Effects of government policies on the work of home care personnel and their occupational health and safety

The health sector in Québec (Canada) is dealing with profound macro-economic and macro-organizational changes. This article is interested in the impact of these changes on the work of home health aides (HHAs) and home care nurses and their occupational health and safety (OHS). The study was carried out in the home care services (HCS) of four local community service centres (CLSC) with different organizational characteristics. It is based on an analysis by triangulation of 66 individual and group interviews, 22 observed workdays and 35 observed multidisciplinary or professional meetings, as well as on administrative documents. HHAs are experiencing an erosion of their job because the relational and affective aspects of their work are disappearing. This may be due to an increase in their physical workload, leading to an increase in musculoskeletal problems and, to a lesser extent, in psychological health problems. Nurses are seeing an increase in the volume of invisible work that they have to do, which also has the effect of decreasing the relational aspects of their activity. The increasingly numerous psychological health problems are the consequence of this change in their profession. This study also shows that managers' decisions at the local level can reduce or increase the work constraints of HHAs and nurses. Examples of good practices for HHAs are the stabilization of clienteles and the possibility of organizing their itinerary, while for nurses, it is in how clientele follow-up tools are implemented. This article discusses the effects of government policies and decisions on the work and OHS of home care personnel. To address this subject, we use a specific analysis of the workload of home health aides (HHAs) and nurses. We will show the relationships between managers' organizational choices to respond to governmental constraints and the resulting work changes. We will also look at their consequences on occupational health and safety (OHS) and on the work of different personnel.     

Mild Intellectual Disability Associated with a Progeny of Father-Daughter Incest: Genetic and Environmental Considerations

We report the case of a 34-year-old female resulting from a father-daughter sexual abuse and presenting a phenotype of mild intellectual disability with minor dysmorphic features. Karyotyping showed a normal 46, XX constitution. Array-based comparative genomic hybridization (array-CGH) revealed a heterozygote 320kb 6p22.3 microdeletion in the proband, encompassing only one known gene, and therefore unlikely to be the cause of the phenotype. However, the role of other genetic factors, such as a recessive condition, could not be ruled out as a putative cause for the phenotype. On the other hand, the role played by a heavily detrimental familial situation on the development and outcome, and possibly leading or contributing to a mild intellectual disability, should be taken into account.     

Materials relating to east European Jewish history and culture in the archives of the former Soviet Union

YOM KIPPLTR AND AFTER

YOM KIPPUR AND AFTER. THE SOVIET UNION AND THE MIDDLE EAST CRISIS, by Galia Golan. London, Cambridge University Press, 1977. ix + 350 pp. Index. £9.00

LITERARY PORTRAITS OF A BYGONE AGE

OCHERKI I PORTRETY. STAT'I O EVREYSKIKH PISATELYAKH (Essays and Portraits. Articles on Yiddish Writers), by G. Remenik. Moscow, Sovetsky pisatel, 1975. 422 pp.

MARXISM AND RELIGION: THE STRUGGLE FOR MAN'S SOUL

MARXISM AND RELIGION IN EASTERN EUROPE. Papers presented at the Banff International Slavic Conference, September 4–7, 1974, ed. by R. T. de George and J. P. Scanlan. Dordrecht — Holland; Boston — USA, Reidel, 1976. xvi + 181 pp. Index. (Sovietica 36.) Dfl. 70.00, US $27.00.

ANTIRELIGIOUS PROPAGANDA IN THE SOVIET UNION. A STUDY OF MASS PERSUASION, by David E. Powell. Cambridge, Mass.; London, England, MIT Press, 1975. xi + 206 pp. Illus. Appendices. Bibl. Index. £13.75.

EVERYDAY LIFE IN THE WARSAW GHETTO

LUDZIE Z DZIELNICY ZAMKNIETEJ. ZYDZI W WARSZAWIE W OKRESIE HITLEROWSKIEJ OKUPACJI, PAZDZIERNIK 1939‐MARZEC 1943 (People in the Quarter. Jews in Warsaw During the Nazi Occupation, October 1939‐March 1943?), by Ruta Sakowska. Warsaw, PWN for the Jewish Historical Institute in Poland, 1975. 399 pp. Illus.

A SLANTED HISTORY OF POLISH COMMUNISM

THE COMMUNIST PARTY OF POLAND (Second Edition), by M. K. Dziewanowski. London, 1976. 419 pp. Index. £10.50.     

What Coy Smiles Say About Positive Shyness in Early Infancy

Positive shyness is a universal emotion with the specific social function of regulating our interactions by improving trust and liking, and showing politeness. The present study examined early infant production of coy smiles during social interactions as a measure of positive shy behavior. Eighty 4‐month‐olds were experimentally observed during three types of interactions in front of a mirror in which (1) the infant only sees him or herself, (2) the infant only sees the other person (mother, father, or stranger), and (3) the infant sees both him or herself and the other person. Infants produced more coy smiles during the interaction with a stranger than during the interactions with their mother or their father, or when they could see only themselves in front of a mirror. Infants also produced more coy smiles when they could see their self‐reflection during the interaction than when they could not. Our results support the assumption that coy smiles indicate an early emerging emotional reaction with an important adaptive function during social situations involving novel persons and when special attention is given to the child.     

Migration of Professional Social Workers: Reflections on Challenges and Strategies for Education

International migration of social workers has had, in recent years, a substantial influence on the political agenda of different countries in the world, and is fraught with challenges. In some countries, recruitment of internationally qualified social workers has even become an important strategy to meet staffing demands and to fill shortages in the social work profession. This paper aims to promote debate on the key role of social work educators in assisting social work students and practitioners to practise within both a national and an international context, by reflecting on specific practice examples from Canada, England and South Africa. We explore challenges, as well as possible strategies for adaptation in new contexts, such as the facilitation of additional training, globally comparable social work programmes, and the development of a stronger professional identity, based on integrated social work values. We conclude that by enabling a stronger professional identity through the development of professional virtues, social workers will be empowered to become more confident practitioners and internationally more adaptable.     

Factors Affecting Choice and Satisfaction: Social Work in Turkey

ABSTRACT

The study examines the relationship between professional choices and employment expectations of social worker trainees in the country of Turkey. Professional choices are examined according to gender and the relationship between employment expectations and satisfaction. This study examined responses with a comparative relational scanning model with a sample of 692 social service (social worker) trainees studying at four different universities in Turkey. Students were surveyed and answered 25 open- and closed-ended questions identifying aspects related to their career choice. Study findings reveal that gender, university entrance scores, and employability were high among the career selection factors. Additional factors identified included family-related factors, personality traits, and compatibility. Examination of the findings is discussed, and recommendations for further research are made.     

IASWG Standards for Social Work Practice with Groups: The Case of Quebec Practices

The International Association for Social Work with Groups (IASWG) proposes Standards of social group work that are intended to act as minimum standards that can be applied internationally. The aim of this article is to examine group work practices in Quebec in the light of IASWG Standards. To address this question, secondary analysis of existing data from a study undertaken in Quebec is presented. Results indicate that group work practices in Quebec tend to be rather structured (e.g., selection criteria, norms). The discussion shows that the IASWG Standards are useful for critically examining Quebec practices but also provides information that could contribute to the improvement of these Standards.     

Rehabilitation Programs for Elderly Women Inpatients with Schizophrenia

ABSTRACT

This study aims to describe rehabilitation and resocialization methods we believe to be appropriate for application to female patients with schizophrenia, in a psychiatric unit with a predominantly older population. We briefly describe the unit and the interventions used as an example of the proposed rehabilitation and resocialization methods applied. The article provides an overview to guide accurate intervention, particularly in inpatient women, in different types of cognitive impairment under the broad category of schizophrenia. Our clinical approach includes a token economy approach, cognitive remediation therapy, and social skills training. The token economy intervention is particularly directed to patients that present with a high mental deterioration and/or debility. Cognitive remediation training is applicable to subjects with both cognitive and social dysfunction, but that do not possess signs of an organic cerebral illness or of substance abuse. Social skills training can be the third step to resocialization, training verbal and nonverbal communication competencies.     

Estimating a uniform distribution when data are measured with a normal additive error with unknown variance

The problem of estimating the width of a symmetric uniform distribution on the line together with the error variance, when data are measured with normal additive error, is considered. The main purpose is to analyse the maximum-likelihood (ML) estimator and to compare it with the moment-method estimator. It is shown that this two-parameter model is regular so that the ML estimator is asymptotically efficient. Necessary and sufficient conditions are given for the existence of the ML estimator. As numerical problems are known to frequently occur while computing the ML estimator in this model, useful suggestions for computing the ML estimator are also given.     

Connectivity‐informed adaptive regularization for generalized outcomes

One of the challenging problems in neuroimaging is the principled incorporation of information from different imaging modalities. Data from each modality are frequently analyzed separately using, for instance, dimensionality reduction techniques, which result in a loss of mutual information. We propose a novel regularization method, generalized ridgified Partially Empirical Eigenvectors for Regression (griPEER), to estimate associations between the brain structure features and a scalar outcome within the generalized linear regression framework. griPEER improves the regression coefficient estimation by providing a principled approach to use external information from the structural brain connectivity. Specifically, we incorporate a penalty term, derived from the structural connectivity Laplacian matrix, in the penalized generalized linear regression. In this work, we address both theoretical and computational issues and demonstrate the robustness of our method despite incomplete information about the structural brain connectivity. In addition, we also provide a significance testing procedure for performing inference on the estimated coefficients. Finally, griPEER is evaluated both in extensive simulation studies and using clinical data to classify HIV+ and HIV? individuals.