Life Domain Satisfaction: A Portugal–France Comparison

The study was aimed at replicating on a Portuguese sample the seven-factor model of life appraisal (physical autonomy, love life, family life, social life, occupational life, finances, and leisure life) that was suggested by Salvatore and Munoz Sastre Social Indicators Research 53:229–255 (2001). A sample of 1,111 Portuguese participants, aged 17–85, was presented with the Appraisal of Life Questionnaire. The “domain” model of life appraisal satisfactorily accounted for the data gathered on the Portuguese sample. Regarding finances and occupational life, Portuguese scores were lower than French scores. Regarding the occupational score and the leisure score, a clear linear decrease as a function of age was evidenced in the Portuguese sample. Finally, regarding the family score and the financial score, a non-linear relationship with age was found. An increase was observed from young adult age to adult age, and a decrease was observed from adult age to older age. A strong decrease in the physical autonomy scores among Portuguese females was also observed.     

“Everything That We Can Do”: A Content Analysis of the Protective Strategies Used by GLBTQ Parents

Despite increased access to parenting rights through legal marriage and adoption, U.S. gay, lesbian, bisexual, transgender, and queer (GLBTQ) parents continue to experience varying levels of support for their families. This study explored protective strategies, or actions taken to meet one's safety needs when vulnerable, that GLBTQ parents pursue. This study included 454 GLBTQ parents from a national survey. Participants' open-ended responses about protective strategies were extracted from the survey and analyzed using content analysis. Responses were coded into 10 categories capturing strategies GLBTQ parents used to protect their families. While strategies utilizing legal supports were common, the most cited strategies were symbolic strategies, including creating a family name and developing written statements of parent wishes. Exploratory analyses revealed no difference in mean number of strategies used between parents who reported having legal status as a parent through adoption or listing on the birth certificate and those without legal parenting status. These results suggest that GLBTQ parents, regardless of their legal parenting status, take intentional measures to achieve a sense of safety and increase social support. The findings reiterate the importance of both legal and social support of GLBTQ parents.     

<Emphasis Type="BoldItalic">MAD-STEC</Emphasis>: a method for multiple automatic detection of space-time emerging clusters

Crime or disease surveillance commonly rely in space-time clustering methods to identify emerging patterns. The goal is to detect spatial-temporal clusters as soon as possible after its occurrence and to control the rate of false alarms. With this in mind, a spatio-temporal multiple cluster detection method was developed as an extension of a previous proposal based on a spatial version of the Shiryaev–Roberts statistic. Besides the capability of multiple cluster detection, the method have less input parameter than the previous proposal making its use more intuitive to practitioners. To evaluate the new methodology a simulation study is performed in several scenarios and enlighten many advantages of the proposed method. Finally, we present a case study to a crime data-set in Belo Horizonte, Brazil.     

Comparison of Two Psycho-Educational Interventions Aimed at Preventing HIV and Promoting Sexual Health Among Portuguese Women

This study compares the efficacy of 2 psychoeducational interventions—ACCENT skills-based and didactic information only—to prevent HIV among Portuguese women. At posttest and follow-up, participants in both intervention groups (n = 127) were more knowledgeable about HIV than at baseline. Although both intervention groups showed an increase in self-reported condom use over time, differences were marginally stronger in the ACCENT group. Both intervention groups showed more positive results than the non-intervention control group (n = 33). The study suggests that HIV prevention interventions can produce significant changes when they target a set of knowledge, social, and cognitive variables relevant to sexual behavior change.     

Ice pack induced perineal analgesia after spontaneous vaginal birth: Randomized controlled trial

Background

Ice-pack is widely used for alleviating postpartum perineal pain sustained after birth related perineal trauma. However, it lacks robust evidence on timing and frequency of applications, to ensure the effective and safe use of this therapy.

Total testosterone levels are correlated to metabolic syndrome components

Introduction: Metabolic syndrome (MetS) is a constellation of interrelated risk factors of metabolic origin. Some studies suggest a possible link between low total testosterone (TT) levels and the presence of MetS.

Aim: To analyze the strength and independence of associations between TT and MetS components in non-diabetic men.

Methods: In this cross-sectional study, 143 non-diabetic men older than 40 were analyzed.

Main outcomes measure: Blood samples were collected to evaluate metabolic profile and TT levels. MetS was defined as the presence of three or more of the following characteristics: fasting blood glucose levels?≥?100?mg/dL, triglyceride?≥?150?mg/dL, HDL-c??102?cm.

Results: Mean age of the study population was 61.5?±?8.61 years old. MetS was present in 47.9% of the individuals. Thirty-four men had low TT and MetS was observed in 23 (70%) against 50 (46%) in those with normal TT (≥?300?ng/dL) (OR 4.94, p?p?=?0.03) and HDL-c (Beta: 0.19; p?=?0.04) remained significantly correlated with TT levels.

Conclusions: Low TT levels were associated with MetS diagnosis. Abdominal obesity was the MetS component independently correlated to low TT levels.     

Resources reduction and welfare changes: tensions between social workers and organisations. The Italian case in child protection services

Within the field of studies on professionalism, this paper explores the changes in roles of social workers and the new tensions emerging in the relationship with their organisational contexts, due to the reduction of resources and the introduction of neoliberal and managerial policies in the welfare system. The paper is based on qualitative research carried out through 32 in-depth interviews with frontline social workers engaged in child and family services in Italy. The paper investigates how spending cuts have affected the relationship with the organisation arguing that the ways the cuts are implemented, as well as the room for professional recognition set by the organisation, are relevant. A four-character social worker typology is outlined, drawn from the intersection of two meaningful dimensions: sense of belonging and critical thinking. It is argued that a ‘critically engaged’ type points to a new form of professionalism that may emerge from the current crisis of the relationship between the organisation and social workers.     

Emotions in the Practice of Systemic Therapy

Emotions are connected to meaning making in human interactions. This can be seen not just in terms of the immediate participants and their developmental history but also through broader cultural, social, and gender lenses. In times of relational tension, which require system flexibility, some emotional interaction can constrain alternative actions or meanings being constructed. Therapists can hypothesize about these emotional dances (including those that are taking place in the therapist/client system) and such hypotheses can inform interventions aimed at generating different emotional sequences. If participants in therapy experience alternative emotional responses as a result of therapeutic intervention, then change can occur (e.g., a greater sense of agency or hope, or a different perception of the situation).