A gift wrapped in barbed wire: Personal growth among individuals with arthritis or inflammatory bowel disease

Despite the growing interest in the development of personal growth following a health-related adversity such as the diagnosis of a chronic illness, there has been little research investigating the factors that may give rise to personal growth. The objective of the present study was to explore the experience of posttraumatic growth and to identify the factors associated with posttraumatic growth among individuals with arthritis or inflammatory bowel disease (IBD) at two time points spaced six months apart. Using Schaefer and Moos\u27 (1992) model as a theoretical framework, the association of positive outlook, spirituality, social support, stressors, cognitive appraisal variables, and coping strategies was examined among 214 individuals diagnosed with arthritis and 377 individuals diagnosed with IBD. Two structural equation models were estimated for each illness group. For the IBD group, the results showed that positive outlook, stressors, and social support each had an indirect effect on posttraumatic growth, mediated through symptom control beliefs, benefit-finding, and adaptive coping strategies. For the arthritis group, the results showed that positive outlook and stressors had an indirect effect on posttraumatic growth, mediated though benefit-finding and adaptive coping strategies, whereas social support had an indirect effect on posttraumatic growth, mediated through symptom control beliefs and adaptive coping. Importantly, this study highlights the relative roles of positive outlook, stressors, social support, cognitive appraisal variables and coping strategies that may facilitate the experience of posttraumatic growth among individuals facing a non-life threatening chronic illness

Transmedia Play: Literacy Across Media

Transmedia play is a new way to understand how children develop critical media literacy and new media literacies through their interactions with contemporary media that links stories and structures across platforms. This essay highlights five characteristics of transmedia play that make it particularly useful for learning: resourcefulness, sociality, mobility, accessibility, and replayability, and explains how each characteristic relates to digital and media literacy education

Should I Stay or Should I Go? Perceived Barriers to Pursuing a University Education for Persons in Rural Areas

A university education can provide an individual with greater employment options, higher income potential, and improved health and quality of life, yet young persons from rural areas remain less likely to attend university than their urban counterparts. This study explores the perceived personal, social, and cultural factors that might create barriers for young persons from rural areas. Semi-structured interviews were conducted with 17 individuals living in rural areas in Alberta, aged 18 to 23 years, who had not attended university. Using interpretative phenomenological analysis, we identified 11 major themes, which were then organized into a conceptual model to illustrate the interacting nature of these factors and their influence on a person’s decision to pursue a university education. An examination of this model and its associated themes may help reveal the possible barriers young persons from rural areas experience when deciding whether or not to attend university.  Une formation universitaire peut permettre aux individus d’avoir un plus grand nombre d’options d’emploi et de meilleurs salaires, en plus d’améliorer leur santé et leur qualité de vie. Malheureusement, les jeunes des milieux ruraux demeurent moins enclins à fréquenter l’université que leurs homologues citadins. Cette étude se penche sur les facteurs personnels et socioculturels perçus qui pourraient ériger des barrières limitant l’accès universitaire aux jeunes adultes des milieux ruraux. Une étude basée sur des entrevues semi-structurées a été réalisée auprès de 17 individus âgés de 18 à 23 ans habitant en milieu rural albertain et n’ayant pas fréquenté l’université. Avec l’analyse interprétative de phénomène, nous avons répertorié 11 thèmes majeurs, que nous avons regroupés en un modèle conceptuel afin d’illustrer la nature des interactions entre ces facteurs et leur influence sur la décision des personnes d’entamer des études universitaires. L’examen du modèle et des thèmes associés pourrait révéler les barrières possibles auxquelles font face les jeunes adultes issus de milieux ruraux lorsque vient le temps de choisir d’étudier ou non à l’université

Lower adherence to screening mammography guidelines among ethnic minority women in America: a meta-analytic review

OBJECTIVE: This study investigates the association between ethnic minority status and receiving a screening mammogram within the past 2 years among American women over 50. METHOD: The findings from 33 studies identified from interdisciplinary research databases (1980 to 2006) were synthesized. Separate pooled analyses compared white non-Hispanics to African Americans (28 outcomes), Hispanics (18 outcomes), and Asian/Pacific Islanders (10 outcomes). RESULTS: Using the random effects model, results showed that African Americans were screened less than white non-Hispanics at a marginal level (OR 0.87, 95% CI 0.75, 1.00). Larger and significant discrepancies were observed for Hispanics (OR 0.65, 95% CI 0.50, 0.85) and Asian/Pacific Islanders (OR 0.63, 95% CI 0.39, 0.99) compared to white non-Hispanics. However, among studies controlling for socioeconomic status, ethnic differences in mammography screening were no longer significant for African Americans (OR 1.05, 95% CI 0.71, 1.76), Hispanics (OR 1.08, 95% CI 0.64, 1.93), or Asian/Pacific Islanders (OR 1.08, 95% CI 0.64, 1.93). Subgroup analyses further showed that geographical region, sampling method, and data collection strategy significantly impacted results. CONCLUSIONS: This study found evidence that ethnic minority-screening mammography differences exist but were impacted by socioeconomic status. Implications for interpreting existing knowledge and future research needs are discussed

Gender-role orientation and community policing: Implications for recruiting and selecting more suitable individuals for modern policing.

The present study investigated the relationship between gender-role orientation and proclivity for community policing (CP). University undergraduate students (N = 201) completed the Bem Sex Role Inventory (BRSI; Bem, 1974) and the Extended Personal Attributes Questionnaire (EPAQ; Spence, Helmreich & Holahan, 1978). They also reviewed descriptions of the law enforcement policing (LEP) and community policing (CP) models, as well as completed surveys that measure (a) attitudes towards CP and LEP, (b) interest in a career in policing under CP and LEP, (c) interest in performing a range of CP and LEP activities, and (d) self-rated ability to perform CP and LEP activities. Using the median-split method, participants were categorized into four gender-role orientation groups: instrumental, expressive, androgynous, and undifferentiated. The results supported the hypotheses that instrumental individuals would be more orientated towards LEP than CP, expressive individuals would be more oriented towards CP than LEP, and androgynous individuals would be oriented towards both LEP and CP. The results were interpreted as suggesting the possibility of selecting police recruits whose gender-role orientations represent a good fit with CP.Dept. of Psychology. Paper copy at Leddy Library: Theses & Major Papers - Basement, West Bldg. / Call Number: Thesis2004 .P87. Source: Masters Abstracts International, Volume: 43-05, page: 1837. Adviser: Frank Schneider. Thesis (M.A.)--University of Windsor (Canada), 2004

Epidemiology of gastroschisis: A population-based study in California from 1995 to 2012.

BackgroundAlthough the incidence of gastroschisis is increasing, risk factors are not clearly identified.MethodsUsing the Linked Birth Database from the California Office of Statewide Health Planning and Development from 1995 to 2012, patients with gastroschisis were identified by ICD-9 diagnosis/procedure code or birth certificate designation. Logistic regressions examined demographics, birth factors, and maternal exposures on risk of gastroschisis.ResultsThe prevalence of gastroschisis was 2.7 cases per 10,000 live births. Patients with gastroschisis had no difference in fetal exposure to alcohol (p = 0.609), narcotics (p = 0.072), hallucinogenics (p = 0.239), or cocaine (p = 0.777), but had higher exposure to unspecified/other noxious substances (OR 3.27, p = 0.040; OR 2.02, p = 0.002). Gastroschisis was associated with low/very low birthweight (OR 5.08-16.21, p < 0.001) and preterm birth (OR 3.26-10.0, p < 0.001). Multivariable analysis showed lower risk in black (OR 0.44, p < 0.001), Asian/Pacific Islander (OR 0.76, p = 0.003), and Hispanic patients (OR 0.72, p < 0.001) compared to white patients. Risk was higher in rural areas (OR 1.24-1.76, p = 0.001). Compared to women age < 20, risk decreased with advancing maternal age (OR 0.49-OR 0.03, p < 0.001). Patients with gastroschisis had increased total charges ($336,270 vs.$9012, p < 0.001) and length of stay (38.1 vs. 2.9 days, p < 0.001). Mortality was 4.6%.ConclusionsThis is the largest population-based study summarizing current epidemiology of gastroschisis in California.Type of studyRetrospective comparative cohort study.Level of evidenceIII

School-Based Deworming Program Yields Small Improvement in Growth of Zanzibari School Children After one Year.

Efficacy trials of antihelminthic therapies conducted in Africa have reported improvements in children's growth, but nutritional evaluations of large-scale deworming programs are lacking. We evaluated the first-year effect on growth of a school-based deworming program in Zanzibar, where growth retardation occurs in school children. Children in four primary schools were given thrice-yearly mebendazole (500 mg) and compared with children in four schools that received twice-yearly mebendazole and children in four non-program schools. Evaluation schools were randomly selected and allocated to control, twice-yearly or thrice-yearly deworming. Approximately 1000 children in each program group completed the 1-y follow-up. Children <10 y old gained 0.27 kg more weight (P < 0.05) and 0.13 cm more height (P = 0.20) in the twice-yearly group, and 0. 20 kg more weight (P = 0.07) and 0.30 cm more height (P < 0.01) in the thrice-yearly group, compared with the control group. Children <10 y old with higher heights-for-age at baseline had higher weight and height gains in response to deworming. In children >/=10 y old, overall program effects on height or weight gains were not significant. But in this age range, younger boys had significant improvements in height gain with thrice-yearly deworming, and children with higher heights-for-age had greater improvements in weight gain with deworming. We conclude that the deworming program improved the growth of school children, especially children who were younger and less stunted, but the improvements were small. More effective antihelminthic regimens or additional dietary or disease control interventions may be needed to substantially improve the growth of school children in areas such as Zanzibar

Prosumer collectives: a review

he authors would like to acknowledge the Smart Grid Forum for funding this research. They also acknowledge the aligned GREEN Grid research project, funded by the Ministry of Business Innovation and Employment (MBIE), with co-funding from Transpower and the Electricity Engineers’ Association. We also acknowledge our reviewers, John Hancock and Gerry Carrington.The widespread growth globally of micro-generation (particularly PV) means that consumers are interacting with electricity systems in new ways, becoming ‘energy prosumers’ – both producing and consuming energy. We define an energy prosumer as “a consumer of energy who also produces energy to provide for their needs, and who in the instance of their production exceeding their requirements, will sell, store or trade the surplus energy”. Growing prosumerism has the potential to create challenges for grid management, particularly if local generation becomes concentrated within a part of a lines network, which can particularly occur with the establishment of prosumer collectives. For this report we reviewed international and NZ articles and reports on this phenomenon, to understanding how and why consumers were adopting microgeneration, and ways in which prosumer collectives are emerging. In considering how people become prosumers, we found it useful to differentiate between ‘active prosumers’ whose decision to adopt microgeneration is self-directed and purposeful, and ‘passive prosumers’ whose entry is the result of external influences or the by-product of other decisions. The shift to becoming a prosumer creates many opportunities for people to become more actively engaged with the role of energy in their lives, which opens the door for collective engagement. We reviewed different forms of prosumer collectives in the UK, North America, Europe and Australasia. From these we identified that different models of prosumer collectives are emerging depending on whether the collective was initiated by a community or third party, and whether the microgeneration facility is on a focal site (e.g. a wind turbine cluster) or multiple sites (e.g. PV on many houses in a community). A further influence is the emergence of new business models and smart technologies that enable prosumers to manage energy production and consumption on a personal and collective level. Some businesses now offer peer-to-peer platforms that enable power-sharing within a microgrid, as well as supporting spatially dispersed collective engagement. For example, prosumers who have surplus power can sell or exchange it directly with others. We identified and named five models of collective prosumerism: multi-site community initiatives; focal-site community initiatives; multi-site third-party initiatives; focal-site third-party initiatives; and dispersed-site third-party initiatives. The common theme is that multiple non-traditional players are consciously engaging with each other in generating and sharing energy and/or the proceeds of energy generation. We identify a range of drivers, barriers and enablers to collective prosumerism. The decreasing cost of microgeneration and storage is a significant driver, along with aspirations for greater independence, control, sustainability and community cohesion. Both community and third-party developments are largely initiated by organisations that have not traditionally been part of the electricity industry. If the industry ignores or attempts to suppress this emerging interest by consumers in collective prosumerism, it may find itself becoming increasingly irrelevant in the lives of electricity users

LOWER EXTREMITY LEAN MASS ASYMMETRY CORRELATED WITH FORCE AND POWER ASYMMETRY DURING JUMPING IN ADULTS

The purpose of the current study was to quantify the relationships between lower extremity lean mass asymmetry and force and power asymmetry during jumping in adults aged 18-75 years old. Forty younger adults (18-35 years of age), 28 middle-aged adults (36-55 years of age), and 34 older adult (56-75 years of age) participated in the study. Subjects underwent Dual Energy Xray Absorptiometry to assess lower extremity bilateral lean mass asymmetry. Subjects performed 3 trials of a counter movement jump on two force plates to measure lower extremity bilateral force and power asymmetry. Lower extremity lean mass asymmetry was significantly correlated with force and power asymmetry in younger and middle-aged adults, but not in older adults. Improving lean mass asymmetry might assist in correcting force asymmetry in younger and middle-aged adults