Cancer Curriculum for Appalachian Kentucky Middle and High Schools

Background: Appalachian Kentucky faces the highest cancer incidence and mortality rates in the country due to poor health behaviors and lifestyle choices. These poor health behaviors are facilitated by a lack of cancer education. Youth represent a vulnerable population that could be greatly impacted by increased cancer education. Teachers have the power to facilitate this learning. Purpose: This study examined the need for cancer education curriculum in Appalachian Kentucky middle and high schools from the perspective of educators. Methods: An online survey was conducted with science and health teachers (n=21) in Appalachian Kentucky, consisting of questions that investigated existing cancer education efforts, relevance of cancer education, and feasibility of such curriculum being delivered in the classroom. Content analysis was used to analyze teacher comments. A 3-part cancer education curriculum was developed that is culturally relevant and aligned with science and health education standards. Results: All participating teachers agree that cancer education is important to students’ lives. Teachers also agree that there is an inconsistent amount of cancer education within schools, and qualitative content analysis revealed that cancer education likely fits best in certain course subjects. Cancer education could feasibly be integrated into science and health classrooms, although the perception of needing to teach to the academic standards and having limited time to teach additional lessons outside of the standards are significant barriers. To combat this, a cancer curriculum that aligns with state and national science and health education standards was developed. Implications: Cancer education curriculum could play an important role in improving the cancer outlook in Appalachian Kentucky. Teachers have expressed a desire for increased cancer education in the classroom. By disseminating and implementing cancer curriculum in schools in the region and revising the curriculum -based on teacher and student feedback to better fit their needs, it has the potential to increase cancer literacy and improve related health behaviors and outcomes

Policies for an Ageing Workforce Work-life balance, working conditions and equal opportunities 2019

At a time of rapid population ageing, a key means of sustaining current welfare states is to extend the length of working lives. In 2050, the share of people over the age of 75 years will be the same as the share over 65 years today. And just as not all are able to work to the age of 65 now, not everyone will be able to work to the age of 75 in 2050; even if future older workers will in all likelihood be healthier and have better working aids at their disposal. Extending average working lives by 10 years, and at the same time ensuring an adequate social safety net for those unable to work into their late 60s and 70s, is a major social policy challenge for the coming decades. And because people are much more likely to work late in life if they had stable careers before reaching 60, tackling this policy challenge means pulling on many more social policy levers than just pension policy. While being keenly aware of these issues and how they relate to the overall agenda of active ageing, Commissioner Thyssen also reminds us in her Foreword that marked increases in life expectancy – both past and in the future – represent enormous social progress. The Commissioner makes the point that older people too contribute to society. And more so with lifelong learning and investment in skills

Dissecting the Shared Genetic Architecture of Suicide Attempt, Psychiatric Disorders, and Known Risk Factors

Background Suicide is a leading cause of death worldwide, and nonfatal suicide attempts, which occur far more frequently, are a major source of disability and social and economic burden. Both have substantial genetic etiology, which is partially shared and partially distinct from that of related psychiatric disorders. Methods We conducted a genome-wide association study (GWAS) of 29,782 suicide attempt (SA) cases and 519,961 controls in the International Suicide Genetics Consortium (ISGC). The GWAS of SA was conditioned on psychiatric disorders using GWAS summary statistics via multitrait-based conditional and joint analysis, to remove genetic effects on SA mediated by psychiatric disorders. We investigated the shared and divergent genetic architectures of SA, psychiatric disorders, and other known risk factors. Results Two loci reached genome-wide significance for SA: the major histocompatibility complex and an intergenic locus on chromosome 7, the latter of which remained associated with SA after conditioning on psychiatric disorders and replicated in an independent cohort from the Million Veteran Program. This locus has been implicated in risk-taking behavior, smoking, and insomnia. SA showed strong genetic correlation with psychiatric disorders, particularly major depression, and also with smoking, pain, risk-taking behavior, sleep disturbances, lower educational attainment, reproductive traits, lower socioeconomic status, and poorer general health. After conditioning on psychiatric disorders, the genetic correlations between SA and psychiatric disorders decreased, whereas those with nonpsychiatric traits remained largely unchanged. Conclusions Our results identify a risk locus that contributes more strongly to SA than other phenotypes and suggest a shared underlying biology between SA and known risk factors that is not mediated by psychiatric disorders.Peer reviewe

Work-Life Imbalance in Extended Working Lives: Domestic Divisions of Labour and Partners’ Perceptions of Job Pressures of Non-Retiring Older Workers

Abstract Extending working lives prolongs existing patterns of time spent in work or with family into later life. Analysis of European Social Survey data shows a widening in inequitable domestic divisions of labour in households with post-retirement age workers. We explore partners’ perceptions of older workers’ job pressures when close to or beyond retirement age. Partners’ concerns about job pressures are found not to be immediately associated with inequitable divisions of domestic labour but with the extent to which workers can determine the organisation of paid work and, specifically, tiredness after work. The paper argues that note should be taken of these concerns as they may be indicative of risks of intra-domestic stress. Zusammenfassung: Ungleichgewicht zwischen Beruf und Privatleben im verlängerten Arbeitsleben: Arbeitsteilung im Haushalt und Wahrnehmung des Arbeitsdrucks älterer Arbeitnehmer durch deren Partner Die Verlängerung des Arbeitslebens verschiebt auch die bestehende Arbeitszeit- oder das Familienleben zu späteren Zeitpunkten im Leben. Die Analyse der Daten des European Social Survey zeigt, dass sich die ungleiche Arbeitsteilung in Haushalten mit Arbeitnehmern, die über das Renteneintrittsalter hinaus beschäftigt sind, ausweitet. Wir untersuchen, wie Partner den Arbeitsdruck älterer Arbeitnehmer, die kurz vor oder nach Erreichen des typischen Renteneintrittsalter stehen, wahrnehmen. Die Ergebnisse zeigen, dass die Besorgnis der Partner älterer Beschäftigter über die Verantwortung und den Druck nicht unmittelbar mit einer ungleichen Verteilung von Hausarbeit verbunden ist, sondern mit dem Ausmaß, in dem die Arbeitenden ihren Arbeitstag selbst organisieren können und insbesondere auch mit der Müdigkeit nach der Arbeit. In dem Papier wird argumentiert, dass diese Bedenken zur Kenntnis genommen werden sollten, insoweit sie auf ein Risiko von Stress innerhalb der Beziehung hindeuten

Analýza prodejů Škoda Auto ve střední Evropě a rozvoj prodejní sítě

Diplomová práce se zabývá analýzou prodeje vozů značky Škoda v regionu střední Evropy a s tím souvisejícím rozvojem prodejní/ servisní sítě s přihlédnutím ke změnám vyvolaným vstupem nových členských zemí do Evropské unie. Charakterizuje funkční rozdělení prodejní sítě a vymezuje faktory ovlivňující její rozvoj. Dále se věnuje charakteristice středoevropských trhů (Česká republika, Slovensko, Polsko, Maďarsko, Rakousko, Slovinsko), prodejům realizovaným na těchto trzích a otázkám s tím souvisejícím, jako je finanční stránka obchodů a změna filosofie přístupu k finálním zákazníkům