Contributing Factors of Depressive Symptoms Among Elderly Korean Immigrants in Texas

This study examined various life stresses associated with relocation that may contribute to depressive symptoms among Korean immigrant elders in Texas. A sample of 120 elders was assessed using the Geriatric Depression Scale–Short Form and a 90-min face-to-face interview. Over 1/3 of respondents (37.5%) had symptoms of depression. Regression analyses (R² = .331) indicate that self-rated health, stressful life events, English language proficiency, satisfaction of visiting one's birth place, and watching TV were correlates of depressive symptoms among them. The findings of this observational study may be used as a baseline for designing service program for this population.     

Putting evidence into practice: A quality activity of proactive pain relief for postpartum perineal pain

BackgroundPerineal pain associated with perineal trauma is often underestimated. Offering regular pain relief may be advantageous compared to waiting for women to request it. Changing clinical practice in a sustained way needs a whole of team approach.AimTo reduce women's pain following perineal trauma in the first 48 h following childbirth and to undertake this as multidisciplinary, quality activity.MethodsIn November 2008 a questionnaire was distributed to 18 new mothers who had sustained perineal trauma during the birth in order to assess pain levels in the first 48 h and to investigate pain management therapies used. Following this survey a multidisciplinary project team undertook a series of brainstorming sessions, reviewed the literature and undertook staff surveys to identify key factors impacting on women's perineal pain. A process of decision making led to education and support of women and staff. An evidence based guideline, which involved prescribing regular pain relief for women and offering an ice pack within 1 h of giving birth was implemented, and a brochure was designed for women. A follow up questionnaire was distributed in June 2010 to 18 women and pain scores before and after the change in policy were compared.ResultsPrior to the practice change in 2008 67% of the women surveyed rated their pain as ‘moderate’ to ‘a lot’ 48 h following the birth. Following the change in practice and implementation of a new guideline a second survey in 2010 at 48 h postpartum found 60% of women in the post intervention group rated their perineal pain as ‘a lot’ to ‘moderate’. There had been a 33% increase in women's use of pain relief options compared to the pre-intervention survey. The practice change was sustained and adopted by all the staff.ConclusionBy taking a multidisciplinary quality activity an effective practice change was facilitated that appeared to decrease women's perineal pain in the 48 h following birth.     

Counting the Population or Describing Society? A Comparison of English and Welsh and French Censuses

Data collected at household level in censuses are used for a wide range of purposes including practical planning and academic analysis of changing social conditions. Comparability is a core demographic value, and to understand the limits of the comparability of census data across time and space, it is important to recognise if, how and why, concepts and definitions change between censuses. This paper examines definitions of the household in censuses in England and Wales (E&W) and France from 1960 to 2012 in order to investigate how census definitions have changed and to examine the drivers of such changes. Two research methods were used: (1) longitudinal analyses of census documentation since the 1960s and (2) in-depth interviews with key informants oriented around respondents’ roles in the collection and/or use of household data from censuses and surveys. We identify two contrasting national approaches to the data collection exercise that is called a census, which reflect political and institutional differences. These differences call into question the comparability of some aspects of census data across national boundaries, despite increased harmonisation of approaches to data collection. By comparing the evolution of the definitions of the “household” in censuses, we develop insight into the diversity of the priorities of census commissioners and designers, and consider the broader implications of this for producing comparable data.     

Behavioral finance in corporate governance: economics and ethics of the devil’s advocate

The Common Law, parliamentary democracy, and academia all institutionalize dissent to check undue obedience to authority; and corporate governance reformers advocate the same in boardrooms. Many corporate governance disasters could be averted if directors asked hard questions, demanded clear answers, and blew whistles. Work by Milgram suggests humans have an innate predisposition to obey authority. This excessive subservience of agent to principal, here dubbed a “type II agency problem”, explains directors’ eerie submission. Rational explanations are reviewed, but behavioral explanations appear more complete. Experimental work shows this predisposition disrupted by dissenting peers, conflicting authorities, and distant authorities. Thus, independent directors, chairs, and committees excluding CEOs might induce greater rationality and more considered ethics in corporate governance. Empirical evidence of this is scant—perhaps reflecting problems identifying genuinely independent directors.

Physician-Assisted Suicide and Midwest Social Workers: Where Do They Stand?

ABSTRACT

Physician-assisted suicide (PAS) is explicitly legal in five states and by court decision in one. Legislative bills have been introduced in other states including Minnesota, Iowa, and Wisconsin. This quantitative study was designed to understand Midwest, hospice and palliative care at end-of-life social workers’ attitudes toward PAS, preferred terminology, perception of preparedness for the implementation, and awareness of PAS legislation in their state. Sixty-two social workers from Minnesota, Iowa, and Wisconsin completed an anonymous online survey. The results indicated that over one-half of the participants supported PAS legislation and is consistent with previous research on social workers across the country. While there was a range of perceived preparedness for implementation, a majority felt moderately to very prepared. Professional and personal values as well as professional experience influenced their perceived preparedness. Few social workers had accurate awareness of PAS legislation in their state or had attended workshops/events for further education or as a policy advocate. To practice competently and advocate at all levels of practice, hospice and palliative care at end-of-life social workers’ need to understand their own attitudes and values toward PAS and pursue additional education around this ethical issue.     

Effects of a single outlier on arma identification

Fox (1972), Box and Tiao (1975), and Abraham and Box (1979) have proposed methods for detecting outliers in time series whose ARMA form is known (or identified). We show that the existence of a single aberrant observation, innovation, or intervention causes an ARMA model to be misidentified using unadjusted autocorrelation (acf) and partial autocorrelation estimates. The magnitude, location, type of outlier, and in some cases the ARMA's parameters, affect the identification outcome. We use variance inflation, signal-to-noise ratios, and acf critical values to determine an ARMA model's susceptibility to misidentifi-cation. Numerical and simulation examples suggest how to iteratively use the outlier detection methods in practice.     

Covariance analysis and associated spectra for classes of nonstationary processes

In 1951, Cramér introduced a class of nonstationary processes. This broad class of processes contains the important harmonizable and stationary classes of processes. The Cramér class can have additional structure imposed upon it through Cesàro summability considerations. These refined Cramér classes, termed (c,p)-summable Cramér, have recently been considered by Swift (in: M.M. Rao (Ed.), Real and Stochastic Analysis: Recent Advances, CRC Press, Boca Raton, FL, 1997, p. 303). In this paper, the relationship between the (c,p)-summable Cramér classes and the (KF,p) classes of processes introduced by Rao in 1985 is considered. The (KF,p) classes of processes are a generalization of the class of processes considered by Kampé de Feriet and Frenkiel. A continuity theorem for the (KF,p) classes is obtained. This result yields a spectral representation for the (KF,p) classes. Some (KF,p) class processes are shown to arise as the solution to a difference equation obtained from a linear model of a noisy communication channel.     

Wildcat strikes in U.S. manufacturing, 1960–1977

Using data from theBureau of Labor Statistics: Historical File, a model of wildcat strike incidence is estimated. The model supports the hypothesis that the incidence of wildcat strikes is related to the underlying relationship between the parties. In addition, national economic and political trends, industry-specific factors, and firm-specific factors have an impact on strike activity.