An Ecological Understanding of Caregiver Experiences in Palliative Care

Palliative care is specialized health care to improve quality of life for patients with serious illness and their families through prevention and relief of suffering. A Palliative Care Institute was held in western Washington to capture community voices about diverse needs, strengths, and opportunities for improvement of palliative care. Researchers employed qualitative methods to obtain thematic data, provide real-time analysis, and engage in a multivoting technique to reflect stakeholder interest in individual themes and prioritize larger group interests. Bronfenbrenner’s ecological systems framework was used to explore caregiver experiences. Within the microsystem, caregivers reported difficulties in interactions with medical providers as a key challenge. Within the mesosysytem, interactions between patients and medical providers and the impact on caregivers were explored. Within the exosystem, caregivers reported lack of control over the schedules of personal care staff. Macrosystem influences included impact of local culture on the development of palliative care services. Chronosystem influences include de-medicalization of childbirth and its impact on perceptions of palliative care. Implications include the need for social workers to be proactive in fostering trust and effective communication between care providers and caregivers, and the demand for health care provider training in communication with patients and families.     

Using the Inverse Maximum Ratio-Λ as a Technique to Quantify Surface Uniformity

Techniques used in variability assessment are subsequently used to draw conclusions regarding the “spread”/uniformity of data curves. Due to the limitations of these techniques, they are not adequate for circumstances where data manifest with multiple peaks. Examples of these manifestations (in three-dimensional space) include under-foot pressure distributions recorded for different types of footwear (Becerro-de-Bengoa-Vallejo et al., 2014 Biau, D.J. (2011). In brief: Standard deviation and standard error. Clinical Orthopaedics and Related Research 469(9):2661–2664.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Cibulka et al., 1994 Cibulka, M.T., Sinacore, D.R., Mueller, M.J. (1994). Shin splints and forefoot contact running: A case report. Journal of Orthopaedic &; Sports Physical Therapy 20(2):98–102.[Crossref], [PubMed], [Web of Science ®] , [Google Scholar]; Davies et al., 2003 Davies, M.B., Betts, R.P., Scott, I.R. (2003). Optical plantar pressure analysis following internal fixation for displaced intra-articular os calcis fractures. Foot &; Ankle International 24(11):851–856.[PubMed], [Web of Science ®] , [Google Scholar]), surface textures and interfaces designed to impact friction, and and and molecular surface structures such as viral epitopes (Torras and Garcia-Valls, 2004 Torras, C., Garcia-Valls, R. (2004). Quantification of membrane morphology by interpretation of scanning electron microscopy images. Journal of Membrane Science 233(1–2):119–127.[Crossref], [Web of Science ®] , [Google Scholar]; Pacejka, 1997; Fustaffson, 1997). This article proposes a technique for generating a single variable – Λ that will quantify the uniformity of such surfaces. We define and validate this technique using several mathematical and graphical models.     

Robust Spatial Analysis of Rare Crimes: An Information‐Theoretic Approach

In this paper we describe a semiparametric information‐theoretic framework for modeling the determinants of rare events aggregated at intracity areal units while allowing for various forms of error correlation structures. The approach is applied to an examination of the effects of socioeconomic and demographic macrocharacteristics of communities on the amount of violence they experience. We investigate and find evidence of some instability in these processes across types of violence and level of areal aggregation. However, we also find evidence of a stable predictor—resource deprivation—for all the types of violence analyzed and at both levels of areal aggregation considered. In addition, we find evidence of a spillover effect of a community's resource deprivation on the level of violence its neighboring areas can expect. We discuss our findings in light of their substantive, methodological, and practical implications.     

Trade openness and manufacturing growth in Malaysia

This study investigates the long-run relationship between trade openness and manufacturing growth and further assesses the causal relationship between these variables. Contrary to some scholars belief that at national level, openness does not contribute to growth in Malaysia, our sector specific analysis suggest otherwise. In this aspect, we believe that in any attempt to establish relationship between openness and growth, the analysis should be sector specific since it is more relevant as well as assures a meaningful insight for policy makers. The results suggest that in the long-run, trade openness is positively related to manufacturing growth in Malaysia. Furthermore, the results also suggest that openness should be viewed as the long term policy initiative for the sector to benefit. Therefore, the policy direction for Malaysian manufacturing sectors should focus on long term trade openness policies. Nevertheless, to ensure sustainability, emphasis should be placed on how (which manufacturing sub-sectors) or when openness is actually important. Importantly, policy makers and scholars should understand that leveraging the benefits of openness also depend on whether the liberalized sector has the comparative advantage.     

Exposition Psychological and social aspects of disease: A comparison of traditional and complementary medicine

Some comparisons are made between the treatment of patients by traditional and complementary medicine. Asthma, as an example of psychosomatic disease, is used to present the need for holistic treatment in stress related disease for which the patient's compliance is required.     

The impact of lean practices on operational performance – an empirical investigation of Indian process industries

In deciding to adopt lean manufacturing, it is imperative to investigate where and how lean practices are most needed to influence manufacturing and business performance. Such an investigation becomes indispensable when lean thinking is to be considered in a production arrangement different to the conventional, repetitive, high-volume, stable-demand and discrete-manufacturing environment. This study provides explanations of how performance is improved through the adoption of lean practices in process industries. This is a relatively under-researched area compared to the performance effects associated with the introduction and implementation of lean principles in traditional, discrete manufacturing. Based on a survey of Indian process industries, this study attempts to develop an empirical relationship between lean practices and performance improvement through the use of multivariate statistical analysis. The findings have led to the conclusion that lean practices are positively associated with timely deliveries, productivity, first-pass yield, elimination of waste, reduction in inventory, reduction in costs, reduction in defects and improved demand management. However, within a process-industry context, lean practices related to pull production were found to have a marginal impact on performance improvement. A detailed discussion of the findings along with their theoretical and managerial implications is provided in the paper.     

Higher Education in Basic Science and Socioeconomic Characteristics of Students’ Life in India: An Exploratory Study

A shortage of scientifically trained manpower in India today is largely due to the fact that fewer and fewer students are being attracted to pursue higher studies in basic science, as current science enrolment data reveal. Ultimately, because of this shortage, developments in science and technology and science-based industry are slowing down, and the basic qualities of material life are continually being compromised. Several other countries are also contending with this problem, but India’s case has largely remained underrepresented in current research. To improve the situation, a number of competitive scholarship programs have been started in India to attract young students to pursue higher studies in science in greater numbers. For one such program, using a sample of more than 8,600 high-school students, we examine how a number of socioeconomic factors govern students’ decision to pursue science higher studies in the country. We find that student age, gender, family income, exam scores, use of computers and the internet, travels, and possession of modern consumer goods at home contribute to students’ increased mobility in search of better educational facilities needed for the preparation of a career in science. Our results have implications for schools and teachers, globalization, scientific literacy, and the general prosperity of life in the country.     

Measuring Human,Physical and Structural Capital Efficiency Performance of Insurance Companies

Based on the strategy perspective of intellectual capital, this paper proposes an integrated framework that is practical to estimate the human, physical, and structural capitals (intellectual capital) efficiency performance, at firm level. This paper uses a dynamic network data envelopment analysis model to estimate the intellectual capital efficiency at three levels in the insurance industry over the period of 2005–2012. Within the insurance industry, deficiencies occurred in the human and structural capital stages as opposed to the physical capital stage. A further investigation indicates that total investment is the major concern for the deficiencies. Moreover, the cluster analysis highlights the strengths and weaknesses of the insurers based on their inherently similar efficiencies. Malaysian insurance industry need to translate and promote the existing knowledge-based economy agenda lauded by the government to improve the intellectual capital efficiency, particularly at the human capital level.     

Opportunity Theory and Agricultural Crime Victimization*

Abstract A growing body of research lends support to opportunity theory and its variants, but has yet to focus systematically on a number of specific offenses and contexts. Typically, the more crimes and contexts to which a theory applies, the broader its scope and range, respectively, and thus generalizability. In this paper, we focus on agricultural crime victimization— including theft of farm equipment, crops, livestock, and chemicals—an offense that opportunity theory appears well‐situated to explain. Specifically, we examine whether key dimensions of the theory are empirically associated with the likelihood of victimization and also examine factors associated with farmers' use of guardianship measures. In contrast to much previous research, we combine multiple individual‐level measures of these dimensions. We conclude that the theory partially accounts for variation in agricultural crime victimization, depending on the type of crime, and that greater work is needed investigating how key dimensions of opportunity theory should be conceptualized and operationalized in rural contexts. The study's implications for theory and practice are discussed.