Development of the Emergency Department Senior Abuse Identification (ED Senior AID) tool

Emergency departments (EDs) are an important health care setting for the identification of elder abuse (EA). Our objective was to develop an ED-based tool to identify EA. The initial tool included a brief cognitive assessment, questions to detect multiple domains of EA, and a physical examination. Refinement of the tool was based on input from clinical experts and nurse and patient feedback. The revised tool, which included 15 questions about EA, was then tested in an academic ED. We calculated the inter-rater reliability, sensitivity, and specificity of individual EA questions. Among ED patients age≥65 (N = 259), 17 (7%) screened positive for suspicion of EA. We identified a combination of six questions that cover the included domains of EA, demonstrated good or excellent inter-rater reliability, and had a sensitivity and specificity of 94% (95% confidence interval (CI) 71–100%) and 90% (95% CI 85–93%), respectively. These results inform a proposed screening tool for multisite validation testing.     

Conceptualizing and Measuring Financial Resilience: A Multidimensional Framework

Financial inclusion has become a policy priority. For many countries, this has meant focusing on the delivery and practical aspects of financial products and services. This paper argues that this approach is not sufficient to improve financial wellbeing more broadly. It suggests a more comprehensive approach moving away from asking whether people are excluded or not to asking whether they have access to accessible, acceptable and appropriate resources and supports in adverse financial circumstances. A better understanding of individuals’ financial resilience: how they bounce back from adverse financial events and the resources and supports they draw on; could help determine where resources can and should be invested to assist people to cope with financial adversity, assist the development of effective policy and, ultimately, improve financial wellbeing. This paper puts forward a definition of financial resilience and a methodology for measuring it. Australia is used as a case country from which to draw conclusions using a survey of 1496 representative adults (18+). The findings indicate that over 2 million Australian adults experienced severe or high levels of financial vulnerability raising very real concerns about financial wellbeing. Implications for academics and policy makers are presented.

     

To live an ordinary life: resource needs and additional costs for people with a physical impairment

Disabled people face increased risks of living in poverty largely due to lower incomes and extra resource requirements compared to non-disabled people. This study incorporated the social model of disability with an economic approach to costing to estimate the additional costs required by people with a physical impairment to achieve an adequate standard of living in New Zealand. Budgets estimating the additional equipment, modifications, transport, support and time required to achieve an adequate standard of living were developed and validated through focus groups with community members. The findings suggest that reducing barriers involves substantial costs ranging from NZ$645–$2,348 per week.     

Computing factors for exact two-sided tolerance limits for a normal distribution

A self-contained FORTRAN subroutine is provided which computes factors for Wald-Wolfowitz type tolerance limits allowing arbitrary combinations of sample size n and degrees of freedom ν. The exact calculations from our program reveal inadequacies of two existing approximations, especially when ν ? n. Numerous applications where ν ≠ n ? 1 are cited; two of these are discussed and illustrated.     

Influence of a parking area on soils and vegetation in an urban nature reserve

We studied the influence of a car park on soil and vegetation within Richmond Park, UK, before and after imposition of fenced boundaries restricted public access. Soil and vegetation samples were taken before (once) and after (twice) access restrictions were enforced. The over-riding trend in all the data was for soil adjacent to the car park to be less acidic and more fertile than pristine local soils, accompanied by a more eutrophic grassland community (Lolium perenne/Trifolium repens, compared with Agrostis/Festuca grassland away from the car park). The chemical influence of the car park extended at least 50 m from its boundary. A common acidophilic collembole Folsomia quadrioculata was replaced by Cryptopygus thermophilus adjacent to the car park. There was little evidence from the vegetation data that car park closure benefitted the ecosystem, but chemical data showed signs of progressive recovery in the 2 years following restrictions. Possible explanations for the car park's influence on the local landscape are suggested to include calcareous chippings and canine faecal deposits.     

Comparison of ergonomic risk assessment outputs from Rapid Upper Limb Assessment and the Strain Index for tasks in automotive assembly plants

This paper compares the ergonomic risk assessment of a task for the upper extremities as determined by Rapid Upper Extremity Assessment (RULA) and the Strain Index (SI). The ergonomic risk to the upper extremities of 244 automotive assembly plant tasks were evaluated using RULA and SI. The outcomes of each tool were compared for each task. Results from this study provide practical insight into the methods used in each tool. This study compared only the ergonomic risk outputs from each tool; it does not pursue the question of which tool best predicts injury. The kappa score was 0.11, indicating little agreement between the outputs of the two tools. This is supported by the lack of monotonicity with a gamma score of 0.1. These results indicate that the risk assessment outcome of these two ergonomic assessment tools for the upper extremities do not agree.     

The 1990s Shift in the Media Portrayal of Working Mothers

A cultural theme of distressed working mothers depicts working mothers as caught between the demands of work and family in an unforgiving institutional context. Susan Faludi first identified this theme as a conservative backlash against feminists' attempts “to have it all.” But a similar narrative helps support demands for more flexible work–family policies and more significant housework contributions from fathers. We explore the actual trends and prevalence of this distressed working mothers theme by coding 859 newspaper articles sampled from the 1981–2009 New York Times. Articles discussing problems for working mothers increased in the mid‐1990s and have continued increasing into the twenty‐first century. Other themes about problems and benefits for working mothers show quite different trends. There is also an unexpected mid‐1990s shift in attention from problems working mothers are having at home to problems at work. The increase in the distressed working mother theme coincides with the mid‐1990s stall in the gender revolution. The simultaneity of the cultural, economic, political, and attitude trends suggests that the rise of the distressed working mother theme and the stall in the gender revolution may have mutually reinforced each other over the last two decades.     

The end of the gender revolution? Gender role attitudes from 1977 to 2008

After becoming consistently more egalitarian for more than two decades, gender role attitudes in the General Social Survey have changed little since the mid-1990s. This plateau mirrors other gender trends, suggesting a fundamental alteration in the momentum toward gender equality. While cohort replacement can explain about half of the increasing egalitarianism between 1974 and 1994, the changes since the mid-1990s are not well accounted for by cohort differences. Nor is the post-1994 stagnation explained by structural or broad ideological changes in American society. The recent lack of change in gender attitudes is more likely the consequence of the rise of a new cultural frame, an "egalitarian essentialism" that blends aspects of feminist equality and traditional motherhood roles.     

Stimulus-Stimulus Pairing of Vocalizations: A Systematic Replication

The current study replicated an enhanced stimulus-stimulus pairing (SSP) procedure used by Esch et al. (Journal of Applied Behavior Analysis 42: 42–225, 2009) for increasing vocalizations in children with autism. The enhanced SSP procedure consisted of pairing target vocalizations with high-preference items, interspersed target and nontarget trials, an observing response, and the presentation of the vocalizations in “motherese” speech. Results showed substantial increases in target vocalizations above baseline levels and above nontarget vocalizations for two of three participants.     

Occupational Gender Segregation and the Earnings Gap: Changes in the 1980s

The 1980 and 1990 U.S. Census data confirm the decline in the earnings gap between men and women. Occupational segregation by gender also declined during the 1980s. Cross-sectional decompositions show that 15% of the earnings gap would be eliminated if women′s occupation distributions were the same as men′s. Over-time decompositions show that declining occupational segregation accounted for about 36% of the decline in the earnings gap; most of the declining earnings gap resulted from more equal pay within occupations.