Seniors in Society. Strategies to Retain Individual Autonomy

The research project on "Seniors in Society. Strategies to Retain Individual Autonomy" (2002 - 2004) is supported by the Grant Agency of the Czech Republic. It's importance is empha-sized by the relevance of social and economic aspects of demographic ageing of the popula-tion and that of fundamental changes associated with the transformation of Czech society. The objectives of the research are (1) to find out seniors' material and social resources sup-porting their relative autonomy in everyday life, (2) to record their personal expectations from state, community, or formal and informal support and aid institutions, respectively, and (3) to uncover their engagement in social interaction and individual experiencing of the integration into social groups. The data acquired become the base for (4) identifying the typologies corre-sponding to the levels of seniors' social integration (i.e. groups of relatives, friends, neighbours, special-interest and professional groups). By applying qualitative methods, we explore (5) strategies of everyday life and coping with life cycle events and crisis within par-ticular types. Special attention is paid to the family background of the seniors, including rela-tives in the vertical line. Specifically, we focus on (6) conditions under which family is capa-ble and willing to help or actually is helping it's oldest members, as well as on their interpre-tation within (7) identified types of the relatives supportive systems.

RELATION OF TYPE OF REPORTED ILLNESSES TO PATTERN OF USE OF THE STUDENT HEALTH CENTER BY THE INTERNATIONAL STUDENTS AT TEXAS SOUTHERN UNIVERSITY, HOUSTON, TEXAS

The state of knowledge on the relation of stress factors, health problems and health service utilization among university students is limited. Special problems of stress exist for the international students due to their having to adjust to a new environment. It is this latter problem area that provides the focus for this study. Recognizing there are special stress factors affecting the international students, it is first necessary to see if the problems of cultural adaptation affect them to any greater degree than American students attending the same university.^ To make the comparison, the study identified a number of health problems of both American and international students and related their frequency to the use of the Student Health Center. The expectation was that there would be an association between the number of health problems and the number of life change events experienced by these students and between the number of health problems and stresses from social factors. It was also expected that the number of health problems would decline with the amount of social support.^ The population chosen were students newly enrolled in Texas Southern University, Houston, Texas in the Fall Semester of 1979. Two groups were selected at random: 126 international and 126 American students. The survey instrument was a self-administered questionnaire. The response rate was 90% (114) for the international and 94% (118) for the American students.^ Data analyses consisted of both descriptive and inferential statistics. Chi-squares and correlation coefficients were the statistics used in comparing the international students and the American students.^ There was a weak association between the number of health problems and the number of life change events, as reported by both the international and the American students. The study failed to show any statistically significant association between the number of stress from social factors and the number of health problems. It also failed to show an association between the number of health problems and the amount of social support. These findings applied to both the international and the American students.^ One unexpected finding was that certain health problems were reported by more American than international students. There were: cough, diarrhea, and trouble in sleeping. Another finding was that those students with health insurance had a higher level of utilization of the Health Center than those without health insurance. More international than American students utilized the Student Health Center.^ In comparing the women students, there was no statistical significant difference in their reported fertility related health problems.^ The investigator recommends that in follow-up studies, instead of grouping all international students together, that they be divided by major nationalities represented in the student body; that is, Iranians, Nigerians and others. ^

Relationship between young women and parents in rural Ethiopia

In rural Ethiopia, parents play an important role in the major life events of their daughters such as education and marriage. However, parents’ roles have been evolving, likely due to the rapid expansion of educational opportunities for girls and the growing need of cash income among rural households. Currently, encouraging their daughters to take up further education and jobs in the formal sector contrasts with rural Ethiopian women’s conventional life course events in the past, which are characterized by early marriage and low educational profiles. An interview analysis with parents of young women indicated that under the continuing de-agrarianization among rural households, women are expected to have their own cash income generating activities to qualify as marriage partners.

Land and labor reallocation in pre-modern Japan : a case of a northeastern village in 1720-1870

In agricultural societies, adjusting land and labor according to changes of labor endowment that result from family life cycle events is premised on making full use of resources for each farming household and for the economy as a whole. This paper examines how and how well households in pre-modern Japan reallocated land and labor, using a population register covering 150 years from 1720–1870 for a village in the Tohoku region. We find that households reacted to equalize their production factors; land-scarce households tended to acquire or rent-in land and out-migrate their kin members, while land-abundant households tended to release or rent-out land, in-migrate kin members, or employ non-kin members. Estimates suggest that more than 80% of the surplus or deficit area of land was resolved if the household rented or "sold" land. We discuss a potential underlying mechanism; namely, that the village's collective responsibility for tax payment (murauke) motivated both individual households and the village as a whole to reallocate land and labor for the efficient use of resources.

MODELOS DE GOVERNANÇA DE TECNOLOGIA DA INFORMAÇÃO ADOTADOS NO BRASIL - UM ESTUDO DE CASOS MÚLTIPLOS

O tema Governança de Tecnologia da Informação (GTI) tornou-se mais premente no ambiente empresarial brasileiro, principalmente após as repercussões mundiais ocorridas com a queda da bolsa de valores americana Nasdaq, com a nova configuração mundial após os ataques aos Estados Unidos em 11 de setembro de 2001 e a partir da promulgação da Lei Sarbanes-Oxley em 2002. Esse modelo de gestão tem sido implementado por organizações que buscam não somente obter melhor controle de gestão em Tecnologia da Informação, como para aquelas que têm de atender às conformidades legais exigidas pelos órgãos de controle. Implementá-la é um processo complexo e desafiador em virtude da necessidade de se identificar o melhor modelo de GTI dentre as práticas existentes no mundo empresarial. As empresas precisam fazer uma composição daquelas que melhor se aderem às suas realidades. Este trabalho tem como objetivo analisar os modelos de GTI adotados em organizações no Brasil, avaliar os seus resultados, seus níveis de maturidade, os seus benefícios, suas dificuldades e suas tendências, contribuindo assim para o seu melhor entendimento e para amenizar a carência de estudos nessa área no Brasil. Este estudo, que é de natureza empírica, baseou-se na metodologia de estudo de casos múltiplos realizado em cinco empresas para explorar como este modelo de gestão vem sendo adotado, quais estruturas, metodologias e práticas de mercado têm sido utilizadas para a sua efetividade. Neste contexto, apresentam-se os resultados obtidos, os aspectos que envolvem a implementação dos modelos de GTI nas organizações, as dificuldades encontradas, o que têm condicionado o seu desempenho e suas tendências.

MODELOS DE GOVERNANÇA DE TECNOLOGIA DA INFORMAÇÃO ADOTADOS NO BRASIL - UM ESTUDO DE CASOS MÚLTIPLOS

O tema Governança de Tecnologia da Informação (GTI) tornou-se mais premente no ambiente empresarial brasileiro, principalmente após as repercussões mundiais ocorridas com a queda da bolsa de valores americana Nasdaq, com a nova configuração mundial após os ataques aos Estados Unidos em 11 de setembro de 2001 e a partir da promulgação da Lei Sarbanes-Oxley em 2002. Esse modelo de gestão tem sido implementado por organizações que buscam não somente obter melhor controle de gestão em Tecnologia da Informação, como para aquelas que têm de atender às conformidades legais exigidas pelos órgãos de controle. Implementá-la é um processo complexo e desafiador em virtude da necessidade de se identificar o melhor modelo de GTI dentre as práticas existentes no mundo empresarial. As empresas precisam fazer uma composição daquelas que melhor se aderem às suas realidades. Este trabalho tem como objetivo analisar os modelos de GTI adotados em organizações no Brasil, avaliar os seus resultados, seus níveis de maturidade, os seus benefícios, suas dificuldades e suas tendências, contribuindo assim para o seu melhor entendimento e para amenizar a carência de estudos nessa área no Brasil. Este estudo, que é de natureza empírica, baseou-se na metodologia de estudo de casos múltiplos realizado em cinco empresas para explorar como este modelo de gestão vem sendo adotado, quais estruturas, metodologias e práticas de mercado têm sido utilizadas para a sua efetividade. Neste contexto, apresentam-se os resultados obtidos, os aspectos que envolvem a implementação dos modelos de GTI nas organizações, as dificuldades encontradas, o que têm condicionado o seu desempenho e suas tendências.

Antiviral agent blocks breathing of the common cold virus

A dynamic capsid is critical to the events that shape the viral life cycle; events such as cell attachment, cell entry, and nucleic acid release demand a highly mobile viral surface. Protein mass mapping of the common cold virus, human rhinovirus 14 (HRV14), revealed both viral structural dynamics and the inhibition of such dynamics with an antiviral agent, WIN 52084. Viral capsid digestion fragments resulting from proteolytic time-course experiments provided structural information in good agreement with the HRV14 three-dimensional crystal structure. As expected, initial digestion fragments included peptides from the capsid protein VP1. This observation was expected because VP1 is the most external viral protein. Initial digestion fragments also included peptides belonging to VP4, the most internal capsid protein. The mass spectral results together with x-ray crystallography data provide information consistent with a “breathing” model of the viral capsid. Whereas the crystal structure of HRV14 shows VP4 to be the most internal capsid protein, mass spectral results show VP4 fragments to be among the first digestion fragments observed. Taken together this information demonstrates that VP4 is transiently exposed to the viral surface via viral breathing. Comparative digests of HRV14 in the presence and absence of WIN 52084 revealed a dramatic inhibition of digestion. These results indicate that the binding of the antiviral agent not only causes local conformational changes in the drug binding pocket but actually stabilizes the entire viral capsid against enzymatic degradation. Viral capsid mass mapping provides a fast and sensitive method for probing viral structural dynamics as well as providing a means for investigating antiviral drug efficacy.

Resilience through Adversity: A narrative case study of students' experiences of expulsion from school

Expulsion from school is life changing. This single event can alter the trajectory of a student's life--for better or for worse. How life changes is unique for each individual student. Risk and protective factors that impact an individual student's resilience determine the level of positive or negative outcomes experienced as a result of expulsion. Educators have the opportunity to take advantage of this disruption in students' education to improve the trajectory of students' lives. However, without thoughtful intervention from caring educators, this interruption in students' education may have an irreparable destructive impact on students' future. The purpose of this study was to understand the expulsion experience from the point of view of the student in order to represent this critical stakeholder group in future policy and program development, implementation, and decision-making. Students' narratives are a means for members of the educational community to access students' experiences and perceptions in order to understand the impact of expulsion on students' lives. Students' perspectives are presented through thick description in this narrative case study. The experience of these eight students is evidence that expulsion can change students' lives in a positive way. Knowing this, responsible educators must develop interventions for expelled students that channel the positive life-changing potential of this experience. Educators must develop interventions focused on bringing forth protective factors that are documented to increase resilience and to make students less susceptible to the risks inherent in removing them from school. Recommendations for educators and policy-makers are presented to assist educators in preventing expulsion and improving educational and socio-emotional outcomes for expelled students.

Kids Alive! Support for Children of Parents with Cancer: An Exemplar Program for Children of Parents with Cancer

Cancer in a parent or caregiver is an event that affects the whole family. The roles and responsibilities of the diagnosed parent, as well as those of each family member, are affected at the time of diagnosis and throughout the progression of the illness. According to the American Cancer Society, there will be an estimated 1,665,540 new cancer cases diagnosed and 585,720 cancer deaths in 2014. This staggering statistic means there are a number of cancer diagnoses that will directly affect thousands of parents and their children. Past research suggests this upheaval in the system is particularly stressful on children and can lead to a number of responses including anxiety, depression, distress, and other negative reactions. Despite the large number of parents and caregivers diagnosed with cancer in the United States each year, there are relatively few support groups aimed at supporting children affected by parental cancer. Support groups provide opportunities to serve this population in a number of advantageous ways by providing safety, support, and a sense of community. Additionally, support groups allow this population of young people to express their fears and worries, connect to others going through similar circumstances, and explore their parent's diagnosis in a context that is helpful and developmentally appropriate. Past research has found that children who do not receive support during this life-changing event can be negatively affected throughout the life span. On the other hand, this event can be a time to build a child's resilience and provide the structure through which they may thrive in adversity. Support groups offer the opportunity to address this difficult event and lead to positive results. Kids Alive! is one such group that has been proactive in support for children of parents diagnosed with cancer since 1995. Kids Alive!, a support group that runs out of Porter Hospital in Denver Colorado, uses Joseph Campbell's Hero's Journey to structure monthly groups. The Hero's Journey, described in Campbell's The Hero with a Thousand Faces (1949), focuses on a set pattern that all heroes must go through during their journey towards an ultimate victory and self-discovery. Kids Alive! incorporates this journey into a curriculum aimed at helping children explore their thoughts and feelings around their parent's cancer and leads to a realization that they are not alone on this journey. Over the course of eight months, children in Kids Alive! receive support and solidarity that leads to life-changing experiences and an understanding of what a diagnosis of cancer in a parent can mean. Kids Alive! consists of professionals and volunteers who take time to recognize and support this underserved population. The program has led to positive outcomes for nearly two decades and consistently increases the numbers of children and families served. The purpose of this paper is to describe the Kids Alive! program as an exemplar program that addresses these problems by utilizing protective factors research has found in this population. Further, this paper will discuss areas of future research while providing the model of an effective program aimed at serving an important population. Additionally, the model of Kids Alive! will be described through this paper in a way that allows for other oncology settings to consider this relatively simple program that provides consistently positive results.

Interleaved almanac, 1743

The 1743 diary is interleaved in Nathaniel Ames’ An Astronomical Diary, or, An almanack for the year of our Lord Christ, 1743. The thin paper-covered book holds brief notes about Holyoke’s daily life as an undergraduate, written on blank pages bound with the almanac. The pages of the diary are separated into two columns: the first to display symbols indicating when class recitations occurred, and the second for entries. Entries include information about student life, Harvard events such as Overseers’ meetings and individuals who preached and lectured, trips to Boston and surrounding towns, and occasional references to community deaths and illnesses.

The ‘Unknown Knowns’ of the Global Gas Market. CEPS Essay No. 16, 16 October 2014

Energy markets evolve at least as quickly as the economies they fuel. But development unfolds at an irregular pace, with starts and stops often precipitated by seemingly unpredictable dynamics. Is it really impossible to forecast these ‘revolutions’, if the past can be seen as prologue? The answer might be in the way we look at future events; even if we accept that some events are unpredictable, we may be able to infer much more about the future trends through a broader reading of available data, thus revealing ‘unknown knowns’ that may be useful in understanding paradigm shifts ahead. This paper presents an analysis of the global gas market, offering views on what the most relevant ‘unknown knowns’ of today look like, and hypotheses about some of the possible game-changing events that the market is likely to face in the short to medium term.

The End of Everest? Reimagining Himalayan Adventure Travel in an Age of Unnatural Disasters

Himalayan adventure travel is a burgeoning industry in some mountainous regions of Nepal, India, and the Tibet Autonomous Region of the People‘s Republic of China. The development of a trekking and expedition mountaineering infrastructure has created economic opportunities in remote areas and allowed foreign visitors to embark on life-changing explorations. However, with the industry’s rapid, uneven, and largely unregulated growth have come environmental and resource challenges, the creation of new economic and social arrangements, and renewed questions of equity and safety. The current Himalayan adventure travel paradigm is unsustainable, and I argue that only a profound reimagining of sociopolitical relationships—those between the state, local and global civil society actors, and adventure travel practitioners and participants—will allow it to continue. A series of recent disasters in the mountains may serve as the necessary catalyst for previously underrepresented stakeholders to translate their growing assertiveness into meaningful and durable solutions.

MODELOS DE GOVERNANÇA DE TECNOLOGIA DA INFORMAÇÃO ADOTADOS NO BRASIL - UM ESTUDO DE CASOS MÚLTIPLOS

O tema Governança de Tecnologia da Informação (GTI) tornou-se mais premente no ambiente empresarial brasileiro, principalmente após as repercussões mundiais ocorridas com a queda da bolsa de valores americana Nasdaq, com a nova configuração mundial após os ataques aos Estados Unidos em 11 de setembro de 2001 e a partir da promulgação da Lei Sarbanes-Oxley em 2002. Esse modelo de gestão tem sido implementado por organizações que buscam não somente obter melhor controle de gestão em Tecnologia da Informação, como para aquelas que têm de atender às conformidades legais exigidas pelos órgãos de controle. Implementá-la é um processo complexo e desafiador em virtude da necessidade de se identificar o melhor modelo de GTI dentre as práticas existentes no mundo empresarial. As empresas precisam fazer uma composição daquelas que melhor se aderem às suas realidades. Este trabalho tem como objetivo analisar os modelos de GTI adotados em organizações no Brasil, avaliar os seus resultados, seus níveis de maturidade, os seus benefícios, suas dificuldades e suas tendências, contribuindo assim para o seu melhor entendimento e para amenizar a carência de estudos nessa área no Brasil. Este estudo, que é de natureza empírica, baseou-se na metodologia de estudo de casos múltiplos realizado em cinco empresas para explorar como este modelo de gestão vem sendo adotado, quais estruturas, metodologias e práticas de mercado têm sido utilizadas para a sua efetividade. Neste contexto, apresentam-se os resultados obtidos, os aspectos que envolvem a implementação dos modelos de GTI nas organizações, as dificuldades encontradas, o que têm condicionado o seu desempenho e suas tendências.

Automated prediction of deterioration of infants in paediatric intensive care using SpO2

Acute life-threatening events are mostly predictable in adults and children. Despite real-time monitoring these events still occur at a rate of 4%. This paper describes an automated prediction system based on the feature space embedding and time series forecasting methods of the SpO2 signal; a pulsatile signal synchronised with heart beat. We develop an age-independent index of abnormality that distinguishes patient-specific normal to abnormal physiology transitions. Two different methods were used to distinguish between normal and abnormal physiological trends based on SpO2 behaviour. The abnormality index derived by each method is compared against the current gold standard of clinical prediction of critical deterioration. Copyright © 2013 Inderscience Enterprises Ltd.

Predictability of unplanned extubations

Acute life threatening events such as cardiac/respiratory arrests are often predictable in adults and children. However critical events such as unplanned extubations are considered as not predictable. This paper seeks to evaluate the ability of automated prediction systems based on feature space embedding and time series methods to predict unplanned extubations in paediatric intensive care patients. We try to exploit the trends in the physiological signals such as Heart Rate, Respiratory Rate, Systolic Blood Pressure and Oxygen saturation levels in the blood using signal processing aspects of a frame-based approach of expanding signals using a nonorthogonal basis derived from the data. We investigate the significance of the trends in a computerised prediction system. The results are compared with clinical observations of predictability. We will conclude by investigating whether the prediction capability of the system could be exploited to prevent future unplanned extubations. © 2014 IEEE.