Helping family members manage medication administration hassles

Managing the medication regimens of dependent older adults in the home is a complex issue for family caregivers. The tasks involved can include helping the older adults manage their own medications or may require involvement in the purchasing, scheduling, and administering of multiple medications for serious conditions. The hassles associated with this responsibility are now known to be associated with increased caregiver strain. In this article, we provide an overview of the body of research on medication administration hassles and offer a tool to assess family caregivers who are involved in this important aspect of care.     

Extrapolative simulation of neighborhood networks based on population spatial distribution: Do they predict crime?

Objectives

Previous criminological scholarship has posited that network ties among neighborhood residents may impact crime rates, but has done little to consider the specific ways in which network structure may enhance or inhibit criminal activity. A lack of data on social ties has arguably led to this state of affairs. We propose to avoid this limitation by demonstrating a novel approach of extrapolatively simulating network ties and constructing structural network measures to assess their effect on neighborhood crime rates.

Methods

We first spatially locate the households of a city into their constituent blocks. Then, we employ spatial interaction functions based on prior empirical work and simulate a network of social ties among these residents. From this simulated network, we compute network statistics that more appropriately capture the notions of cohesion and information diffusion that underlie theories of networks and crime.

Results

We show that these network statistics are robust predictors of the levels of crime in five separate cities (above standard controls) at the very micro geographic level of blocks and block groups.

Conclusions

We conclude by considering extensions of the approach that account for homophily in the formation of network ties.     

Extended structures of mediation: Re-examining brokerage in dynamic networks

In this paper we revisit the concept of brokerage in social networks. We elaborate on the concept of brokerage as a process, identifying three distinct classes of brokerage behavior. Based on this process model, we develop a framework for measuring brokerage opportunities in dynamic relational data. Using data on emergent inter-organizational collaborations, we employ the dynamic brokerage framework to examine the relationship between organizational attributes and coordination in the evolving network. Comparing the findings of our process-based definition with traditional, static approaches, we identify important dimensions of organizational action that would be missed by the latter approach.     

Experience with a multi-year fleet planning model

The fleet planning problem requires determination of the changing airline fleet mix based on existing traffic levels and projected growth, on the existing fleet, various aircraft types available in the future, and other operational and financial considerations. Several applicable mathematical formulations have been reported. One of these has been programmed for the computer and used by the authors for several years. This paper discusses the application of that model to real airline planning situations. Such practical experience has effected changes in the program and the manner it is used in fleet planning studies.     

Geographical variability and network structure

In this paper, we explore the potential implications of geographical variability for the structure of social networks. Beginning with some basic simplifying assumptions, we derive a number of ways in which local network structure should be expected to vary across a region whose population is unevenly distributed. To examine the manner in which these effects would be expected to manifest given realistic population distributions, we then perform an exploratory simulation study that examines the features of large-scale interpersonal networks generated using block-level data from the 2000 U.S. Census. Using a stratified sample of micropolitan and metropolitan areas with populations ranging from approximately 1000 to 1,000,000 persons, we extrapolatively simulate network structure using spatial network models calibrated to two fairly proximate social relations. From this sample of simulated networks, we examine the effect of both within-location and between-location heterogeneity on a variety of structural properties. As we demonstrate, geographical variability produces large and distinctive features in the “social fabric” that overlies it; at the same time, however, many aggregate network properties can be fairly well-predicted from relatively simple spatial demographic variables. The impact of geographical variability is thus predicted to depend substantially on the type of network property being assessed, and on the spatial scale involved.     

That straight talk: Sarah Palin and the sociolinguistics of demonstratives

Drawing on previous analyses of the social meaning of demonstratives and other function words, we argue that the semantics of demonstratives facilitates affective uses that can be characterized as attempts by the speaker to foster a sense of shared perspective and common ground with other discourse participants. We present large‐scale quantitative evidence that this strategy is widely used and communicatively effective. We then conduct a focused case study of the demonstrative use of U.S. politician and public figure Sarah Palin, situated in the wider context of Palin's persona, style, and place in the social landscape. An analysis of television interview data shows that Palin is a distinctive and prolific user of affective demonstratives. Palin's usage highlights the context‐dependence of demonstratives’ social meaning and leads to a deeper understanding of her rhetorical strategies and the polarized reactions they have received.     

Putting emergence back in leadership emergence: A dynamic,multilevel, process-oriented framework

The study of leadership emergence has increased substantially over the past few decades. However, due to a lack of integrative theory, we believe limited advancement has been made regarding the full process of leadership emergence. To address this concern, first, we conceptualize the leadership emergence process from a complexity perspective and define emergence as a dynamic, interactive process grounded in three principles of emergent phenomena. Second, we review how previous research has modeled leadership emergence by focusing on the content areas of the lower-level elements, the mechanisms that facilitate their emergence, and the dynamism of the process once it has emerged. Third, based on the findings from the review, we introduce a process-oriented framework of leadership emergence. Fourth, we offer propositions to guide developing and testing emergent leadership processes, and we conclude with recommendations for future leadership process research. Our hope is that by realigning the study of leadership emergence with complexity and multilevel theory, we can reorient this area to focusing more on the process mechanisms within emergence, connecting back to research progress made over 60?years ago.     

Relocation to a long-term care facility: working with patients and families before, during, and after

Permanent relocation of a dependent older adult to a long-term care facility can occur for a number of reasons, including the need for postacute care or a higher level of care than can be provided in a less-restrictive environment, and/or the inability of family members or others to care for the individual in a noninstitutional setting. Outcomes of institutional placement may be either negative, such as the older adult experiencing relocation stress syndrome, or positive, such as improved management of chronic illnesses and reversal of functional decline. This article offers a review of the factors that predict when and where older adults will relocate for institutional long-term care, an overview of individual transitions to institutional care, and suggestions for seamless transitions during the preinstitutionalization, transitional, and postinstitutionalization phases of relocation, which are guided by a transactionist approach to stress and coping.