Infant Neurodevelopment is Affected by Prenatal Maternal Stress: The QF2011 Queensland Flood Study

Research shows that prenatal maternal stress (PNMS) negatively affects a range of infant outcomes; yet no single study has explored the effects of stress in pregnancy from a natural disaster on multiple aspects of infant neurodevelopment. This study examined the effects of flood‐related stress in pregnancy on 6‐month‐olds' neurodevelopment and examined the moderating effects of timing of the stressor in gestation and infant sex on these outcomes. Women exposed to the 2011 Queensland (Australia) floods in pregnancy completed surveys on their flood‐related objective and subjective experiences at recruitment and reported on their infants' neurodevelopment on the problem solving, communication, and personal–social scales of the Ages and Stages‐III at 6 months postpartum (N = 115). Interaction results showed that subjective flood stress in pregnancy had significantly different effects in boys and girls, and that at high levels of stress girls had significantly lower problem solving scores than boys. Timing of the flood later in pregnancy predicted lower personal–social scores in the sample, and there was a trend (p < .10) for greater objective flood exposure to predict lower scores. PNMS had no effect on infants' communication skills. In conclusion, differential aspects of maternal flood‐related stress in pregnancy influenced aspects of 6‐month‐olds' neurodevelopment.     

Toward Understanding Another Gender Gap: How Women in Economic Development Perceive Access to Capital

This study uses survey data collected from members of the International Economic Development Council (IEDC) to assess gender differences in the perceptions of female economic developers involved in the policy process. The analysis reveals women are more likely than their male counterparts to believe access to capital serves as a barrier to economic development in the communities they serve. This finding is important because bureaucratic perceptions are anticipated to have a gendered dimension, because there is ample evidence that women-owned businesses less frequently obtain external financing than do those owned by men. This obstacle to growing a business may therefore resonate more strongly with female economic developers if their perceptions reflect experiences and socialization processes shared with the women they represent. Results of an ordinal logistic regression model support this contention and contribute to the study of economic development and the role of women in the policy process.     

Longitudinal Change in Adolescent Depression and Anxiety Symptoms from before to during the COVID-19 Pandemic

This study aimed to examine changes in depression and anxiety symptoms from before to during the first 6 months of the COVID-19 pandemic in a sample of 1,339 adolescents (9–18 years old, 59% female) from three countries. We also examined if age, race/ethnicity, disease burden, or strictness of government restrictions moderated change in symptoms. Data from 12 longitudinal studies (10 U.S., 1 Netherlands, 1 Peru) were combined. Linear mixed effect models showed that depression, but not anxiety, symptoms increased significantly (median increase = 28%). The most negative mental health impacts were reported by multiracial adolescents and those under ‘lockdown’ restrictions. Policy makers need to consider these impacts by investing in ways to support adolescents’ mental health during the pandemic.     

Disclosure as an interaction: why lesbian athletes disclose their sexual identities in intercollegiate sport

Over the years, the number of gay, bisexual, and lesbian athletes who have disclosed their sexual identities has been increasing. Given that sport has traditionally been defined as a heterosexist institution, this pattern is deserving of attention and investigation ( Anderson, 2001 ). In response, the present study examines why intercollegiate lesbian athletes disclose their sexual identities in the sport context. In-depth interviews were conducted with 16 self-identified lesbian athletes who disclosed their sexual identities while participating in intercollegiate sport. Unlike most past literature on disclosure, the present study approaches disclosure as an interactional process that involves a discloser, an audience, and a context.     

Eventful events: local outcomes of G20 summit protests in Pittsburgh and Toronto

How do transnational summit protests affect local activists and the internal dynamics of organizations and movements in a host city? This paper uses Sewell’s concept of ‘eventful temporality’ to explore the impacts of the G20 summit protests in Pittsburgh (2009) and Toronto (2010) Interviews, and field notes are analyzed to show how the mobilizations enhanced the skills of local activists, increased connections between their movements, changed local tactical preferences, stirred emotions, and spawned and shaped new campaigns. The summit protests mobilized new activists, but also exhausted and demobilized some existing protesters. The findings suggest the need for a more nuanced and temporally sensitive framework for understanding outcomes.     

Recommendations for Hospice Care to Terminally Ill Cancer Patients: A Phenomenological Study of Oncologists' Experiences

The aim of this exploratory study was to better understand oncologists' experiences and their perceptions of hospice care as an end-of-life treatment choice for terminally ill cancer patients. To describe this experience, semi-structured qualitative interviews were conducted using phenomenological methods with nine oncologists. Four themes emerged from the data analysis: (a) feelings of discomfort and relief, (b) being different from others, (c) experience with nonhospice patients, and (d) factors influencing the decision to recommend hospice. Future research and a flexible interdisciplinary practice model are suggested to better assist with end-of-life care decision making and recommendations for hospice care with oncologists and their terminally ill cancer patients are presented.     

The Staff-Designed Medical Audit

Abstract

The presentation describes a cyclic process of patient-care evaluation especially suited for use in ambulatory care settings. The cycle is discussed in detail, beginning with topic selection and moving through all steps to the final activity, reevaluation. Rather than assessment of a single individual's competence, the development of a composite profile of performance for the group is made possible through examination of the four perspectives of prevention, investigation, management, and outcome. The standards, or criteria, are developed by those whose performance is to be evaluated, thus assuring a high degree of commitment to the process.

In the 2 1/2 years' experience with the use of such staff-designed audit at one health service, 10 of 11 re-audits, performed after intervals of 6 to 12 months, have demonstrated improvement in performance when measured against the same criteria. Each of 13 new topics considered during this period has provided subject matter for staff meetings, either through general discussions, review of pertinent literature, or presentations by invited speakers. Such data provide supporting evidence for the concept that a nonpersonalized, internally-developed assessment process can elicit significant commitment to improved patient care and to ongoing education.