PROBLEM FAMILIES AND THE CIRCUMPLEX MODEL: OBSERVATIONAL ASSESSMENT USING THE CLINICAL RATING SCALE (CRS)

The validity, reliability, and curvilinearity of the Clinical Rating Scale (CRS) from the Circumplex Model were evaluated and the ability of the scale to discriminate between proble/clinical families and nonclinical families was tested on family cohesion, family adaptability, and family communication. Two groups of problem families were compared with two control groups. The study tested the main curvilinear hypothesis of the Circumplex Model that nonclinical families will have more Balanced system types than problem/clinical families. Conversely, problem/clinical families will have more Extreme system types than nonclinical families. Using the CRS, this hypothesis was strongly supported. Family satisfaction was used as a measure to investigate group differences further. As hypothesized, the two control groups had high levels of satisfaction, and the two problem family groups had significantly lower levels of family satisfaction. Overall, the CRS discriminated well between problem families who had more Extreme types on cohesion and adaptability and lower on communication and satisfaction than control families. Investigating different family structures (single-parent, blended, and traditional two-parent families) confirmed these findings. The study provided strong support for the curvilinear hypothesis that problem families are more frequently Extreme on both ends of the family cohesion and adaptability dimensions. It also revealed that the CRS has excellent validity and reliability.     

An on-site ergonomic program: A model for industry

Work related conditions caused by overexertion or repeated trauma affect millions of American workers. These conditions can result in time off from work, decreased productivity, and high financial costs, not to mention impairment of the worker. According to the Occupational Safety and Health Act (OSHAct) of 1970 [26], employers are required to provide hazard free workplaces for their employees. Fortunately resources exist to help employers set up on-site ergonomic programs to reduce the hazards that contribute to cumulative trauma disorders (CTDs) or other injuries. Companies that have implemented comprehensive ergonomic programs have reported benefits, most significantly, decreased injuries, and cost savings. A model is described for industry on starting and managing a successful on-site ergonomic program.     

Psychometric properties of the work environment impact scale: a cross-cultural study

This study examined the psychometric properties of the Work Environment Impact Scale in the United States and Sweden. Thirteen American and four Swedish occupational therapists used the scale (in English and Swedish respectively) to rate 21 (11 American and 10 Swedish) subjects. Results of a Rasch analysis of the data, indicate that the items work well together to measure the construct of work environment impact. The scale is also suitably matched to the clients in this study and effectively discriminated different levels of work environment impact. The findings also suggest that both language versions of the scale are equivalent and that the scale is culture-free.     

A study of gay and lesbian teachers

This study summarized a survey of 97 homosexual individuals who were currently teaching or who had been teachers. The focus of the survey was to gain insight into the experiences of such individuals in the public schools. It was found that 25% of the respondents had left teaching; a little more than half of this group left at least partially because of their sexual preference. About 82% were out of the closet to at least one person while teaching; nearly half of those who were "out" had chosen another teacher in whom to confide. Of those who chose someone in whom to confide, 70% reported a positive reaction from that individual. The author's conclusion is that an individual's decision to become a teacher, stay in teaching, and to "come out of the closet" is necessarily highly individual and very complex.     

Articulating a Role for Program Evaluation in Responsible Conduct of Research Programs

Since Integrity in Scientific Research: Creating an Environment That Promotes Responsible Conduct was released in 2001, there has been increased interest in evaluating programs designed to foster the responsible conduct of research (RCR). The field of program evaluation is designed to determine the worth or value of programs and can serve as a resource for institutions interested in evaluating their RCR programs. This article provides a very brief overview of program evaluation, demonstrates how it can be applied to RCR, and provides key reference information. Evaluating RCR programs can promote institutional accountability for the resources that are used in supporting those programs.     

Evaluation of public health professionals' capacity to implement environmental changes supportive of healthy weight

Community-based interventions to promote healthy weights by making environmental and policy changes in communities may be an important strategy in reversing the obesity epidemic. However, challenges faced by local public health professionals in facilitating effective environmental and policy change need to be better understood and addressed. To better understand capacity-building needs, this study evaluated the efforts of the Healthy Start Partnership, a university-community project to promote healthy weights in young families in a rural eight-county area of upstate New York. Qualitative interviews (n=30) and pre/post surveys (n=31) were conducted over three years of the intervention. Challenges faced by partners significantly slowed progress of environmental interventions in some communities. First, many partners did not feel their "regular" jobs afforded them sufficient time to do community work. Second, many partners did not feel they had the personal political power to work on broader environmental, policy, or system change issues. Third, facilitating and policy change and reaching out to non-traditional partners, like businesses, required developing a new set of public health skills. Fourth, the long-time frame of environmental and policy work meant that many efforts would exceed the grant period. Building local public health leaders for environmental and policy change necessitates that these challenges are acknowledged and addressed.     

Antibiotic resistance in urinary tract infections in college students

Abstract Objective: To determine resistance to antibiotics of Escherichia coli in uncomplicated urinary tract infections (uUTIs) in female college students. Participants: Symptomatic patients presenting to a student health service from September 2008 to December 2009. Methods: Clean catch midstream urine samples were tested for urinalysis (UA) and culture and sensitivity. Results: Of 168 students enrolled in the study, 138 had positive UA, and 94 of these grew >100,000 colonies/mL of E. coli. Ampicillin resistance was 31.9%, trimethoprim-sulfamethoxazole (TMP-SMX) resistance 16.0%, ciprofloxacin resistance 4.3%, amoxicillin/clavulanate resistance 3.2%, and nitrofurantoin resistance 1.1%. The sensitivity of UA was 95.4% and the positive predictive value was 87.0% (p ≤ .001). Specificity was 77.5% and negative predictive value 92.9%. Conclusions: In healthy college women with uUTI symptoms, TMP-SMX should not be universally used for empirical therapy, whereas use of ciprofloxacin, amoxicillin/clavulanate, and nitrofurantoin are appropriate.     

Direct and indirect effects of human population density and land use on physical features and invertebrates of Iowa (U.S.A.) streams

To improve understanding of human impacts on headwater stream condition, we quantified relationships between human, terrestrial landscape, and stream system variables in 29 central Iowa watersheds. Across study watersheds, between 0 and 100 % of total land area was characterized as “urban” (developed and barren land), whereas cultivated land constituted between 0 and 71 % of watershed area. Several variables were measured for each stream and associated watershed. Strengths of correlative relationships were used to select variables for path analysis, which we used to gain insight into factors affecting stream condition by evaluating direct and indirect effects of human system variables, terrestrial landscape variables, and physical stream variables on stream invertebrates. Results indicated that in predominantly urban watersheds, contaminant inputs to streams (measured by streamwater conductivity) negatively affected invertebrates, including EPT taxa (Ephemeroptera, Plecoptera, Trichoptera), and streamwater contaminant concentrations increased with impervious surface and human population density in the watershed. In rural watersheds, high streamwater nitrogen concentrations associated with cultivated land were related to declines in invertebrate taxon richness. Independent of land use, invertebrate abundance and taxonomic diversity were positively related to coarse substrate abundance on the streambed. Additionally, stream flow (discharge) increased with watershed area, which in turn increased invertebrate taxonomic diversity. Apparently, mechanisms responsible for human impacts on stream condition in central Iowa depend on dominant land use in the watershed. Additionally, stream ecosystems with high quality benthic habitat, and those located in large watersheds with greater flow, appear to be more resilient to land use effects.     

Motherhood and Family Health Advocacy in Nutrition and Exercise: “Doing the Tradition”

Studies tend to subsume women’s routine family healthcare responsibilities under the larger heading of “household labor.” This study argues that, women’s—and particularly mothers’—family healthcare work in the area of diet and physical activity represents a distinctive area for critical family communication research with potentially serious psychological, emotional, and physical consequences for women and their families. Interviews (N = 30) with young adult-family member dyads supported this assertion. Interview data illustrated that mothers struggled to fulfill incongruous health goals for themselves and their family members, and did so at the expense of their familial relationships (particularly with children) and their own health. Moreover, dyadic data analysis highlighted how young adults ascertained and carried on the “tradition” of the established mother-as-healthcare-provider role. Implications for theory and future research directions conclude this study.