Power structure of family members in urban area of Japan

1964 ◽  
Author(s):  
Kunio Tanaka ◽  
Sadao Sugiyama
2017 ◽  
Vol 9 (1) ◽  
pp. 182
Author(s):  
Hamid Aran

Family is more than a group of individuals living together in certain physical and psychological space. In other words, family is a natural and social system with specific features. It is a system postulating certain principles, roles, power structure, socializing relationships and communications, talking methods, and problem solution for effective performance of diverse duties.Most difficulties in life are traceable best way within family. Families are powerful forces in their entirety effective on members’ health or compatibility, whether in their advantage or disadvantage. Consequently, family therapy is interference concentrated on dealings among family members that attempts to enhance family function as a unit made of individual members of family.


Circulation ◽  
2014 ◽  
Vol 129 (suppl_1) ◽  
Author(s):  
Umesh R Aryal ◽  
Max Petzold ◽  
Göran Bondjers ◽  
Alexandra Krettek

Introduction: Cognitive susceptibility to smoking is defined as absence of firm commitment not to smoke in the future or if offered a cigarette by best friends. It begins in adolescence and is the first step in the transition to current smoking. Psychosocial risk factors play a crucial role to discourage susceptible adolescents from becoming established smokers. Most studies were conducted in the USA and evidence from low-income countries is limited. Despite the established Tobacco Product Control and Regulatory Bill 2011S in Nepal, cigarette smoking is widely prevalent among adolescents and the absolute number of smokers continues to rise. Hypothesis: We tested the hypothesis that socio-demographic and environmental risk factors associated with susceptibility to smoking among adolescents living in a peri-urban area of Nepal. Methods: We conducted a community cross-sectional study during October-November 2011 in the Jhaukhel - Duwakot Health Demographic Surveillance Site, a peri-urban area in Bhakapur district, 13 km east of the capital Kathmandu in Nepal, where tobacco products are easily available to adolescents. Trained local enumerators conducted face-to-face interviews with 352 randomly selected 14-16 year old non-smoking adolescents. The Nepal Health Research Council and Ethical Committee of Kathmandu Medical College approved this study. Results: The percentage of smoking susceptibility was 49.70% (95% CI: 44.49%-54.93%). In univariate analysis, sex, family members/relatives smoke, teacher smokes, friend smokes, exposure to secondhand smoke, participation in picnic/concerts, exposure to tobacco advertisements, and having seen actors smoke were associated with susceptibility to smoking. While in multiple regression analysis, smoking behavior of family members/relatives, teacher smoking, exposure to pro-tobacco advertisements and involvement in picnic/concerts were associated with susceptibility to smoking. Conclusion: Our results reveal that non-smoking adolescents, depending on their socio-demographic and environmental backgrounds, consider smoking initiation risk factors differently. We therefore suggest that future smoking intervention programs should also take socio-environmental influences into account for efficiently preventing non-smoking adolescents becoming susceptible to smoking.


Author(s):  
Azmat Ullah ◽  
Mohammad Nizam Uddin ◽  
Md. Farhan Naim Oni

Shwapno is the leader retail superstore in Bangladesh. Maximum family members in urban area used department store or supermarket for purchasing groceries commodities. Shwapno is the largest and the best platform to provide farm fresh necessary products and services to their customers. The high and mid class people in city are preferred to buy convenience goods or services from one platform, the retail store of Shwapno provides all items of commodities to their targeted customers. This study is identified the factors influencing to customers perception and their satisfaction by using or getting goods and services from Shwapno retail store. The study has suggested top-level managers and authorities of Shwapno retail organization to consider these factors while retaining existing customers, attracting new and competitor’s customers by offering better services.


2012 ◽  
Vol 33 (1) ◽  
pp. 83-84 ◽  
Author(s):  
Blanca E. Alvarez-Fernandez ◽  
Elvia Rodrfguez-Bataz ◽  
Dylan L. Dfaz-Chiguer

BMJ Open ◽  
2021 ◽  
Vol 11 (10) ◽  
pp. e046989
Author(s):  
Darren Sharpe ◽  
Mohsen Rajabi ◽  
Angela Harden ◽  
Abdul Rehman Moodambail ◽  
Vaseem Hakeem

ObjectiveTo explore how to enhance services to support the self-care of children and young people (CYP) clinically considered ‘disengaged’ by diabetes services.DesignQualitative study.SettingTwo diabetes clinics in an ethnically diverse and socially disadvantaged urban area in the UK. Eligible participants were CYP living with type 1 or type 2 diabetes aged between 10 and 25 years who did not attend their last annual hospital appointment.Participants22 CYP (14 female and 8 male) aged between 10 and 19 years old took part. The sample was diverse in terms of ethnicity, age at diagnosis, family composition and presence of diabetes among other family members.Data collectionSemistructured interviews.Data analysisData were analysed thematically.ResultsAnalysis of participant accounts confirmed the crucial importance of non-medicalised care in CYP diabetes care. A life plan was considered as important to participants as a health plan. Participants valued the holistic support provided by friends, family members and school teachers. However, they found structural barriers in their health and educational pathways as well as disparities in the quality of support at critical moments along the life course. They actively tried to maximise their well-being by balancing life priorities against diabetes priorities. Combined, these features could undermine participants engagement with health services where personal strategies were often held back or edited out of clinical appointments in fear of condemnation.ConclusionWe demonstrate why diabetes health teams need to appreciate the conflicting pressures experienced by CYP and to coproduce more nuanced health plans for addressing their concerns regarding identity and risk taking behaviours in the context of their life-worlds. Exploring these issues and identifying ways to better support CYP to address them more proactively should reduce disengagement and set realistic health outcomes that make best use of medical resources.


2017 ◽  
Vol 29 (11) ◽  
pp. 1849-1855 ◽  
Author(s):  
Yang Zou ◽  
Ning Song ◽  
Yong-bo Hu ◽  
Ying Gao ◽  
Yue-qi Zhang ◽  
...  

ABSTRACTBackground:Disclosing the diagnosis of Alzheimer's disease (AD) to a patient is controversial. There is significant stigma associated with a diagnosis of AD or dementia in China, but the attitude of the society toward disclosure of such a diagnosis had not been formally evaluated prior to our study. Therefore, we aimed to evaluate the attitude toward disclosing an AD diagnosis to patients in China with cognitive impairment from their caregivers, and the factors that may affect their attitude.Methods:We designed a 17-item questionnaire and administered this questionnaire to caregivers, who accompanied patients with cognitive impairment or dementia in three major hospitals in Shanghai, China. The caregiver's attitude toward disclosing the diagnosis of AD as evaluated by the questionnaire was compared to that of disclosing the diagnosis of terminal cancer.Results:A majority (95.7%) of the 175 interviewed participants (mean 14.2 years of education received) wished to know their own diagnosis if they were diagnosed with AD, and 97.6% preferred the doctor to tell their family members if they were diagnosed with AD. If a family member of the participants suffered from AD, 82.9% preferred to have the diagnosis disclosed to the patient. “Cognitive impairment” was the most accepted term by caregivers to disclose AD diagnosis in Chinese.Conclusion:This study suggests most of the well-educated individuals in a Chinese urban area favored disclosing the diagnosis when they or their family members were diagnosed with AD.


Author(s):  
Deepika Gaire ◽  
Nand Ram Gahatraj ◽  
Rajesh Kumar Yadav ◽  
Geeta Shah ◽  
Sushila Baral

Background: Depression is a common and major public health problem among geriatric people, but it is not a normal part of aging. It is not just a low mood or feeling sad, but a serious condition that needs treatment and has serious effects on physical as well as mental health. It is one of the hidden problems of the geriatric people.Methods: A cross-sectional study was conducted among 196 elderly people from Kaski district of Nepal using geriatric depression scale to assess the level of depression. Wards of metropolitan was randomly selected and represented as urban area and ward of rural municipality were randomly selected and considered as rural areas. Data were collected by face-to-face interview among geriatric people. Data were analyzed by SPSS v.16 version. The appropriate statistical tests were applied based on the nature of the data, setting the level of significance at p<0.05.Results: Out of total 196 study participants 101 were from urban area and 95 from rural area. The overall prevalence of depression was 55.1%. In this study geriatric depression was significantly associated with: spouse status, living arrangement, satisfaction with living condition, family support, family care, abuse, relationship with son, relationship with daughter in law, work, discrimination, social isolation and loneliness and health problems.Conclusions: More than half of the elderly population had developed depressive symptoms. Immediate addressing of geriatric depression by providing health services, counseling and harmonious relationship among geriatric people and family members especially their son and daughter in law should be created by providing social support and counseling to family members.


1978 ◽  
Vol 9 (4) ◽  
pp. 265-271 ◽  
Author(s):  
Pauline T. Flynn

Speech, language, and hearing professionals rely on many individuals to provide information about a client. Management programs, in part, are devised, modified, and evaluated according to responses obtained from the client, family members, educators, and other professional and lay persons who have contact with the client. The speech-language pathologist has the responsibility of obtaining pertinent, complete, unbiased information about clients. This article provides an overview of the essential elements of an interview.


2019 ◽  
Vol 28 (3) ◽  
pp. 1356-1362
Author(s):  
Laurence Tan Lean Chin ◽  
Yu Jun Lim ◽  
Wan Ling Choo

Purpose Palliative care is a philosophy of care that encompasses holistic, patient-centric care involving patients and their family members and loved ones. Palliative care patients often have complex needs. A common challenge in managing patients near their end of life is the complexity of navigating clinical decisions and finding achievable and realistic goals of care that are in line with the values and wishes of patients. This often results in differing opinions and conflicts within the multidisciplinary team. Conclusion This article describes a tool derived from the biopsychosocial model and the 4-quadrant ethical model. The authors describe the use of this tool in managing a patient who wishes to have fried chicken despite aspiration risk and how this tool was used to encourage discussions and reduce conflict and distress within the multidisciplinary team.


2017 ◽  
Vol 2 (1) ◽  
pp. 56-68 ◽  
Author(s):  
Amy L. Donaldson ◽  
Karen Krejcha ◽  
Andy McMillin

The autism community represents a broad spectrum of individuals, including those experiencing autism, their parents and/or caregivers, friends and family members, professionals serving these individuals, and other allies and advocates. Beliefs, experiences, and values across the community can be quite varied. As such, it is important for the professionals serving the autism community to be well-informed about current discussions occurring within the community related to neurodiversity, a strengths-based approach to partnering with autism community, identity-first language, and concepts such as presumed competence. Given the frequency with which speech-language pathologists (SLPs) serve the autism community, the aim of this article is to introduce and briefly discuss these topics.


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