Community participation in health services

This study critically analyzes and synthesizes community participation (CP) theory across disciplines, defining and beginning to map out the elements of CP according to a preliminary framework of structure, process, intermediate outcomes, and ultimate outcomes. The first study component sought to determine the impact of Sight N' Soul, a CP project utilizing neighborhood health workers (NHWs), on appointment missing in an indigent urban African-American population. It found that persons entering the vision care system through contact with an NEW were about a third less likely to miss an appointment than those persons entering the system through some other avenue. While theory in this area remains too poorly developed to hypothesize causal relationships between structure, process, and outcomes, a summary of the elements of Sight N' Soul's structure and process both developed the preliminary framework and serves as a first step to mapping these relationships. The second component of the study uncovered the elements of structure and process that may contribute to a sustained egalitarian partnership between community people and professionals, a CP program called Project HEAL. Elements of Project HEAL's structure and process included a shared belief in the program; spirituality; contribution, ownership, and reciprocation; a feeling of family; making it together; honesty, trust, and openness about conflict; the inevitability of uncertainty and change; and the guiding interactional principles of respect; love, care, and compassion; and personal responsibility. The third component analyzed the existing literature, identifying and addressing gaps and inconsistencies and highlighting areas needing more highly developed ethical analysis. Focal issues include the political, economic, and historical context of CP; the power of naming; the issue of purpose; the nature of community; the power to muster and allocate resources; and the need to move to a systems view of health and well-being, expanding our understanding of the universe of potential outcomes of CP, including iatrogenic outcomes. Intermediate outcomes might include change in community, program, and individual capacity, as well as improved health care delivery. Ultimate outcomes include increased positive interdependencies and opportunities for contribution; improved mental, physical, and spiritual health; increased social justice; and decreased exploitation. ^

The effects of benefit finding on athletes’ quality of adjustment to career termination

Retirement from elite sports requires athletes to cope with adjustments on an occupational, financial, physical, social or emotional level. Research on critical life events (e.g., Filipp & Aymanns, 2010) suggests that benefit finding, defined as “the process of deriving positive growth from adversity” (Cassidy et al., 2014), may have a positive impact on this transition. The present study examined the effects of benefit finding on the quality of adjustment to career termination in the short, middle and long term. Former Swiss elite athletes (N = 290) completed a written survey collecting information on a) their emotional reaction to career termination, b) the amount of adjustment in various respects, c) situational characteristics of their career termination, d) the duration and quality of the transition, and e) their subjective well-being. Using Latent Variable Modelling, finding benefit in career termination was found to have both a direct and an indirect effect on long-term well-being (γ=.18). It predicts favorable emotional reactions to career termination (γ = .53) and less adjustment (γ = -.38) which in turn shortens the transition duration (β = -.15 and β = .55, respectively) and quality (β = -.15), and finally augments well-being (β = .41). The data suggest that a focus on benefit finding in both crisis-prevention and crisis-coping interventions may prove useful to prevent crisis transitions.

Sexuelle Belästigung am Telefon: Definition, Prävalenz, Formen und Verarbeitung

Sexuelle Belästigung am Telefon ist ein in der bisherigen sozialwissenschaftlichen Forschung vernachlässigtes Alltagsphänomen. Die vorliegende Studie zur Analyse dieses Phänomens wurde repräsentativ für Deutschland durchgeführt. In der ersten Phase der Studie wurde eine Ausgangsstich-probe von mehr als 3000 Personen mündlich mittels eines Fragebogens zu unerwünschten Ereignissen am Telefon im vorangegangenen Jahr befragt. Die Ergebnisse zeigen, welche verschiedenen Formen von Belästigung in welchem Umfang vorkommen (Stöhnanrufe, sexuelle Beleidigungen etc.). Dabei wurden die Häufigkeit sowie das Ausmaß der durch die sexuelle Belästigung hervorgerufenen Belastung analysiert. In der zweiten Phase wurde den Personen, die im vorangegangenen Jahr oder jemals in ihrem Leben ein Ereignis am Telefon als sexuell belästigend erlebt hatten, ein ausführlicher Fragebogen zu der von ihnen erlebten Belästigung zur schriftlichen Beantwortung vorgegeben. Schwerpunkt war dabei die Analyse des Verarbeitungsprozesses. Die Ergebnisse zeigen, welches (verbreitete) unmittelbare emotionale und kognitive Reaktionen auf sexuelle Belästigung am Telefon sind (Angst, Ärger etc.) und welche Copingstrategien angewandt werden (Vermeidung, positive Selbstinstruktion, Informationssuche, Suche nach sozialer Unterstützung etc.). Dabei wurde untersucht, inwieweit attributions-, kontroll- und streßtheoretische Ansätze Vorhersagen für die Bewältigung dieser Erfahrung ermöglichen.

Revisiting the Basic Symptom Concept: Toward Translating Risk Symptoms for Psychosis into Neurobiological Targets

In its initial formulation, the concept of basic symptoms (BSs) integrated findings on the early symptomatic course of schizophrenia and first in vivo evidence of accompanying brain aberrations. It argued that the subtle subclinical disturbances in mental processes described as BSs were the most direct self-experienced expression of the underlying neurobiological aberrations of the disease. Other characteristic symptoms of psychosis (e.g., delusions and hallucinations) were conceptualized as secondary phenomena, resulting from dysfunctional beliefs and suboptimal coping styles with emerging BSs and/or concomitant stressors. While BSs can occur in many mental disorders, in particular affective disorders, a subset of perceptive and cognitive BSs appear to be specific to psychosis and are currently employed in two alternative risk criteria. However, despite their clinical recognition in the early detection of psychosis, neurobiological research on the aetiopathology of psychosis with neuroimaging methods has only just begun to consider the neural correlate of BSs. This perspective paper reviews the emerging evidence of an association between BSs and aberrant brain activation, connectivity patterns, and metabolism, and outlines promising routes for the use of BSs in aetiopathological research on psychosis.

The consequences of social intolerance on non-violent protest behavior

This paper scrutinizes the impact of intolerance toward diverse ethnic, religious, and cultural groups on an individuals willingness to actively engage in non-violent protest. Following new insights, we examine the individual as well as the ecological effect of social intolerance on protest behavior. Drawing from insights of social psychology and communication science, we expect that the prevalence of intolerance reinforces the positive effect of individual-level intolerance on protest participation. From a rational choice perspective, however, a negative moderating effect is expected, as the expression of opinions becomes redundant for intolerant individuals in an intolerant society. We base our multilevel analyses on data from the World Values Surveys covering 32 established democracies. Our results reveal that intolerance leads to more non-violent protest participation. This relationship, however, is strongly influenced by the prevalence of intolerance in a country.

Na 1 Nachlass Max Horkheimer, 670 - "Treatise on Antisemitism" und zugehörige Dokumente (p. IX 124-IX 134)

"Treatise on Antisemitism", Unterlagen zur Buchveröffentlichung, 1945-1946; "Tentative Outline of Contens", a) Typoskript, 6 Blatt; b) Typoskript, 2 Blatt; c) Typoskript, 2 Blatt; "Section 2: Modern European Antisemitism". Typoskript, 5 Blatt; "Section 4: Political Antisemitism in America". Typoskript, 5 Blatt; "Section 5: Religious and Social Ideologies". Typoskript, 7 Blatt; "The Nature of Anti-Semitism. Psychologocal Topics to be Surveyed", a) Typoskript, 2 Blatt; b) Typoskript, 2 Blatt; "Proposed Project for a Treatise on Antisemitism" und "Tentative Outline of Contents". Typoskript mit handschriftlichen Ergänzungen, 8 Blatt; "Notes on the Content for Sections on American Antisemitism for the proposed book". Typoskript, 9 Blatt; Über den Aufbau des Buchs, eigenhändige Notiz von Max Horkheimer, 1 Blatt; Löwenthal, Leo: "Memorandum to Max Horkheimer, re: books", 25.11.1946. Typoskript, 6 Blatt; Memoranden über Besprechungen betreffend "Traetise", 28.05-10.10.1945, Typoskript, 6 Blatt; Jaeger, Werner: 1 Brief mit Unterschrift an Gordon W. Allport, Cambridge, Mass., 21.06.1945, 1 Blatt; Statements for AJC on account 'Treatise', Juli 1945 - Mai 1947, 19 Blatt; Unterlagen zur deutschen Ausgabe der "Studies in Prejudice", 1950-1952; "German Version of the Series 'Studies in Prejudice'". Typoskript, 3 Blatt; "Bericht über den Plan zur Herstellung einer deutschen Fassung der Studies in Prejudice". Typoskript, 4 Blatt; Memoranden zur Arbeit an der deutschen Ausgabe, 15.01.1951- 05.12.1952, Typoskript, 7 Blatt; Record of Meeting Commentary and Institute of Social Research", 29.05.1946; Diskussionsteilnehmer: Cohen, Elliot; Glazer, Nathan; Greenberg, Clement; Warshow, Robert; Löwenthal, Leo; Massing, Paul; Pollock, Friedrich; Weil, Felix; Gurland, A.R.L.; Jahoda, Marie; Löwe, Adolf; Typoskript, 19 Blatt; "Some Notes to the 'tentative draft discussed with R.'", Datierung unklar, um 1943? Typoskript mit handschriftlichen Korrekturen, 4 Blatt; "Re: Antisemitism in occupied Europe", Datierung unklar, etwa 1945-1948?; Typsokript, 3 Blatt; "Studies Undertaken in the Project on Political Antisemitism", Tabellarische Aufzählung, Datierung unklar, Typoskript, 1 Blatt; Institut of Social Research: "Instructions", Anweisungen für Interviewer, Fragebogen, Datierung unklar, Entwurf, Typoskript, 4 Blatt; Über Forschungsunternehmungen zu ethischen Vorurteilesstrukturen in den USA zwischen 1928 und 1939, Datierung unklar, Typoskript, 2 Blatt; Institut of Social Research: "Section I: Protestantism and Antisemitism. Section II: Report on the General Body of Protestant Antisemitic Feeling", Datierung unklar, Typoskript, 29 Blatt; Horkheimer, Max: "Re: Anti-Semitism- Spearhead of Nazism", Datierung unklar, Typoskript, 6 Blatt; Adorno, Theodor W.: "Re: Questionaire on Anti-Semitism", Datierung unklar. Typoskript, 5 Blatt; Adorno, Theodor W.: "Outline of a socio-psychological study", Datierung unklar. Typoskript mit eigenhändigen Korrekturen, 4 Blatt; "Sample: Responsiveness of Types of Anti-Semites to Anti-Semitic Propaganda", 2 handschriftliche Tabellen-Schemata, Datierung unklar, 2 Blatt;

Factors affecting the symptom burden in chronic heart failure

Background. Heart failure (HF) is a health problem of epidemic proportions and a clinical syndrome that leads to progressively severe symptoms, which contribute significantly to the burden of the disease. Several factors may affect the symptom burden of patients with HF, including physiological, psychological, and spiritual factors. This study was designed to examine the inter-relationship of physiological, psychological, and spiritual factors affecting symptoms for patients with HF. ^ Objectives. The aims of this study were to examine symptom burden of heart failure patients related to: (1) the physiological factor of brain natriuretic peptide (BNP); (2) the psychological factor of depression; (3) the spiritual factors of self transcendence and purpose in life; and (4) combined effects of physiological, psychological and spiritual factors. One additional aim was to describe symptom intensity related to symptom burden. ^ Methods. A cross-sectional non-experimental correlational design was used to examine factors affecting symptom burden in 105 patients with HF from a southwestern medical center outpatient heart failure clinic. Both men and women were included; average age was 56.6 (SD = 16.86). All measures except BNP were obtained by patient self-report. ^ Results. The mean number of symptoms present was 8.17 (SD = 3.34) with the three most common symptoms being shortness of breath on exertion, fatigue, and weakness. The mean symptom intensity was 365.66 (SD = 199.50) on a summative scale of visual analogue reports for 13 symptoms. The mean BNP level was 292.64 pg/ml (SD = 57 1.11). The prevalence rate for depression was 43.6% with a mean score of 3.48 (SD = 2.75) on the Center for Epidemiological Studies - Depression scale (CES-D 10) scale. In a multivariate analysis, depression was the only significant predictor of symptom burden (r = .474; P < .001), accounting for 18% of the variance. Spirituality had an interaction effect with depression (P ≤ .001), serving as a moderator between depression and symptom burden. ^ Conclusion. HF is a chronic and progressive syndrome characterized by severe symptoms, hospitalizations and disability. Depression is significantly related to symptom burden and this relationship is moderated by spirituality. ^

A practice-based culminating experience: Writing a HRSA grant application with Texas Organ Sharing Alliance for public education efforts to increase solid organ donation

In November 2010, nearly 110,000 people in the United States were waiting for organs for transplantation. Despite the fact that the organ donor registration rate has doubled in the last year, Texas has the lowest registration rate in the nation. Due to the need for improved registration rates in Texas, this practice-based culminating experience was to write an application for federal funding for the central Texas organ procurement organization, Texas Organ Sharing Alliance. The culminating experience has two levels of significance for public health – (1) to engage in an activity to promote organ donation registration, and (2) to provide professional experience in grant writing. ^ The process began with a literature review. The review was to identify successful intervention activities in motivating organ donation registration that could be used in intervention design for the grant application. Conclusions derived from the literature review included (1) the need to specifically encourage family discussions, (2) religious and community leaders can be leveraged to facilitate organ donation conversations in families, (3) communication content must be culturally sensitive and (4) ethnic disparities in transplantation must be acknowledged and discussed.^ Post the literature review; the experience followed a five step process of developing the grant application. The steps included securing permission to proceed, assembling a project team, creation of a project plan and timeline, writing each element of the grant application including the design of proposed intervention activities, and completion of the federal grant application. ^ After the grant application was written, an evaluation of the grant writing process was conducted. Opportunities for improvement were identified. The first opportunity was the need for better timeline management to allow for review of the application by an independent party, iterative development of the budget proposal, and development of collaborative partnerships. Another improvement opportunity was the management of conflict regarding the design of the intervention that stemmed from marketing versus evidence-based approaches. The most important improvement opportunity was the need to develop a more exhaustive evaluation plan.^ Eight supplementary files are attached to appendices: Feasibility Discussion in Appendix 1, Grant Guidance and Workshop Notes in Appendix 2, Presentation to Texas Organ Sharing Alliance in Appendix 3, Team Recruitment Presentation in Appendix 5, Grant Project Narrative in Appendix 7, Federal Application Form in Appendix 8, and Budget Workbook with Budget Narrative in Appendix 9.^

Espacio modernista. Una mirada abarcadora

El presente trabajo se propone una nueva mirada sobre el extenso corpus modernista hispanoamericano, narrativo y lírico, para descubrir en él las modulaciones del espacio poético y describir, evitando una formulación dogmática, el trazo de un periplo que comienza en el espacio americano, se sumerge en espacios interiores y artificiales, se evade en lo exótico y lo antiguo para regresar nuevamente a América con una técnica transformada. Se subraya la semejanza de tal periplo con la traslación física y espiritual de los poetas modernistas más significativos.

Zeus en Plutarco : el dios y sus mitos

Plutarco tiene gran interés por numerosos datos religiosos y míticos. Concretamente, Zeus está registrado 542 veces en su obra. Zeus se nos muestra como dios del cielo y de los fenómenos atmosféricos, dios supremo, sabio y protector de la justicia; se analizan sus relaciones con otros dioses y seres asimilados. Es interesante examinar los apelativos atribuidos al gran dios. Asimismo, sobresale la relación del dios con los mortales. Plutarco se ocupa, asimismo, del llamado Zeus de los filósofos y del Zeus egipcio. El escritor se muestra crítico en ocasiones con respecto a ciertas creencias o tradiciones referentes al gran dios.

La observancia de una fe : lealtad religiosa y lealtad política

El presente escrito indaga sobre la utilidad metodológica de los recursos provenientes de la religión, herramientas de las que se vale la sociología para construir su corpus conceptual. Hace hincapié en las formulaciones de Max Weber, con énfasis en la “lealtad", una noción que forma parte del horizonte de sentido de la política contemporánea, y particularmente de algunas ideologías que la cuentan en su acervo doctrinal. Se analiza la oposición entre impersonalidad y devoción y entre fe religiosa y fe política, así como los procesos de conversión y cumplimiento-incumplimiento del deber que caracterizan a ambas. Asimismo, se exploran las similitudes y diferencias entre el mensaje religioso y el político y entre la conformación del perfil del creyente y del adherente a una creencia partidaria. Por último, se comparan las “promesas" que encierran los discursos, con la intención de evidenciar la cercanía entre religión y lealtad en términos de constitución/restitución de la comunidad.

Religión y política entre los primeros cristianos : proyecciones de la nueva mentalidad en la patrística temprana

El artículo se compone de una introducción que examina el pasaje evangélico de Mc 12, 13-17 en relación con el pago de los impuestos, como la fuente sustancial de la arcaica problemática religioso-política cristiana. El tema de religión y política de intrínseca complejidad incluye el estudio de un documento gnóstico directo, el Tratado Tripartito (NHC I, 5), porque él encierra el vocabulario filosófico político usado por los primeros cristianos. El estudio del testimonio investigado es, además, de utilidad, porque permite analizar con superior tecnicismo la concepción político-religiosa de Pablo de Tarso y sus posibles aplicaciones a la cultura política cristiana en formación. Teniendo en cuenta este contexto es posible ir más a fondo en la captación del sentido del kath’ ékhon que aparece en la epístola deutero-paulina a los tesalonicenses (2 Tes. 2, 1-12) y la relación de este conjunto de conceptos político-religiosos con las ideas paralelas, aunque ambivalentes, acuñadas por los autores de las generaciones inmediatas, es decir, los Padres Apostólicos. Las conclusiones abordan las consecuencias que se pueden extraer de estos planteamientos antiguos que se han mantenido en el Medioevo, y su posible efectividad para el mejoramiento de la concepción cristiana actual de la política.

Influencia de las conductas adaptativas sobre el estado periodontal

Las enfermedades periodontales son infecciones asociadas a microorganismos patogénicos y alteraciones en la respuesta del huésped. Se desarrollan cuando se produce un desequilibrio entre los microorganismos y los mecanismos de defensa del individuo. Los factores psicosociales como el estrés y las conductas de afrontamiento inadecuadas al mismo pueden ejercer efectos inmunosupresivos, incrementando la susceptibilidad a periodontitis. La resiliencia es la capacidad de autosostén para enfrentar situaciones estresantes, es decir que es la capacidad de encarar los problemas en forma activa con conductas de afrontamiento adecuadas, para atenuar los efectos del estrés y recuperarse superando el problema. La evidencia demuestra que hay una clara asociación entre las enfermedades periodontales y las conductas de afrontamiento frente al estrés