Barriers to Managing Coronary Artery Disease Among Older Women

Numerous barriers to managing coronary artery disease (CAD) among older women are reported in the literature; however, few studies adjust for demographic and health status differences. A survey assessing barriers and other factors was distributed to a stratified random sampling of older women with CAD. Factor analysis and multiple logistic regression procedures were used to estimate the impact of these issues on receiving a CAD-related office visit. The most problematic barriers included denial and low health literacy. Efforts to promote patient awareness of heart health and better communication between patients and clinicians may alleviate these barriers.     

Systemische Resilienz – Die Perspektiven und das Resilienz-Quadarat

In the article results of resilience research are presented and a systemic concept of resilience is derived, which differentiates the term from other models regarding psychic health. The resilience square shows essential factors for resilience. Based on this the idea of resilience is transferred to systems and organizations. The article deepens the resilience approach of Mohr (2016).     

QUANTIFYING THE LIFE CYCLE OF SCHOLARLY ARTICLES ACROSS FIELDS OF ECONOMIC RESEARCH

Does the life cycle of economic papers differ across fields of economic research? By constructing and analyzing a large dataset that combines information on 9,672 articles published in the top five economic journals from 1970 to 2000 with detailed yearly citation data obtained from Google Scholar, we find that published articles do have a life cycle that differs across fields of economic research (which we divide into the categories of applied, applied theory, econometric methods, and theory). Applied and applied theory papers are the clear winners in terms of citation counts. For the first years after their publication, they receive higher numbers of citations per year than papers in other fields of research do. They also reach a higher peak number of citations per year and apparently sustain those peak levels for longer, in addition to being cited over longer periods of time (i.e., they have a longer lifespan). Citation patterns are much less favorable for theoretical papers, which are the object of fewer citations per annum in the first years following publication, have lower peak numbers and a shorter lifespan. Econometric method papers are a special case; the pattern for most of these papers is similar to the pattern for theory papers, but the most successful papers (as measured by the number of citations) on econometric methods are also the most successful papers in the entire discipline of economics. (JEL A14)     

Demographic change and shifting views about marine resources and the coastal environment in Downeast Maine

Connections to the sea often define the character of coastal towns. However, as migrants arrive and economic diversification occurs, views about the use of marine resources and the ocean environment can change. Using survey data from Maine, we examined whether shifting demographics affect public perceptions of marine resource uses and coastal environmental concerns. We tested resource use and environmental items against a common set of demographic, background, and place-related variables. Results indicate that the level of education and the county of residence predict Mainers?? views about different marine resource uses and ocean-related environmental issues. Political party affiliation strongly influences environmental concern but not views about the use of marine resources. Migration history, on the other hand, has little effect. Understanding community contexts as well as individual background and ideological orientations will be critical as managers attempt to balance alternative uses of marine resources and resolve coastal environmental problems.     

Moralische Arbeitsteilung

In modernity, organizations are the most powerful actors. All the more important is the “dark side” of organizational morality. While organizations, on the one hand, ensure or claim to ensure efficiency and reliance they have, on the other, a considerable potential to suppress the moral point of view and to produce or fabricate legitimation. The paper concentrates on this dark side—on problems of the moral division of labor, the organization of hypocrisy, legitimation through procedures, rent-seeking and the related corporate power vis-à-vis law, regulation and politics.     

Overcoming medication refusal using a patient-centered approach

The refusal of psychotropic medication is a challenge faced by many healthcare providers when treating patients with mental illness. Controversy surrounds medication refusal because some mental health professionals believe that psychiatric patients should be forced to take medications for the safety of the general public, while patients are often acutely aware of potential lifelong adverse side effects and are sometimes reluctant to comply. The proposed alternative to this problem begins with developing the patient-provider relationship through a patient-centered approach. This approach emphasizes the individual needs of patients and creates opportunities for input from patients about their care, which helps form relationships of mutual trust and respect between patients and providers. This article explores the literature to: (1) understand some of the challenges and controversies involved in patient medication refusal from a clinical and societal level; (2) identify some issues in a patient-centered approach; and (3) make some brief clinical and policy recommendations that might help to bring about an increase in the use of patient-centered care. Hopefully, as efforts are made toward a patient-centered approach, increased psychotropic medication adherence and decreased medication coercion will result as providers listen and act upon the needs of their patients.     

Farmers' Contribution to Agricultural Social Capital: Evidence from Southern Spain

Social capital is the whole set of shared norms, values, attitudes, and beliefs that promote cooperation among individuals within the community and that has proved to be a key factor in explaining development processes. This article aims to provide an analytically reliable notion of social capital within the farming sector and a methodological tool for empirically measuring how social capital is accumulated at the farmer level. The theoretical framework proposed is based on the multidimensionality of the complex concept of social capital. Thus, to develop a comprehensive index for social capital, we identify three dimensions of the concept, structural, relational, and cognitive social capital, each one also comprising several subdimensions. This integrative approach permits creation of a composite indicator of the agricultural social capital accumulated at the farmer level, further identifying socioeconomic factors that influence its accumulation at that level. We empirically apply this methodological approach to farmers in Andalusia in southern Spain as a case study. This research provides an interesting starting point for informing policymakers about social capital and helping them implement the necessary programs to facilitate sustainable development in the agricultural sector.     

Shared frailty model based on reversed hazard rate for left censored data

Frailty models are used in the survival analysis to account for the unobserved heterogeneity in the individual risks to disease and death. To analyze the bivariate data on related survival times (e.g., matched pairs experiments, twin or family data), the shared frailty models were suggested. In this article, we introduce the shared gamma frailty models with the reversed hazard rate. We develop the Bayesian estimation procedure using the Markov chain Monte Carlo (MCMC) technique to estimate the parameters involved in the model. We present a simulation study to compare the true values of the parameters with the estimated values. We apply the model to a real life bivariate survival dataset.