Search PubMed⌕ Search

SEARCH · Search PubMed

Results for “Social Protection”

Search indexed PubMed citations on genomics, clinical trials, systematic reviews and public health. Explore titles, authors and supplied subject terms, then open the PubMed record.

Quote a phrase for an exact phrase match. Source license links do not imply unrestricted reuse.

At least 613 records · Page 34Linked to original sources

[Theoretical basis for preparation for an active old age (author's transl)].

To theoretically substantiate the preparation for an active old age, as regards gerontological hygiene and social gerontology, we can refer to the four crucial points of our research results. 1. The basic mechanisms of aging are biological-genetically controlled; speed, type and forms of manifestation, however, can be essentially influenced by the environment 2. Regarding the factors of influence we must differentiate between negative and positive features to ensure the desired course of the aging process in accordance with the basic needs by controlling and regulating it 3. For working women and men of pre-pensionable and pensionable age, from the present state of the motivation structure the complex of material and ideological contents of preparatory measures can be derived relating both to the transition to pensionable age and to organizing a creative and active old age 4. Geropsychohygiene and health education rank high in the structure of all-social health protection; for they are suited to improve health, capability, and joy of living, and to help prevent losses and decompositions in the psychophysical field.

Aged↗

[Morals, logic and ethics in reproductive medicine].

Human reproduction has always been a matter of philosophical interrogations and controversies. This situation has been reinforced by the technical evolution which has occurred during the past years. Both hopes and concerns have been raised at the same time. Two recent advancements deserve consideration and are given as demonstrative examples: intracytoplasmic injection of spermatozoon, preimplantatory diagnosis. Their consequences are very important for both the medical and the philosophical approach. One of the questions which arises at this occasion is to determine if research on pre embryos is legitimate or not. This evolution has provoked some reluctancy and several criticisms concerning the future of the children obtained by such techniques: the risk of slippery slope, possibly leading to a form of eugenics, and the fundamental and philosophical problem of the status of the embryo. However, behind these discussions a deeper and heavier controversial matter may be discovered; it deals with the role and the responsibilities of the governmental power. An opposition does exist between two different perceptions: on the one hand, the concept of a powerful governmental body, responsible for the respect of a statutory law, grounded on a sort of universal ethical rule, to be followed by all, a concept which bears the risk of totalitarianism; on the other hand, the concept of a law with a limited responsibility to protect public order, allowing a normal social life. Amongst the numerous responsibilities of the governmental power, one is often neglected, everywhere; its concerns the protection of the female life and health. Some examples are given. However the most frightening risk, much more dangerous than the frequently alleged risk of biological eugenics, is what can be called "economical eugenics". Again some examples are given, in all the systems of social protection. Submitted to ethical rules imposed by political and legal powers, and to the influence of economical forces, what will be the role and the responsibilities of the practitioner? Unfortunately the answer may be obvious: the only way is leading to a relinquishment of medical responsibility. Far away from the dialogue which was the rule of the "dual relationship" between the patient and the practitioner, away too from the more complicated situation of today, characterized by the intervention of "third parties", the evolution, probably unavoidable, appears to be towards the withdrawal of the psychological, moral, human and humanistic involvement of the practitioner, leading him or her to a technical role.(ABSTRACT TRUNCATED AT 400 WORDS)

Ethics, Medical↗

Work and psychiatric disorder in the Whitehall II Study.

It is important that the effects of work on mental health are investigated when work practices are changing rapidly and there is decreasing job security. This has been examined in the Whitehall II Study, a cohort study of 6895 male and 3413 female, London-based civil servants, aged 35-55 years at baseline in 1985. Work characteristics were measured by modified Karasek indices in a self-report questionnaire. Psychiatric disorder was measured by the 30-item General Health Questionnaire (GHQ). In longitudinal analyses in men and women, high work social support predicted lower GHQ scores, and high job demands predicted higher GHQ scores at follow-up. High work social support and high skill discretion were protective against taking short spells of psychiatric sickness absence. The protective effects of social support at work and the potential risk of job demands have implications for management, job design, training, and further research.

Adult↗

Perceptions of industry responsibility and tobacco control policy by US tobacco company executives in trial testimony.

OBJECTIVE: Trial testimony from the United States provides a unique opportunity to examine strategies of the American tobacco industry. This paper examines congruence between the arguments for tobacco control policy presented by representatives of the American tobacco industry at trial and the stages of responsibility associated with corporate social responsibility principles in other industries. DATA SOURCES: Trial testimony collected and coded by the Deposition and Trial Testimony Archive (DATTA). STUDY SELECTION: All available testimony was gathered from representative senior staff from major tobacco companies: Brown & Williamson, Philip Morris, RJ Reynolds, and Liggett. DATA EXTRACTION: Transcripts from each witness selected were collected and imported in text format into WinMax, a qualitative data program. The documents were searched for terms relating to tobacco control policies, and relevant terms were extracted. A hand search of the documents was also conducted by reading through the testimony. Inferred responsibility for various tobacco control policies (health information, second-hand smoking, youth smoking) was coded. DATA SYNTHESIS: The level of responsibility for tobacco control policy varied according to the maturity of the issue. For emerging issues, US tobacco company representatives expressed defensiveness while, for more mature issues, such as youth smoking, they showed increased willingness to deal with the issue. This response to social issues is consistent with corporate social responsibility strategies in other industries. CONCLUSION: While other industries use corporate social responsibility programmes to address social issues to protect their core business product, the fundamental social issue with tobacco is the product itself. As such, the corporate nature of tobacco companies is a structural obstacle to reducing harm caused by tobacco use.

Adolescent↗

Impact of on-site social work services on the documentation of client and family-centered information: the experience of Ryan White CARE Act (Title IV) pediatric program sites in Maryland.

BACKGROUND: The purpose of this study is to (1) describe client and maternal demographic, social, and medical characteristics of pediatric clients receiving medical and social services at Ryan White (Title IV) program sites, and (2) determine the impact of on-site social work services in documenting client and family-related information used to assess the psychosocial needs of the families affected by human immunodeficiency syndrome and acquired immunodeficiency syndrome (HIV/AIDS). METHODS: We studied infants born to known HIV-infected women who received HIV-related medical services at a federally funded Title IV Ryan White CARE Act provider site in Maryland. Eligibility criteria included < 24 months of age at time of initial clinic visit, a history of birth to a known HIV-infected woman, and a minimum of one comprehensive clinical visit for medical evaluation at a selected Title IV provider site. Study populations were categorized into three independent clinic cohorts. A pre- and postintervention study design was used to assess the impact of the intervention (i.e., on-site social work activities) on variables of interest. Clinic cohorts were (a) preintervention group (N = 181), from January 1, 1986 to December 31, 1989; (b) initial postintervention group (N = 216), from January 1, 1991 to December 31, 1992; and, (c) long-term postintervention group (N = 197), from January 1, 1993 to March 1, 1994. Client and maternal demographic, social, and medical information were recorded and statistical comparisons between pre- and postintervention clinic cohorts were completed with the use of standard statistical methods. RESULTS: Pediatric clients were predominantly African American (94%), lived in low-income family units reflected by the prevalence of public assistance programs (i.e., Medicaid), had a high likelihood of Medicaid enrollment (> 80%), and reported a high frequency of social disruption (e.g., protective services interventions and housing difficulties). Greater than half of all medical records documented the "mother" as the client's primary caregiver in the three cohorts (a,b,c, above) pre- and postintervention cohorts, 51%, 65%, and 66.5%, respectively. Over two-thirds of the mothers among all cohorts were reported to have a current or past history of illicit drug use or alcohol abuse, 69%, 62%, and 67.5%, respectively. Postintervention groups, both initial and long term, were significantly more likely than the preintervention group to have documented medical record information relevant to a history of protective services, housing problems, and maternal demographic, social, and clinical information. Maternal HIV-related clinical status and select social factors (e.g., drug use, housing) remained underreported in both postintervention groups. CONCLUSIONS: Title IV pediatric clinical sites deliver services to a predominantly urban, poor, minority community-the population at greatest risk for pediatric HIV-infection in Maryland. Alternative family members as the primary caregiver for infants and children was common and increased over time. These findings demonstrate that Title IV funded programs have been successful in the documentation of valuable client and maternal information necessary for the development of family-centered clinical and support services to a highly vulnerable population of HIV at-risk or infected infants and children in Maryland.

Adult↗

[The social structure of primates].

A comprehensive comparative study of the social structure of primates revealed: There is no social structure which can be considered typical and discriminative for primates. The varying social structures of the extant primate genera cannot be derived from each other: In contrast it seems that the basic, ancestral condition was that of solitary living animals, loosely aggregated. It can be assumed that the development to a gregarious society took place in two entirely different ways. In terms of primate phylogeny this different development can be shown for the prosimians as well as for the old world and new world monkeys as independently occurring processes. One way of behavioral specialization resulted in close pair bonds or in small family groups, whereas the other led to female groups. The presupposition for the forming of a society based on female groups is the close contact between the individuals and in addition to this, a remarkable social tolerance of females to each other. Social specializations which can be considered transitional from the basic condition are frequently found in prosimians. The kinds of social structures of the particular genera are in close relation to their taxonomic positions in the phylogenetic scala. The number of males in larger social groups of primates is substantially irrelevant as the groups are socially most dependent on the females. The protecting males are socially peripheral. The social units of most of the primate species are matrilocal and endure for several generations. In contrast, the social units of the gibbons and of the pongids are patrilocal and are established anew by the females in each generation. Consequently the social unit disintegrates on the death of the male. In all genera studied, male and female individuals present considerable behavioral differences which can be found even in juveniles. Primates are able to discriminate well known and confident individuals from other less confident; they prefer more confident individuals to less confident ones, and less confident to non-confident. As a consequence of this discriminative ability there is a clear preference for near when compared to distant relatives. The complexity of the social relations is brought about by this ability to discriminate combined with the longevity of primates. This is a characteristic and discriminative feature of the primate order. Dominance relations occur in every social group of primates. Linear hierarchies of dominance have been developed only once in prosimians (Lemur) and also once in simians (Cercopithecinae). Therefore, liner hierarchies are not typical for primates.

Age Factors↗

Personal medical and social data: their processing and legal protection.

Computerized tools are, just like other machines, very useful to man. However the development of data processing requires regulation especially oriented towards the principles of the protection of private life and of the guarantees attached thereto. An analysis of the international legal tools relating to the protection of human rights confirms the constant concern for individual rights and the interests of society. Belgian legislation relating to the computerized processing of medical and social personal data, in some respects, reveals the dangers of a lack of protection of the individual's private life. In conclusion, this article points out that in a modern state one should remain vigilant because any blow to human rights is a perversion leading to the decay of law.

Belgium↗

Does social integration confound the relation between alcohol consumption and mortality in the Multiple Risk Factor Intervention Trial (MRFIT)?

OBJECTIVE: It has been proposed that social integration would act as a confounder in the relationship between alcohol consumption and all-cause mortality. This study tested the assumption that the J-shaped relationship between drinking and all-cause mortality may partly reflect a protective effect of social integration, to the extent that moderate drinkers are more socially integrated than either abstainers or heavy drinkers, and to the extent that social integration offers direct protection from mortality. METHOD: This hypothesis was tested using data from 10,832 of the 12,866 men in the Multiple Risk Factor Intervention Trial (MRFIT). Indicators of social integration were derived from an exploratory factor analysis of 25 relevant items in the MRFIT data and from a scale of six items selected by the investigators. RESULTS: We failed to confirm a direct protective effect of social integration. Nondrinkers had the highest rates of all-cause mortality. Compared with heavy drinking, relative risks of all-cause mortality for abstinence, light and moderate drinking were unaffected by inclusion of social integration variables in the proportional hazards models. CONCLUSIONS: The MRFIT data fail to confirm a confounding effect of social integration.

Alcohol Drinking↗

The person who outperforms me is a genius: maintaining perceived competence in upward social comparison.

People have many ways of protecting themselves against unfavorable social comparisons. Sometimes, however, the unfavorableness of a comparison is too unambiguous to deny. In such circumstances, people may indirectly protect their self-images by exaggerating the ability of those who outperform them. Aggrandizing the outperformer is conceived to be a construal mechanism that permits inferior performers to deflect the self-esteem threat of being outperformed while maintaining believability. The tendency to exaggerate an outperformer's ability was demonstrated in a context in which subjects learned they had been outperformed by a confederate on a perceptual intelligence test. Subjects' and observers' ratings of the confederate's intelligence showed that subjects consistently rated the confederate more favorably than did observers. Using a similar methodology in which subjects outperformed confederates, another study showed that subjects exaggerated the ability of the people they outperformed. The conditions in which these effects are most likely to be obtained are discussed.

Achievement↗