Psychosocial functioning and intelligence both partly explain socioeconomic inequalities in premature death. A population-based male cohort study

The possible contributions of psychosocial functioning and intelligence differences to socioeconomic status (SES)-related inequalities in premature death were investigated. None of the previous studies focusing on inequalities in mortality has included measures of both psychosocial functioning and intelligence.The study was based on a cohort of 49 321 men born 1949-1951 from the general community in Sweden. Data on psychosocial functioning and intelligence from military conscription at ∼18 years of age were linked with register data on education, occupational class, and income at 35-39 years of age. Psychosocial functioning was rated by psychologists as a summary measure of differences in level of activity, power of initiative, independence, and emotional stability. Intelligence was measured through a multidimensional test. Causes of death between 40 and 57 years of age were followed in registers.The estimated inequalities in all-cause mortality by education and occupational class were attenuated with 32% (95% confidence interval: 20-45%) and 41% (29-52%) after adjustments for individual psychological differences; both psychosocial functioning and intelligence contributed to account for the inequalities. The inequalities in cardiovascular and injury mortality were attenuated by as much as 51% (24-76%) and 52% (35-68%) after the same adjustments, and the inequalities in alcohol-related mortality were attenuated by up to 33% (8-59%). Less of the inequalities were accounted for when those were measured by level of income, with which intelligence had a weaker correlation. The small SES-related inequalities in cancer mortality were not attenuated by adjustment for intelligence.Differences in psychosocial functioning and intelligence might both contribute to the explanation of observed SES-related inequalities in premature death, but the magnitude of their contributions likely varies with measure of socioeconomic status and cause of death. Both psychosocial functioning and intelligence should be considered in future studies

Species and abundance of ectoparasitic flies (Diptera) in pied flycatcher nests in Fennoscandia

Peer reviewe

Systematically reviewing and synthesizing evidence from conversation analytic and related discursive research to inform healthcare communication practice and policy: an illustrated guide

Background Healthcare delivery is largely accomplished in and through conversations between people, and healthcare quality and effectiveness depend enormously upon the communication practices employed within these conversations. An important body of evidence about these practices has been generated by conversation analysis and related discourse analytic approaches, but there has been very little systematic reviewing of this evidence. Methods We developed an approach to reviewing evidence from conversation analytic and related discursive research through the following procedures: • reviewing existing systematic review methods and our own prior experience of applying these • clarifying distinctive features of conversation analytic and related discursive work which must be taken into account when reviewing • holding discussions within a review advisory team that included members with expertise in healthcare research, conversation analytic research, and systematic reviewing • attempting and then refining procedures through conducting an actual review which examined evidence about how people talk about difficult future issues including illness progression and dying Results We produced a step-by-step guide which we describe here in terms of eight stages, and which we illustrate from our ‘Review of Future Talk’. The guide incorporates both established procedures for systematic reviewing, and new techniques designed for working with conversation analytic evidence. Conclusions The guide is designed to inform systematic reviews of conversation analytic and related discursive evidence on specific domains and topics. Whilst we designed it for reviews that aim at informing healthcare practice and policy, it is flexible and could be used for reviews with other aims, for instance those aiming to underpin research programmes and projects. We advocate systematically reviewing conversation analytic and related discursive findings using this approach in order to translate them into a form that is credible and useful to healthcare practitioners, educators and policy-makers

Subacute complications during recovery from severe traumatic brain injury: frequency and associations with outcome

Subacute complications during recovery from severe traumatic brain injury: frequency and associations with outcome. Objective: Mapping of medical complications in the subacute period after S-TBI and the impact of these complications on 1-year outcome to inform healthcare planning and discussion of prognosis with relatives. BM

Associations between maternal sense of coherence and controlling feeding practices: The importance of resilience and support in families of preschoolers.

Sense of Coherence (SOC) measures an individual’s positive, or salutogenic, orientation toward her/his capacities, environment, future, and life. SOC comprises three factors: comprehensibility (the sense of one’s own life as ordered and understandable); manageability (the perception of available resources and skills to manage stressors); and meaningfulness (the overall sense that life is filled with meaning and purpose). In numerous studies, SOC has been associated with resilience to stress. However, associations between parental SOC and controlling feeding practices have yet to be studied. This study examines the validity of the SOC 13-item, 3-factor questionnaire, associations between SOC and maternal and child characteristics, and associations between SOC and use of pressuring or restrictive feeding, among mothers of 4-year-olds. 565 mothers (23.5% of foreign origin, 30.3% with overweight/obesity) recruited via the Swedish population registry (response rate: 65%), completed the SOC–13, the Child Feeding Questionnaire (CFQ), and a background questionnaire. The validity of SOC-13 was examined using confirmatory factor analysis; associations with background characteristics and feeding practices were tested with structural equation modeling. SOC-13 validity testing showed acceptable fit (TLI = 0.93, CFI = 0.94, RMSEA = 0.06, SRMR = 0.04) after allowing one pair of error terms to correlate. The Cronbach’s alpha for meaningfulness was 0.73, comprehensibility 0.76, and manageability 0.75. SOC increased with mothers’ Swedish background and education, and decreased with higher BMI. Child gender, age, and BMI, were not associated with SOC. Lower SOC was associated with controlling practices and with concern about child weight and eating. The associations between SOC and feeding suggest that SOC-related parameters could inform childhood obesity research, and that prevention should address the socioeconomic barriers that parents face in building resilience to stress

Corpus perspectives on Russian discursive units : Semantics, pragmatics, and contrastive analysis

The present study analyzes a group of Russian discursive units withfocus-sensitive semantics such as imenno (just/precisely) , kak raz (just/precisely) ,to-to i ono (that’s just it/the point/problem) , to-to i est’ (that’s just it/the point/problem)and to-to i delo (that’s just it/the point/problem). They are important elementsof communication but have not yet been adequately described. Some of the analyzedlexical units – for example, imenno and kak raz or to-to i ono, to-to i est’ andto-to i delo – are near synonyms. Others, such as kak raz and to-to i ono , are not nearsynonyms, but they nevertheless belong to the semantic class of focus-sensitive elements.Thus they can all be put into a single group according to the principle offamily resemblance. The material itself suggests the logic of the analysis – on thebasis of pairs or groups of the semantically closest near synonyms: (1) imenno vs.kak raz ; (2) imenno vs. to-to i ono, (3) to-to i ono vs. to-to i est’ vs. to-to i delo.Near-synonyms within these groups can be distinguished from each other on thebasis of semantics, pragmatics, and usage preferences. Identifying differences ofvarious types requires a good corpus with numerous examples, for they can be presentsimultaneously on several levels: semantic and pragmatic, pragmatic and usual,etc. Often, although not always, pragmatic and/or usual differences are semanticallymotivated. Syntactic distinctions among near-synonyms, including those in certainsyntactic patterns, are also generally motivated by differences in their semantics. Ina number of cases the problem is solved through the use of translational equivalents,that is, not on the level of individual lexical units (words and phrasemes) but on thatof the entire utterance. Using relevant lexicographic information, text corpora,including parallel corpora, and works of fi ction, we shall: (a) clarify semantic and pragmatic properties as well as usage peculiarities of thefocus sensitive discursive units imenno, kak raz, to-to i ono, to-to i est’ andto-to i delo; (b) analyze their systemic and translational equivalents in English and Swedish

El círculo de interaprendizaje: Una estrategia pertinente para fortalecer las competencias profesionales e incrementar el logro satisfactorio de lectura en el nivel de secundaria de la I.E Felipe Santiago Estenós de Chaclacayo

Trabajo académicoEl presente plan de acción “El círculo de interaprendizaje: una estrategia pertinente para fortalecer las competencias profesionales e incrementar el logro satisfactorio de lectura en el nivel de secundaria de la I.E Felipe Santiago Estenós de Chaclacayo”, se ha elaborado a partir de la problemática detectada en referencia al bajo nivel de comprensión lectora de los estudiantes y el uso deficiente de estrategias en el manejo de competencias para mejorar el logro satisfactorio de comprensión lectora. Ante este diagnóstico se propone fortalecer las estrategias y técnicas de desarrollo de competencias profesionales e incrementar el logro satisfactorio de comprensión lectora, para ello el círculo de interaprendizaje es una estrategia pertinente que permite el trabajo en equipo para buscar alternativas de solución a través de talleres, jornadas de reflexión, GIAS, observación entre pares y jornadas con padres de familia. Para ello se ha diseñado que plantea el desarrollo de diferentes actividades vinculadas a lograr los objetivos propuestos teniendo en cuenta el enfoque educativo y formando grupos de coaching educativo que permitirá el mejor desempeño profesional

Subacute complications during recovery from severe traumatic brain injury : frequency and associations with outcome

Background: Medical complications after severe traumatic brain injury (S-TBI) may delay or prevent transfer to rehabilitation units and impact on long-term outcome. Objective: Mapping of medical complications in the subacute period after S-TBI and the impact of these complications on 1-year outcome to inform healthcare planning and discussion of prognosis with relatives. Setting: Prospective multicentre observational study. Recruitment from 6 neurosurgical centres in Sweden and Iceland. Participants and assessments: Patients aged 18-65 years with S-TBI and acute Glasgow Coma Scale 3-8, who were admitted to neurointensive care. Assessment of medical complications 3 weeks and 3 months after injury. Follow-up to 1 year. 114 patients recruited with follow-up at 1 year as follows: 100 assessed, 7 dead and 7 dropped out. Outcome measure: Glasgow Outcome Scale Extended. Results: 68 patients had >= 1 complication 3 weeks after injury. 3 weeks after injury, factors associated with unfavourable outcome at 1 year were: tracheostomy, assisted ventilation, on-going infection, epilepsy and nutrition via nasogastric tube or percutaneous endoscopic gastroscopy (PEG) tube (univariate logistic regression analyses). Multivariate analysis demonstrated that tracheostomy and epilepsy retained significance even after incorporating acute injury severity into the model. 3 months after injury, factors associated with unfavourable outcome were tracheostomy and heterotopic ossification (Fisher's test), infection, hydrocephalus, autonomic instability, PEG feeding and weight loss (univariate logistic regression). PEG feeding and weight loss at 3 months were retained in a multivariate model. Conclusions: Subacute complications occurred in two-thirds of patients. Presence of a tracheostomy or epilepsy at 3 weeks, and of PEG feeding and weight loss at 3 months, had robust associations with unfavourable outcome that were incompletely explained by acute injury severity

Controlling feeding practices and maternal migrant background: an analysis of a multicultural sample

OBJECTIVE: Parental feeding practices shape children's relationships with food and eating. Feeding is embedded socioculturally in values and attitudes related to food and parenting. However, few studies have examined associations between parental feeding practices and migrant background. DESIGN: Cross-sectional study. Parental feeding practices (restriction, pressure to eat, monitoring) were assessed using the Child Feeding Questionnaire. Differences were explored in four sub-samples grouped by maternal place of birth: Sweden, Nordic/Western Europe, Eastern/Southern Europe and countries outside Europe. Crude, partly and fully adjusted linear regression models were created. Potential confounding variables included child's age, gender and weight status, and mother's age, weight status, education and concern about child weight. SETTING: Malmö and Stockholm, Sweden. SUBJECTS: Mothers (n 1325, representing seventy-three countries; mean age 36·5 years; 28·1 % of non-Swedish background; 30·7 % with overweight/obesity; 62·8 % with university education) of pre-school children (mean age 4·8 years; 50·8 % boys; 18·6 % with overweight/obesity). RESULTS: Non-Swedish-born mothers, whether European-born or non-European-born, were more likely to use restriction. Swedish-born mothers and Nordic/Western European-born mothers reported lower levels of pressure to eat compared with mothers born in Eastern/Southern Europe and mothers born outside Europe. Differences in monitoring were small. Among the potential confounding variables, child weight status and concern about child weight were highly influential. Concern about child weight accounted for some of the effect of maternal origin on restriction. CONCLUSIONS: Non-European-born mothers were more concerned about children being overweight and more likely to report controlling feeding practices. Future research should examine acculturative and structural factors underlying differences in feeding