2,868 research outputs found

    A Social Model of Loneliness: The Roles of Disability, Social Resources, and Cognitive Impairment

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    Purpose of the study: We consider the points at which cognitive impairment may impact on the pathway to loneliness for older people, through impeding social interaction with family and friends, or by interfering with judgments concerning satisfaction with relationships.Design and methods: We conceptualize a mediation model anticipating that social resources (LSNS-6) will mediate the pathway between disability (Townsend Disability Scale) and loneliness (De Jong Gierveld 6 item scale) and a moderated-mediation model in which we hypothesize that cognitive impairment (MMSE) will moderate the association between disability and social resources and between social resources and loneliness. To validate the hypothesized pathways, we draw on the CFAS Wales data set (N=3,593) which is a nationally representative study of community-dwelling people aged 65 and over in Wales Results: Disability had a significant indirect effect on loneliness through the mediating variable social resources. Cognitive impairment was significantly associated with social resources, but did not moderate the relationship between disability and social resources. Cognitive impairment had a significant impact on loneliness, and moderated the effect of social resources on loneliness. Implications: Social structures can (dis)empower people with cognitive impairment and lead to exclusion from social resources or impact on the social construction of ageing, cognitive impairment and dementia. The sense of self for an older person with cognitive impairment may be influenced by social norms and stereotypes, or through a temporal social comparison with an ‘earlier’ sense of self. We conclude that loneliness interventions should be theoretically-informed to identify key areas for modification

    Child and Infant Mortality; Risk Factors Related to SUID in Marion County

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    poster abstractBetween 2003- 2012, Indiana had 434 child deaths, including 53 Sudden Unexpected Infant Death (SUID) cases. Marion County has a high rate of SUID at 14%. The purpose of our research is to identify the risk factors for suffocation and to determine if SUID can be better prevented. In a pilot exploratory study, we analyzed five de-identified Marion County SUID cases to identify the asphyxia variables. The Fetal Infant Mortality Review (FIMR) cases allowed for thematic analysis. We used a meta-aggregation program NOTARI (Narrative, opinion, text assessment, and review instrument) to focus on categorical variables. Results identified asphyxia variables such as swaddling, blanket suffocation, wedging, parents bedding, soft bedding with pillows. Common maternal variables were obesity, hypertension, and STDs. Infant variables included breathing problems and cardio-respiratory pathologies. We found four cases with documented safe sleep education. The education that parents receive on safe sleep is not a guarantee that they will practice safe sleep with their infants. The education might not be effective enough to help them comprehend its importance; therefore nurses and other healthcare professionals need to consider changing the way they educate and advocate for parents. We suggest the introduction of more primary educational programs that will help the community understand safe sleep and SUID. This intervention would help decrease the incidence of sudden unexpected infant death

    Artificial intelligence in government: Concepts, standards, and a unified framework

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    Recent advances in artificial intelligence (AI), especially in generative language modelling, hold the promise of transforming government. Given the advanced capabilities of new AI systems, it is critical that these are embedded using standard operational procedures, clear epistemic criteria, and behave in alignment with the normative expectations of society. Scholars in multiple domains have subsequently begun to conceptualize the different forms that AI applications may take, highlighting both their potential benefits and pitfalls. However, the literature remains fragmented, with researchers in social science disciplines like public administration and political science, and the fast-moving fields of AI, ML, and robotics, all developing concepts in relative isolation. Although there are calls to formalize the emerging study of AI in government, a balanced account that captures the full depth of theoretical perspectives needed to understand the consequences of embedding AI into a public sector context is lacking. Here, we unify efforts across social and technical disciplines by first conducting an integrative literature review to identify and cluster 69 key terms that frequently co-occur in the multidisciplinary study of AI. We then build on the results of this bibliometric analysis to propose three new multifaceted concepts for understanding and analysing AI-based systems for government (AI-GOV) in a more unified way: (1) operational fitness, (2) epistemic alignment, and (3) normative divergence. Finally, we put these concepts to work by using them as dimensions in a conceptual typology of AI-GOV and connecting each with emerging AI technical measurement standards to encourage operationalization, foster cross-disciplinary dialogue, and stimulate debate among those aiming to rethink government with AI.Comment: 35 pages with references and appendix, 3 tables, 2 figure

    Managing at the Speed of Light: Improving Mission-Support Performance

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    The House and Senate Energy and Water Development Appropriations Subcommittees requested this study to help DOE's three major mission-support organizations improve their operations to better meet the current and future needs of the department. The passage of the Recovery Act only increased the importance of having DOE's mission-support offices working in the most effective, efficient, and timely manner as possible. While following rules and regulations is essential, the foremost task of the mission-support offices is to support the department's mission, i.e., the programs that DOE is implementing, whether in Washington D.C. or in the field. As a result, the Panel offered specific recommendations to strengthen the mission-focus and improve the management of each of the following support functions based on five "management mandates":- Strategic Vision- Leadership- Mission and Customer Service Orientation- Tactical Implementation- Agility/AdaptabilityKey FindingsThe Panel made several recommendations in each of the functional areas examined and some overarching recommendations for the corporate management of the mission-support offices that they believed would result in significant improvements to DOE's mission-support operations. The Panel believed that adopting these recommendations will not only make DOE a better functioning organization, but that most of them are essential if DOE is to put its very large allocation of Recovery Act funding to its intended uses as quickly as possible

    Limited cross-shelf variation in the growth of three branching corals on Australia's Great Barrier Reef

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    Pronounced differences exist in the biodiversity and structure of coral reef assemblages with increasing distance from shore, which may be expected given marked cross-shelf gradients in environmental conditions. Cross-shelf variation in the abundance of coral reef organisms is likely to be caused, at least in part, by differences in demography (e.g., growth and survival), though this has rarely been tested. This study quantified growth of three distinct branching coral taxa (Acropora nasuta, Pocillopora spp. and Stylophora pistillata) at six locations on Australia's Great Barrier Reef (GBR), encompassing inshore, mid-shelf and outer-shelf reefs. Replicate colonies (0–15 colonies per species, per reef) were stained using Alizarin Red in December 2015 and retrieved one year later to quantify linear extension on replicate branches for each colony. Annual linear extension varied within and among coral taxa, with pronounced differences among reefs. For A. nasuta. and S. pistillata, growth rates were highest at one of the inshore reefs, Orpheus Island. However, inter-reef differences in linear extension were not explained by shelf position. Based on differences in skeletal density, which did vary according to shelf position, branching corals at the inshore sites may actually have higher rates of calcification compared to conspecifics on mid-and outer-shelf reefs. This study shows that growth of branching corals is not lower at inshore sites (and perhaps even higher) compared to sites at mid-shelf and outer reefs, despite generally higher levels of sedimentation and turbidity

    Effects of maternal separation on brain stress systems: Modulation by voluntary exercise in male rats

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    Early life stress (ELS) has been shown to predispose animals to anxiety- and depression-like behaviour in adulthood. Recent evidence suggests that repeated stress in adulthood dysregulates the hypothalamic orexin/hypocretin system. The current study examined the effects of maternal separation (MS), a well validated rodent model of ELS, on the expression of anxiety-like behaviour following the re-exposure to stress in adulthood. The pattern of Fos-expression in hypothalamic orexin neurons and stress sensitive brain regions was also characterised. Finally, this study examined whether the effects of this double-hit of stress could be reversed using a voluntary exercise intervention during early adulthood. Male rat pups (n=25) were removed from dams for 3hrs on postnatal days (PND) 2-14 (MS). Controls (C; n=25) remained undisturbed during this period except for weekly weighing. On PND 75, animals were randomly allocated to either a ‘stress’ (30min restraint stress) or ‘no stress’ condition (S or NS). A subset of MS animals (n=6) was allowed access to exercise wheels for 1hr/day from PND 40-70. Following this, all animals were behaviourally tested in the open field apparatus for 10mins. Two hours after initiation of restraint, animals were perfused and brains were processed for Fos-protein immunohistochemistry and co-labelled for orexin or tyrosine-hydroxylase (TH). Counts of Fos-positive neurons were made in the hypothalamus, paraventricular nucleus (PVN), paraventricular thalamus (PVT) and ventral tegmental area (VTA). MS-NS rats exhibited behaviour that was indistinguishable from C-NS rats. However, male MS-S rats exhibited decreased exploratory behaviour in the open field task compared to C-S rats. This was associated with a decrease in the percentage of Fos-positive orexin cells in the hypothalamus and reduced Fos-protein in the PVN, PVT and TH-positive VTA cells compared to C-S rats. Interestingly, the exercise intervention reversed the behavioural effects of MS following stress and normalized orexin cell and VTA-TH cell Fos-expression. In conclusion, MS resulted in altered open field behaviour and hypoactivation of the orexin system in response to adult stress. The current study indicates that changes in orexin system function may involve altered activity in stress-sensitive brain regions such as the VTA, PVN and PVT. Importantly, the behavioural and neural changes observed were reversed by voluntary exercise in early adulthood. These findings highlight the importance of non-pharmacological interventions in the treatment of stress-related disorders
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