Long-term care in Spain: Difficulties in professionalizing services

The aim of this article is to analyze the difficulties in professionalizing the long-term care system in Spain. Since 2006, the new Spanish law has recognized care as a subjective right, and regulations are being designed to create a framework for its professionalization. Nowadays, family remains the most important group of providers who care for their elders, and women remain the main informal caregivers. Why do families resist using public long-term care services and professional carers included in the new law? The hypothesis highlights sociocultural factors as an obstacle to professionalization of long-term care services in addition to political and economic factors. The results show qualitative data about expectations, preferences, and discourses that women caregivers have in relation to their responsibility. The empirical material includes 25 interviews with different profiles of caregivers and six focus groups with family caregivers. The article suggests that the Spanish ideal of care is a problem for the professionalization of services because the family remains as the main provider of care—without specific skills, knowledge, and abilities.     

Can We Perceive Near Miss? An Empirical Study

Near misses are a special kind of reinforcement which increases one’s desire to play. The aim of this paper is to examine the perception of near misses in normal population. We used a slot machine simulation running on a PC, where participants had to play four rounds with different near miss ratios (0, 15, 30 and 45%). Our sample consisted of 159 individuals with mean age of 22.8 and with no or little gambling experience. For data analysis we used chi-squared goodness-of-fit test and exact binomial test. Despite the fact, that there was a notable effect of near misses results showed that the subjects could not perceive trials of them.     

Impact of physical activity and sedentary behaviour on fall risks in older people: a systematic review and meta-analysis of observational studies

The objective of this work was to summarise and evaluate the evidence showing that physical activity is a protector factor as regards falls in older people. Relevant studies were identified through a systematic search in the MEDLINE and Cochrane Library, under the keywords of accidental fall/numerical data and risk factors, and with the bibliographies of retrieved papers. The combined odds ratio (OR) [95% confidence interval] for physical activity was 0.75 [0.64, 0.88] with moderate heterogeneity (I ²?=?33%). For fall injury, it was 0.59 [0.47, 0.74] and, for falls in general, it rose to 0.94 [0.76, 1.17] with nil heterogeneity. The combined OR for sedentary factors was 1.14 [1.10, 1.82] with moderate heterogeneity (I ²?=?36%). Regular physical activity in daily life yields significant reduction in falls in older people, especially falls with injuries.     

Postdisaster Housing Stages: A Markov Chain Approach to Model Sequences and Duration Based on Social Vulnerability

Housing recovery is an unequal and complex process presumed to occur in four stages: emergency shelter, temporary shelter, temporary housing, and permanent housing. This work questions the four-stage typology and examines how different types of shelter align with multiple housing recovery stages given different levels of social vulnerability. This article also presents a Markov chain model of the postdisaster housing recovery process that focuses on the experience of the household. The model predicts the sequence and timing of a household going through housing recovery, capturing households that end in either permanent housing or a fifth possible stage of failure. The probability of a household transitioning through the stages is computed using a transition probability matrix (TPM). The TPM is assembled using proposed transition probability models that vary with the social vulnerability of the household. Monte Carlo techniques are applied to demonstrate the range of sequences and timing that households experience going through the housing recovery process. A set of computational rules are established for sending a household to the fifth stage, representing a household languishing in unstable housing. This predictive model is exemplified on a virtual community, Centerville, where following a severe earthquake scenario, differences in housing recovery times exceed four years. The Centerville analysis results in nearly 5% of households languishing in unstable housing, thereby failing to reach housing recovery. These findings highlight the disparate trajectories experienced by households with different levels of social vulnerability. Recommendations are provided at the end for more equitable postdisaster recovery policies.     

Introvision in der Arbeitsvermittlung für Fallmanager und Arbeitslose

In the context of a pilot study the effects of the educational-psychological intervention Introvision were tested with older long-term unemployed people. The project was accomplished in the time by 1.4.2010 to 31.12.2010 in co-operation between ARGE Paderborn and the research group Introvision. In the context of the project 16 employees of ARGE Paderborn participated in an advanced training to Introvision, 31 customers of ARGE Paderborn began a coaching to get introduction in Introvision and 20 have also finished. Nine customers decided to participate five individual coachings. The results show, that the offers have a high individual use for the participants. To the central changes belong improved handling of stress, decrease of social isolation, improved (self-) perception as well as a higher self-confidence and a more open co-operation between customers and employees of ARGE Paderborn. Besides four participation began a job on the first labour market and two could be connected to a honorary activity.     

The effects of state-dependent human behavior on the design of a serial line

Most research on line design assumes that human operators perform independently from the status of the line. Recent empirical evidence is contradictory. Humans are likely to change their working speed if they might otherwise cause idle time (Schultz et al., Manage Sci 44(12):1595–1607, 1998). This peculiarity of worker behavior is observed in a variety of settings but little is still known about optimal line design that accounts for this more realistic modeling of worker behavior. Therefore, we analyze work allocation in a serial line with limited buffer capacity and adaptive human behavior. An extensive simulation study reveals that optimal work allocation in state-dependent models is different from classical state-independent models. A bowl-shaped work allocation might be suboptimal and design guidelines are more complicated. Depending on the extent of human reactions, a bowl-shaped, balanced, or reversed-bowl work allocation can be preferable.     

Health Outcomes and Volunteering: The Moderating Role of Religiosity

In this paper, we examine whether and what extent public and private forms of religiosity act as moderators of the volunteering and well-being relationship in mid- to later-life. We use data from the second wave of the National Survey of Midlife Development in the United States (n = 1,805). We analyzed the relationships between volunteering and indicators of well-being (self-rated physical and mental health), and tested the moderating effects of public and private religiosity on the volunteering and well-being relationship. Our findings suggest that salubrious effects of volunteering on the self-perceived physical and mental health of middle- aged and older- aged adults varied by their participation in different forms of religiosity. In particular, volunteers who engaged in more public forms of religiosity reported significantly better physical and mental health than non-volunteers who engaged in these forms of religiosity. In other words, individuals who were actively engaged public forms of religious practices and who volunteered, maximized the associated health benefits.     

Public Support for Sickle-Cell Disease Funding: Does Race Matter?

Despite the fact that sickle-cell disease (SCD) is perhaps the most “racialized” medical condition in the USA, very little is known about how “race” impacts public support for health policies related to the condition. We embedded an experiment within the 2011 Cooperative Congressional Election Study in order to assess perceptions about SCD among 1250 participants from diverse backgrounds and evaluate the extent to which these perceptions were associated with support for government spending on SCD-related benefits. We manipulated the racial phenotype of SCD advocates who requested additional government funding and asked participants to indicate how much the government should provide. Overall, participants expressed moderately positive attitudes about SCD, and there were no differences in funding support based on the race of the advocate. However, white participants supported less funding compared to nonwhite participants, even after adjusting for a number of demographic and attitudinal covariates. These findings suggest that a complex relationship between racial identification and implicit racism may shape public perceptions about SCD that negatively influences perceivers’ support for SCD-related policy.     

Reciprocal Family,Friendship and Church Support Networks of African Americans: Findings from the National Survey of American Life

This study examined reciprocal support networks involving extended family, friends and church members among African Americans. Our analysis examined specific patterns of reciprocal support (i.e., received only, gave only, both gave and received, neither gave or received), as well as network characteristics (i.e., contact and subjective closeness) as correlates of reciprocal support. The analysis is based on the African American subsample of the National Survey of American Life. Overall, our findings indicate that African Americans are very involved in reciprocal support networks with their extended family, friends and church members. Respondents were most extensively involved in reciprocal supports with extended family members, followed closely by friends and church networks. Network characteristics (i.e., contact and subjective closeness) were significantly and consistently associated with involvement with reciprocal support exchanges for all three networks. These and other findings are discussed in detail. This study complements previous work on the complementary roles of family, friend and congregational support networks, as well as studies of racial differences in informal support networks.     

Managing Logistics in Regional Banknote Supply Chain Under Security Concerns

We study the logistics problem faced by Regional Branches (RBs) of a central bank in managing the currency supply under security concerns. While making banknote supply decisions to Sub‐Branches (SBs), the management of RB must achieve two goals simultaneously: (i) guarantee that each SB has sufficient inventories of all denominations of banknotes to satisfy the demands from all commercial banks within its service area, and (ii) control the annual spending on this banknote supply operation. Due to security concerns, the following methods are implemented in the process of transporting banknotes: (i) the capacity of a cash truck is limited by the total face value (instead of the physical space) of banknotes, and (ii) empty decoy trucks are deployed along with the trucks filled with banknotes. After deriving a polynomial‐time strategy to guarantee an optimal solution for the special Bin‐Packing Problem faced in this study, we provide an exact formulation for the RB's supply planning problem. We also propose several polynomial‐time algorithms for deriving either optimal or near‐optimal solutions for the problem under different settings. Using the weekly demand data obtained from the central bank, we verify the performance of our algorithms, and analyze the impacts of changes in these features and in the fleet capacity on the total cost incurred by an RB under various scenarios.