles and whose parents modeled and facilitated warm, close relationships with stepgrandparents were most likely to perceive these intergenerational steprelationships as important. The findings have implications for kinship identification in diverse and complex families.     

Ideology and welfare in the UK: the implications for the voluntary sector

The UK has, over recent years, moved from a welfare state to a more market-oriented system of welfare. But the extent of this change has varied considerably according to the ideological position of local government in different parts of the country. This makes it possible within one country to assess the implications for the voluntary sector of different models of welfare. This article develops a framework for looking at different welfare ideologies and the values they espouse, with reference both to the UK and to the models that exist in other countries. It then takes four examples of UK local authorities which demonstrate the different models and examines the implications for the voluntary sector. In doing so, it examines the prospects for the voluntary sector to deliver both service and political pluralism in the future.     

Cooperating,reflecting, making open and meta-dialogue — Outline of a systemic approach on constructivist grounds

In this paper the authors first describe the theoretical background of their constructivist approach to therapy: the Kiel-Meyn-Consultation-Model. They then outline their guidelines “cooperating, reflecting, making open” for interviewing, briefly describe the “meta-dialogue” and point out some basic helpful attitudes consultants can hold. Annotated excerpts from a consultation are then presented to give an idea of how the model works. The paper closes with summaries of follow-up sessions and their evaluation by the therapist.     

Agreement Between Scales in the Measurement of Breast Cancer Risk Perceptions

The objective of this article is to compare the accuracy and numeric responses of breast cancer risk perception as measured by a frequency scale and percentage scale. A cross-sectional survey was conducted. Perceptions of five-year and lifetime breast cancer risk were measured using a frequency and a percentage scale. Estimation error was calculated as the absolute difference between actual breast cancer risk as determined by the Gail model and perceived risk. Agreement between scales was determined by calculating the mean and standard deviation of the difference between numeric responses. The study was conducted among women enrolled in two primary care clinics associated with an academic medical center. Two-hundred-fifty-four participants were recruited from one of the two participating internal medicine clinics. Inclusion criteria included female gender and age 40-84 years. Exclusion criteria included a history of breast cancer, dementia, or a life expectancy of less than two years. The frequency scale was more accurate than the percentage scale in estimating lifetime risk (p= 0.05), but less accurate in estimating five-year risk (p < 0.02). Only 79 participants (31%) were considered consistent scale users, providing identical responses when using the frequency and percentage scale for a given risk estimate. Although the mean difference (percentage-frequency scale) for estimates of breast cancer lifetime risk was only 2.4, the empirically determined 90% limits of agreement between the frequency and percentage scale for lifetime risk were wide, from -30 to 40. Higher numeracy was associated with consistent use of scales (OR 1.61, 95% CI; 1.09-2.37). We report disagreement in breast cancer risk perceptions when measured by a frequency and a percentage scale. The accuracy and direction of bias associated with each scale varies according to the time frame of risk being assessed.     

What recruiters can't/won't tell you. 6 questions that good headhunters won't answer.

If you're frustrated because a headhunter won't give you certain information about a hiring organization, get over it. There are some very good reasons why a respectable recruiter won't answer particular questions from job candidates. Find out the questions and why they won't answer them.     

Osteoporosis: an invisible, undertreated, and neglected disease of elderly men

This article highlights a silent disease that threatens the health and vitality of older men. Among elderly men and women, osteoporosis is among one of the leading causes of morbidity and mortality in the United States. Once perceived as only a female dominated disease, osteoporosis is now known to be gender blind. The following discussion will review the epidemiology and pathology of osteoporosis, and identify the concerns raised for men, including neglect. Special management considerations for older men and recommendations for future research into this overlooked major health problem will be explored. Better understanding of how osteoporosis affects older men may help to encourage prevention strategies earlier in life, appropriate screening and monitoring, as well as more effective treatment later in life.     

Headquarter Services in the Global Integration of Production

This study examines knowledge management within multinational enterprises (MNEs) by analyzing whether greater interdependence of production between U.S. parent firms and their foreign subsidiaries increases the provision of headquarter (HQ) services from the home country. The findings suggest that U.S. parents provide more assistance to their foreign subsidiaries that are linked in a global value chain than to those that are not involved in production sharing. This study builds on the earlier studies of the relationship between intra-MNE product flows and knowledge flows in multiple ways. First, it separately examines the relationship for high-tech and low-tech manufacturing industries, and finds that knowledge services from HQ that could be combined with knowledge of the subsidiary, such as R&D services, are primarily associated with production sharing with subsidiaries in high-tech manufacturing industries, which are assumed to be more technologically capable. Likewise, it finds that knowledge services from HQ that might be considered to be more passively received from the parent, such as industrial-type maintenance and design, are primarily associated with subsidiaries in low-tech manufacturing industries, which are assumed to be less technologically capable. Second, this study is the first one, to our knowledge, that gauges intra-firm knowledge flows using dollar-denominated measures of HQ services provided by parents to their subsidiaries.