The Social Environment in Children’s Sport: Cohesion, Social Acceptance, Commitment, and Enjoyment

The primary purpose of the current study was to determine whether perceptions of cohesion mediated the relationship between social acceptance and individual commitment and enjoyment in children’s sport. A secondary purpose involved the assessment of the temporal nature of cohesion over the course of an athletic season. A total of 209 (Mage = 9.87 years; SD = 1.34) recreational soccer players completed questionnaires at three time points (T1 – social acceptance, cohesion; T2 – cohesion; T3 – commitment, enjoyment, cohesion) during an athletic season. Using structural equation modeling, the results indicated that task cohesion mediated the relationship between social acceptance and commitment and enjoyment, whereas social cohesion did not. In addition, individual perceptions of cohesion did not vary significantly over the course of the season. These results will be discussed in terms of their theoretical and practical implications. As one example, the relative stability in terms of perceptions of cohesion in this population could inform future intervention work aimed at enriching the social environment

China, perspective from the European Union: commitment and cooperation

The bilateral relationship between the EU and China has a tendency toward growth in recent years. At present, China’s economic development is at a critical transition period for deepening reform in the economic structure. The economic and trade cooperation with the countries of the European Union has a significant influence for the stability of trade development and economic growth. Therefore China tries to expand cooperation and eliminate the issues and difficulties that exist, it will more often to promote cooperation between the two parties towards deeper into various cooperative areas.

Application of Volterra Equations to Solve Unit Commitment Problem of Optimised Energy Storage and Generation

Development of reliable methods for optimised energy storage and generation is one of the most imminent challenges in modern power systems. In this paper an adaptive approach to load leveling problem using novel dynamic models based on the Volterra integral equations of the first kind with piecewise continuous kernels. These integral equations efficiently solve such inverse problem taking into account both the time dependent efficiencies and the availability of generation/storage of each energy storage technology. In this analysis a direct numerical method is employed to find the least-cost dispatch of available storages. The proposed collocation type numerical method has second order accuracy and enjoys self-regularization properties, which is associated with confidence levels of system demand. This adaptive approach is suitable for energy storage optimisation in real time. The efficiency of the proposed methodology is demonstrated on the Single Electricity Market of Republic of Ireland and Northern Ireland.

Effectiveness and Cost-effectiveness of Outpatient Physiotherapy After Knee Replacement for Osteoarthritis: Study Protocol for a Randomised Controlled Trial

Background: Primary total knee replacement is a common operation that is performed to provide pain relief and restore functional ability. Inpatient physiotherapy is routinely provided after surgery to enhance recovery prior to hospital discharge. However, international variation exists in the provision of outpatient physiotherapy after hospital discharge. While evidence indicates that outpatient physiotherapy can improve short-term function, the longer term benefits are unknown. The aim of this randomised controlled trial is to evaluate the long-term clinical effectiveness and cost-effectiveness of a 6-week group-based outpatient physiotherapy intervention following knee replacement. Methods/design: Two hundred and fifty-six patients waiting for knee replacement because of osteoarthritis will be recruited from two orthopaedic centres. Participants randomised to the usual-care group (n = 128) will be given a booklet about exercise and referred for physiotherapy if deemed appropriate by the clinical care team. The intervention group (n = 128) will receive the same usual care and additionally be invited to attend a group-based outpatient physiotherapy class starting 6 weeks after surgery. The 1-hour class will be run on a weekly basis over 6 weeks and will involve task-orientated and individualised exercises. The primary outcome will be the Lower Extremity Functional Scale at 12 months post-operative. Secondary outcomes include: quality of life, knee pain and function, depression, anxiety and satisfaction. Data collection will be by questionnaire prior to surgery and 3, 6 and 12 months after surgery and will include a resource-use questionnaire to enable a trial-based economic evaluation. Trial participation and satisfaction with the classes will be evaluated through structured telephone interviews. The primary statistical and economic analyses will be conducted on an intention-to-treat basis with and without imputation of missing data. The primary economic result will estimate the incremental cost per quality-adjusted life year gained from this intervention from a National Health Services (NHS) and personal social services perspective. Discussion: This research aims to benefit patients and the NHS by providing evidence on the long-term effectiveness and cost-effectiveness of outpatient physiotherapy after knee replacement. If the intervention is found to be effective and cost-effective, implementation into clinical practice could lead to improvement in patients’ outcomes and improved health care resource efficiency.

O Contrato Psicológico e a Influência do Tipo de Vínculo: empenhamento na carreira e commitment organizacional

As transformações nas relações contratuais e na ligação psicológica do indivíduo à organização motivaram a realização do presente estudo. Os seus objectivos centrais consistiram em, por um lado, analisar a influência do tipo de vínculo na formação do Contrato Psicológico dos indivíduos com a organização e, por outro lado, compreender a relação do Contrato Psicológico com o Empenhamento na Carreira e com o Commitment Organizacional, e o que poderá distinguir estas relações. A metodologia apoiou-se num questionário, aplicado a uma amostra de 102 profissionais com vínculos de trabalho estáveis e instáveis, de diferentes organizações, ramos profissionais e sectores de actividade. A amostra é proporcional e representativa. (a) Os resultados demonstram que os profissionais prestadores de serviço são o único caso em que o tipo de vínculo tem influência significativa sobre a formação do Contrato Psicológico, percepcionando uma ligação transaccional com a organização. (b) Em contrapartida, provam que uma maior ou menor estabilidade contratual não tem influência significativa sobre os Contratos Psicológicos relacional ou equilibrado. (c) Os resultados sugerem ainda que o Contrato Psicológico está mais directamente relacionado com o Empenhamento na Carreira do que com o Commitment Organizacional. O Contrato Psicológico apresenta correlações fortes com o Empenhamento na Carreira e a consequente utilização de comportamentos individuais de Gestão de Carreira, sendo esta mais significativa nas ligações psicológicas de tipo equilibrado e relacional. No que respeita ao Commitment Organizacional, este não apresenta relação significativa com o Contrato Psicológico mas verificamos a existência de focus de Commitment Organizacional. Os resultados comprovam que o Contrato Psicológico se correlaciona com a sua dimensão normativa. As conclusões evidenciam o incremento das relações transaccionais, motivadas pela menor durabilidade dos vínculos e o desenvolvimento de reduzidas expectativas na relação com a organização e para o carácter individual e circunstancial das ligações psicológicas, que já não obedecem a um padrão tipo. Perante cenários de grande instabilidade, independentemente do Contrato Psicológico estabelecido, a preocupação com a Carreira ganha relevância. Os profissionais actuais tendem a transferir a preocupação com o vínculo e a segurança no emprego para questões de carreira, segurança de empregabilidade e sucesso psicológico. Observa-se que a lealdade à organização é na maior parte dos casos transferida para a lealdade à carreira. / Transformations in contractual relationships and in the psychological connection of an individual to an organization have motivated the execution of the present study. The main objectives of this study were, on the one hand, to analyze the influence of the type of contractual bond in the shaping of the psychological contract of individuals with an organization, and, on the other hand, to understand the relationship between the psychological contract, the career commitment and the organizational commitment, to understand subsequently what may distinguish these relationships. The methodology was supported by a questionnaire, which was applied to a sample of 105 professionals with both stable and unstable contractual bonds in different organizations, professional lines of business and activity sectors. The sample is proportional and representative. (a) The results demonstrate that service providing professionals are the only case in which the type of contractual bond has a significant influence on the shaping of a psychological contract, perceived as a transactional connection with the organization. (b) On the other hand a higher or lower contractual stability has no significant influence or relationship with the psychological contract, relational or balanced. (c) The results also suggest that the psychological contract is more directly related to career commitment than to organizational commitment. The psychological contract shows a strong correlation with the career commitment and the consequent use of the individual behaviour of Career Management, with the latter being more significant to a balanced and relational type of psychological connection. In regard to Organizational Commitment, this presents no significant relationship with the psychological contract but the focus on the organizational commitment is verified. The results also show that the psychological contract is correlated with its normative dimension. The increase in transactional relationships are evident. This is driven by reduction of the durability of contractual bonds and the development of reduced expectations in relation to the organization and the individual character and circumstance of the psychological connections, which no longer conform to a standard type. Scenarios of great instability, regardless of the psychological contract established, cause the concern with career to gain relevance. Current professionals tend to transfer their concerns about contractual bonds and job security to career issues, job security and psychological success. It can also be seen that loyalty to the organization is, in most cases, transferred to loyalty to the career.

Office of the State Long-Term Care Ombudsman: Role in Involuntary Discharges, November 25, 2014

Iowa law requires that a copy of the Notice of an Involuntary Discharge action given to residents of nursing facilities or residential care facilities also be given to the Office of the State Long-Term Care Ombudsman. In addition, the law requires that a copy of the Notice of an Involuntary Transfer/Eviction action given to tenants of an elder group home or assisted living program also be given to the Office of the State Long-Term Care Ombudsman.

Adipose-derived stem cell adhesion on laminin-coated microcarriers improves commitment toward the cardiomyogenic lineage

International audience

Regional differences of outpatient physician supply as a theoretical economic and empirical generalized linear model

BACKGROUND: Regional differences in physician supply can be found in many health care systems, regardless of their organizational and financial structure. A theoretical model is developed for the physicians' decision on office allocation, covering demand-side factors and a consumption time function. METHODS: To test the propositions following the theoretical model, generalized linear models were estimated to explain differences in 412 German districts. Various factors found in the literature were included to control for physicians' regional preferences. RESULTS: Evidence in favor of the first three propositions of the theoretical model could be found. Specialists show a stronger association to higher populated districts than GPs. Although indicators for regional preferences are significantly correlated with physician density, their coefficients are not as high as population density. CONCLUSIONS: If regional disparities should be addressed by political actions, the focus should be to counteract those parameters representing physicians' preferences in over- and undersupplied regions.

The use of Acceptance and Commitment Therapy to address psychological distress experienced by caregivers: a randomised controlled feasibility trial

Background: An extensive research literature has documented the impact of caring for an individual with acquired brain injury (ABI) on caregivers and family members, including role adjustment, psychological distress, social isolation, family tension and coping with the cognitive and behavioural difficulties of the injured person. Given these findings it is important this population have access to services and supports. Acceptance and Commitment Therapy (ACT) is an intervention that helps individuals to accept difficult experiences and commit to behaviour that is consistent with their values. Research into the effectiveness of ACT to support caregivers is at a preliminary stage. Aim: To investigate the feasibility of using ACT to reduce psychological distress and increase psychological flexibility in ABI caregivers. A secondary aim was to gain an understanding of the experience of caregivers in this context and how this can inform the development and delivery of interventions for this population. Method: Phase one was a randomised controlled feasibility trial of an ACT intervention for use with ABI caregivers. The parameters of this study were formulated around the PICO (population, intervention, control, and outcome) framework. Eighteen carers were recruited and randomised to ACT or an enhanced treatment as usual (ETAU) group. ACT was implemented over 3 sessions; and ETAU was implemented over 2 sessions. The General Health Questionnaire, Valuing Questionnaire, Acceptance and Action Questionnaire, Experiential Avoidance of Caregiving Questionnaire and the Flexibility of Responses to Self-Critical Thoughts Scale were administered to both groups at baseline and following the final session. Phase two used a retrospective qualitative design that involved conducting semi-structured interviews with four participants from phase one. Results: ACT and control participants were successfully recruited. Positive feedback was obtained from ACT participants suggesting that the intervention was acceptable. There were no significant differences between the ACT and ETAU groups on outcome measures. However, there were challenges retaining participants and the overall attrition rate was high (44.44%). Therefore a number of participants did not complete the full complement of sessions, which may have impacted on this result. Qualitative results illustrated the challenges this population face including significant adjustments in their life, the emotional impact of having a loved one with a brain injury and trying to adapt to the changes in the injured person. In addition, findings elucidated the types of support that this population would find helpful and the barriers to accessing same. Conclusions: Findings from this study highlight factors that will help the development of this intervention further for a caring population. Recommendations for future implementation include completing some preparatory work with carers before beginning the intervention, consideration of a larger sample and wider recruitment strategy from local services, barriers to attending interventions and the possibility of holding groups in local venues.