62 research outputs found
Parental Personality and Parenting Style: A Ghanaian Perspective
This study was conducted to investigate the relationship between parental personality and parenting style among Ghanaian parents within the Accra-Metropolis. One hundred and twenty (120) respondents were sampled using purposive and snowball sampling technique and administered the Ten-Item Personality Questionnaire and the Parenting Style Questionnaire. Four hypotheses were tested using both One Way and Two Way Analysis of Variance and the‘t’ test for independent samples. Analysis of data revealed that Parents with agreeable personality are not more permissive than those with the other personality traits. Conscientious parents were significantly higher than extraversion, and agreeableness but not from neuroticism and openness on authoritative parenting. Male parents were more authoritarian than their female counterparts. No significant difference existed between parents with single child and those with two or more children on permissive parenting in the Ghanaian setting. From the results it is advised that parents must be aware that their personality and parenting style affect the way they raise their children. Keywords: Parental Personality, Agreeableness, Conscientious, Extraversion, Neuroticism, Openness, Parenting Style, Ghanaian Parents, Accra-Metropoli
The Art of Managing Expectations: Vocational Rehabilitation Counselors as Mediators of Expectations between Clients who are Deaf and Potential Employers
Services for individuals who are deaf or hard of hearing (DHH) often include tailored strategies for successful employment placement. Using Oliver’s (1980) Expectation Confirmation Theory, this study utilized exploratory and confirmatory analyses of semi-structured interviews of 10 VR professionals to examine their view of the role expectations play in their assessment of important factors that lead to successful outcomes for DHH clients. Analysis revealed a complex, multilevel system in which VRCs operate as active mediators of the expectations of both clients who are DHH and their potential employers
IMPLEMENTACIJA JEDINSTVENE POLITIKE PLAĆA U JAVNOM SEKTORU GANE: ANALIZA I PREPORUKE IZ PERSPEKTIVE ORGANIZACIJSKOG RAZVOJA
With generally lower salaries in the public sector, the Government of Ghana initiated pay policy reforms in 2006 and established the Fair Wages and Salaries Commission by law in 2007. This pay policy is an organisational development (OD) intervention that aimed at ensuring internal and external pay equity. This process culminated in the design of the single spine pay policy whose implementation commenced in January 2010. The implementation has not been without its challenges; this resulted in a calling of a national forum on the sustainability of the new pay policy. It is against this backdrop that this paper sought to review the implementation of the single spine pay policy (SSPP) in the public sector within an OD and intervention perspective. Specifically, this paper pointed out that SSPP reforms constitute a re-creation, a reactive but a discontinuous change. As a result, its implementation was explored in the light of Lewinian three-stage model of organizational change; it further
assessed the implementation against its main objectives whiles identifying some of its challenges. In addition, recommendations were also presented for further improvement of the pay policy. It was concluded that the implementation has been partially successful and when given the needed support it would achieve its objectives and be sustainable in the long-run.Imajući u vidu općenito niske plaće u javnom sektoru, Vlada Gane je 2006. godine pokrenula reformu politike plaća te zakonom uspostavila Povjerenstvo za fer nadnice i plaće. Nova politika plaća intervencija je u sferi organizacijskog razvoja (eng. organisational development (OD)) čiji je cilj osiguranje unutarnje i vanjske ravnopravnosti plaća.
Proces je kulminirao razvojem jedinstvene politike plaća (eng. single spine pay policy) čija je provedba započela u siječnju 2010. Njezina provedba bila je popraćena izazovima koji su doveli do sazivanja nacionalnog foruma o održivosti nove politike plaća. Uzimajući u
obzir navedeno, ovaj rad pokušao je ocijeniti provedbu jedinstvene politike plaća (SSPP) u javnom sektoru iz organizacijsko-razvojne i intervencijske perspektive. Točnije, u ovom radu se tvrdi da reforma u vidu jedinstvene politike plaća označuje ponovno stvaranje, reaktvinu ali nekontinuiranu promjenu. Stoga se njezina provedba istražuje u svjetlu levinijanskog modela organizacijske promjene u tri faze. Nadalje, provedba se ocjenjuje s obzirom na njezine glavne ciljeve te se ukazuje na neke od izazova. Osim toga, daju se preporuke za daljnje poboljšanje politike plaća. U radu se zaključuje kako je provedba bila djelomično uspješna te kako će uz potrebnu potporu postići ciljeve i biti dugoročno održiva
The intellectual capital supporting nurse practice in a post-emergency state: A case study
Aim
To explore the resources supporting current nurse practice in the post-emergency country of Liberia, using the nursing intellectual capital framework, as nurses work to meet the targets set by Government of Liberia\u27s Essential Package of Health Services.
Design
Case study.
Methods
Data were collected in Liberia February–June 2019. Direct observation, semi-structured interviews and photographs were used to investigate how nurse practice is supported. Field notes, transcripts and photographs were coded using both directed and conventional content analysis. Reports were then generated by code to triangulate the data.
Results
Thirty-seven nurses at 12 health facilities participated. The intellectual capital supporting inpatient and outpatient nurse practice differs in important ways. Inpatient nurse practice is more likely to be supported by facility-based protocols and trainings, whereas outpatient nurse practice is more likely to be supported by external protocols and trainings, often developed by the Liberian government or non-governmental organizations. This can lead to uneven provision of inpatient protocols and trainings, often favouring private facilities. Similarly, inpatient nurses rely primarily on other nurses at their facilities for clinical support while outpatient nurses often have external professional relationships that provided them with clinical guidance.
Conclusion
Much has been accomplished to enable outpatient nurses to provide the primary- and secondary-care target services in the Essential Package of Health Services. However, as the Liberian government and its partners continue to work towards providing certain tertiary care services, developing analogous protocols, trainings and clinical mentorship networks for inpatient nurses will likely be fruitful, and will decrease the burden on individual facilities.
Impact
Nurses are often expected to meet new service provision targets in post-emergency states. Further research into how best to support nurses as they work to meet those targets has the potential to strengthen health systems
Effects of point-count duration on estimated detection probabilities and occupancy of breeding birds
Increasingly, point-count data are used to estimate occupancy, the probability that a species is present at a given location; occupancy accounts for imperfect detection, the probability that a species is detected given that it is present. To our knowledge, effects of sampling duration on inferences from models of bird occupancy have not been evaluated. Our objective was to determine whether changing count duration from 5 to 8min affected inferences about the occupancy of birds sampled in the Chesapeake Bay Lowlands (eastern United States) and the central and western Great Basin (western United States) in 2012 and 2013. We examined the proportion of species (two doves, one cuckoo, two swifts, five hummingbirds, 11 woodpeckers, and 122 passerines) for which estimates of detection probability were 0.3. For species with single-season detection probabilities 0.3, we compared occupancy estimates derived from 5- and 8-min counts. We also compared estimates for three species sampled annually for 5yr in the central Great Basin. Detection probabilities based on both the 5- and 8-min counts were 0.3 for 40% 3% of the species in an ecosystem. Extending the count duration from 5 to 8min increased the detection probability to 0.3 for 5% +/- 0.5% of the species. We found no difference in occupancy estimates that were based on 5- versus 8-min counts for species sampled over two or five consecutive years. However, for 97% of species sampled over 2yr, precision of occupancy estimates that were based on 8-min counts averaged 12% +/- 2% higher than those based on 5-min counts. We suggest that it may be worthwhile to conduct a pilot season to determine the number of locations and surveys needed to achieve detection probabilities that are sufficiently high to estimate occupancy for species of interest
Microbial glutamate metabolism predicts intravenous cocaine self-administration in diversity outbred mice.
The gut microbiome is thought to play a critical role in the onset and development of psychiatric disorders, including depression and substance use disorder (SUD). To test the hypothesis that the microbiome affects addiction predisposing behaviors and cocaine intravenous self-administration (IVSA) and to identify specific microbes involved in the relationship, we performed 16S rRNA gene sequencing on feces from 228 diversity outbred mice. Twelve open field measures, two light-dark assay measures, one hole board and novelty place preference measure significantly differed between mice that acquired cocaine IVSA (ACQ) and those that failed to acquire IVSA (FACQ). We found that ACQ mice are more active and exploratory and display decreased fear than FACQ mice. The microbial abundances that differentiated ACQ from FACQ mice were an increased abundance of Barnesiella, Ruminococcus, and Robinsoniella and decreased Clostridium IV in ACQ mice. There was a sex-specific correlation between ACQ and microbial abundance, a reduced Lactobacillus abundance in ACQ male mice, and a decreased Blautia abundance in female ACQ mice. The abundance of Robinsoniella was correlated, and Clostridium IV inversely correlated with the number of doses of cocaine self-administered during acquisition. Functional analysis of the microbiome composition of a subset of mice suggested that gut-brain modules encoding glutamate metabolism genes are associated with the propensity to self-administer cocaine. These findings establish associations between the microbiome composition and glutamate metabolic potential and the ability to acquire cocaine IVSA thus indicating the potential translational impact of targeting the gut microbiome or microbial metabolites for treatment of SUD. This article is part of the Special Issue on Microbiome & the Brain: Mechanisms & Maladies
Cluster randomized evaluation of Adolescent Girls Empowerment Programme (AGEP): study protocol.
BACKGROUND: Adolescents in less developed countries such as Zambia often face multi-faceted challenges for achieving successful transitions through adolescence to early adulthood. The literature has noted the need to introduce interventions during this period, particularly for adolescent girls, with the perspective that such investments have significant economic, social and health returns to society. The Adolescent Girls Empowerment Programme (AGEP) was an intervention designed as a catalyst for change for adolescent girls through themselves, to their family and community. METHODS/DESIGN: AGEP was a multi-sectoral intervention targeting over 10,000 vulnerable adolescent girls ages 10-19 in rural and urban areas, in four of the ten provinces of Zambia. At the core of AGEP were mentor-led, weekly girls' group meetings of 20 to 30 adolescent girls participating over two years. Three curricula - sexual and reproductive health and lifeskills, financial literacy, and nutrition - guided the meetings. An engaging and participatory pedagogical approach was used. Two additional program components, a health voucher and a bank account, were offered to some girls to provide direct mechanisms to improve access to health and financial services. Embedded within AGEP was a rigorous multi-arm randomised cluster trial with randomization to different combinations of programme arms. The study was powered to assess the impact across a set of key longer-term outcomes, including early marriage and first birth, contraceptive use, educational attainment and acquisition of HIV and HSV-2. Baseline behavioural surveys and biological specimen collection were initiated in 2013. Impact was evaluated immediately after the program ended in 2015 and will be evaluated again after two additional years of follow-up in 2017. The primary analysis is intent-to-treat. Qualitative data are being collected in 2013, 2015 and 2017 to inform the programme implementation and the quantitative findings. An economic evaluation will evaluate the incremental cost-effectiveness of each component of the intervention. DISCUSSION: The AGEP program and embedded evaluation will provide detailed information regarding interventions for adolescent girls in developing country settings. It will provide a rich information and data source on adolescent girls and its related findings will inform policy-makers, health professionals, donors and other stakeholders. TRIAL REGISTRATION: ISRCTN29322231 . March 04 2016; retrospectively registered
Lunar Mare Basaltic Volcanism : Volcanic Features and Emplacement Processes
Volcanism is a fundamental process in the geological evolution of the Moon, providing clues to the composition and structure of the mantle, the location and duration of interior melting, the nature of convection and lunar thermal evolution. Progress in understanding volcanism has been remarkable in the short 60-year span of the Space Age. Before Sputnik 1 in 1957, the lunar farside was unknown, the origin of the dark lunar maria was debated (sedimentary or volcanic), and significant controversy surrounded the question of how the multitude of craters on the surface formed
Global age-sex-specific mortality, life expectancy, and population estimates in 204 countries and territories and 811 subnational locations, 1950–2021, and the impact of the COVID-19 pandemic: a comprehensive demographic analysis for the Global Burden of Disease Study 2021
Background: Estimates of demographic metrics are crucial to assess levels and trends of population health outcomes. The profound impact of the COVID-19 pandemic on populations worldwide has underscored the need for timely estimates to understand this unprecedented event within the context of long-term population health trends. The Global Burden of Diseases, Injuries, and Risk Factors Study (GBD) 2021 provides new demographic estimates for 204 countries and territories and 811 additional subnational locations from 1950 to 2021, with a particular emphasis on changes in mortality and life expectancy that occurred during the 2020–21 COVID-19 pandemic period. Methods: 22 223 data sources from vital registration, sample registration, surveys, censuses, and other sources were used to estimate mortality, with a subset of these sources used exclusively to estimate excess mortality due to the COVID-19 pandemic. 2026 data sources were used for population estimation. Additional sources were used to estimate migration; the effects of the HIV epidemic; and demographic discontinuities due to conflicts, famines, natural disasters, and pandemics, which are used as inputs for estimating mortality and population. Spatiotemporal Gaussian process regression (ST-GPR) was used to generate under-5 mortality rates, which synthesised 30 763 location-years of vital registration and sample registration data, 1365 surveys and censuses, and 80 other sources. ST-GPR was also used to estimate adult mortality (between ages 15 and 59 years) based on information from 31 642 location-years of vital registration and sample registration data, 355 surveys and censuses, and 24 other sources. Estimates of child and adult mortality rates were then used to generate life tables with a relational model life table system. For countries with large HIV epidemics, life tables were adjusted using independent estimates of HIV-specific mortality generated via an epidemiological analysis of HIV prevalence surveys, antenatal clinic serosurveillance, and other data sources. Excess mortality due to the COVID-19 pandemic in 2020 and 2021 was determined by subtracting observed all-cause mortality (adjusted for late registration and mortality anomalies) from the mortality expected in the absence of the pandemic. Expected mortality was calculated based on historical trends using an ensemble of models. In location-years where all-cause mortality data were unavailable, we estimated excess mortality rates using a regression model with covariates pertaining to the pandemic. Population size was computed using a Bayesian hierarchical cohort component model. Life expectancy was calculated using age-specific mortality rates and standard demographic methods. Uncertainty intervals (UIs) were calculated for every metric using the 25th and 975th ordered values from a 1000-draw posterior distribution. Findings: Global all-cause mortality followed two distinct patterns over the study period: age-standardised mortality rates declined between 1950 and 2019 (a 62·8% [95% UI 60·5–65·1] decline), and increased during the COVID-19 pandemic period (2020–21; 5·1% [0·9–9·6] increase). In contrast with the overall reverse in mortality trends during the pandemic period, child mortality continued to decline, with 4·66 million (3·98–5·50) global deaths in children younger than 5 years in 2021 compared with 5·21 million (4·50–6·01) in 2019. An estimated 131 million (126–137) people died globally from all causes in 2020 and 2021 combined, of which 15·9 million (14·7–17·2) were due to the COVID-19 pandemic (measured by excess mortality, which includes deaths directly due to SARS-CoV-2 infection and those indirectly due to other social, economic, or behavioural changes associated with the pandemic). Excess mortality rates exceeded 150 deaths per 100 000 population during at least one year of the pandemic in 80 countries and territories, whereas 20 nations had a negative excess mortality rate in 2020 or 2021, indicating that all-cause mortality in these countries was lower during the pandemic than expected based on historical trends. Between 1950 and 2021, global life expectancy at birth increased by 22·7 years (20·8–24·8), from 49·0 years (46·7–51·3) to 71·7 years (70·9–72·5). Global life expectancy at birth declined by 1·6 years (1·0–2·2) between 2019 and 2021, reversing historical trends. An increase in life expectancy was only observed in 32 (15·7%) of 204 countries and territories between 2019 and 2021. The global population reached 7·89 billion (7·67–8·13) people in 2021, by which time 56 of 204 countries and territories had peaked and subsequently populations have declined. The largest proportion of population growth between 2020 and 2021 was in sub-Saharan Africa (39·5% [28·4–52·7]) and south Asia (26·3% [9·0–44·7]). From 2000 to 2021, the ratio of the population aged 65 years and older to the population aged younger than 15 years increased in 188 (92·2%) of 204 nations. Interpretation: Global adult mortality rates markedly increased during the COVID-19 pandemic in 2020 and 2021, reversing past decreasing trends, while child mortality rates continued to decline, albeit more slowly than in earlier years. Although COVID-19 had a substantial impact on many demographic indicators during the first 2 years of the pandemic, overall global health progress over the 72 years evaluated has been profound, with considerable improvements in mortality and life expectancy. Additionally, we observed a deceleration of global population growth since 2017, despite steady or increasing growth in lower-income countries, combined with a continued global shift of population age structures towards older ages. These demographic changes will likely present future challenges to health systems, economies, and societies. The comprehensive demographic estimates reported here will enable researchers, policy makers, health practitioners, and other key stakeholders to better understand and address the profound changes that have occurred in the global health landscape following the first 2 years of the COVID-19 pandemic, and longer-term trends beyond the pandemic
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