Protective effects of interactional justice on job insecurity of Chinese workers: evidence from a large-scale state-owned telecom company

The study attempted to explore protective effects of procedural justice on job insecurity and job attitudes of Chinese workers in the face of an impending organizational change. In a large-scale state-owned telecom company and its four subsidiary companies in China where a fundamental organizational change was about to take place, 592 employees were randomly sampled and surveyed. The results of hierarchical regression analysis show that procedural justice could bolster employees’ job satisfaction and organizational commitment partially through reducing their job insecurity. Further analysis of this partial mediating effect, in terms of two components of procedural justice, revealed a protective effect of interactional justice instead of formal procedure on job insecurity of Chinese employees in the face of the forthcoming organizational change. Implications for measures protecting employees’ psychological well-being in the decision-making process of human resource management leading up to organizational change are discussed later.published_or_final_versionThe 2nd IEEE Symposium on Web Society (SWS 2010), Beijing, China, 16-17 August 2010. In Proceedings of the IEEE Symposium on Web Society, 2010, p. 443-44

A study of resiliency among Chinese health care workers: Capacity to cope with workplace stress

This paper reports a study of resiliency to cope with workplace stress among Chinese health care workers. We adopted a qualitative-quantitative-biomarker approach to conduct interviews, focus group discussions, and a two-wave longitudinal survey. Wave 1 survey was conducted among health care workers in Hong Kong and Mainland China (N = 773). Amongst them, 287 took part in Wave 2 survey. A confirmatory factor analysis consistently supported a 9-item scale. A sub-sample's (N = 33) resiliency was positively related to salivary IgA levels (an immune marker). Results from hierarchical regressions demonstrated that resiliency measured in Wave 1 was positively related to job satisfaction, work-life balance, and quality of life; and negatively related to physical/psychological symptoms and injuries at work in Wave 2. © 2009 Elsevier Inc. All rights reserved.postprin

A922 Sequential measurement of 1 hour creatinine clearance (1-CRCL) in critically ill patients at risk of acute kidney injury (AKI)

Meeting abstrac

Effects of alirocumab on types of myocardial infarction: insights from the ODYSSEY OUTCOMES trial

Aims  The third Universal Definition of Myocardial Infarction (MI) Task Force classified MIs into five types: Type 1, spontaneous; Type 2, related to oxygen supply/demand imbalance; Type 3, fatal without ascertainment of cardiac biomarkers; Type 4, related to percutaneous coronary intervention; and Type 5, related to coronary artery bypass surgery. Low-density lipoprotein cholesterol (LDL-C) reduction with statins and proprotein convertase subtilisin–kexin Type 9 (PCSK9) inhibitors reduces risk of MI, but less is known about effects on types of MI. ODYSSEY OUTCOMES compared the PCSK9 inhibitor alirocumab with placebo in 18 924 patients with recent acute coronary syndrome (ACS) and elevated LDL-C (≥1.8 mmol/L) despite intensive statin therapy. In a pre-specified analysis, we assessed the effects of alirocumab on types of MI. Methods and results  Median follow-up was 2.8 years. Myocardial infarction types were prospectively adjudicated and classified. Of 1860 total MIs, 1223 (65.8%) were adjudicated as Type 1, 386 (20.8%) as Type 2, and 244 (13.1%) as Type 4. Few events were Type 3 (n = 2) or Type 5 (n = 5). Alirocumab reduced first MIs [hazard ratio (HR) 0.85, 95% confidence interval (CI) 0.77–0.95; P = 0.003], with reductions in both Type 1 (HR 0.87, 95% CI 0.77–0.99; P = 0.032) and Type 2 (0.77, 0.61–0.97; P = 0.025), but not Type 4 MI. Conclusion  After ACS, alirocumab added to intensive statin therapy favourably impacted on Type 1 and 2 MIs. The data indicate for the first time that a lipid-lowering therapy can attenuate the risk of Type 2 MI. Low-density lipoprotein cholesterol reduction below levels achievable with statins is an effective preventive strategy for both MI types.For complete list of authors see http://dx.doi.org/10.1093/eurheartj/ehz299</p

Effect of alirocumab on mortality after acute coronary syndromes. An analysis of the ODYSSEY OUTCOMES randomized clinical trial

Background: Previous trials of PCSK9 (proprotein convertase subtilisin-kexin type 9) inhibitors demonstrated reductions in major adverse cardiovascular events, but not death. We assessed the effects of alirocumab on death after index acute coronary syndrome. Methods: ODYSSEY OUTCOMES (Evaluation of Cardiovascular Outcomes After an Acute Coronary Syndrome During Treatment With Alirocumab) was a double-blind, randomized comparison of alirocumab or placebo in 18 924 patients who had an ACS 1 to 12 months previously and elevated atherogenic lipoproteins despite intensive statin therapy. Alirocumab dose was blindly titrated to target achieved low-density lipoprotein cholesterol (LDL-C) between 25 and 50 mg/dL. We examined the effects of treatment on all-cause death and its components, cardiovascular and noncardiovascular death, with log-rank testing. Joint semiparametric models tested associations between nonfatal cardiovascular events and cardiovascular or noncardiovascular death. Results: Median follow-up was 2.8 years. Death occurred in 334 (3.5%) and 392 (4.1%) patients, respectively, in the alirocumab and placebo groups (hazard ratio [HR], 0.85; 95% CI, 0.73 to 0.98; P=0.03, nominal P value). This resulted from nonsignificantly fewer cardiovascular (240 [2.5%] vs 271 [2.9%]; HR, 0.88; 95% CI, 0.74 to 1.05; P=0.15) and noncardiovascular (94 [1.0%] vs 121 [1.3%]; HR, 0.77; 95% CI, 0.59 to 1.01; P=0.06) deaths with alirocumab. In a prespecified analysis of 8242 patients eligible for ≥3 years follow-up, alirocumab reduced death (HR, 0.78; 95% CI, 0.65 to 0.94; P=0.01). Patients with nonfatal cardiovascular events were at increased risk for cardiovascular and noncardiovascular deaths (P<0.0001 for the associations). Alirocumab reduced total nonfatal cardiovascular events (P<0.001) and thereby may have attenuated the number of cardiovascular and noncardiovascular deaths. A post hoc analysis found that, compared to patients with lower LDL-C, patients with baseline LDL-C ≥100 mg/dL (2.59 mmol/L) had a greater absolute risk of death and a larger mortality benefit from alirocumab (HR, 0.71; 95% CI, 0.56 to 0.90; Pinteraction=0.007). In the alirocumab group, all-cause death declined wit h achieved LDL-C at 4 months of treatment, to a level of approximately 30 mg/dL (adjusted P=0.017 for linear trend). Conclusions: Alirocumab added to intensive statin therapy has the potential to reduce death after acute coronary syndrome, particularly if treatment is maintained for ≥3 years, if baseline LDL-C is ≥100 mg/dL, or if achieved LDL-C is low. Clinical Trial Registration: URL: https://www.clinicaltrials.gov. Unique identifier: NCT01663402

Coping strategies as moderators in the relationship between role overload and burnout

The moderating effect coping strategies have on the relationship between role overload and burnout was investigated in a sample of 222 professional engineers in the construction industry. A four-factor model of coping strategies, based on the Ways of Coping Questionnaire (WCQ) revised scale, was identified to consist of rational problem solving, resigned distancing, seeking support/ventilation and passive wishful thinking. The results revealed that only rational problem solving significantly moderated the relationship between role overload and all three dimensions of burnout, i.e. emotional exhaustion, cynicism and reduced professional efficacy; whereas the moderating effect of resigned distancing and seeking support/ventilation was significant only on emotional exhaustion and cynicism respectively. Passive wishful thinking failed to demonstrate a significant moderating effect on any of the burnout dimensions at all. The importance and methods of incorporating effective coping strategies as a successful intervention for managing burnout at individual, organizational and institutional levels are discussed.link_to_subscribed_fulltex

Job insecurity and job performance : the moderating role of organizational justice and the mediating role of work engagement

Organizational justice has been shown to play an important role in employees’ affective and performance outcomes particularly in uncertain contexts. In this study, we investigated the interaction effect of job insecurity and organizational justice on employees’ performance, and examined the mediating role of work engagement from the perspective of uncertainty management theory. We used 2-wave data (Study 1) from a sample of 140 Chinese employees and 3-wave data (Study 2) from a sample of 125 Chinese employees to test our hypotheses. In Study 1, we found that when employees perceived low levels of organizational justice, job insecurity was significantly negatively related to job performance. In contrast, we found that job insecurity was not related to job performance when there were high levels of organizational justice. Study 2 again supported the interaction of job insecurity and organizational justice on job performance. Furthermore, it was found that work engagement mediated the interaction effect. The results of the mediated moderation analysis revealed that job insecurity was negatively associated with job performance through work engagement when organizational justice was lo

Informal social support and older persons' psychological well-being in Hong Kong

This paper focuses on the importance and the effectiveness of various types of informal support for older persons' psychological well-being. It examines the effects of objective measures of informal support (such as size of social networks and frequency of contact) and subjective measures (such as satisfaction with the support received) on psychological well-being of older occupants in different household circumstances (i.e.,living alone, with spouse or relatives, in old urban areas or new towns, in private or public housing). Data were collected from face-to-face interviews with a sample of 518 older persons (224 males, 294 females) aged 60 and over, systematically drawn from a GIS-derived framework of housing districts in old urban areas and new towns in Hong Kong. The results show that both objective and subjective measures of informal support were related to older persons' psychological well-being, but subjective measures of informal support (specifically satisfaction with support received from family members) were found to be more important predictors of psychological well-being. Furthermore, the effects of size of social network on psychological well-being were stronger for older persons who lived alone than for those who lived with a spouse or relatives. The results also show that persons who lived in the old urban areas received more support than did their counterparts in the new towns and older persons who lived in public housing received more objective informal support than those who lived in private housing. The implications of the findings for policy towards older persons in Hong Kong and similar Asia-Pacific societies are discussed. © 2007 Springer Science+Business Media, LLC.link_to_subscribed_fulltex

Patterns of Residential Adjustment for Older Person: Who will Recover and How Do They Recover? A Study in Different Residential Environments in Hong Kong

This study seeks to understand the residential adjustment process by examining patterns and rates of adjustment of older people. Research to date has reported that circumstantial and individual factors affect adjustment after residential relocation and various patterns of adjustment can occur. A representative sample of Hong Kong respondents aged 60 years or over was selected with the help of areal sampling and the use of a geographical information system analysis. The results showed that overall, many older persons experience a J-pattern (or linear pattern) of adjustment. Many who relocated to new towns were better adjusted from an early period. Conversely, those relocated to or within old urban areas adjusted at a slower rate and an ultimately lower level. The results provide grounds for optimism about older persons' resilience with regard to relocation-related stress and some guidance for planners and policy makers. © 2013 Springer Science+Business Media Dordrecht