“It only hurts when I laugh”: Tolerating bullying humour in order to belong at work

Our study examines the impacts on workers when organisational humour is repeated, sustained, dominating, and potentially harmful, and thus can be considered to be bullying. In an ethnographic study of an idiosyncratic New Zealand IT company, we observed humour that was sexualised, dominating, and perpetrated by the most powerful organizational members. We argue that the compelling need for belonging in this extreme organizational culture influenced workers to accept bullying humour as just a joke and therefore acceptable and harmless even when it contravened societal workplace norms. Our contribution is in identifying and extending the significant theoretical relationship between workplace humour and bullying that, to date, is not well-explored in organizational researc

When All Hope is Gone, Trust Then Believe: “At Risk” or “At Potential ?

The Cards of Life, when all hope is gone; trust then believe forces educators to view students differently. The notion that we can’t teach students until we truly begin to know them and they begin to trust us is challenged. The fact that our actions have to align with our words and meaningful conversations and relationships must be established in the classroom. At Risk or At Potential? Every school across the nation have students that struggle, academically, socially or behaviorally. There are a variety of reasons as to why? We can no longer ignore these students and pad the numbers to reflect a great school if all students are not being successful. As administrators, teachers, staff and community support members become involved, it has been clear that the child labeled AT RISK could be viewed as a child AT POTENTIAL. If we looked at these students with a positive tag rather than a negative one, it is highly likely that we would have a different outlook and expectations for their futures

Infant temperament contributes to early infant growth: A prospective cohort of African American infants

<p>Abstract</p> <p>Background</p> <p>Prospective studies linking infant temperament, or behavioral style, to infant body composition are lacking. In this longitudinal study (3 to 18 months), we seek to examine the associations between two dimensions of infant temperament (<it>distress to limitations </it>and <it>activity level</it>) and two anthropometric indicators (weight-for-length z-scores (WLZ) and skin fold (SF) measures) in a population at high risk of overweight.</p> <p>Methods</p> <p>Data are from the Infant Care and Risk of Obesity Project, a longitudinal study of North Carolina low income African American mother-infant dyads (n = 206). Two temperament dimensions were assessed using the Infant Behavior Questionnaire-Revised. A high <it>distress to limitations </it>score denotes an infant whose mother perceives that s/he often cries or fusses, and a high <it>activity level </it>score one who moves his/her limbs and squirms frequently. Cross-sectional analyses were conducted using ordinary least squares regression. Fixed effects longitudinal models were used to estimate anthropometric outcomes as a function of time varying infant temperament.</p> <p>Results</p> <p>In longitudinal models, increased <it>activity levels </it>were associated with later decreased fatness and WLZ. In contrast, high levels of <it>distress to limitations </it>were associated with later increased fatness at all time points and later increased WLZ at 12 months.</p> <p>Conclusion</p> <p>Infant temperament dimensions contribute to our understanding of the role of behavior in the development of the risk of overweight in the formative months of life. Identification of modifiable risk factors early in life may help target strategies for establishing healthy lifestyles prior to the onset of overweight.</p

Scanning electrochemical cell microscopy : a versatile method for highly localised corrosion related measurements on metal surfaces

The development of tools that can probe corrosion related phenomena at the (sub)microscale is recognized to be increasingly important in order to understand the surface structural factors (grain orientation, inclusions etc.) that control the (electro)chemical stability (corrosion susceptibility, pitting, passivity etc.) of metal surfaces. Herein we consider the application of scanning electrochemical cell microscopy (SECCM), a relatively new member of the electrochemical droplet cell (EDC) family, for corrosion research and demonstrate the power of this technique for resolving structure and activity at the (sub)microscale. Hundreds of spatially-resolved (2 μm droplet size) potentiodynamic polarization experiments have been carried out on the several hours timescale and correlated to complementary structural information from electron backscatter diffraction (EBSD) and energy dispersive x-ray spectroscopy (EDS) in order to determine the effect of grain orientation and inclusions on electrochemical processes at low carbon steel in neutral solution (10 mM KNO3). Through this approach, it has been shown unequivocally that for the low index planes, anodic currents in the passive region (an indicator of corrosion susceptibility) are greatest on (101) planes compared to (100) and (111) planes. Furthermore, individual sub-micron MnS inclusions have been probed and shown to undergo active dissolution followed by rapid repassivation. This study demonstrates the high versatility of SECCM and the considerable potential of this technique for addressing structure-activity problems in corrosion and electromaterials science

Continuous Chest Compression Cardiopulmonary Resuscitation Training Promotes Rescuer Self-Confidence and Increased Secondary Training: A Hospital-Based Randomized Controlled Trial

Objective: Recent work suggests that delivery of continuous chest compression cardiopulmonary resuscitation is an acceptable layperson resuscitation strategy, although little is known about layperson preferences for training in continuous chest compression cardiopulmonary resuscitation. We hypothesized that continuous chest compression cardiopulmonary resuscitation education would lead to greater trainee confidence and would encourage wider dissemination of cardiopulmonary resuscitation skills compared to standard cardiopulmonary resuscitation training (30 compressions: two breaths). Design: Prospective, multicenter randomized study. Setting: Three academic medical center inpatient wards. Subjects: Adult family members or friends (\u3e=18 yrs old) of inpatients admitted with cardiac-related diagnoses. Interventions: In a multicenter randomized trial, family members of hospitalized patients were trained via the educational method of video self-instruction. Subjects were randomized to continuous chest compression cardiopulmonary resuscitation or standard cardiopulmonary resuscitation educational modes. Measurements: Cardiopulmonary resuscitation performance data were collected using a cardiopulmonary resuscitation skill-reporting manikin. Trainee perspectives and secondary training rates were assessed through mixed qualitative and quantitative survey instruments. Main Results: Chest compression performance was similar in both groups. The trainees in the continuous chest compression cardiopulmonary resuscitation group were significantly more likely to express a desire to share their training kit with others (152 of 207 [73%] vs. 133 of 199 [67%], p = .03). Subjects were contacted 1 month after initial enrollment to assess actual sharing, or “secondary training.” Kits were shared with 2.0 ± 3.4 additional family members in the continuous chest compression cardiopulmonary resuscitation group vs. 1.2 ± 2.2 in the standard cardiopulmonary resuscitation group (p = .03). As a secondary result, trainees in the continuous chest compression cardiopulmonary resuscitation group were more likely to rate themselves “very comfortable” with the idea of using cardiopulmonary resuscitation skills in actual events than the standard cardiopulmonary resuscitation trainees (71 of 207 [34%] vs. 57 of 199 [28%], p = .08). Conclusions: Continuous chest compression cardiopulmonary resuscitation education resulted in a statistically significant increase in secondary training. This work suggests that implementation of video self-instruction training programs using continuous chest compression cardiopulmonary resuscitation may confer broader dissemination of life-saving skills and may promote rescuer comfort with newly acquired cardiopulmonary resuscitation knowledge

Nanoscale electrochemical visualization of grain-dependent anodic iron dissolution from low carbon steel

The properties of steels and other alloys are often tailored to suit specific applications through the manipulation of microstructure (e.g., grain structure). Such microscopic heterogeneities are also known to modulate corrosion susceptibility/resistance, but the exact dependency remains unclear, largely due to the challenge of probing and correlating local electrochemistry and structure at complex (alloy) surfaces. Herein, high-resolution scanning electrochemical cell microscopy (SECCM) is employed to perform spatially-resolved potentiodynamic polarisation measurements, which, when correlated to co-located structural information from electron backscatter diffraction (EBSD), analytical scanning electron microscopy (SEM) and scanning transmission electron microscopy (STEM), reveal the relationship between anodic metal (iron) dissolution and the crystallographic orientation of low carbon steel in aqueous sulfuric acid (pH 2.3). Considering hundreds of individual measurements made on each of the low-index planes of body-centred cubic (bcc) low carbon steel, the rate of iron dissolution, and thus overall corrosion susceptibility, increases in the order (101) < (111) < (100). These results are rationalized by complementary density functional theory (DFT) calculations, where the experimental rate of iron dissolution correlates with the energy required to remove (and ionise) one iron atom at the surface of a lattice, calculated for each low index orientation. Overall, this study further demonstrates how nanometre-resolved electrochemical techniques such as SECCM can be effectively utilised to vastly improve the understanding of structure-function in corrosion science, particularly when combined with complementary, co-located structural characterisation (EBSD, STEM etc.) and computational analysis (DFT)

Grandmothers, Fathers, and Depressive Symptoms Are Associated with Food Insecurity among Low-Income First-Time African-American Mothers in North Carolina

African Americans experience household food insecurity—the limited availability of nutritionally adequate and safe food, or ability to acquire acceptable foods in socially acceptable ways—at three times the rate of non-Hispanic whites. Thirty percent of all African American children live in food insecurity households. The purpose of this study was to identify characteristics associated with household food insecurity among a high risk postpartum population. 206 low-income, African-American mother-infant dyads were recruited through WIC clinics. The six-item USDA food security scale was used to classify households as food secure, marginally food secure or food insecure. Multinomial logistic regression was used to estimate the association between selected maternal/household characteristics and household food security status. Fifty-three percent of households were food secure, 34% were marginally food secure and 13% were food insecure. Maternal education less than college (Relative Risk Ratio = 0.46, 95% Confidence Interval: 0.22, 0.98) was inversely associated with marginal food security. Depressive symptoms (RRR = 1.09, 95% CI: 1.02, 1.16) and having the baby’s father in the household (RRR = 3.46, 95% CI: 1.22, 9.82) were associated with household food insecurity, while having a grandmother in the household (RRR = 0.15, 95% CI: 0.03, 0.80) was inversely associated with experiencing household food insecurity. Findings from this study suggest that young low-income African American families with only one child are particularly susceptible to experiencing household food insecurity. Intergenerational support and transfer of knowledge may be a key protective attribute among low-income African American households

Is a specialist breathlessness service more effective and cost-effective for patients with advanced cancer and their carers than standard care? Findings of a mixed-method randomised controlled trial.

BACKGROUND: Breathlessness is common in advanced cancer. The Breathlessness Intervention Service (BIS) is a multi-disciplinary complex intervention theoretically underpinned by a palliative care approach, utilising evidence-based non-pharmacological and pharmacological interventions to support patients with advanced disease. We sought to establish whether BIS was more effective, and cost-effective, for patients with advanced cancer and their carers than standard care. METHODS: A single-centre Phase III fast-track single-blind mixed-method randomised controlled trial (RCT) of BIS versus standard care was conducted. Participants were randomised to one of two groups (randomly permuted blocks). A total of 67 patients referred to BIS were randomised (intervention arm n = 35; control arm n = 32 received BIS after a two-week wait); 54 completed to the key outcome measurement. The primary outcome measure was a 0 to 10 numerical rating scale for patient distress due to breathlessness at two-weeks. Secondary outcomes were evaluated using the Chronic Respiratory Questionnaire, Hospital Anxiety and Depression Scale, Client Services Receipt Inventory, EQ-5D and topic-guided interviews. RESULTS: BIS reduced patient distress due to breathlessness (primary outcome: -1.29; 95% CI -2.57 to -0.005; P = 0.049) significantly more than the control group; 94% of respondents reported a positive impact (51/53). BIS reduced fear and worry, and increased confidence in managing breathlessness. Patients and carers consistently identified specific and repeatable aspects of the BIS model and interventions that helped. How interventions were delivered was important. BIS legitimised breathlessness and increased knowledge whilst making patients and carers feel 'not alone'. BIS had a 66% likelihood of better outcomes in terms of reduced distress due to breathlessness at lower health/social care costs than standard care (81% with informal care costs included). CONCLUSIONS: BIS appears to be more effective and cost-effective in advanced cancer than standard care. TRIAL REGISTRATION: RCT registration at ClinicalTrials.gov NCT00678405 (May 2008) and Current Controlled Trials ISRCTN04119516 (December 2008).The study was supported by the following funders: NIHR Research for Patient Benefit (for Phase III RCT funding); Macmillan Cancer Support (MF’s post-doctoral fellowship); The Gatsby Foundation for the initial funding of BIS; and AT Prevost was supported by the National Institute for Health Research (NIHR) Biomedical Research Centre at Guy’s and St Thomas’ NHS Foundation Trust and King’s College London. The study sponsor was CUHNFT.This is the final published version. It first appeared at http://www.biomedcentral.com/1741-7015/12/194