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PubMedDate not supplied

Emergency department overcrowding: the impact of resource scarcity on physician job satisfaction.

Emergency departments in most developed countries have been experiencing significant overcrowding under a regime of severe resource constraints. Physicians in emergency departments increasingly find themselves toiling in workplaces that are characterized by diminished availability of, limited access to, and decreased stability of critical resources. Severe resource constraints have the potential to greatly weaken the overall job satisfaction of emergency physicians. This article examines the impact of hospital resource constraints on the job satisfaction of a large sample of emergency physicians in Canada. After controlling for workflow and patient characteristics and for various institutional and physician characteristics, institutional resource constraints are found to be major contributors to emergency physician job dissatisfaction. Resource factors that have the greatest impact on job satisfaction include availability of emergency room physicians, access to hospital technology and emergency beds, and stability of financial (investment) resources.

Adult↗
PubMed2006

[Spatial-temporal dynamic change of land resource degradation in China].

Large scale spatial and temporal land use survey data were used to study the dynamics of land use change in China recently. With the aid of GIS, the spatial-temporal dynamic change of land resource degradation at the national level was investigated using authoritative datasets from detailed land use surveys (early 1990s approximately 2003). As a result, seven major types of land degradation processes were identified, including sandy desertification, rocky desertification, secondary salinification, non-agricultural land occupation, deforestation, natural grassland degradation and wetlands shrinking. This paper comprehensively explored the characteristics of these land degradation processes and revealed the status and trend of the holistic land resource degradation in China. Results shows that: (1) Although land degradation has been controlled in local area, but it is still continuing to spread in the whole country. The total degradation index of the holistic land resource presented fluctuating trend. Indexes of non-agricultural construction occupation and wetland shrinking process are far more than that of other process, which are two primary causes contribution to heading straight towards full-scale land resource deterioration in China. (2) Land resource degradation process of China focused on natural grass land, and non-agricultural construction land, which attained 66.27%; Land resource degradation rehabilitation mainly focused on desertification and forest restoration, which accounts for 57.5%. (3) Sandy desertification and rocky desertification process have been reversing greatly. The total net change of their quantities was decreased by 15,578km2. But most of the rehabilitation of land desertification was concentrated on the originally ecological vulnerable northwestern zone, whereas newly added desertified land has been expanding and aggravating in eastern zone, especially around river watersheds. (4) Over two-thirds of non-agriculture land expansion came from cultivated land. In addition, almost 60 percent of the loss cultivated land occupied by non-agricultural land was appeared in the Northeast, the Eastern coast and Central China where have many high productive agricultural lands of China. This kind of land degradation has threatened food security of China seriously. (5) However, large scale reclamation of ecological land transferred into cultivated land was the most dominant factor of degradation. For example, the conversion of wetland resource to croplands by reclamation accounts for over 50 percent of wetland shrinking.

Agriculture↗
PubMed1996

Rural and urban differences in physician resource use for low-risk obstetrics.

OBJECTIVE: To explore the hypothesis that rural obstetricians (OBs) and family physicians (FPs) utilized fewer resources during the care of the low-risk women who initially booked with them than did their urban counterparts of the same specialties. DATA SOURCES/STUDY DESIGN: A stratified random sample of Washington state rural and urban OBs and FPs was selected during 1989. A participation rate of 89 percent yielded 209 participating physicians. The prenatal and intrapartum medical records of a random sample of the low-risk patients who initiated care with the sampled providers during a one-year period were abstracted in detail and analyzed with the physician as the unit of analysis. Complete data for 1,683 patients were collected. Resource use elements (e.g., urine culture) were combined by standardizing them with average charge data so that aggregate resource use could be analyzed. Intraspecialty comparisons for resource use by category and overall were performed. FINDINGS/CONCLUSIONS: Results show that rural physicians use fewer overall resources in caring for nonreferred low-risk-booking obstetric patients than do their urban colleagues. Resource use unit expenditures showed the hypothesized pattern for both specialties for total, intrapartum, and prenatal care with the exception of FPs for prenatal care. Approximately 80 percent of the resource units used by each physician type were related to hospital care. No differences were shown in patterns of care for most clinically important aspects of care (e.g., cesarean delivery rates), and no evidence suggested that outcomes differed. The overall differences were due to specific components of care (e.g., fewer intrapartum hospital days and less epidural anesthesia).

Adult↗
PubMed1996

Viability, morbidity, and resource use among newborns of 501- to 800-g birth weight. National Institute of Child Health and Human Development Neonatal Research Network.

OBJECTIVES: To assess risk factors affecting viability and analyze the effects of mechanical ventilation (MV) on neonatal outcome and resource use among extremely premature infants. DESIGN: Inception cohort study. SETTING: Neonatal intensive care units of the 12-center National Institute of Child Health and Human Development Neonatal Research Network. PARTICIPANTS: A total of 1126 infants with a birth weight of 501 to 800 g born in network centers between January 1, 1994, and December 31, 1995. MAIN OUTCOME MEASURES: Observed survival; maximum estimated survival (assuming the same survival among infants who died without MV as among infants in the same risk category who received MV); observed and maximum estimated survival without severe brain injury (either interventricular echodensity with ventricular dilation or parenchymal echodensity); hospital stay; resource investment. RESULTS: Overall mortality was 43%; mortality in infants without MV was 93%. A total of 15% of all the infants died without MV. Females, small-for-gestational-age infants, and infants whose mothers received antenatal steroids had an advantage in survival with MV equivalent to an increase in birth weight of 90 g, 57 g, and 67 g, respectively. The corresponding advantage of these infants in survival without severe brain injury was 107 g, 97 g, and 64 g, respectively. Females in the lowest birth-weight group were more likely to die without MV than were larger males with a similar estimated likelihood of survival with MV. Mean hospital stay was 115 days for the survivors, values much greater than the 17.9-day standard for 501- to 800-g survivors under the diagnosis related group system. Resource investment was considerable (127 hospital days per survivor and 148 days per survivor without severe brain injury), but, like outcome, varied markedly between risk categories. Had MV been used for all infants who died, we estimate a substantial increase in resource use and a maximum of 8 additional survivors (no more than 6 without severe brain injury per 100 infants with a birth weight of 501 to 800 g. CONCLUSIONS: Although recommendations to initiate or forgo MV for extremely premature infants have often focused on 1 factor (birth weight or gestational age), multiple factors should be considered. Other factors being equal, our analyses support use of MV for females at a minimum birth weight approximately 100 g lower than that for males. The current diagnosis related group reimbursement system can be expected to compromise resources for 501- to 800-g infants who would benefit from MV. Such care entails considerable resource use, although the cost per life-year gained is likely to be considerably less than that for many adults given intensive care. Our findings can be used to facilitate more appropriate treatment decisions, determine adequate resources, and better inform the debate about the benefits and burdens of intensive care for extremely premature newborns.

Brain Injuries↗
PubMed2005

Physicians' responses to resource constraints.

BACKGROUND: A common dilemma that confronts physicians in clinical practice is the allocation of scarce resources. Yet the strategies used by physicians in actual situations of resource constraint have not been studied. This study explores the strategies and rationales reported by physicians in situations of resource constraints encountered in practice. METHODS: A national survey of US internists, oncologists, and intensive care specialists was performed by computer-assisted telephone interviews. As part of this survey, we asked physicians to tell us about a recent ethical dilemma encountered in practice. A subset of respondents reported difficulties regarding resource allocation. Transcripts of open-ended responses were coded for content based on consensus. RESULTS: Of the 600 physicians originally identified, 537 were eligible and 344 participated (response rate, 64%). Internists do not make allocation decisions alone but rather engage in negotiation in their resolution. Furthermore, these decisions are not made as dichotomous choices. Rather they often involve alternative solutions in the face of complexities of both the health care system and situations where limited resources must be allocated. Justice is not commonly the justification for rationing. CONCLUSION: Physicians' experiences in situations of resource constraints appear to be more complex than the normative literature on health care rationing assumes. In addition, reasoning about justice in health care seems to play only a small part in clinical decision making. Bridging this gap could be an important step in fostering fair allocation of resources in difficult cases.

Adult↗
PubMed1999

Resource presence and operational sex ratio as determinants of copulation duration in the fly Rhagoletis juglandis.

The effects of the interaction between the operational sex ratio (OSR) and a resource (i.e. oviposition site) on mating dynamics have rarely been considered. We examined the effect of the resource presence and its interaction, with the effect of OSR on copulation duration in Rhagoletis juglandis, a tephritid fly species characterized by a resource-defence mating system in which males defend territories on walnut fruit. In this species, copulation duration varies from 30 s to over 1 h and was shown previously to respond strongly to changes in OSR. In the field, short copulations tended to begin and end on fruit, whereas most long copulations generally began on fruit but ended in the foliage, suggesting a possible effect of resource presence on the copulation duration. In laboratory assays of isolated pairs, copulations were significantly shorter in the presence of a surrogate fruit, confirming the effect of resource presence. In another laboratory assay, in which we manipulated OSR independently of resource presence, resource presence and OSR were additive in their effects. Results are discussed in the context of sperm competition theory. Copyright 1999 The Association for the Study of Animal Behaviour.

Journal Article↗
PubMed2005

Variations of main quality components of tea genetic resources [Camellia sinensis (L.) O. Kuntze] preserved in the China National Germplasm Tea Repository.

The variations of the main quality components of tea, tea polyphenols, catechins, amino acids, caffeine, and water extract of 596 accessions Chinese tea genetic resources, preserved in the China National Germplasm Tea Repository (CNGTR), were analyzed. Tea polyphenols content on a dry weight basis varied from 13.6 to 47.8%, averaging 28.4%. The tea polyphenols content increases gradually from northern and eastern provinces to southern provinces, the highest is in Yunnan tea resources. The content of catechins ranged from 81.9 g/kg to 262.7 g/kg, averaging 144.6 g/kg. The genetic resources from Hunan province had the highest catechins content, inconsistent with the tea polyphenols, which were highest in Yunnan tea resources. The amino acids content ranged from 1.1 to 6.5%, with an average of 3.3%. It was much lower in the southern provinces compared with northern and eastern provinces. The average caffeine content was 4.2%, varying from 1.2 to 5.9%. Yunnan province has plentiful high caffeine genetic resources, next is Fujian province. Caffeine content of Chinese and Japanese tea genetic resources were very similar. The average of water extract content was 44.7%, varying from 24.4 to 57.0%. The variation pattern was similar to that of tea polyphenols. Tea genetic resources of transnormal components are valuable and they could be used directly or indirectly for commercial functional components extract, breeding, and production.

Amino Acids↗
PubMed1995

Importance of learned resourcefulness to weight loss and early success during maintenance: preliminary evidence.

The present study examined the importance of learned resourcefulness skills as measured by Rosenbaum's Self-Control Schedule (SCS) (Behav Ther 1980; 11: 109-121) to weight loss following a self-control program. Twenty-two women signed up for the 5-week self-control program. Participants' weight was recorded at the first and final session of the program, and at a 4-week follow-up. Results indicated that low resourceful women were more likely to drop out of the self-control program than high resourceful women. Although both the high and low resourceful women who completed the program lost the same amount of weight, only the high resourceful subjects continued to lose weight at follow-up. In contrast, the low resourceful women regained lost weight. Results point to the importance of learned resourcefulness for maintenance of weight loss following a self-control weight program.

Adult↗
PubMed2004

Equity in resource allocation in the Irish health service. A policy Delphi study.

Resource allocation in the Irish health service, based on historical allocations with incremental increases, is widely believed to be inequitable. Using a three-round policy Delphi survey, which seeks to explore both consensus and disagreement surrounding policy issues, the views of 52 senior health service personnel were sought in order to determine ways to improve equity in resource allocation. Panelists provided several reasons why the current method of resource allocation is inequitable and several suggestions for improving equity. The level of consensus on views was determined by calculating the percentage of ratings in each category based on a series of rating scales. The main suggestion centred around the development and implementation of a needs based resource allocation formula. Panelists reached a high consensus in favour of this but only reached a low consensus as to its feasibility. Potential obstacles identified included methodological difficulties, insufficient resources and resistance from potential losers. These findings highlight concerns about the lack of transparency in the resource allocation process and openness to the development of a more equitable needs based resource allocation model, a move which is becoming more common internationally. Feasibility concerns should not preclude an attempt to begin this process.

Delphi Technique↗
PubMed2004

Using CISMeF MeSH "Encapsulated" terminology and a categorization algorithm for health resources.

INTRODUCTION: CISMeF is a Quality Controlled Health Gateway using a terminology based on the Medical Subject Headings (MeSH) thesaurus that displays medical specialties (metaterms) and the relationships existing between them and MeSH terms. OBJECTIVE: The need to classify the resources within the catalogue has led us to combine this type of semantic information with domain expert knowledge for health resources categorization purposes. MATERIAL AND METHODS: A two-step categorization process consisting of mapping resource keywords to CISMeF metaterms and ranking metaterms by decreasing coverage in the resource has been developed. We evaluate this algorithm on a random set of 123 resources extracted from the CISMeF catalogue. Our gold standard for this evaluation is the manual classification provided by a domain expert, viz. a librarian of the team. RESULTS: The CISMeF algorithm shows 81% precision and 93% recall, and 62% of the resources were assigned a "fully relevant" or "fairly relevant" categorization according to strict standards. DISCUSSION: A thorough analysis of the results has enabled us to find gaps in the knowledge modeling of the CISMeF terminology. The necessary adjustments having been made, the algorithm is currently used in CISMeF for resource categorization.

Abstracting and Indexing↗
PubMed2003

Seed-cache exchange promotes coexistence and coupled consumer oscillations: a model of desert rodents as resource processors.

Most models of resource competition assume that coexistence of consumers depends on tradeoffs in their abilities to exploit shared resources along dimensions of environmental heterogeneity generated by factors external to the consumers. However, consumers may create heterogeneity themselves by modifying resources that they do not immediately consume; such "resource processing" is predicted to allow coexistence if consumers vary in use of resources in primary vs. modified form. To explore whether external food storage (caching) represents a form of resource processing that contributes to observed patterns of species coexistence, we developed a biologically explicit simulation model of competition for a well-studied system, seed-eating desert heteromyid rodents. Here we present the model, compare competitive outcomes with and without inter-specific exchange of cached food, and describe population dynamics of coexisting competitors. The model predicts stable coexistence only when there is exchange of cached seeds via scavenging of caches left undefended by mortality or by pilferage of defended caches. Net interactions between coexisting consumers ranged from competition (10% of cases) to host-parasite (77%), commensalism (12%), and mutualism (1%). Population dynamics of coexisting consumers often showed strong periodicity and coupled synchronous or slightly lagged cycles, a possibility not previously anticipated for desert rodents occupying constant environments. Our model confirms that caching does represent a form of resource processing likely to play a significant role in the dynamics and diversity of communities of desert rodents and other caching animals.

Animals↗
PubMed2003

Technology and the environment: supportive resource or barrier for people with developmental disabilities?

Findings from needs assessments and abandonment studies point to issues with health care providers, particularly in their ability to listen to the needs of the consumer and important others regarding AT-EI. Professionals need to listen to what people are telling them or, in many cases, what they are not telling them. Actions and nonverbal messages can speak very loudly. Strategies to communicate and collaborate with consumers need to be developed. Regardless of ability to communicate or the severity of the impairments the person may be experiencing, it is important to withhold judgments that may underestimate a person's potential or desire to be in control of life decisions. AT-EI service have often seen people labeled with severe or profound intellectual disabilities challenge that diagnosis after accessing a communication or access system. Likewise, a person with a severe disability has the right to supportive resources and to the same level of respect, dignity, and quality of life as any other member of society. Using the technology and adapting the environment to provide opportunities for consumers to "voice" their wishes and control their lives can be an effective strategy to collaborate. When focusing on a rights-based philosophy, recognizing the difference between physical independence (e.g., physical and/or cognitive ability to do a task by oneself) and self-care management (e.g., access to and power to manage the supportive resources to live in the community regardless of level of physical ability) is important. We all rely on supports in our lives, whether it be tools or technology to help us do a job or another person, yet when we evaluate people with disabilities, the expectation is for people to function independently [23,24]. They even receive lower scores on functional assessments if they are using a piece of technology to do an activity. By shifting the focus to management of and access to resources versus level of physical dependence or burden, health care professionals can play a role in linking people to such resources as AT-EI and related services and strategies to support community living. Such a shift in focus also enables professionals to validate interdependence; that is, the give-take relationships that people have with each other to support each other [25]. The use of AT-EI by people with developmental disabilities often involves an interdependent relationship in which another person may help set up the environment or technology and, in turn, the consumer can then reciprocate and engage in an activity or a relationship [1]. Health care professionals also need to better understand and take into consideration the social context, its influence on consumers' use or nonuse of AT-EI, and the long-term influence on community living and participation decisions [1]. Nurses can involve important others in the process by listening to and considering their needs, and ensuring that they are informed about options, the benefits of using AT-EI for the consumer and themselves, and how to set up and troubleshoot the AT-EI. In cases where important others are not supportive, health care professionals may be in a position to link the consumer with other consumers and advocacy groups such as Centers for Independent Living or Self Advocates Becoming Empowered that may offer that support as well as membership in a collective community engaged in systems change. Health care professionals can serve as a system interface by linking people to information and resources to make informed decisions [26]. Resources on developmental disability and health, common issues that may occur, and life course planning help people identify functional issues and early signs of accelerated aging and proactively use the environment and technology to stay in living situations of choice. Few health care professionals are well prepared to provide services to people with developmental disabilities as they age; a great need exists for providers of such specialized services and for proactive later-life screenings that can identify issues early and make the most use of AT-EI strategies to address aging issues [26,28]. At any given point in time in the life of people with developmental disabilities, many different professionals and systems may be involved in decisions that could include AT-EI. Medical, educational, vocational, independent living, and case management systems may all be working with the person; however, there is often limited or no communication between them, particularly as the person ages or transitions between settings. Health care professionals, even when they are working with an individual on a limited basis, can and should take on active roles in linking consumers and important others with other systems and should ensure that information about their AT-EI needs is transferred accurately between systems. Most likely, nurses may be in a role to refer a person to specialized services, whether they may be medical, rehabilitative, AT-EI-specific, or disability advocacy groups that can help support the person as they face barriers or seek out AT. Nurses may also be in a role to pass on important information about the person's health and medical status that can help to better inform AT-EI decisions to ensure the AT meets the person's needs across contexts. As an interface, nurses may assume a role as a supporting advocate for accessing resources, not as a gatekeeper who makes decisions for people. This includes referring individuals with developmental disabilities to people and groups that know how to get AT-EI, how to fund it, and how to troubleshoot it, and linking them to other people with disabilities who are sharing strategies in person and on-line. It also includes focusing beyond basic self-care and considers AT-EI strategies that enable a person to participate in high meaning activities and roles in the home and the community. Participation in activities identified as highly meaningful and important to the person, such as participating in a religious community, networking with other people on-line, gardening, or being a member of a community group, to name a few, can positively contribute to health, wellness, and quality of life; the challenge is to create and adapt the environment (social, physical, and societal) to support participation choices and control.

Adolescent↗
PubMed2003

Biodiversity, habitat area, resource growth rate and interference competition.

For the majority of species, per capita growth rate correlates negatively with population density. Although the popular logistic equation for the growth of a single species incorporates this intraspecific competition, multi-trophic models often ignore self-limitation of the consumers. Instead, these models often assume that the predator-prey interactions are purely exploitative, employing simple Lotka-Volterra forms in which consumer species lack intraspecific competition terms. Here we show that intraspecific interference competition can account for the stable coexistence of many consumer species on a single resource in a homogeneous environment. In addition, our work suggests a potential mechanism for field observations demonstrating that habitat area and resource productivity strongly positively correlate to biodiversity. In the special case of a modified Lotka-Volterra model describing multiple predators competing for a single resource, we present an ordering procedure that determines the deterministic fate of each specific consumer. Moreover, we find that the growth rate of a resource species is proportional to the maximum number of consumer species that resource can support. In the limiting case, when the resource growth rate is infinite, a model with intraspecific interference reduces to the conventional Lotka-Volterra competition model where there can be an unlimited number of coexisting consumers. This highlights the crucial role that resource growth rates may play in promoting coexistence of consumer species.

Animals↗
PubMed2002

Genetic toxicology: web resources.

Genetic toxicology is the scientific discipline dealing with the effects of chemical, physical and biological agents on the heredity of living organisms. The Internet offers a wide range of online digital resources for the field of Genetic Toxicology. The history of genetic toxicology and electronic data collections are reviewed. Web-based resources at US National Library of Medicine (NLM), including MEDLINE, PUBMED, Gateway, Entrez, and TOXNET, are discussed. Search strategies and Medical Subject Headings (MeSH) are reviewed in the context of genetic toxicology. The TOXNET group of databases are discussed with emphasis on those databases with genetic toxicology content including GENE-TOX, TOXLINE, Hazardous Substances Data Bank, Integrated Risk Information System, and Chemical Carcinogenesis Research Information System. Location of chemical information including chemical structure and linkage to health and regulatory information using CHEMIDPLUS at NLM and other databases is reviewed. Various government agencies have active genetic toxicology research programs or use genetic toxicology data to assist fulfilling the agency's mission. Online resources at the US Food and Drug Administration (FDA), the US Environmental Protection Agency (EPA), the National Institutes of Environmental Health Sciences, and the National Toxicology Program (NTP) are outlined. Much of the genetic toxicology for pharmaceuticals, industrial chemicals and pesticides that is performed in the world is regulatory-driven. Regulatory web resources are presented for the laws mandating testing, guidelines on study design, Good Laboratory Practice (GLP) regulations, and requirements for electronic data collection and reporting. The Internet provides a range of other supporting resources to the field of genetic toxicology. The web links for key professional societies and journals in genetic toxicology are listed. Distance education, educational media resources, and job placement services are also available online in the field of genetic toxicology. As molecular biology and computational tools improve, new areas within genetic toxicology such as structural activity relationship analysis, mutational spectra databases and toxicogenomics, now have resources online as well.

Animals↗
PubMed2006

[Characteristics and resource use of emergency department users older than 75 years. Results from a French national study].

BACKGROUND: Because the elderly tend to have complex and multiple diseases, they are likely to use emergency department (ED) resources at higher rates than other age groups. This study sought to determine the characteristics and resource use of the elderly patients (>or=75 years old) visiting EDs in France and assessed the effect of age on resource use. METHODS: The sample was selected from the DREES prospective study of 150 French EDs for one week in 2002. A case report form was completed for each patient, stating the reasons for consultation, method of arrival, treatment, and outcome. Data were weighted to produce a representative national description. RESULTS: Of the 9801 patients seen that week, the elderly (n=1153) accounted for 11.8% of all ED visits, that is, 26 676 ED visits weekly nationwide. In this group, the mean age was 83 years and 60.9% were women. Most patients arrived by medical transportation: 55.6% by nonemergency ambulances and 24.6% by emergency medical transport. More than 75% were referred by their general practitioner (GP). Medical problems (69.5%) were much more frequent than trauma (24.8%). Clinical status was stable in 62% of cases. Use of ED resources was high: radiographs for 74.0%, laboratory testing for 71.0% and electrocardiography for 64.0%. The percentage of unnecessary or avoidable visits was small: 8.7% were not admitted, were clinically stable, and came for diagnostic tests that could have been performed on an outpatient basis. Age was an independent factor of pre-ED and ED resource use. CONCLUSION: Unplanned health care of the elderly uses substantial ED resources. Elderly patients appear to use available resources appropriately. Demographic trends show that their ED use will increase. Accordingly, analysis of the organization and funding of ED services for this population is indispensable.

Age Factors↗
PubMedDate not supplied

Profile of administrators of schools of nursing, Part I: Resources for goal achievement.

Part one of a two-part study was conducted with administrators of schools of nursing to determine the perceived importance of various resources in their goal achievement. The deans and directors of the American Association of Colleges of Nursing member schools were mailed a questionnaire that included the scale of Sources of Influence and sections on personal and career characteristics. A response rate of 73.5 per cent was obtained. The most important resource was communication skills; 99.1 per cent of the subjects indicated that this resource was highly important. The top resources also included interpersonal skills, creativity in thinking, ability to mobilize groups, and intellectual ability. The results were remarkably similar to earlier studies that used different subject groups. Similarities in the rankings were noted in the top-ranked resources as well as the lower-ranked personal traits, work or professional organization positions, and mentoring. The resources that are of a supportive or prescribed nature appeared to be less important than the resources that can be controlled and developed. For nurse administrators, particular emphasis should be placed on the development and enhancement of communication skills and the other thinking and relating types of skills.

Administrative Personnel↗
PubMed2000

Accelerated age-related decline in processing resources in schizophrenia: evidence from pupillary responses recorded during the span of apprehension task.

Cognitive impairment in schizophrenia may be related to reduced availability of information-processing resources (resource limitations hypothesis). An abnormally accelerated age-related decline in processing resource availability may also occur in older patients with schizophrenia (neurodegeneration hypothesis). To test these hypotheses, pupillary responses were recorded as an index of processing resource availability during performance of the span of apprehension (SOA) task in 33 middle-aged and older patients with schizophrenia and 37 age-comparable nonpsychiatric participants. Consistent with the resource-limitations hypothesis, the patients with schizophrenia showed impaired detection accuracy and abnormally small pupillary responses (reduced resource allocation) only in the higher processing load SOA conditions. This pattern of results suggests that the patients depleted their available processing resources at lower processing loads than the nonpsychiatric participants. Consistent with the neurodegeneration hypothesis, cross-sectional analyses showed abnormally accelerated rates of age-related decline in SOA performance and pupillary responses in the patients with schizophrenia relative to age-comparable normal participants.

Age Factors↗
PubMed2000

Money doesn't talk, it swears: how economic stress and resistance resources impact inner-city women's depressive mood.

We examined the differential impact of chronic versus acute economic stress on depressive mood among a sample of 1241 low-income, single, European and African American women. Based on Hobfoll's (1988, 1989) conservation of resources (COR) theory, we predicted that acute resource loss would be more distressing than chronic economic lack. That is, although chronically impoverished conditions are stressful, the attendant resource losses created will be more distressing. We further predicted that mastery and social support would be more beneficial in offsetting the negative consequences of acute resource loss than the negative consequences of chronic economic lack, because acute loss creates identifiable demands that resources may address. Hence, we hypothesized that mastery and social support would show stress buffering effects only for material loss, not chronic lack. The findings generally supported the hypotheses, but mastery buffered only European American women's resource loss and social support buffered only African American women's resource loss. The findings are discussed in light of implications for prevention within theoretical and cultural contexts.

Adolescent↗