Job control and ambulatory blood pressure

Objective: The effect of work on blood pressure (BP) in a general population with appropriate adjustment for confounders is not well defined. High job control has been found to be associated with lower BP and with nocturnal BP dipping. However, with older workers this may be compromised and has not been studied extensively. Methods: A cross-sectional study was carried out on a primary care-based sample (N=2047) aged 50–69 years. Data were collected on sociodemographic factors, medication, clinic, and ambulatory blood pressure. Job control was measured using two scales from the Copenhagen Psychosocial Questionnaire (COPSOQ) (possibility for development and influence at work). Nocturnal systolic BP (SBP) dipping was the reduction in SBP from day- to night-time using ambulatory SBP readings. Results: In general, BP increased with age, male gender, and higher body mass index. Workers with high influence at work and high possibility for development were more likely to have high asleep SBP [odds ratio (OR) 2.13, 95% confidence interval (95% CI) 1.05–4.34, P=0.04], (OR 2.27, 95% CI 1.11–4.66, P=0.03) respectively. Influence at work and awake BP were inversely associated: awake SBP (OR 2.44, 95% CI 1.35–4.41, P<0.01), awake DBP (OR 2.42, 95% CI 1.24–4.72, P=0.01). No association was seen between job control and nocturnal SBP dipping. Conclusion: Older workers with high job control may be more at risk of cardiovascular disease resulting from high day- and night-time BP with no evidence of nocturnal dipping.

Traduction et validation transculturelle du questionnaire Sources of Sport-Confidence : questionnaire auprès d'une population canadienne-française

Mémoire numérisé par la Direction des bibliothèques de l'Université de Montréal.

Create, Establish, Maintain: Comparing Zones of Peace in the Nordic Area and the Southern Cone

In the wake of the Cold War, regional organizations have proliferated and are now a dominant theme in global politics. This study tests whether explanations for the Nordic peace can help to understand or construct other zones of peace in these increasingly important regional settings. With that in mind, this study compares the Nordic area of Denmark, Finland, Iceland, Norway, and Sweden with the Southern Cone region–here defined as Argentina, Chile, Paraguay, and Uruguay–and both are treated as regional, subsystemic zones of peace. Its significance lies in analysis of two developmentally disparate regions not yet compared in zones of peace literature. Using structured, focused comparison, this study is guided by fundamental questions about each region that assess the relationship between explanations for regional peace and their respective historical records. Understanding the conditions that permit the endurance of peace in today’s global context has far-reaching empirical and theoretical implications.

Alkenone in surface sediments of the Nordic seas and the North Atlantic

Alkenone sediment data from the Nordic seas and North Atlantic are compared to those from Sikes et al. (1997) for the Southern Ocean to evaluate further UK37 and UK37' as proxies to estimate cold temperatures (<10°C) and the effect of salinity and temperature in the relative abundance of 37:4 to the total abundance of C37 alkenones (37:4%). UK37 and UK37' are found to be equally viable as proxies, but there are significant regional differences in their cold temperature dependence. The measurement of 37:4% in cores from the North Atlantic region can be used to identify situations when UK37' is not a reliable paleothermometer. Variations in salinity are probably responsible for changes in the sedimentary record of 37:4%, and a preliminary calibration has been obtained for 37:4%=f(salinity). This new relationship should be further confirmed through field or laboratory experiments, but it paves the way to derive a molecular proxy to reconstruct paleosalinity in surface waters.

(Table 2) Age determination of sediments from the Nordic Seas

A combined record of three cores spanning the last 18 kyr from the northern North Sea is investigated for content of benthic and planktonic foraminifera and stable oxygen isotopes. The paleoenvironmental development through this time period shows an early deglaciation (18-14.4 ka) and the Younger Dryas (12.7-11.5 ka) characterized by arctic/polar conditions and increased ice rafting in the Norwegian Channel. During the Bølling-Allerød period, warm sea surface temperature (9°C) conditions similar to present conditions are inferred, while bottom waters stayed cold (0-1°C) with normal salinity. The Bølling-Allerød period is interrupted twice at 13.9-13.6 ka (Older Dryas) and at 13.0-12.8 ka (Inter-Allerød Cooling Period) by reductions in sea surface temperatures and increased sea ice cover. The beginning of the Holocene period is marked by increases in surface and bottom water temperature. Superimposed on the broad climatic changes through the Holocene, a series of short-lived oscillations in the ocean circulation are recorded. The amplitude of these Holocene events appears larger in the early Holocene (prior to 8 ka) than compared with the remaining part of the Holocene. This amplification can possibly be attributed to a general increased freshwater budget in the North Atlantic at this time during the final stages of the deglaciation of the Laurentide and Scandinavian ice sheets.

Magnetic susceptibility and ice-rafted debris in surface sediments of the Nordic Sea

Magnetic susceptibility and ice-rafted debris of surface sediments in the Nordic Seas were investigated to reconstruct source areas and recent transport pathways of magnetic minerals. From the distribution of magnetic susceptibility and ice-rafted debris and published data on petrographic tracers for iceberg drift, we reconstructed a counter-clockwise iceberg drift pattern during cooler phases in the Holocene, which is similar to conceptual and numerical models for Weichselian iceberg drift. The release of basaltic debris at Scoresby Sund played a significant role for the magnetic signature of stadial/interstadial events during isotope stage 3 recorded in sediment cores of the Nordic Seas.

Constructing the Vulvar Pain Assessment Questionnaire Inventory

The goals of this program of research were to examine the link between self-reported vulvar pain and clinical diagnoses, and to create a user-friendly assessment tool to aid in that process. These goals were undertaken through a series of four empirical studies (Chapters 2-6): one archival study, two online studies, and one study conducted in a Women’s Health clinic. In Chapter 2, the link between self-report and clinical diagnosis was confirmed by extracting data from multiple studies conducted in the Sexual Health Research Laboratory over the course of several years. We demonstrated the accuracy of diagnosis based on multiple factors, and explored the varied gynecological presentation of different diagnostic groups. Chapter 3 was based on an online study designed to create the Vulvar Pain Assessment Questionnaire (VPAQ) inventory. Following the construct validation approach, a large pool of potential items was created to capture a broad selection of vulvar pain symptoms. Nearly 300 participants completed the entire item pool, and a series of factor analyses were utilized to narrow down the items and create scales/subscales. Relationships were computed among subscales and validated scales to establish convergent and discriminant validity. Chapters 4 and 5 were conducted in the Department of Obstetrics & Gynecology at Oregon Health & Science University. The brief screening version of the VPAQ was employed with patients of the Program in Vulvar Health at the Center for Women’s Health. The accuracy and usefulness of the VPAQscreen was determined from the perspective of patients as well as their health care providers, and the treatment-seeking experiences of patients was explored. Finally, a second online study was conducted to confirm the factor structure, internal consistency, and test-retest reliability of the VPAQ inventory. The results presented in these chapters confirm the link between targeted questions and accurate diagnoses, and provide a guideline that is useful and accessible for providers and patients.

Secure and Scalable Statistical Computation of Questionnaire Data in R

Collecting data via a questionnaire and analyzing them while preserving respondents’ privacy may increase the number of respondents and the truthfulness of their responses. It may also reduce the systematic differences between respondents and non-respondents. In this paper, we propose a privacy-preserving method for collecting and analyzing survey responses using secure multi-party computation (SMC). The method is secure under the semi-honest adversarial model. The proposed method computes a wide variety of statistics. Total and stratified statistical counts are computed using the secure protocols developed in this paper. Then, additional statistics, such as a contingency table, a chi-square test, an odds ratio, and logistic regression, are computed within the R statistical environment using the statistical counts as building blocks. The method was evaluated on a questionnaire dataset of 3,158 respondents sampled for a medical study and simulated questionnaire datasets of up to 50,000 respondents. The computation time for the statistical analyses linearly scales as the number of respondents increases. The results show that the method is efficient and scalable for practical use. It can also be used for other applications in which categorical data are collected.

The Reliability and Validity of a Child and Adolescent Participation in Decision Making Questionnaire

Background
There is a growing impetus across the research, policy and practice communities for children and young people to participate in decisions that affect their lives. Furthermore, there is a dearth of general instruments that measure children and young people’s views on their participation in decision making. This paper presents the reliability and validity of the Child and Adolescent Participation in Decision Making Questionnaire (CAP-DMQ) and specifically looks at a population of looked-after children where a lack of participation in decision making is an acute issue.
Methods
The participants were 151 looked after children and adolescents between 10-23 years of age who completed the 10 item CAP-DMQ. Of the participants 113 were in receipt of an advocacy service that had an aim of increasing participation in decision-making with the remaining participants not having received this service.
Results
The results showed that the CAP-DMQ had good reliability (Cronbach’s alpha = .94) and showed promising uni-dimensional construct validity through an exploratory factor analysis. The items in the CAP-DMQ also demonstrated good content validity by overlapping with prominent models of child and adolescent participation (Lundy 2007) and decision making (Halpern 2014). A regression analysis showed that age and gender were not significant predictors of CAP-DMQ scores but receipt of advocacy was a significant predictor of scores (effect size d=.88), thus showing appropriate discriminant criterion validity.
Conclusion
Overall, the CAP-DMQ showed good reliability and validity. Therefore, the measure has excellent promise for theoretical investigation in the area of child and adolescent participation in decision making and equally shows empirical promise for use as a measure in evaluating services which have increasing the participation of children and adolescents in decision making as an intended outcome.

Where do e-Government strategies take the Nordic nations?

An effective strategy is critical for the successful development of e-Government. The leading nations in the e-Government rankings include Sweden, Norway, Denmark and Finland. Their leading role makes them interesting to study when looking for reasons to successful e-Government. The purpose of this research paper is to describe the e-Government development strategies of Nordic countries, which rank highly on the international stage. In particular it aims to study the foci of these strategies. The approach is a document study of the e-Government development strategies of Sweden, Denmark, Norway and Finland was carried out using a qualitative content analysis inductive method. The results show that the major focus of Nordic e-Government strategies is on public sector reforms. Other focus areas include economic reforms and, to a lesser extent, e-Democracy efforts. Sweden, Finland and Norway have set ambitious policy goals in order to achieve global leadership in e-Government development. In response to the question posed by this paper’s title, we can say that Nordic e-Government strategies, except for Norway, focus more on reforming public sector services than on economic reforms.  E-Democracy reforms are hardly focused on at all. Practical implications: Public sector policy makers can relate their policy foci to some of the more successful e-Government countries in the world. Research implications/originality is that this paper can apart from the findings also provide a means on how to identify the actual foci of a country’s e-Government policy.