Parent Skills Training: Expanding School-Based Services for Adolescent Mothers

This article reports the results of a collaborative intervention effort between a teen-parent program and a school of social work Social work faculty and students participated in a program aimed at strengthening parental skills and the utilization of social support among adolescent mothers who were enrolled in a special high school program. The results of this evaluation study point to additional factors, such as empathy training and stress management, which need to be included in a comprehensive service-delivery program for school-age mothers.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68359/2/10.1177_104973159200200203.pd

Social Support and Health: A Theoretical Formulation Derived from King's Conceptual Framework

This article describes the development and initial empirical testing of a theoretical formulation of social support, family, health, and child health derived from Imogene King's conceptual framework for nursing. A correlational design was used to test the formulation with 103 families who have children with diabetes mellitus. Three hypotheses were sup ported : parents' social support had a direct and positive effect on family health, parents' social support and child's social support were positively related, and illness factors had a direct and negative effect on child health. Both the supported and unsupported hypotheses are discussed in terms of the present substantive knowledge base and evidence of validity for King's framework. Direction for further theory development and research are identified.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68995/2/10.1177_089431848900200309.pd

Effect of nesiritide in patients with acute decompensated heart failure

Background Nesiritide is approved in the United States for early relief of dyspnea in patients with acute heart failure. Previous meta-analyses have raised questions regarding renal toxicity and the mortality associated with this agent. Methods We randomly assigned 7141 patients who were hospitalized with acute heart failure to receive either nesiritide or placebo for 24 to 168 hours in addition to standard care. Coprimary end points were the change in dyspnea at 6 and 24 hours, as measured on a 7-point Likert scale, and the composite end point of rehospitalization for heart failure or death within 30 days. Results Patients randomly assigned to nesiritide, as compared with those assigned to placebo, more frequently reported markedly or moderately improved dyspnea at 6 hours (44.5% vs. 42.1%, P = 0.03) and 24 hours (68.2% vs. 66.1%, P = 0.007), but the prespecified level for significance (P≤0.005 for both assessments or P≤0.0025 for either) was not met. The rate of rehospitalization for heart failure or death from any cause within 30 days was 9.4% in the nesiritide group versus 10.1% in the placebo group (absolute difference, −0.7 percentage points; 95% confidence interval [CI], −2.1 to 0.7; P = 0.31). There were no significant differences in rates of death from any cause at 30 days (3.6% with nesiritide vs. 4.0% with placebo; absolute difference, −0.4 percentage points; 95% CI, −1.3 to 0.5) or rates of worsening renal function, defined by more than a 25% decrease in the estimated glomerular filtration rate (31.4% vs. 29.5%; odds ratio, 1.09; 95% CI, 0.98 to 1.21; P = 0.11). Conclusions Nesiritide was not associated with an increase or a decrease in the rate of death and rehospitalization and had a small, nonsignificant effect on dyspnea when used in combination with other therapies. It was not associated with a worsening of renal function, but it was associated with an increase in rates of hypotension. On the basis of these results, nesiritide cannot be recommended for routine use in the broad population of patients with acute heart failure. (Funded by Scios; ClinicalTrials.gov number, NCT00475852.

A Quantum-mechanical Approach for Constrained Macromolecular Chains

Many approaches to three-dimensional constrained macromolecular chains at thermal equilibrium, at about room temperatures, are based upon constrained Classical Hamiltonian Dynamics (cCHDa). Quantum-mechanical approaches (QMa) have also been treated by different researchers for decades. QMa address a fundamental issue (constraints versus the uncertainty principle) and are versatile: they also yield classical descriptions (which may not coincide with those from cCHDa, although they may agree for certain relevant quantities). Open issues include whether QMa have enough practical consequences which differ from and/or improve those from cCHDa. We shall treat cCHDa briefly and deal with QMa, by outlining old approaches and focusing on recent ones.Comment: Expands review published in The European Physical Journal (Special Topics) Vol. 200, pp. 225-258 (2011

Social support for elderly patients with chronic wounds

Few attempts have been made to measure the social support received by elderly patients with chronic wounds. To focus research on these issues, an established model integrating the various roles played by social support in the adaptation of patients to stressful situations was applied. Two questionnaires were used to measure perceived social support and coping in a sample of patients with leg ulcers (N = 15, mean age 70.4 years) or diabetic foot ulcers (N = 15, mean age 63.6 years) at two time-points over a four-month period. The results indicate that there were no statistical differences between the groups. The overall levels of social support were low, with emotional support recorded most frequently. The standardised scores for types of coping indicate no unusual patterns, although the scores for logical analysis were low. However, there was considerable variation in the types of coping strategies used by individuals

Social Support: Seek and Ye Shall Find

Studies of social support typically have relegated the recipient of support to a passive role. Little empirical work has looked at an individual's active attempts to garner support from others. Two studies are reported that investigate individual differences in active support seeking. In study one (n = 66), the criterion validity of a new scale - dubbed SEEK - was demonstrated. Subjects who reported that they seek support from others in times of need (as measured by SEEK) requested more social support following failure at a laboratory task than did subjects who reported that they do not seek social support. Study two (n = 60) examined the relationship between the reported seeking of social support and its perceived availability. As predicted, a positive relationship obtained, suggesting that those who received social support may in part have created this condition. Seeking social support was also positively associated with self-esteem, self-efficacy, and optimistic beliefs about the consequences of seeking support. People who seek social support may be psychologically predisposed to do so. Taken together, these studies imply that investigations of social support should take into account: (a) people's active roles in obtaining support, and (b) the psychological concomitants of support seeking.Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/68965/2/10.1177_0265407589063007.pd