[Significance of death to the modern man- concept of death in the adverse social and health conditions of the modern society].
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Death↗
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[Visit to Sakhalin: the social and medical conditions of the island].
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Health↗
Stalking: new constructions of human behaviour.
OBJECTIVE: In the last decade stalking has emerged as a significant social problem, which now constitutes a specific form of criminal offence in most English-speaking nations. This paper examines why stalking has become a major social problem and why it should be of particular concern to mental health professionals. METHOD: Using the extant literature, the history of the emergence of stalking as social, legal and behavioural science discourses is presented. An attempt is made to understand the social and cultural forces which shaped our current understanding of the phenomenon of stalking. RESULTS: Stalking flourishes in a variety of contexts; the social conditions conducive to such behaviour include greater instability in intimate relationships, a culture of blame and entitlement and a growing social anxiety that emphasizes vulnerability to crime and suspicion regarding the intentions of strangers. Stalking is now an established category whose utility is in directing social, legal and health energies to support victims and relieve stalkers of their burden of pursuit. CONCLUSIONS: Stalking is a curious construction born of a range of tensions in contemporary culture but has proved to be a useful label and a useful concept. In part due to the emergence of the concept of stalking, laws are now available to protect, and services increasingly geared to support, the victims of persistent harassment.
Female↗
[Prevalence of infections by hepatitis A, B, C and E viruses in two different socioeconomic groups of children from Santa Cruz, Bolivia].
BACKGROUND AND OBJECTIVES: The epidemiology of hepatitis A, E, B and C was analyzed in 1,393 children living in Santa Cruz de la Sierra, Bolivia. They were distributed in two groups according to the social condition. MATERIALS AND METHOD: 1,393 children were selected from two different schools: one attended by children belonging to a high social class of the town (group A), and the other school attended by children belonging to the poorest social class (group B). Blood samples were drawn by a team of physicians from Rome University La Sapienza. Serum antibodies against hepatitis A, B, C and E virus, and the hepatitis B surface antigen were evaluated by immunometric methods. The significance was evaluated using the *2 test. RESULTS: Antibodies against hepatitis A virus were detected in 82% of examined children, with a significant difference between the two groups (56.3% vs 94.8%). The incidence of anti-HBc antibodies increased with age, so the infection is acquired prevalently in adolescence with a significant difference between both groups (1.1% vs 3.8%). The same phenomenon was observed with anti-HCV antibodies (4.7% positivity only in group B). Serum antibodies against hepatitis E virus were observed in 1.7% cases. CONCLUSIONS: In Bolivia, as in other developing countries, viral hepatitis represents a serious burden for public health. Spreading of viral hepatitis can be controlled upon improving hygienic conditions and customs. Moreover, a vaccination plan against hepatitis A and B virus is necessary for the population living in endemic areas.
Adolescent↗
The effects of arginine vasotocin on the calling behavior of male cricket frogs in changing social contexts.
We investigated the effects of the neurohypophysial peptide, arginine vasotocin (AVT), on the calling behavior of male Acris crepitans during and immediately following a simulated acoustic agonistic encounter. AVT did not block the aggressive response to agonistic calls, as the changes in temporal call characteristics in response to the encounter were similar to those of saline-treated males. However, AVT caused males to begin calling sooner during the agonistic encounter and to call significantly more than saline males during and after the agonistic encounter. In addition, AVT-treated males maintained a higher dominant frequency compared to saline animals during and following the agonistic encounter. Changes in temporal characteristics in the period following the agonistic encounter indicated that control males were more likely to exhibit a rebound effect which resulted in larger changes in calling parameters compared to AVT-treated animals. The results indicate that AVT causes changes in calling behavior in male A. crepitans during and following an agonistic encounter that are consistent with animals highly motivated to maintain vigorous active calling throughout changing social conditions.
Aggression↗
Combined inpatient and outpatient group psychotherapy: a therapeutic model for psychosomatics.
A special strategy of psychotherapeutic approach to psychosomatic patients is described including a 3-month period of inpatient and a 2-year period of outpatient group psychotherapy. Additional therapeutic procedures applied during the time of hospitalization are a special kind of sensitivity training ('sensual awareness' -- 'konzentrative Bewegungstherapie') and analytic ergotherapy. The therapeutic techniques used are psychoanalytic with special regard to the scenic figures which arise during the course of a session. The 'scenic function of the ego' represented in, e.g., certain body movements, sitting-arrangments, and talking-sequences offers the opportunity of a possible access to the often poor phantasy life of the psychosomatic patient, suffering from what we call the Pinocchio syndrome. The key structure of the model implies the arrangement fixed prior to the onset of therapy between patients and therapist, to stay together as a closed in- and outpatient group for 2 years. This enables the patients to take the risk of new emotional experiences under the cover of protected living conditions in the hospital, as well as the chance to check and confirm these experiences under the pressure of the regular social conditions they live in.
Hospitalization↗
[Evaluation of factors affecting work disability in health personnel].
The authors assessed and analysed factors responsible for the work incapacity and its duration in health workers. Statistical computing revealed a significantly longer work incapacity in workers suffering from diseases with a severe course. Work incapacity is adversely influenced also by poor living, working and social conditions. Institutes of national health can improve the situation by improving the position of their workers as regards the working, financial, social and health aspect.
Health Workforce↗
Home care and intermittent care--a realistic alternative to nursing-home care?
An inventory was made among 210 elderly nursing-home patients to investigate the feasibility of exchanging their permanent stay in the nursing home for another form of care and whether they wanted to. The main alternative was intermittent nursing-home care. The patients were assessed as to physical and mental health and social conditions. The majority (62.7%) were considered too ill for other than nursing-home care. In some patients (24.8%) there were social factors, the main one being that they no longer had a home of their own. However, 26 patients (12.4%) were recommended for intermittent care, but only three were interested. From these results it was concluded that if intermittent home care is to represent a realistic alternative it should be offered to the patients before they move into a nursing home.
Aged↗
Junior physicians' workplace experiences in clinical fields in German-speaking Switzerland.
BACKGROUND AND OBJECTIVES: To date, there have been several prospective cohort studies investigating the workplace experiences of junior physicians, but with limited focus on gender issues. The objective of the present study is to explore the workplace experiences of first-year residents according to gender, type of training hospital, and clinical field. METHODS: Data reported are from the second assessment of the longitudinal Swiss physicians' career development study, begun in 2001. In 2003, 497 residents (54.7% females, 45.3% males) assessed their workplace conditions, social support at work, and effort-reward imbalance. RESULTS: There are few, but relevant, gender related differences in workplace experiences, with female physicians experiencing less mentoring and higher over-commitment, yet more positive social relationships at work. In a multivariate model, significant differences in some workplace variables with regard to type of training hospital and/or clinical field are found: workplace conditions are rated worse in type "A" hospitals (university and cantonal hospitals) than in type "B"/"C"/"D" hospitals (regional hospitals and highly specialised units), and in surgical fields than in internal medicine. In "A" hospitals mentoring is assessed as better, but positive social relationships as worse. Both scales are rated worse in surgical fields than in internal medicine. The effort-reward imbalance (ERI) is rated significantly higher (unfavourable) in "A" hospitals than in "B"/"C"/"D" hospitals, regardless of gender and clinical field. Significantly more subjects with an ERI quotient above 1 (which is unfavourable) work in "A" hospitals, and in surgical fields regardless of hospital type. Of the total sample, 81 subjects (16.3%), 41 males and 40 females, show an ERI quotient above 1. The greater the workload, the worse the rating of workplace conditions, effort-reward imbalance, and over-commitment. CONCLUSION: Institutional determinants are crucial factors for the workplace experiences and first career steps of junior physicians. Medical educators, especially those in "A" hospitals, should become more involved in structured residency programs and be aware of potential gender inequalities in the career support of female physicians.
Adult↗
Maternal investment affects offspring phenotypic plasticity in a viviparous cockroach.
Maternal effects, crossgenerational influences of the mother's phenotype on phenotypic variation in offspring, can profoundly influence the fitness of offspring. In insects especially, social interactions during larval development also can alter life-history traits. To date, however, no experimental design, to our knowledge, has manipulated the prenatal and postnatal environments independently to investigate their interaction. We report here that the degree of maternal nutrient investment in developing embryos of the viviparous cockroach Diploptera punctata influences how quickly neonate males become adults and how large they are at adulthood. An offspring's probability of reaching adulthood in fewer than four molts increased with birth weight: the heavier neonates were, consequently, more likely to become smaller adults. Social interaction also affected nymphal development and adult size. Nymphs reared in pairs molted fewer times than solitary nymphs and, thus, became smaller adults. The social effect on developmental trajectory was, however, eliminated by experimentally increasing the level of maternal nutrient investment per offspring, which was accomplished by removing one of the female's paired ovaries (allometric engineering). We conclude that a particular prenatal environment can result in different offspring phenotypes under different postnatal social conditions. By investing more in each offspring, however, D. punctata mothers, because they are viviparous, are able to produce broods with environmentally (socially) independent phenotypes.
Animals↗
Predicting treatment retention with a brief "Opinions About Methadone" scale.
It is important to identify social conditions, program factors, and client characteristics that predict retention because time in substance abuse treatment is associated with improved health, mood, and social functioning. Treatment dropouts also are at high risk for serious harms, including relapse. Most opioid-dependent persons require long-term stabilization in methadone maintenance treatment (MMT) to normalize brain function and control withdrawal symptoms. The purpose of this study was to determine whether a client characteristic, namely, attitude toward methadone, was related to retention. Analysis of 14 opinion statements about methadone identified a reliable five-item scale with factorial validity. This scale (Opinions About Methadone; OAM-5) also predicted retention in MMT. Of 338 clients followed for one year after MMT enrollment, 48% dropped out of treatment; those who were more likely to remain had more favorable opinions. A supplementary qualitative study with MMT counselors demonstrated face validity for the OAM-5; counselors found the items easy to interpret and relevant to client attitudes towards MMT. The findings suggest that it would be worthwhile for MMT staff to assess client attitudes at intake, using the OAM-5. This would help them to identify and intervene promptly with those in greatest need of support for remaining in treatment.
Adult↗
At HOME in Scotland: validation of the home observation for measurement of the environment inventory.
BACKGROUND: This study used the Home Observation for Measurement of the Environment (HOME) Inventory to measure aspects of the quality and quantity of psychological stimulation and cognitive support available in the home environment of a sample of Scottish children and to examine the effectiveness of this measure in a British context. METHODS: Forty-seven families who had previously attended parent-training programmes at family centres were assessed. The Middle Childhood (MC) and Early Adolescent (EA) version of the HOME were used with children aged between 8 and 13 years old. Measures of family adversity were also taken. RESULTS: There were no significant differences in the demographics of the MC-HOME and EA-HOME groups nor in their total HOME scores. Total HOME scores were compared with independent measures of family adversity. The results of the MC-HOME and the EA-HOME were similar to results reported for socially deprived American samples. DISCUSSION: This Scottish sample had similar MC-HOME and EA-HOME scores as previously reported in American samples and the HOME scores related strongly to family adversity, supplying a proximal link between social conditions and the environment of children. These results suggest that the HOME Inventory is reliable and has concurrent validity with measures of social adversity in a British sample.
Adolescent↗
[Evaluation of a state social program including a nutritional component implemented in the city of Cordoba for the elderly. 1999].
Actually the nutrition programmes had become into a fundamental resource for people living in low social conditions, to cover their feeding requires. The elderly retired persons with high socio-economic vulnerability are the direct beneficiaries of a social programme that includes a nutritional intervention executed by the PAMI. OBJECTIVE: Evaluate the ProBienestar programme at Córdoba Capital city during 1999. MATERIAL AND METHOD: Descriptive and transversal study. TARGET GROUP: Older aged persons from 60 years old or more (n = 330) and assistance units (n = 26) TECHNIQUES: Survey observation VARIABLES: Focal criterions, accessibility, food assistance nutritional quality, socio-economic status, nutrition specialists participation, beneficiaries satisfaction assessed into the following dimensions "satisfaction with the including requirements", "food assistance regularity", "adjustment to the beneficiaries food consumption standard", "food quality". RESULTS: The beneficiaries are between 60 and 74 years aged; most of them are widows and separated women that live with their sons or/and daughters or/and grandchildren. The most are owners of the house they live in. There is a different opinion between beneficiaries and assistance units' responsible at the moment of establish the including criterions. The food assistance is regular and geographic and administrative accessible. There is some difficult by the way of the older aged beneficiaries to recall the food aid boxes. The nutritional quality of the complement for one-person box was assessed as good, while for the two-persons boxes the quality downs. It is adequate to the food consumption standard of the older aged beneficiaries. CONCLUSION: The satisfaction degree of the beneficiaries is high. (73%).
Aged↗
Global health and justice.
In Australia, Japan, Sweden, and Switzerland, the average life expectancy is now greater than 80 years. But in Angola, Malawi, Sierra Leone, and Zimbabwe, the average life expectancy is less than 40 years. The situation is even worse than these statistics suggest because average figures tend to mask inequalities within countries. What are we to make of a world with such inequal health prospects? What does justice demand in terms of global health? To address these problems, I characterize justice at the local level, at the domestic or social level, and at the international or global level. Because social conditions, structures, and institutions have such a profound influence on the health of populations, I begin by focusing attention on the relationship between social justice and health prospects. Then I go on to discuss health prospects and the problem of global justice. Here I distinguish two views: a cosmopolitan view and a political view of global justice. In my account of global justice, I modify and use the political view that John Rawls developed in The Law of Peoples. I try to show why an adequate political account must include three duties: a duty not to harm, a duty to reconstruct international arrangements, and a duty to assist.
Developed Countries↗
Non-ulcer dyspepsia and peptic ulcer: the distribution in a population and their relation to risk factors.
BACKGROUND: The aetiology of non-ulcer dyspepsia and a possible connection to peptic ulcer disease is debated. This paper discusses this problem in a population based study. AIMS: The relation between non-ulcer dyspepsia and peptic ulcer disease was explored by the distribution in the general population and their associations to demographic, lifestyle, and psychological factors. METHODS: All inhabitants of a community aged 20-69 years received a questionnaire concerning abdominal complaints, health, lifestyle, diet, and social conditions. Reports on peptic ulcer were verified with medical records. Dyspeptic subjects and matched healthy, non-dyspeptic controls were endoscoped in a blinded procedure. SUBJECTS: Of 2027 persons invited, 1802 (88.9%) returned the questionnaire from which dyspeptic subjects and controls were identified. Of 782 subjects invited to endoscopy, 309 dyspeptic and 310 control subjects (79.2%), participated. RESULTS: Men reported dyspepsia (30.4%) and peptic ulcer (8.7%) more often than women (24.1% and 5.2%, respectively). Non-ulcer dyspepsia was frequent (between 10.6% and 17.2%) in both sexes and age groups up to 60 years, with a lower frequency in both men and women above this age (3.0% and 6.8%). Non-ulcer dyspepsia was associated with having a family history of dyspepsia and of peptic ulcer and the use of tranquillisers. Nearly one third of dyspeptic persons above the age of 40 years had peptic ulcer, but peptic ulcer prevalence was low under this age. Peptic ulcer was associated with a family history of peptic ulcer, smoking, and daily life stress, and also with poor living conditions during childhood, frequent recurrence of herpes labialis, conditions that were associated with Helicobacter pylori infection. CONCLUSIONS: Non-ulcer dyspepsia and peptic ulcer have different patterns of relations to lifestyle, social, and psychological factors. The results perhaps support the hypothesis of peptic ulcer being an infectious disease in contrast with non-ulcer dyspepsia.
Adult↗
[We control our bodies: the biological and social dialectic].
This article aims at reviewing the discussion of biological and social factors in the analysis of women's social condition. With the appearance of a feminist perspective, the dominance of earlier biologically-based explanations was substituted by an emphasis on the social construction of female identity. Even when women's identification with the body and with nature, and their secondary status, were considered universal, biological determinism was rejected. In this process of re-definition of the object of study, the ideological role of science was pointed out, since male dominance in science and society accompanied the historical tendency which relegated "the woman question" to the sphere of natural fact. Although growing awareness of the socially-constructed nature of scientific activity itself is producing a tendency to abandon the biological/social dichotomy at the conceptual level, differences between men and women in the reproductive sphere continue to exist. It is argued that analysis of reproduction requires characterization of the sexes as biosocial entities in relationship, situated in specific historical contexts, and that in modern society women are subject to a double reproductive contradiction.
English Abstract↗
Environmental enrichment decreases nicotine-induced hyperactivity in rats.
RATIONALE: Previous research has determined that rats reared in an enriched condition (EC) are more sensitive to the effects of acute systemic amphetamine than rats raised in an impoverished condition (IC). OBJECTIVES: The present experiments examined the effect of environmental enrichment on locomotor activity following repeated injections of nicotine. Experiment 1 assessed differences in locomotor activity in EC and IC rats and experiment 2 assessed differences between EC rats and rats housed in pairs without novel objects or daily handling (social condition; SC) to determine whether enrichment causes changes beyond that of social contact alone. METHODS: In experiment 1, EC and IC rats were treated with saline, 0.2 mg/kg or 0.8 mg/kg nicotine, and locomotor activity was assessed for 60 min. Nicotine-induced activity was measured every 48 h for a total of eight sessions. All rats were challenged with 0.8 mg/kg nicotine on session 9. In experiment 2, EC and SC rats were treated with saline or 0.2 mg/kg nicotine, and locomotor activity was assessed using the same regimen as in experiment 1. RESULTS: In experiment 1, EC rats exhibited less sensitivity than IC rats to the psychostimulant effect of nicotine upon both acute and repeated administration. On the nicotine challenge session (session 9), EC rats were again less sensitive to the hyperactive effects of nicotine. In experiment 2, EC rats were also less sensitive than SC rats to nicotine-induced hyperactivity across repeated injections. CONCLUSIONS: These results suggest that environmental enrichment during development reduces the stimulant effect of nicotine.
Analysis of Variance↗
[Social determinants of smoking behavior in Germany: results of a 1995 micro-census].
OBJECTIVES: The negative health effects of cigarette smoking are nowadays well known. An important prerequisite for the implementation of rewarding health promotion campaigns aiming at reducing the tobacco dependency in the general population is the knowledge about smoking prevalences in different social population groups, and specific information about social factors and determinants influencing smoking behaviour. METHODS: In this regard, the Microcensus is a very valuable data source for Germany. Included in the present analysis are persons aged 18 years and older, which are present in the "Microcensus Public Use File 1995" and had answered the questions about their smoking behaviour (N = 186,424). The dependent study variable is current cigarette smoking. Independent study variables are sociodemographic factors (age, sex, family status), occupational status, unemployment, socio-economic situation and regional-specific variables (size of community, East vs West Germany). RESULTS: All together, 30.5% of the males and 18.0% of the females were current smokers. Significantly higher smoking rates were observed for persons living in metropolitan areas, persons with low educational achievement and low occupational status, for people being divorced, unemployed, and living on social welfare. In a second step, we analysed the cumulative effect of these social factors for current smoking status. In summary, it was found that the cumulation of social determinants explained a great part of the variance in smoking prevalence. Current smoking was four to six times more prevalent in population groups characterised by several unfavourable social conditions compared to more privilege population groups. CONCLUSIONS: Thus, smoking related prevention activities should be evaluated, among others, regarding their potential to reduce the social polarisation of the smoking epidemic.
Adolescent↗