SELF-EFFICACY, CO-PARENTING RELATIONSHIP, AND PARENT SATISFACTION: VARIABLES THAT PREDICT PATERNAL INVOLVEMENT BY NON-CUSTODIAL FATHERS

Based on the traditions of role theory (Biddle and Thomas, 1979; Longres, 2000; Mead, 1934; Sarbin and Allen, 1954) and self-efficacy theory (Bandura, 1997), this study examined non-custodial fathers and their involvement with their child. Using a convenience sample (n = 72) recruited from men enrolled in the Erie Family Center for Child Development Fatherhood Initiatives Programs, survey participants completed a questionnaire designed to assess their level of self-efficacy, the co-parenting relationship with the custodial mother of their child, and their parenting satisfaction, each posited to be determinants of their paternal involvement. Path analysis was used to assess the effects of these relationships on paternal involvement. Moreover, this study tested the hypothesis that paternal involvement would co-vary with child custody status and marital status. Study results suggest parent satisfaction had the largest direct effect on paternal involvement while co-parenting relationships had the smallest effect on paternal involvement. Controlling for the effects of child custody status and marital status were not statistically significant. The magnitude of parent satisfaction and the minor effect of co-parenting relationship on paternal involvement may have been moderated by the non-custodial fathers' participation in fatherhood programs. Implications for social work practice and social welfare policy are discussed

Consumer Bankruptcy Update

Materials from the Consumer Bankruptcy Update presentations held by UK/CLE in December 2000

Business Not as Usual: Developing Socially Conscious Entrepreneurs and Intrapreneurs

Our objective was to design an introductory business course to shape the mind-sets and skill sets of the next generation of socially conscious practitioners—to help students develop a sense of self-efficacy built on the confidence that they can make a positive impact on the world using entrepreneurial thinking and action. Essentially, the focus was to develop an introductory business course that would encourage and enable students to understand that business can be a force for good (sustainability and social impact) and to practice collaborative innovation (human-centered design thinking). The overarching design principle was business not as usual, which embraced four themes: (a) sustainability and social entrepreneurship, (b) collaborative innovation, (c) entrepreneurial thinking and action, and (d) self-authorship. We provide an overview of the course modules and their respective learning outcomes along with details of course content and activities to ensure transferability. A concluding discussion shares the impact on students and the challenges of success. We highlight how course design can be a catalyst to enable students to be the change they want to see in the world.Ye

Intraperitoneal drain placement and outcomes after elective colorectal surgery: international matched, prospective, cohort study

Despite current guidelines, intraperitoneal drain placement after elective colorectal surgery remains widespread. Drains were not associated with earlier detection of intraperitoneal collections, but were associated with prolonged hospital stay and increased risk of surgical-site infections.Background Many surgeons routinely place intraperitoneal drains after elective colorectal surgery. However, enhanced recovery after surgery guidelines recommend against their routine use owing to a lack of clear clinical benefit. This study aimed to describe international variation in intraperitoneal drain placement and the safety of this practice. Methods COMPASS (COMPlicAted intra-abdominal collectionS after colorectal Surgery) was a prospective, international, cohort study which enrolled consecutive adults undergoing elective colorectal surgery (February to March 2020). The primary outcome was the rate of intraperitoneal drain placement. Secondary outcomes included: rate and time to diagnosis of postoperative intraperitoneal collections; rate of surgical site infections (SSIs); time to discharge; and 30-day major postoperative complications (Clavien-Dindo grade at least III). After propensity score matching, multivariable logistic regression and Cox proportional hazards regression were used to estimate the independent association of the secondary outcomes with drain placement. Results Overall, 1805 patients from 22 countries were included (798 women, 44.2 per cent; median age 67.0 years). The drain insertion rate was 51.9 per cent (937 patients). After matching, drains were not associated with reduced rates (odds ratio (OR) 1.33, 95 per cent c.i. 0.79 to 2.23; P = 0.287) or earlier detection (hazard ratio (HR) 0.87, 0.33 to 2.31; P = 0.780) of collections. Although not associated with worse major postoperative complications (OR 1.09, 0.68 to 1.75; P = 0.709), drains were associated with delayed hospital discharge (HR 0.58, 0.52 to 0.66; P < 0.001) and an increased risk of SSIs (OR 2.47, 1.50 to 4.05; P < 0.001). Conclusion Intraperitoneal drain placement after elective colorectal surgery is not associated with earlier detection of postoperative collections, but prolongs hospital stay and increases SSI risk

The Changing Landscape for Stroke\ua0Prevention in AF: Findings From the GLORIA-AF Registry Phase 2

Background GLORIA-AF (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients with Atrial Fibrillation) is a prospective, global registry program describing antithrombotic treatment patterns in patients with newly diagnosed nonvalvular atrial fibrillation at risk of stroke. Phase 2 began when dabigatran, the first non\u2013vitamin K antagonist oral anticoagulant (NOAC), became available. Objectives This study sought to describe phase 2 baseline data and compare these with the pre-NOAC era collected during phase 1. Methods During phase 2, 15,641 consenting patients were enrolled (November 2011 to December 2014); 15,092 were eligible. This pre-specified cross-sectional analysis describes eligible patients\u2019 baseline characteristics. Atrial fibrillation disease characteristics, medical outcomes, and concomitant diseases and medications were collected. Data were analyzed using descriptive statistics. Results Of the total patients, 45.5% were female; median age was 71 (interquartile range: 64, 78) years. Patients were from Europe (47.1%), North America (22.5%), Asia (20.3%), Latin America (6.0%), and the Middle East/Africa (4.0%). Most had high stroke risk (CHA2DS2-VASc [Congestive heart failure, Hypertension, Age  6575 years, Diabetes mellitus, previous Stroke, Vascular disease, Age 65 to 74 years, Sex category] score  652; 86.1%); 13.9% had moderate risk (CHA2DS2-VASc = 1). Overall, 79.9% received oral anticoagulants, of whom 47.6% received NOAC and 32.3% vitamin K antagonists (VKA); 12.1% received antiplatelet agents; 7.8% received no antithrombotic treatment. For comparison, the proportion of phase 1 patients (of N = 1,063 all eligible) prescribed VKA was 32.8%, acetylsalicylic acid 41.7%, and no therapy 20.2%. In Europe in phase 2, treatment with NOAC was more common than VKA (52.3% and 37.8%, respectively); 6.0% of patients received antiplatelet treatment; and 3.8% received no antithrombotic treatment. In North America, 52.1%, 26.2%, and 14.0% of patients received NOAC, VKA, and antiplatelet drugs, respectively; 7.5% received no antithrombotic treatment. NOAC use was less common in Asia (27.7%), where 27.5% of patients received VKA, 25.0% antiplatelet drugs, and 19.8% no antithrombotic treatment. Conclusions The baseline data from GLORIA-AF phase 2 demonstrate that in newly diagnosed nonvalvular atrial fibrillation patients, NOAC have been highly adopted into practice, becoming more frequently prescribed than VKA in Europe and North America. Worldwide, however, a large proportion of patients remain undertreated, particularly in Asia and North America. (Global Registry on Long-Term Oral Antithrombotic Treatment in Patients With Atrial Fibrillation [GLORIA-AF]; NCT01468701

Thigh-length compression stockings and DVT after stroke

Controversy exists as to whether neoadjuvant chemotherapy improves survival in patients with invasive bladder cancer, despite randomised controlled trials of more than 3000 patients. We undertook a systematic review and meta-analysis to assess the effect of such treatment on survival in patients with this disease

Achieving positive social outcomes through participatory urban wildlife conservation projects

Context As urbanisation continues to increase on a global scale, people are becoming increasingly distanced from nature. Fewer opportunities to encounter nature mean that the benefits of engaging with nature are often not realised by urban residents. In response to this, there is a growing number of initiatives that aim to connect people with nature, for the benefit of individuals, communities and nature conservation. However, in order to maximise these benefits, it is important to understand the potential transformative effects for participants, both on a personal level and in terms of wider impacts. Aims In this study, we evaluate the social outcomes of a participatory wildlife conservation project in an urban area in north-east England, using hedgehogs as the focal species. Methods Based on an approach of community volunteers working alongside scientific researchers in an evaluation of hedgehog urban habitat use, we examine the transformative effects of this involvement at the individual and community levels via qualitative semi-structured interviews with community volunteers. Key results Participants were motivated by personal wellbeing factors such as enjoying proximity to the study species, learning and social factors. Participation in the study itself indicates a degree of motivation for engaging with a study of this sort. Nevertheless, involvement in the study was a successful vehicle for increasing participants' engagement with nature both during the study and potentially into the future, particularly in terms of biological recording and gardening for wildlife. Conclusions Participation in a wildlife study is a positive experience for many volunteers, leading to actual and potential changes in both personal and wider social outcomes. Implications Participatory initiatives such as the one described have an important role to play in signposting and supporting volunteers to follow future environmental aspirations and maximise the personal and social benefits associated with participation. This could be enhanced by ensuring that volunteering opportunities are linked in with pre-existing community-based networks that can act as advocates for environmental and wildlife conservation