Examining Interactions of Marriage and Self-Efficacy Beliefs of Individuals with Rheumatoid Arthritis: A Conceptual Framework

The systemic and chronic nature of rheumatoid arthritis (RA) impacts functional and emotional health of the individuals including marital, family, and work responsibilities. Due to the costs and side effects of drugs, proponents of arthritis management advocate for examining psychosocial factors that improve the disease management of RA. In this paper, we propose that marital quality is associated with perceived self-efficacy among individuals with RA. We further hypothesize that this relationship is moderated by functional disability, pain levels, and the demographics of the individual. Based on the literature review we draw conclusions about the potential implications of marital quality on perceived self-efficacy. We also discuss practice and research implications of this association, including the development of educational initiatives.     

Caregivers' Coping and Self-Forgiveness After the Death of a Care-Receiver

ABSTRACT

This study explores the relationship of self-forgiveness with adaptive coping and nonadaptive coping. This study addresses self-forgiveness as part of the grieving process of Alzheimer's disease caregivers. One hundred and thirty-three caregivers who had recently lost a loved one were surveyed. The bivariate analysis revealed a significant relationship between self-forgiveness and adaptive coping and non-adaptive coping. Furthermore, stepwise regression models computed for the study variables revealed that adaptive coping and non-adaptive coping were statistically significant in explaining the variation in self-forgiveness. Based on these findings, future directions in research are explored.     

Service Arrangements Preferred by Minority Elderly:

Better programs for minority elderly and higher utilization of them will be achieved if decision-makers avoid providing services that run counter to the cultural preferences of the recipients. This study begins to explore the common patterns among minority elderly relative to whom they prefer to seek out for assistance in selected times of need.     

Quantitative Risk Assessment of Vibrio parahaemolyticus in Finfish: A Model of Raw Horse Mackerel Consumption in Japan

The aim of this study was to evaluate the effects of implemented control measures to reduce illness induced by Vibrio parahaemolyticus (V. parahaemolyticus) in horse mackerel (Trachurus japonicus), seafood that is commonly consumed raw in Japan. On the basis of currently available experimental and survey data, we constructed a quantitative risk model of V. parahaemolyticus in horse mackerel from harvest to consumption. In particular, the following factors were evaluated: bacterial growth at all stages, effects of washing the fish body and storage water, and bacterial transfer from the fish surface, gills, and intestine to fillets during preparation. New parameters of the beta‐Poisson dose‐response model were determined from all human feeding trials, some of which have been used for risk assessment by the U.S. Food and Drug Administration (USFDA). The probability of illness caused by V. parahaemolyticus was estimated using both the USFDA dose‐response parameters and our parameters for each selected pathway of scenario alternatives: washing whole fish at landing, storage in contaminated water, high temperature during transportation, and washing fish during preparation. The last scenario (washing fish during preparation) was the most effective for reducing the risk of illness by about a factor of 10 compared to no washing at this stage. Risk of illness increased by 50% by exposure to increased temperature during transportation, according to our assumptions of duration and temperature. The other two scenarios did not significantly affect risk. The choice of dose‐response parameters was not critical for evaluation of control measures.     

A comparison of non-homogeneous Markov regression models with application to Alzheimer's disease progression

Markov regression models are useful tools for estimating the impact of risk factors on rates of transition between multiple disease states. Alzheimer's disease (AD) is an example of a multi-state disease process in which great interest lies in identifying risk factors for transition. In this context, non-homogeneous models are required because transition rates change as subjects age. In this report we propose a non-homogeneous Markov regression model that allows for reversible and recurrent disease states, transitions among multiple states between observations, and unequally spaced observation times. We conducted simulation studies to demonstrate performance of estimators for covariate effects from this model and compare performance with alternative models when the underlying non-homogeneous process was correctly specified and under model misspecification. In simulation studies, we found that covariate effects were biased if non-homogeneity of the disease process was not accounted for. However, estimates from non-homogeneous models were robust to misspecification of the form of the non-homogeneity. We used our model to estimate risk factors for transition to mild cognitive impairment (MCI) and AD in a longitudinal study of subjects included in the National Alzheimer's Coordinating Center's Uniform Data Set. Using our model, we found that subjects with MCI affecting multiple cognitive domains were significantly less likely to revert to normal cognition.     

小儿先天性心脏病的探查分析

目的:通过彩超对先天性心脏病进行探查、分类,明确诊断,早期治疗。方法:采用美国惠普公司生产的HP7500彩色多普勒超声心动仪与美国GE公司生产的GE vivid7型彩色多普勒超声心动仪,对2008-2010年临床疑诊为先天性心脏病的患儿256例进行检查,检出先天性心脏病患儿210例。结果:检出室间隔缺损83例,占39.5%,室间隔膜部瘤并室缺15例,并房间隔缺损20例。②房间隔缺损55例,占26.1%,③动脉导管未闭38例,占18.9%,④法四15例,占0.07%;⑤心内膜垫缺损9例,占0.04%;⑥永存动脉干3例,占0.014%;⑦三尖瓣闭锁2例,占0.01%;⑧右室双出口2例,占0.01%;⑨原发性肺动脉高压2例,占0.005%;⑩右位心,肺静脉异位引流1例,占0.005%。结论:彩超诊断小儿先天性心脏病准确并且无创,对手术方式的选择和术后评价提供了有价值的临床资料。     

Simultaneous Confidence Intervals for the Mean of Multivariate Poisson Distribution: A Comparison

Haibing (2009) proposed a procedure for successive comparisons between ordered treatment effects in one-way layout and showed that the proposed procedure has greater power than the procedure proposed by Lee and Spurrier (1995). Critical constants required for the proposed procedure were estimated using Monte Carlo simulation and few values of the constants were tabulated which limit the applications of the proposed procedure. In this article, a numerical method, using recursive integration methodology, is discussed to compute the critical constants which work efficiently for a large number of treatments and extensive values of critical constants are tabulated for the use of practitioners. Power comparisons of Haibing's and Lee and Spurrier's procedure is also discussed.     

The Game of Contacts: Estimating the Social Visibility of Groups

Estimating the sizes of hard-to-count populations is a challenging and important problem that occurs frequently in social science, public health, and public policy. This problem is particularly pressing in HIV/AIDS research because estimates of the sizes of the most at-risk populations-illicit drug users, men who have sex with men, and sex workers-are needed for designing, evaluating, and funding programs to curb the spread of the disease. A promising new approach in this area is the network scale-up method, which uses information about the personal networks of respondents to make population size estimates. However, if the target population has low social visibility, as is likely to be the case in HIV/AIDS research, scale-up estimates will be too low. In this paper we develop a game-like activity that we call the game of contacts in order to estimate the social visibility of groups, and report results from a study of heavy drug users in Curitiba, Brazil (n = 294). The game produced estimates of social visibility that were consistent with qualitative expectations but of surprising magnitude. Further, a number of checks suggest that the data are high-quality. While motivated by the specific problem of population size estimation, our method could be used by researchers more broadly and adds to long-standing efforts to combine the richness of social network analysis with the power and scale of sample surveys.     

Self and other: The importance of social interaction and social relationships in shaping the experience of early-stage Alzheimer's disease

Various factors influence how individuals experience illness. Especially important, however, is the reaction of others whose response shapes the meaning of the illness for the person who is ill, and the impact it will have on her or his sense of self. Adopting a symbolic interactionist perspective, and drawing on data obtained from in-depth interviews conducted with nine individuals living with early-stage Alzheimer's disease, this paper examines how others’ reactions to and treatment of persons living with the condition can influence how they experience dementia. The findings reveal that the majority of the participants did not believe others’ treatment of them had substantially changed, nor did most express the level of concern about the possible negative response of others reported in other studies. Within their relationships and social interactions participants received the essential support, cooperation, and encouragement that enabled them to create meaning in life and sustain identity.     

Support for Academic Women in Political Science 1890-1945

Between 1893, when the first woman took a PhD in political science, and 1945, about 150 women became political scientists. Support for their professional lives came primarily from other women who were their teachers or their colleagues in women's colleges. Most early women did not marry; those who did found domestic roles detrimental to their careers. Graduate departments channeled women back to women's colleges and did not recruit women for their own faculties. Women are included in the professional organization primarily as representatives of women's colleges. The condition of entry into a secure academic life was to remain sigle and accept a sex-segregated place; but this security did not provide the necessary credential of a prestigious home department for leadership of the nationally organized profession.