The impact of parental divorce on college age offspring's perception of romantic/marital commitment [abstract]

Abstract only availableFaculty Mentor: Dr. John Hodges, Social WorkA child's life changes in a variety of ways when his/her parents divorce. Amato & DeBoer (2001) found that children from divorced families are at a greater risk of having their own marriages end in divorce. There are many factors that influence this trend. Previous research has stated the parental divorce affects an offspring's certainty about his/her romantic relationships and his/her perceptions of problems in those relationships, (Jacquet & Surra, 2001). This research study surveys college age students in order to gain further information about how a parent's divorce will affect a child's perception of romantic and marital commitment. Divorce is an issue that children have been dealing with for many years. However, with a divorce rate of 50-60% of marriages ending in divorce, it is becoming increasingly important for parents, teachers, and other social service professionals to be familiar with the unique difficulties that children of divorced parents will face. A child's ability to form secure, lasting commitments to romantic partners is affected negatively when parents divorce. In order to learn more about the problems related to romantic/marital commitment in the offspring of divorce, a quantitative design was selected and a 31-question self-administered survey questionnaire was administered to 77 undergraduate students in a lecture class on the University of Missouri-Columbia campus. SPSS 11.5 was used to analyze the variable descriptive and inferential statistics, including t-tests and ANOVA. The romantic/marital commitment levels of college age offspring of divorced parents were not found to be significant when compared to the survey participants whose parents were still married. Variables like cheating in past relationships and fear of commitment were analyzed using t-test comparing the variables with students whose parents were divorced and those whose parents were not divorced. None of the analyses were found to be statistically significant, therefore, the hypothesis that college age students whose parents had divorced would have a lower level of commitment in romantic/marital commitment than their counterparts could not be supported. While the difficulties of children whose parents divorce are important to understand, the question remains unanswered as to the definite factors that a child deals with after their parents divorce. Romantic/marital commitments levels were not found to be lower in college students whose parents were di

Letter From Elisha Dyer to Francis Mairs Huntington-Wilson, April 2, 1897

This document is a typed letter from Elisha Dyer to Francis Mairs Huntington-Wilson in which Dyer wishes Huntington-Wilson success in securing his desired position.https://digitalcommons.ursinus.edu/fmhw_early_career/1014/thumbnail.jp

Registered Ship Notes

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Registered Ship Notes

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The revised Approved Instructional Resources score:An improved quality evaluation tool for online educational resources

BACKGROUND: Free Open-Access Medical education (FOAM) use among residents continues to rise. However, it often lacks quality assurance processes and residents receive little guidance on quality assessment. The Academic Life in Emergency Medicine Approved Instructional Resources tool (AAT) was created for FOAM appraisal by and for expert educators and has demonstrated validity in this context. It has yet to be evaluated in other populations.OBJECTIVES: We assessed the AAT's usability in a diverse population of practicing emergency medicine (EM) physicians, residents, and medical students; solicited feedback; and developed a revised tool.METHODS: As part of the Medical Education Translational Resources: Impact and Quality (METRIQ) study, we recruited medical students, EM residents, and EM attendings to evaluate five FOAM posts with the AAT and provide quantitative and qualitative feedback via an online survey. Two independent analysts performed a qualitative thematic analysis with discrepancies resolved through discussion and negotiated consensus. This analysis informed development of an initial revised AAT, which was then further refined after pilot testing among the author group. The final tool was reassessed for reliability.RESULTS: Of 330 recruited international participants, 309 completed all ratings. The Best Evidence in Emergency Medicine (BEEM) score was the component most frequently reported as difficult to use. Several themes emerged from the qualitative analysis: for ease of use-understandable, logically structured, concise, and aligned with educational value. Limitations include deviation from questionnaire best practices, validity concerns, and challenges assessing evidence-based medicine. Themes supporting its use include evaluative utility and usability. The author group pilot tested the initial revised AAT, revealing a total score average measure intraclass correlation coefficient (ICC) of moderate reliability (ICC = 0.68, 95% confidence interval [CI] = 0 to 0.962). The final AAT's average measure ICC was 0.88 (95% CI = 0.77 to 0.95).CONCLUSIONS: We developed the final revised AAT from usability feedback. The new score has significantly increased usability, but will need to be reassessed for reliability in a broad population.</p

The Social Media Index as an Indicator of Quality for Emergency Medicine Blogs: A METRIQ Study

Study objective: Online educational resources such as blogs are increasingly used for education by emergency medicine clinicians. The Social Media Index was developed to quantify their relative impact. The Medical Education Translational Resources: Indicators of Quality (METRIQ) study was conducted in part to determine the association between the Social Media Index score and quality as measured by gestalt and previously derived quality instruments. Methods: Ten blogs were randomly selected from a list of emergency medicine and critical care Web sites. The 2 most recent clinically oriented blog posts published on these blogs were evaluated with gestalt, the Academic Life in Emergency Medicine Approved Instructional Resources (ALiEM AIR) score, and the METRIQ-8 score. Volunteer raters (including medical students, emergency medicine residents, and emergency medicine attending physicians) were identified with a multimodal recruitment methodology. The Social Media Index was calculated in February 2016, November 2016, April 2017, and December 2017. Pearson's correlations were calculated between the Social Media Index and the average rater gestalt, ALiEM AIR score, and METRIQ-8 score. Results: A total of 309 of 330 raters completed all ratings (93.6%). The Social Media Index correlated moderately to strongly with the mean rater gestalt ratings (range 0.69 to 0.76) and moderately with the mean rater ALiEM AIR score (range 0.55 to 0.61) and METRIQ-8 score (range 0.53 to 0.57) during the month of the blog post's selection and for 2 years after. Conclusion: The Social Media Index's correlation with multiple quality evaluation instruments over time supports the hypothesis that it is associated with overall Web site quality. It can play a role in guiding individuals to high-quality resources that can be reviewed with critical appraisal techniques

Age and frailty are independently associated with increased COVID-19 mortality and increased care needs in survivors: results of an international multi-centre study

Introduction: Increased mortality has been demonstrated in older adults with coronavirus disease 2019 (COVID-19), but the effect of frailty has been unclear. Methods: This multi-centre cohort study involved patients aged 18 years and older hospitalised with COVID-19, using routinely collected data. We used Cox regression analysis to assess the impact of age, frailty and delirium on the risk of inpatient mortality, adjusting for sex, illness severity, inflammation and co-morbidities. We used ordinal logistic regression analysis to assess the impact of age, Clinical Frailty Scale (CFS) and delirium on risk of increased care requirements on discharge, adjusting for the same variables. Results: Data from 5,711 patients from 55 hospitals in 12 countries were included (median age 74, interquartile range [IQR] 54–83; 55.2% male). The risk of death increased independently with increasing age (>80 versus 18–49: hazard ratio [HR] 3.57, confidence interval [CI] 2.54–5.02), frailty (CFS 8 versus 1–3: HR 3.03, CI 2.29–4.00) inflammation, renal disease, cardiovascular disease and cancer, but not delirium. Age, frailty (CFS 7 versus 1–3: odds ratio 7.00, CI 5.27–9.32), delirium, dementia and mental health diagnoses were all associated with increased risk of higher care needs on discharge. The likelihood of adverse outcomes increased across all grades of CFS from 4 to 9. Conclusion: Age and frailty are independently associated with adverse outcomes in COVID-19. Risk of increased care needs was also increased in survivors of COVID-19 with frailty or older age.</p