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Meaning and action in employed mothers' health work.

The purpose of this critical feminist study was to examine employed mothers' meanings of family and personal health as they frame the context of daily experience in caring for their families' and their own health. Twenty mothers employed in support staff positions with a large institution in Western Canada participated in repeat interviews over 2 years. Women considered individual family members and the family group as they emphasized everyday function and satisfaction, and the presence or absence of various attributes of health as a multifaceted and dynamic experience. Women's health work included keeping track, constructing routines, facing challenges, setting priorities, being there for each other, finding joy and fulfillment, and fostering personal development. A preliminary typology of four orientations to family health work is suggested. Common themes between women's and family health and congruence between women's health meanings and actions provide guidance to nurses in family health promotion practice.

Adaptation, Psychological↗

[Molecular basis of pituitary adenomas with emphasis on somatotropinomas].

This review describes the molecular basis of pituitary adenomas with emphasis on GH-secreting tumors (somatotropinomas). The roles of tumor suppressor genes (such as RB1 and MEN-1) and oncogenes (such as gsp and PTTG) in tumor initiation and promotion are discussed. The characterization of these molecular markers may contribute to the understanding of tumor behavior, helping in the therapeutical management. However, despite recent advances, the sequence of genetic abnormalities participating in the pathogenesis of these adenomas is not completely known.

Adenoma↗

Friendship patterns among older women.

This study examined the friendship patterns of older women. The participants in the study were white, middle-class, urban women, sixty-five years of age or older. Results indicated the older widowed women received more help from their friends than did married older women. In addition, significant differences in the morale of the older women were found according to the equity of helping behaviors with friends. Specifically, those equitably benefited women had a higher mean morale score than over benefited women. The under benefited women also had a higher mean morale score than the over benefited women. Discussion centered on the importance of friends in the lives of older women as well as on implications for friendship support systems in late life.

Aged↗

Intimacy: factors affecting its development among members of a home for the aged.

The purpose of this research was to explore the extent and nature of intimate interaction in an unGoffmanesque home for the aged. Interviews with all elderly residents and the staff who served them revealed that the residents' intimate relationships were primarily with others outside the home and never with staff members. Moreover, the residents and, more particularly, the staff viewed the residents in negative ways and reported more negative than positive affectivity within the home. Factors impeding intimate interactions were related to the widely shared negative stereotype of the aged residents, the manner in which staff perceived their role, and the absence of mutual aid or helping behaviors among the residents.

Aged↗

Rural/urban elderly and siblings: their value consensus.

Consensus is the level of agreement about life felt among kin and has been identified as a dimension of family solidarity with important implications for the family network. This investigation studied the factors contributing to the consensus between older adults (age sixty-five and older) and the sibling with whom they had the most contact. Respondents (N = 275) lived in a rural/urban area. Seven independent variables were entered into a multiple-regression model to determine their relative importance to consensus of the sibling relationship. Results showed that 7 percent of the variance in consensus could be explained. Filial expectations, educational disparity, and the brother/sister link were the only variables of relative importance to older adult/sibling consensus. There was greater consensus when there were fewer expectations of the sibling, similarity of educational backgrounds, and when the respondent was male and his sibling was female. Brother/sister and brother/brother links, residential proximity, communication by mail or telephone, helping behaviors, and marital status were of no relative importance to consensus. The results suggest that factors previously found to be associated with intergenerational consensus may vary in their importance to intragenerational consensus.

Aged↗

Asthma mortality: another opinion--is it a matter of life and ... bread?

There is a general consensus that the mortality rates for asthma in much of the developed world have been increasing for the past 10-15 years. This has occurred despite an improved information base regarding diagnosis and management as well as the development of novel and more effective therapeutic modalities. Several explanations have been proposed for this increase, including a statistical artifact based on a change in the coding criteria for asthma from the International Classification of Diseases Version 8 (ICD-8) to ICD-9, worsened pollution, delays in seeking medical help, behavioral changes, deficits in asthma education of both patients and primary care providers, toxicity of beta agonists, and noncompliance with medications. We suggest that although all of these are potential etiological factors, there may exist still another major etiological risk. There have been dramatic changes in our eating habits and food preparation. In general, we eat less total calories, more meals outside the home, and more refined or prepared foods. With the emphasis on reducing the intake of saturated fats and cholesterol, we eat more polyunsaturated fats both by choice and secondary to manufacturers' attempts to improve the appeal of foods to health-conscious government and the public. The drive to remove animal fats and cholesterol from our diet has resulted in the replacement of animal fats with vegetable oil in food manufacture, fast-food frying, and even home preparation. One result of these dietary habits has been a doubling from 8 to 15% of the percentage of the polyunsaturated linoleic acid in body fat. We postulate that this, and other nutritional changes, will render asthma a more difficult syndrome to manage and will contribute adversely to the inflammatory abnormalities in airways.

Adrenergic beta-Agonists↗

Health care consolidation and the changing health care marketplace. A review of the literature and issues.

This Issue Brief examines the academic literature and issues in consolidation of the hospital sector in the context of responses to changes in the competitive environment. It analyzes the motivations for consolidation as well as its effects. Hospital merger activity has increased dramatically in recent years. The current wave of mergers is primarily a reaction to a competitive environment that is placing a greater emphasis on controlling costs and forcing high-cost providers out of the market. The growth of managed care has placed considerable pressure on providers of health care and, in particular, on hospitals. The evolution of insurance companies' behavior helps explain the recent hospital consolidation movement. As managed care has become the dominant type of coverage in the last decade, insurance companies have become more active in trying to control costs--a reversion to their previous practices before the advent of managed care. Insurance companies have placed cost constraints on providers, both in the early years of health insurance and currently, when there are strong competitive forces. Hospitals claim that their primary merger motives are improving efficiency and the quality of care. The empirical evidence on this claim is mixed. Vertical integration (between suppliers and buyers of health care services, such as between hospitals and physicians) has appealed to hospitals because of their need to obtain more patients. More research is needed to explore the effects of vertical integration in the health care sector. In one of the more significant recent legal rulings, the U.S. Justice Department lost a 1997 case challenging the merger of two hospitals in the New York City metropolitan area. This, along with other recent losses by the antitrust authorities, does not bode well for the government's ability to prevent hospital mergers in metropolitan areas. It is difficult to generalize on an appropriate antitrust policy for hospital mergers. Hospital consolidation is likely to continue at a rapid pace. Since some developments may reduce the cost of employee benefits while others may increase the cost of these benefits, the final effect on the provision of health care benefits by employers is uncertain. Employers must pay close attention to the hospital consolidation movement because it will lead to important changes in the provision of health care benefits.

Antitrust Laws↗

The development and assessment of Web-based health information for a corporate Intranet--a pilot study.

Consumers readily use the Internet for medical information, advice and support. Studies of general clinic populations show that moderated internet patient education systems can improve patient satisfaction and affect self help behaviors. Many Americans have Internet access through their employers and large corporations have often developed Intranets for employee information. There is little study of health information available online to employees through company Intranets. This study relates the development of an employer sponsored online health education system, the effects of this system on employee satisfaction with their health care, and the potential effects on worker productivity.

Adult↗

[On the improvement of everyday life behavior of chronic schizophrenic patients; from the viewpoint of "play-like behavior"].

In this study, the author examined the behavioral patterns of chronic schizophrenic inpatients to follow the process of the amelioration of abulic symptoms such as loss of interest, poverty of thought, lack of sociality, and poor communication. In everyday life in the ward, abulic patients had difficulties in accomplishing not only the basic habitual acts such as getting up or going to bed regularly, exchanging greetings, cleaning teeth, bathing, and washing clothes, but also their assigned duties on the ward. Furthermore, they were unable to behave according to the rules for inpatients, express their emotions appropriately, or build normal interpersonal relationship. The author found that five inpatients achieved some spontaneous behaviors of their own choices in the process of improvement in the above-mentioned habitual acts. As these spontaneous behaviors proceeded through several phases, obvious improvements in their behavioral patterns in everyday life were also observed. The initial phase of transient spontaneous behavior was followed by the second phase of continual spontaneous behavior. Finally, in the interview sessions, the patients became to express pleasurable emotions and physical feelings when they performed their own acts of continual spontaneous behavior. This phenomenon seemed valuable in the therapeutic context because schizophrenic patients are considered seldom capable of having positive feelings toward their own experiences. Therefore, these pleasurable continual spontaneous behaviors may be called "play-like behavior", as confirmed by comparison with the properties of "play" as defined by Caillois. In considering schizophrenic autism, Minkowski described "activité autiste" as an intrinsic quality of the way of life in schizophrenic patients. The manifestation of such quality in spontaneous behaviors can be regarded as having two meanings; an aspect of pathological acting out and a sign of recovery to realistic behaviors. Therapists should consider both aspects when conducting therapies. Although the patients regained the habits and norms of everyday life during hospitalization, the rules involved in "play-like" behavior seemed to contradict some rules in the habitual acts or assigned duties in their daily lives because within "play-like" behavior, freedom predominates over rules. The rules in "play-like" behavior are acquired mostly by mimicking other people. These rules are not fixed laws with penalties but are changeable rules depending on the circumstances of the behavioral process. From this viewpoint, "play-like" behavior allows the patients to acquire practical rules and to understand the relative nature of the rules. Most of the "play-like" behaviors originate from the preferences of the individual patients, which may be something that they have already experienced, something that they have longed for, or something that gives them self-fulfillment. These qualities contribute to the acquisition of experiences that they find pleasurable. For the patients, recalling each "play-like" behavior in the interview sessions enables them to grasp the whole picture of their behaviors, to reinforce their attachment to these behaviors as their own experiences, and to promote the dynamic process between behavior and thought. In this sense, psychotherapy incorporating the aspect of "play-like" behavior seems to prepare the schizophrenic patients to improve their way of thinking. To nurture "play-like" behavior helps the chronic schizophrenic patients to recover will power, independence and sociality, and contributes to the improvement of clinical symptoms and of daily life activities.

Adult↗

Investigating and linking social conditions of minority children and adolescents with emotional well-being.

Some level of vulnerability characterizes the daily experiences of humans. Particularly for young persons, major structural conditions are frequently linked with high vulnerability. Infrequently explored are everyday or normative routines of children that appear less challenging on the surface but may interfere with resiliency and the positive outcomes that may be achieved in the face of challenge. In linking social conditions of ethnically diverse children with emotional and physical distress, sex-linked empirical findings indicate that family-level helping behavior may be perceived and experienced as overwhelming for young, primary-school girls.

Adaptation, Psychological↗

Stories as motivators.

Explore the source record for details and available documents.

Attitude of Health Personnel↗

[Relations between usage of marihuana and other drugs among teenagers].

Some supporters of liberal drug politics in the whole world and in Lithuania try to suggest that usage of marihuana and other cannabis products is harmless and marihuana can even be used for medical purposes. They state that usage of cannabis products does not lead to usage of stronger drugs and so on. Other authors state that regular marihuana use always leads to trying stronger drugs and development of drug addiction. The aim of this study is to examine connection between regular marihuana use and other drugs, to find factors that motivate marihuana users to try other drugs, and to name differences of attitude towards drugs and drug addiction between regular and irregular marihuana users. The research was conducted in six vocational schools of Klaipeda; 912 freshman students (mean age 17.5 years) were surveyed. During the survey, anonymous questionnaires were administered, and data were processed using SPSS program package. During the study, it was established that 15.6% of vocational schools' males and 4.9% of females smoked marihuana often or more often (more than 20 times). Those students are regular marihuana users, and they already may need medical or psychological help. Behavior and attitude of regular marihuana towards drugs users, which can be named as tolerance towards all drug usage ideology, statistically significantly differed from ideology of irregular marihuana users. The following percentage of regular marihuana users have also tried other illegal drugs: 58.6% have tried psychostimulants in the form of pills or powder (amphetamine, ecstasy, LSD, and others), 20.0% have tried intravenous drugs, 19.2%--various other drugs, and 42.4%--alcohol with pills.

Adolescent↗

Staff skills in patient/family relations grow.

Short but cogent course on communication, attitudes, and behaviors helps staff members from many departments relate more effectively with patients, their families, and visitors.

Communication↗

A typology of AIDS volunteers.

Based on our research of volunteers at Gay Men's Health Crisis (GMHC) in New York City, we developed a typology of AIDS volunteers derived from their responses to our Reasons for Volunteering scale. The scale included six basic reasons, three of which were AIDS-specific and three of which represented more general reasons for doing volunteer work. Cluster analysis was used to identify sub-groups in this sample, from which we identified seven distinct and meaningful types of volunteers. One type, which we labeled Self-Sacrificers, is the closest we could find to a group of altruists-volunteers who indicated that self-gain was unimportant to them. While the volunteers who endorsed AIDS-related reasons for volunteering were most likely to be gay men and to have had significant prior AIDS-related experiences, each cluster was markedly heterogeneous in terms of demographic characteristics. Implications are drawn for the management of volunteers in community-based AIDS organizations and for further research on helping behavior and altruism.

Acquired Immunodeficiency Syndrome↗