The Influence of Cultural Identification and Gender-Linked Characteristics on the Body Satisfaction of African American Men

The goal of the present study was to examine the relationships between gender schema, level of cultural identification, and body dissatisfaction in African American men. The first hypothesis under study was that men with a low identification to African American culture would report higher dissatisfaction with their body than those with a high cultural identification. Secondly, it was hypothesized that men with a large discrepancy from their culture’s description of an “ideal man” would also report higher body dissatisfaction than those with low or no discrepancy. Lastly, it was hypothesized that an interaction between variables would occur and that men who were less identified with their African American culture and reported themselves as not matching their culture’s masculine ideal would have higher levels of body dissatisfaction than men who were highly identified with their African American culture and reported themselves as strongly matching their culture’s masculine ideal. Participants were 42 college and post-graduate African American males that were recruited from a Southern university. Participants were assessed using the Body Assessment (BA), Body Satisfaction Questionnaire (BSQ), Physical Appearance Comparison Scale (PACS), Physical Attractiveness Scale (PAS), Cross Racial Identity Scale (CRIS), and the Bem Sex Role Inventory (BSRI). Results supported all three hypotheses: men lower in cultural identification with a high masculine discrepancy reported higher body dissatisfaction than those higher in cultural identification with a lower masculine discrepancy. The importance of these findings is that, as the idealized physical image of masculinity becomes more ubiquitous, it is likely that men who measure themselves against this ideal will have greater difficulty achieving self-acceptance and struggle for an unrealistic (and often unhealthy) level of control. Such a struggle for control could lead to engagement in behaviors that could potentially contribute to poor health such as pathological or disordered eating, excessive exercise, and abuse of performance-enhancing substances including food supplements and anabolic steroids. Limitations and suggestions for continued research are also discussed

Preparing Family Caregivers to Recognize Delirium Symptoms in Older Adults After Elective Hip or Knee Arthroplasty

Objectives To test the feasibility of a telephone-based intervention that prepares family caregivers to recognize delirium symptoms and how to communicate their observations to healthcare providers. Design Mixed-method, pre–post quasi-experimental design. Setting A Midwest Veterans Affairs Medical Center and a nonprofit health system. Participants Forty-one family caregiver-older adult dyads provided consent; 34 completed the intervention. Intervention Four telephone-based education modules using vignettes were completed during the 3 weeks before the older adult\u27s hospital admission for elective hip or knee replacement. Each module required 20 to 30 minutes. Measurements Interviews were conducted before the intervention and 2 weeks and 2 months after the older adult\u27s hospitalization. A researcher completed the Confusion Assessment Method (CAM) and a family caregiver completed the Family Version of the Confusion Assessment Method (FAM-CAM) 2 days after surgery to assess the older adults for delirium symptoms. Results Family caregivers’ knowledge of delirium symptoms improved significantly from before the intervention to 2 weeks after the intervention and was maintained after the older adult\u27s hospitalization. They also were able to recognize the presence and absence of delirium symptoms in the vignettes included in the intervention and in the older adult after surgery. In 94% of the cases, the family caregiver rating on the FAM-CAM approximately 2 days after the older adult\u27s surgery agreed with the researcher rating on the CAM. Family caregivers expressed satisfaction with the intervention and stated that the information was helpful. Conclusion Delivery of a telephone-based intervention appears feasible. All family caregivers who began the program completed the four education modules. Future studies evaluating the effectiveness of the educational program should include a control group

Having to manage : culturally and linguistically diverse mothers' lived experiences with sustained nurse home visiting programs

Background: Culturally and linguistically diverse (CALD) mothers with young children with limited English proficiency (LEP) encounter multiple barriers in accessing and engaging with primary healthcare services. The aim of this study was to explore the lived experiences and perceptions of CALD mothers with LEP in receiving child and family health nursing (CFHN) services and sustained nurse home visiting (SNHV) programs. Methods: Fourteen mothers were interviewed from two large Local Health Districts in Sydney. All interviews were audio-recorded for transcription purposes. Interpretative Phenomenology Analysis (IPA) was used for analysis and the socioecological approach was applied to interpret the data. Results: CALD mothers with LEP experienced both challenges and facilitators in their access and engagement with CFHN services and SNHV programs that were identified in four themes: managing culture; managing the service system; managing the relationship; and strengths and weaknesses of CFHN services. Conclusion: The integration of strategies such as building trusting relationships, using female professional interpreters and better understanding of CALD mothers’ cultural practices may address CALD mothers’ needs and facilitate communication. Design and development of model of support involving CALD mothers with LEP in ways that voice their ideas could meet their needs and contribute to better engagement of this vulnerable population with CFHN services and SNHV programs

Factors That Influence Linkages to HIV Continuum of Care Services: Implications for Multi-Level Interventions

Worldwide, the human immunodeficiency virus (HIV) continuum of care involves health promotion providers (e.g., social workers and health educators) linking patients to medical personnel who provide HIV testing, primary care, and antiretroviral treatments. Regrettably, these life-saving linkages are not always made consistently and many patients are not retained in care. To design, test and implement effective interventions, we need to first identify key factors that may improve linkage-making. To help close this gap, we used in-depth interviews with 20 providers selected from a sample of 250 participants in a mixed-method longitudinal study conducted in New York City (2012–2017) in order to examine the implementation of HIV services for at-risk populations. Following a sociomedical framework, we identified provider-, interpersonal- and environmental-level factors that influence how providers engage patients in the care continuum by linking them to HIV testing, HIV care, and other support services. These factors occurred in four domains of reference: Providers’ Professional Knowledge Base; Providers’ Interprofessional Collaboration; Providers’ Work-Related Changes; and Best Practices in a Competitive Environment. Of particular importance, our findings show that a competitive environment and a fear of losing patients to other agencies may inhibit providers from engaging in linkage-making. Our results suggest relationships between factors within and across all four domains; we recommend interventions to modify factors in all domains for maximum effect toward improving care continuum linkage-making. Our findings may be applicable in different areas of the globe with high HIV prevalence

Community volunteer support for families with young children: Protocol for the volunteer family connect randomized controlled trial

Background: Use of community volunteers to support vulnerable families is a widely employed strategy with a long history. However, there has been minimal formal scientific investigation into the effectiveness of volunteer home visiting programs for families. There is also a need for research examining whether volunteer home visiting leads to improved outcomes for volunteers. Objective: The objective of this paper is to describe the research protocol for a pragmatic randomized controlled trial (RCT) of the Volunteer Family Connect intervention, a volunteer home visiting program designed to support families of young children who experience social isolation or a lack of parenting confidence and skills. The project is being conducted in partnership with 3 leading not-for-profit organizations, designed to contribute to the body of evidence that informs decisions about appropriate family support services according to the level of need. It is the first study to examine outcomes for both the families and the volunteers who deliver the service. Methods: The RCT is being conducted in 7 sites across Australia. We aim to recruit 300 families to the study: 150 control (services as usual) and 150 intervention (services as usual + volunteer home visiting) families. Intervention families will receive the service for 3-12 months according to their needs, and all participants will complete 6 data collection points over 15 months. A minimum of 80 volunteers will also be recruited, along with a matched community comparison group. The volunteers will complete 3 data collection points over 12 months. Primary outcomes include community connectedness and parenting competence. Secondary outcomes include parent physical and mental health; general parent well-being; parent empowerment; the child-parent relationship; sustainability of family routines; child immunization; child nutrition or breastfeeding; number of accidental injury reports; and volunteer health, well-being, and community connectedness. Results: This effectiveness trial was funded in 2016, and we aim to complete data collection by the end of 2018. The first results are expected to be submitted early in 2019. Conclusions: There is a need to rigorously assess volunteer home visiting and whether it has a unique and important role on the service landscape, complementary to professional services. This research is the first trial of a volunteer home visiting program to be conducted in Australia and one of the largest of its kind worldwide

Data Management Education from the Perspective of Science Educators

In order to better understand the current state of data management education in multiple fields of science, this study surveyed scientists, including information scientists, about their data management education practices, including at what levels they are teaching data management, which topics they covering, and what barriers they experience in teaching these topics. We found that a handful of scientists are teaching data management in undergraduate, graduate, and other types of courses, as well as outside of classroom settings. Commonly taught data management topics included quality control, protecting data, and management planning. However, few instructors felt they were covering data management topics thoroughly, and respondents cited barriers such as lack of time, lack of necessary expertise, and lack of information for teaching data management. We offer some potential explanations for the existing state of data management education and suggest areas for further research

Interpreter use in sustained nurse home visiting : interpreter experience and support

Background: The aim of this study was to explore the experiences of healthcare interpreters working with child and family health nurses (CFHNs) in providing child and family health nursing (CFHN) services and sustained nurse home visiting (SNHV) programs to culturally and linguistically diverse (CALD) families with limited English proficiency. Methods: A mixed methods longitudinal research design was conducted to develop, implement and evaluate a training and practice support model for healthcare interpreters working with nurses and CALD families in providing CFHN services and SNHV programs in three major local health services in Sydney, Australia. One pre-training survey with 24 healthcare interpreters was conducted; field notes were recorded during training and implementation; and a post-implementation focus group with six healthcare interpreters was conducted. Quantitative survey data were analysed descriptively using Alchemer. The focus group was audio-recorded for transcription purposes, and this and the field notes were thematically analysed applying a socioecological framework. Results: Three themes were identified from the initial, pre-training survey: facilitate communication and delivery accurately; a bridge linking the clients and the healthcare practitioners; and make everybody feel comfortable. Practice support implementation was negatively impact by system and COVID-19 related barriers. Four themes were developed from evaluative phase of the study including: system-related issues; interpreters’ challenges; working with nurses; and client session related issues. Conclusion: Quality interpreting was favourably influenced by adequate time for interpreting the session including a pre- and post-briefing session with CFHNs, an appropriate mode of interpretation, allocation of female interpreters and the same interpreters with CALD mothers and clarity about interpreter role and cultural comfort. These strategies support the quality of communication and relationships in delivery of CFHN services and SNHV programs to CALD mothers with limited English proficiency

Research Data Services in Academic Libraries: Data Intensive Roles for the Future?

Objectives: The primary objectives of this study are to gauge the various levels of Research Data Service academic libraries provide based on demographic factors, gauging RDS growth since 2011, and what obstacles may prevent expansion or growth of services. Methods: Survey of academic institutions through stratified random sample of ACRL library directors across the U.S. and Canada. Frequencies and chi-square analysis were applied, with some responses grouped into broader categories for analysis. Results: Minimal to no change for what services were offered between survey years, and interviews with library directors were conducted to help explain this lack of change. Conclusion: Further analysis is forthcoming for a librarians study to help explain possible discrepancies in organizational objectives and librarian sentiments of RDS

Telomere dysfunction accurately predicts clinical outcome in chronic lymphocytic leukaemia, even in patients with early stage disease

© 2014 John Wiley & Sons Ltd. Defining the prognosis of individual cancer sufferers remains a significant clinical challenge. Here we assessed the ability of high-resolution single telomere length analysis (STELA), combined with an experimentally derived definition of telomere dysfunction, to predict the clinical outcome of patients with chronic lymphocytic leukaemia (CLL). We defined the upper telomere length threshold at which telomere fusions occur and then used the mean of the telomere 'fusogenic' range as a prognostic tool. Patients with telomeres within the fusogenic range had a significantly shorter overall survival (P  <  0·0001; Hazard ratio [HR] = 13·2, 95% confidence interval [CI]  = 11·6-106·4) and this was preserved in early-stage disease patients (P  <  0·0001, HR=19·3, 95% CI = 17·8-802·5). Indeed, our assay allowed the accurate stratification of Binet stage A patients into those with indolent disease (91% survival at 10 years) and those with poor prognosis (13% survival at 10 years). Furthermore, patients with telomeres above the fusogenic mean showed superior prognosis regardless of their IGHV mutation status or cytogenetic risk group. In keeping with this finding, telomere dysfunction was the dominant variable in multivariate analysis. Taken together, this study provides compelling evidence for the use of high-resolution telomere length analysis coupled with a definition of telomere dysfunction in the prognostic assessment of CLL

Repertoires of governance among members of Australian university governing boards

Recent corporate collapses have focused public attention on the roles and responsibilities of governing boards. These issues are also significant for Australian universities. This research examines the repertoires of ideas that public university governing body members use to make sense of their governance functions. Through a qualitative study of the language of members of five university governing boards (councils), it identifies the repertoires, or 'regimes of justification' (Boltanksi &amp; Thevenot 1991), used by board members to interpret the principles and practices of university governance. My thesis is that board members of university councils in Australia use several distinct repertoires - of business, of the community, of traditional university values and of professionalism - to express their ideas about university governance. Analysis of these repertoires, each of which implies a different 'logic of action' (Bacharach, Bamberger, &amp; Sonnenstuhl 1996), illuminates our understanding of why board members interpret governance functions in different and sometimes contradictory ways. It also provides a means to assess the influence of 'managerialist' ideas on Australian university governance and the extent to which Australian university governance is yet to become professionalised. The theoretical basis for the research is drawn from the sociology of Pierre Bourdieu, coupled with the discourse analytical method of interpretative repertoires (Wetherell &amp; Potter 1988). By viewing board governance as a locus of discursive struggles over differing systems of value, it becomes possible to analyse the impact on 'practical politics' (Heffernan 1997) of the repertoires of key ideas revealed in discourse by governing board members. This research affirms the significance of organisational and wider societal values in non-for-profit governance. Broad concepts of the public good, participation and the university ideal are used to counterbalance an extreme managerialist view that universities are no more than a particular type of business. It is noted that certain repertoires may be more commonly employed in particular institutions such as regional universities. Reflexive consideration of these differing repertoires by council members could contribute to more effective university governance