The Availability and Utilization of Assistance by Childless Elderly and Elderly Parents: A Comparative Study

Using data from the Survey of Asset and Health Dynamics Among the Oldest-Old, Wave 1, 1993, the differences between elderly parents and childless elderly in the sources of assistance that are available to them and utilized by them are examined. Parental status is examined for its effect on sources of assistance with activities of daily living (ADLs), instrumental activities of daily living (LADLs), expected sources of future support with ADLs/LADLs, residence in a building or community which provides personal care services and with financial management. The effect is controlled for covariates of marital status, age, sex, and household income using regression models. The examination found that the lack of or presence of children does affect who assists an elderly person. Overall, the childless respondents used more non-family sources of assistance with a broad spectrum of care needs. Implications of the findings are discussed and recommendations for future research are detailed

The principal-counselor relationship as school leaders within a freshman academy

The principal-counselor relationship is an important component to serving families in a comprehensive manner in schools. Collaboration of principals and school counselors supports students while simultaneously meeting the requirements of school reform and student accountability required by the law (Rock et al. 2017). Previous research has shown a lack of collaboration between principals and counselors while other research also suggests that when principals and counselors combine their knowledge, skills and expertise, this combination can lead to an increase in school success, a more positive school climate and increased support of staff needs. This study was conducted in order to examine the lived experiences of the principal and school counselor relationship in the concentrated freshman academy setting. The purpose of this hermeneutic phenomenological study is to investigate the principal-counselor working relationship as school leaders working in a freshman academy setting. This study primarily serves as an educational tool by sharing the lived experiences of principals and counselors working in freshman academies. A review of the literature takes a closer look at the existing research on the principal-counselor relationship and current trends in education including the freshman academy and trauma informed practices. These initiatives provide concentrated environments and opportunities for the specialized skills of a school counselor to be best utilized in a shared leadership relationship. The researcher conducted a hermeneutical phenomenology study conducting interviews to explore the lived experiences of the participants. Max van Manen’s (2014) Phenomenology of Practice provided the methodological framework for this study. van Manen’s existential lifeworlds: temporality (lived time), corporeality (lived body), relationality (lived self-other), spatiality (lived space), materiality (lived things) and technology (lived cyborg relations) were used to examine how school counselors and principals describe their lived experiences working as school leaders in a freshman academy. The findings indicate that when a relationship exists between the principal and school counselor shared leadership results. When care is given to defining the role of the school counselor, and that role is protected, programs such as the Freshman Academy thrive in serving their students and families as well as in supporting teachers. Stakeholders continue to misunderstand and misuse school counselors requiring continuous advocacy for their role and benefits. The conclusion of the study calls for future research to explore the benefits of the principal-counselor relationship on the school environment and in settings other than the freshman academy

Working Alliance for Clients with Social Anxiety Disorder: Relationship with Session Helpfulness and Within-Session Habituation

It has been suggested that a strong working alliance encourages clients to take risks during therapy (Raue, Castonguay, & Goldfried, 1993). This encouragement may be important for clients who fear negative evaluations as they engage in risk-taking elements of therapy. This study examined the relationship between working alliance, session helpfulness, and measures of emotional processing in 18 clients undergoing cognitive behavior therapy (CBT) for social anxiety disorder. Results indicate a positive correlation between client-rated, but not observer-rated, working alliance and session helpfulness. Moderate levels of working alliance were associated with higher initial anxiety and deeper within-session habituation. Overall, a strong alliance was associated with clients engaging with the session and finding the session helpful. Implications for the use of CBT for social anxiety are discussed

Life stage-specific hydropeaking flow rules

ReviewPeak-operating hydropower plants are usually the energy grid’s backbone by providing flexible energy production. At the same time, hydropeaking operations are considered one of the most adverse impacts on rivers, whereby aquatic organisms and their life-history stages can be affected in many ways. Therefore, we propose specific seasonal regulations to protect ecologically sensitive life cycle stages. By reviewing hydropeaking literature, we establish a framework for hydrological mitigation based on life-history stages of salmonid fish and their relationship with key parameters of the hydrograph. During migration and spawning, flows should be kept relatively stable, and a flow cap should be implemented to prevent the dewatering of spawning grounds during intragravel life stages. While eggs may be comparably tolerant to dewatering, post-hatch stages are very vulnerable, which calls for minimizing or eliminating the duration of drawdown situations and providing adequate minimum flows. Especially emerging fry are extremely sensitive to flow fluctuations. As fish then grow in size, they become less vulnerable. Therefore, an ‘emergence window’, where stringent thresholds on ramping rates are enforced, is proposed. Furthermore, time of day, morphology, and temperature changes must be considered as they may interact with hydropeaking. We conclude that the presented mitigation framework can aid the environmental enhancement of hydropeaking rivers while maintaining flexible energy productioninfo:eu-repo/semantics/publishedVersio

Respiratory pathogen colonisation of dental plaque, the lower airways and endotracheal tube biofilms during mechanical ventilation

Purpose In mechanically ventilated patients, the endotracheal tube is an essential interface between the patient and ventilator, but inadvertently, it also facilitates the development of ventilator-associated pneumonia (VAP) by subverting pulmonary host defenses. A number of investigations suggest that bacteria colonizing the oral cavity may be important in the etiology of VAP. The present study evaluated microbial changes that occurred in dental plaque and lower airways of 107 critically ill mechanically ventilated patients. Materials and Methods Dental plaque and lower airways fluid was collected during the course of mechanical ventilation, with additional samples of dental plaque obtained during the entirety of patients' hospital stay. Results A “microbial shift” occurred in dental plaque, with colonization by potential VAP pathogens, namely, Staphylococcus aureus and Pseudomonas aeruginosa in 35 patients. Post-extubation analyses revealed that 70% and 55% of patients whose dental plaque included S aureus and P aeruginosa, respectively, reverted back to having a predominantly normal oral microbiota. Respiratory pathogens were also isolated from the lower airways and within the endotracheal tube biofilms. Conclusions To the best of our knowledge, this is the largest study to date exploring oral microbial changes during both mechanical ventilation and after recovery from critical illness. Based on these findings, it was apparent that during mechanical ventilation, dental plaque represents a source of potential VAP pathogens

Efficacy of a Manualized and Workbook-Driven Individual Treatment for Social Anxiety Disorder

Social anxiety disorder is a prevalent and impairing disorder for which viable cognitive-behavioral therapies exist. However, these treatments have not been easily packaged for dissemination and may be underutilized as a result. The current study reports on the findings of a randomized controlled trial of a manualized and workbook-driven individual cognitive-behavioral treatment for social anxiety disorder (Hope, Heimberg, Juster, & Turk, 2000; Hope, Heimberg, & Turk, 2006). This treatment package was derived from an empirically supported group treatment for social anxiety disorder and intended for broad dissemination, but it has not previously been subjected to empirical examination on its own. As a first step in that examination, 38 clients seeking treatment for social anxiety disorder at either the Adult Anxiety Clinic of Temple University or the Anxiety Disorders Clinic of the University of Nebraska–Lincoln were randomly assigned to receive either immediate treatment with this cognitive-behavioral treatment package or treatment delayed for 20 weeks. Evaluation at the posttreatment/postdelay period revealed substantially greater improvements among immediate treatment clients on interviewer-rated and self-report measures of social anxiety and impairment. Three-month follow-up assessment revealed maintenance of gains. Clinical implications and directions for future research are discussed

Lyman Continuum Escape Fraction of Star-forming Dwarf Galaxies at z ~ 1

To date, no direct detection of Lyman continuum emission has been measured for intermediate-redshift (z ~ 1) star-forming galaxies. We combine Hubble Space Telescope grism spectroscopy with GALEX UV and ground-based optical imaging to extend the search for escaping Lyman continuum to a large (~600) sample of z ~ 1 low-mass log(M)≃ 9.3 M_☉), moderately star-forming (ψ ≾ 10M_☉ yr^(−1)) galaxies selected initially on Hα emission. The characteristic escape fraction of LyC from star-forming galaxies (SFGs) that populate this parameter space remains weakly constrained by previous surveys, but these faint (sub-Lsstarf) SFGs are assumed to play a significant role in the reionization of neutral hydrogen in the intergalactic medium (IGM) at high redshift z > 6. We do not make an unambiguous detection of escaping LyC radiation from this z ~ 1 sample, individual non-detections to constrain the absolute Lyman continuum escape fraction, f_(esc) 200Å), which are thought to be close analogs of high redshift sources of reionization. For reference, we also present an emissivity-weighted escape fraction that is useful for measuring the general contribution SFGs to the ionizing UV background. In the discussion, we consider the implications of these intermediate redshift constraints for the reionization of hydrogen in the IGM at high (z > 6) redshift. If we assume our z ~ 1 SFGs, for which we measure this emissivity-weighted f_(esc), are analogs to the high redshift sources of reionization, we find it is difficult to reconcile reionization by faint (M}_(UV) ≾-13) SFGs with a low escape fraction (f_(esc) < 3%), with constraints from independent high redshift observations. If f_(esc) evolves with redshift, reionization by SFGs may be consistent with observations from Planck

Discriminating between Cognitive and Supportive Group Therapies for Chronic Mental Illness

This descriptive and comparative study employed a Q-sort process to describe common factors of therapy in two group therapies for inpatients with chronic mental illness. While pharmacological treatments for chronic mental illness are prominent, there is growing evidence that cognitive therapy is also efficacious. Groups examined were part of a larger study comparing the added benefits of cognitive versus supportive group therapy to the treatment milieu. In general, items described the therapist’s attitudes and behaviors, the participants’ attitudes and behaviors, or the group interactions. Results present items that were most and least characteristic of each therapy and items that discriminate between the two modalities. Therapists in both groups demonstrated good therapy skills. However, the cognitive group was described as being more motivated and active than the supportive group, indicating that the groups differed in terms of common as well as specific factors of treatment

CYP1B1 copy number variation is not a major contributor to primary congenital glaucoma

This article is published under a Creative Commons Attribution-NonCommercial-NoDerivatives License 3.0, or CC BY-NC-ND 3.0 (see http://creativecommons.org/licenses/by-nc-nd/3.0/ for license terms). The authors retain copyright and grant Molecular Vision an irrevocable, royalty-free, perpetual license to publish and distribute the article, in all formats now known or later developed, and to identify Molecular Vision as the original publisher.Purpose: To evaluate the prevalence and the diagnostic utility of testing for CYP1B1 copy number variation (CNV) in primary congenital glaucoma (PCG) cases unexplained by CYP1B1 point mutations in The Australian and New Zealand Registry of Advanced Glaucoma. Methods: In total, 50 PCG cases either heterozygous for disease-causing variants or with no CYP1B1 sequence variants were included in the study. CYP1B1 CNV was analyzed by Multiplex Ligation-dependent Probe Amplification (MLPA). Results: No deletions or duplications were found in any of the cases. Conclusion: This is the first study to report on CYP1B1 CNV in PCG cases. Our findings show that this mechanism is not a major contributor to the phenotype and is of limited diagnostic utility