Psychological Factors and Treatment Adherence Behavior in Patients With Chronic Heart Failure

Background: Chronic heart failure adversely affects 300,000 Australians. Symptom stabilization and prognosis are partially determined by patients following medical and lifestyle recommendations. Methods: To test the hypothesis that depression, anxiety, and self-efficacy are independent predictors of such adherence, 115 predominately male (70.6%) volunteers with a mean age of 63 years were recruited from a major teaching hospital in Australia. Results: Depression (Beck Depression Inventory score >10, 33.3%) failed to predict adherence. Trait anxiety (State-Trait Anxiety Inventory score >40, 31%) explained minimal variability regarding smoking and alcohol adherence. Self-efficacy strongly predicted adherence behavior. Conclusions: Findings will assist cardiac nurses to prepare strategies to optimize adherence and quality of life while minimizing public health costs

Editorial

No Abstract.Indo-Pacific Journal of Phenomenology, Volume 2, Edition 1, April 200

Psychological Adjustment and Caregive Attributes in Children Referred to Contact House

Child abuse and neglect (CAN) encompasses a heterogenous group of adverse practices with devastating personal, social, educational, health, legal and welfare consequences. The term child abuse and neglect covers four types maltreatment: physical abuse, emotional abuse, sexual abuse, and neglect, with many children experiencing a combination of these types. Australian child protection notifications have more than doubled in the 5-year period to 2004. Of most concern is that, of all the Australian States and Territories, Queensland has the highest rate of substantiated cases with 14.1 per 1,000 children (AIHW, 2006). Childhood abuse and neglect can have profound short- and long-term effects. Children with a history of abuse and neglect have been shown to experience insecure attachment, developmental delays, diminished social skills, violent behaviour and learning problems. Previous studies have also found that abused and neglected children frequently experience a higher incidence of a diverse range of adverse mental health outcomes including helplessness and sadness, lowered self-esteem and post traumatic stress disorder. However, relatively few studies have examined the psychological adjustment of children in more immediate terms especially within an Australian context. Furthermore, adults experiencing CAN during childhood frequently exhibit diverse psychopathologies. The variability in adverse consequences suggests the existence of mediating and moderating factors influencing the level of distress experienced by children. While associations have been made between factors surrounding the type of abuse, the child’s age and gender and negative outcomes, little is known about the role of the child’s non-offending caregiver and the relationship between caregiver attributes and the level of distress experienced by the child. A primary aim of this study was to investigate caregiver attributes and the psychological adjustment of children referred to a non-government treatment centre. This specific aims were: (i) to describe the psychological adjustment of children who have experienced abuse and/or neglect (ii) to compare the psychological functioning of children presenting for treatment with a community sample of children (iii) to describe the level of psychosocial functioning of the caregivers in the clinical group across a range of psychosocial and parenting practice variables and (iv) to explore the relationship between demographic variables, factors relating to the abuse and neglect, and caregiver variables, which may predict, mediate, or moderate the child’s psychological adjustment. In addition the study aimed to establish a database for future research into treatment outcomes. Through the inclusion of a comparison community sample, this study provided evidence to complement existing research and develop a more complete picture of families living with and without CAN. The findings also offer preliminary evidence regarding the effectiveness of treatment and underscore the need for ongoing evaluation of service outcomes to optimise the quality of life for children and families affected by CAN

Modeling Vortex Swarming In Daphnia

Based on experimental observations in Daphnia, we introduce an agent-based model for the motion of single and swarms of animals. Each agent is described by a stochastic equation that also considers the conditions for active biological motion. An environmental potential further reflects local conditions for Daphnia, such as attraction to light sources. This model is sufficient to describe the observed cycling behavior of single Daphnia. To simulate vortex swarming of many Daphnia, i.e. the collective rotation of the swarm in one direction, we extend the model by considering avoidance of collisions. Two different ansatzes to model such a behavior are developed and compared. By means of computer simulations of a multi-agent system we show that local avoidance—as a special form of asymmetric repulsion between animals—leads to the emergence of a vortex swarm. The transition from uncorrelated rotation of single agents to the vortex swarming as a function of the swarm size is investigated. Eventually, some evidence of avoidance behavior in Daphnia is provided by comparing experimental and simulation results for two animal

A longitudinal study of mental health in refugees from Burma: The impact of therapeutic interventions

Objective: The present study seeks to examine the impact of therapeutic interventions for people from refugee backgrounds within a naturalistic setting. Method: Sixty-two refugees from Burma were assessed soon after arriving in Australia. All participants received standard interventions provided by a resettlement organisation which included therapeutic interventions, assessment, social assistance, and referrals where appropriate. At the completion of service provision a follow-up assessment was conducted. Results: Over the course of the intervention, participants experienced a significant decrease in symptoms of post-traumatic stress disorder, anxiety, depression and somatisation. Pre-intervention symptoms predicted symptoms post-intervention for post-traumatic stress, anxiety, and somatisation. Post-migration living difficulties, the number of traumas experienced, and the number of contacts with the service agency were unrelated to all mental health outcomes. Conclusions: In the first Australian study of its kind, reductions in mental health symptoms post-intervention were significantly linked to pre-intervention symptomatology and the number of therapy sessions predicted post-intervention symptoms of post-traumatic stress. Future studies need to include larger samples and control groups to verify findings

Implicit Models of School Improvement: A Mixed Method Analysis

There is a persistent belief that public schools are profoundly in need of improvement (Berliner & Biddle, 1995). Given substantial research on teaching literature (Borman, Hewes, Overman, & Brown, 2003; Hertling, 2000), it is not clear why more progress has not been made. Perhaps an answer may be found in the complexity of the educational literature, which provides a confused map toward accomplishing school improvement. Educational leaders are left in the position of relying on either imprecisely formulated or idiosyncratic and implicit models of school improvement without clear guidelines to follow for specific contexts. Models appear as ex post facto, reflecting an approach to educational reform on the part of administrators that may be best thought of as implicit

A Fracture Multiscale Model for Peridynamic enrichment within the Partition of Unity Method

Partition of unity methods (PUM) are of domain decomposition type and provide the opportunity for multiscale and multiphysics numerical modeling. Different physical models can exist within a PUM scheme for handling problems with zones of linear elasticity and zones where fractures occur. Here, the peridynamic (PD) model is used in regions of fracture and smooth PUM is used in the surrounding linear elastic media. The method is a so-called global-local enrichment strategy. The elastic fields of the undamaged media provide appropriate boundary data for the localized PD simulations. The first steps for a combined PD/PUM simulator are presented. In part I of this series, we show that the local PD approximation can be utilized to enrich the global PUM approximation to capture the true material response with high accuracy efficiently. Test problems are provided demonstrating the validity and potential of this numerical approach

How do stock returns react to special events?

Stock - Prices ; Economic indicators ; Bank stocks