Exploratory Factor Analysis of Political Engagement Questionnaire: A College Students’ Perspectives

There is an increasing number of Seventh Day Adventists (SDAs) who engaged in politics.  Church members have varied perception of their engagement in politics. Thus, this study aimed to develop a psychometrically validated instrument that assessed students’ perception of political engagement among SDAs.  Survey questionnaires were administered to 105 college students. Exploratory factor analysis with Varimax rotation was conducted resulting to a two-dimensional structure of the students’ perception of political engagement among SDAs.  Good internal consistency reliability was indicated by a Cronbach alpha estimate of .745 in the final scale.  A two-factor model was generated specifying that SDAs joined politics because they served as church ambassadors to the country (Factor 1) and politics engagement is a Personal Belief and Modeling  (Factor 2). The total percent of variance accounted for the model is 50.78 where the 32% is contributed by the Factor 1. This study concludes that the Political Engagement Questionnaire have sufficiently strong construct validity evidence. This developed questionnaires and the corresponding construct may be useful in studies investigating patterns of political engagement of SDAs. However, it can be still improved using larger population.  Other implications are also discussed

Surgical site infection after caesarean section. Space for post-discharge surveillance improvements and reliable comparisons

Surgical site infections (SSI) after caesarean section (CS) represent a substantial health system concern. Surveying SSI has been associated with a reduction in SSI incidence. We report the findings of three (2008, 2011 and 2013) regional active SSI surveillances after CS in community hospital of the Latium region determining the incidence of SSI. Each CS was surveyed for SSI occurrence by trained staff up to 30 post-operative days, and association of SSI with relevant characteristics was assessed using binomial logistic regression. A total of 3,685 CS were included in the study. A complete 30 day post-operation follow-up was achieved in over 94% of procedures. Overall 145 SSI were observed (3.9% cumulative incidence) of which 131 (90.3%) were superficial and 14 (9.7%) complex (deep or organ/space) SSI; overall 129 SSI (of which 89.9% superficial) were diagnosed post-discharge. Only higher NNIS score was significantly associated with SSI occurrence in the regression analysis. Our work provides the first regional data on CS-associated SSI incidence, highlighting the need for a post-discharge surveillance which should assure 30 days post-operation to not miss data on complex SSI, as well as being less labour intensive

BESPRECHUNGEN COMPTES RENDUS - REVIEWS

Peer Reviewedhttp://deepblue.lib.umich.edu/bitstream/2027.42/72613/1/j.1467-6435.1957.tb00243.x.pd

Intervención Social y Procesos Sociales: un estudio sobre la territorialidad, desterritorialidad y politicidad en la ciudad de Paraná

La investigación indagó los procesos sociales como expresión del movimiento tensional entre intervención social, espacios y formatos organizativos y politicidades que se despliegan con relación a la territorialidad. El trabajo exploratorio descriptivo, abordó el objeto cualitativamente, intentando captar la perspectiva de los actores observando cómo y bajo qué circunstancias producen, reproducen, recrean y/o transforman prácticas sociales, preguntándonos acerca de la incidencia de la intervención social en cada momento sobre las organizaciones sociales y en ese plano poder reconocer la politicidad que las mismas expresan. Nos planteamos como supuesto, que nos encontramos frente organizaciones sociales que responden a diferentes lógicas inscriptas en matrices divergentes que, no obstante, coexisten; lógicas en las que la intervención social de cada momento ha contribuido, sea como objetivo o como consecuencias no deseadas. En los resultados pudimos identificar modalidades que se expresan a través de rasgos que las caracterizan, encontrándonos con una territorialización desde una matriz asistencial en el Club de Abuelas de Barrio Belgrano, una construcción de la territorialidad a partir de la militancia partidaria en el Club Banfield, una territorialización de la noción de derechos en el Complejo Comunitario de Barrio Mitre, y una politización con rasgos tecnofilantrópicos en el Merendero Copa de Leche y Ropero Solidario

Immediate thoracotomy for penetrating injuries: Ten years' experience at a Dutch level I trauma center

Background: An emergency department thoracotomy (EDT) or an emergency thoracotomy (ET) in the operating theater are both beneficial in selected patients following thoracic penetrating injuries. Since outcome-descriptive European studies are lacking, the aim of this retrospective study was to evaluate ten years of experience at a Dutch level I trauma center. Method: Data on patients who underwent an immediate thoracotomy after sustaining a penetrating thoracic injury between October 2000 and January 2011 were collected from the trauma registry and hospital files. Descriptive and univariate analyses were performed. Results: Among 56 patients, 12 underwent an EDT and 44 an ET. Forty-six patients sustained one or multiple stab wounds, versus ten with one or multiple gunshot wounds. Patients who had undergone an EDT had a lower GCS (p < 0. 001), lower pre-hospital RTS and hospital triage RTS (p < 0. 001 and p = 0. 009, respectively), and a lower SBP (p = 0. 038). A witnessed loss of signs of life generally occurred in EDT patients and was accompanied by 100 % mortality. Survival following EDT was 25 %, which was significantly lower than in the ET group (75 %; p = 0. 002). Survivors had lower ISS (p = 0. 011), lower rates of pre-hospital (p = 0. 031) and hospital (p = 0. 003) hemodynamic instability, and a lower prevalence of concomitant abdominal injury (p = 0. 002). Conclusion: The overall survival rate in our study was 64 %. The outcome of immediate thoracotomy performed in this level I trauma center was similar to those obtained in high-incidence regions like the US and South Africa. This suggests that trauma units where immediate thoracotomies are not part of the daily routine can achieve similar results, if properly trained