Dyadic Loneliness and Changes to HbA1c Among Older US Couples: The Role of Marital Support as Stress Buffer

2021 ◽  
pp. 089826432110064
Author(s):  
Jeffrey E. Stokes ◽  
Adrita Barooah
Keyword(s):  
Psychosocial Stressors ◽  
Cardiometabolic Health ◽  
Older Couples ◽  
Marital Support ◽  
Study Results ◽  
As Stress ◽  
Stress Buffer ◽  
Retirement Study

Objectives: Both experiencing loneliness and having a lonely partner can be psychosocial stressors, with implications for health. Yet, marital support may buffer against the cardiometabolic effects of loneliness. This study examines (1) whether own and/or partner’s loneliness predict changes in HbA1c over 4 years and (2) whether marital support moderates these effects. Methods: Actor–partner interdependence models analyzed data from 1,854 older couples who provided psychosocial and biomarker data at two timepoints (2008/2012 or 2010/2014) of the Health and Retirement Study. Results: Neither partner’s loneliness predicted changes in HbA1c overall. However, significant interactions indicated that both own baseline loneliness and partner’s baseline loneliness predicted significant increases to HbA1c over 4 years among those who reported below-average marital support. Discussion: Both the experience of loneliness and loneliness of a dyadic partner may have longitudinal consequences for cardiometabolic health. However, these effects are contingent upon perceived quality of the marriage, specifically marital support.

scholarly journals Crianças com incontinência urinária: impacto na convivência dos familiares

2018 ◽  
Vol 12 (7) ◽  
pp. 2061
Author(s):  
Ivanda Araújo Matias Issa de Oliveira ◽  
Cristiane Feitosa Salviano ◽  
Gisele Martins
Keyword(s):  
Urinary Incontinence ◽  
Family Members ◽  
Health Science ◽  
Related Family ◽  
Calidad De Vida ◽  
Family Routine ◽  
As Stress ◽  
The Impact

RESUMOObjetivo: Identificar fatores que impactam na convivência dos familiares de crianças com incontinência urinária. Método: Estudo bibliográfico, descritivo, tipo revisão integrativa, com busca de artigos no mês de setembro de 2017, nas bases de dados LILACS, BDENF, MEDLINE e CINAHL. Considerou-se o recorte temporal de janeiro de 2012 a dezembro de 2017, utilizando os Descritores em Ciência da Saúde (DeCS) controlados e não controlados no idioma inglês e português. Resultados: Foram incluídos 11 artigos, publicados entre 2012 e 2016, destacando-se três categorias: 1) O nível educacional dos pais como um fator de impacto; 2) O impacto na qualidade de vida dos familiares; e 3) As mudanças que impactam no cotidiano familiar. Conclusões: A incontinência urinária afeta a rotina familiar e pode provocar transtornos psicológicos como estresse, ansiedade e depressão nas crianças e em seus familiares. Houve escassez de produções que relacionassem a percepção do familiar ante a incontinência urinária diurna e fecal com o nível escolar dos pais. Evidencia-se o papel do enfermeiro que atua em uropediatria sobre a importância da compreensão da convivência familiar, a fim de contribuir com o delinear de orientações voltadas para a educação e compreensão das experiências vividas pelos cuidadores. Descritores: Incontinência Urinária; Família; Cuidadores; Crianças; Enurese; Incontinência Urinária por Estresse.ABSTRACTObjective: To identify factors that have an impact on the coexistence of family members of children with urinary incontinence. Method: Bibliographic, descriptive, integrative review type study with search of articles in September 2017, in LILACS, BDENF, MEDLIN, and CINAHL databases. We considered the temporal cut from January 2012 to December 2017, using controlled and uncontrolled Health Science Descriptors (DeCS) in English and Portuguese. Results: We included 11 articles, published between 2012 and 2016, highlighting three categories: 1) The educational level of parents as an impact factor; 2) The impact on the quality of life of family members; and 3) The changes that impact on daily family life. Conclusions: Urinary incontinence affects the family routine and can cause psychological disorders, such as stress, anxiety, and depression in children and their family members. There was a shortage of productions that related family members' perceptions of diurnal urinary incontinence and fecal incontinence to the parents' education level. The role of nurses working in pediatric urology was evident with respect to the importance of understanding family coexistence in order to contribute to the delineation of guidelines aimed at the education and understanding of caregivers' experiences. Descriptors: Urinary Incontinence; Family; Caregivers; Children; Enuresis; Urinary Incontinence Due to Stress.RESUMENObjetivo: Identificar factores que impactan en la convivencia de los familiares de niños con incontinencia urinaria. Método: Estudio bibliográfico, descriptivo, tipo revisión integradora, con búsqueda de artículos en el mes de septiembre de 2017, en las bases de datos LILACS, BDENF, MEDLINE y CINAHL. Fue considerado el recorte temporal de enero de 2012 a diciembre de 2017, utilizando los Descriptores en Ciencias de la Salud (DeCS) controlados y no controlados en idioma Inglés y portugués. Resultados: Se incluyeron 11 artículos publicados entre 2012 y 2016, destacándose tres categorías: 1) El nivel educativo de los padres como un factor de impacto; 2) El impacto en la calidad de vida de los familiares; y 3) Los cambios que impactan en el cotidiano familiar. Conclusiones: La incontinencia urinaria afecta la rutina familiar y puede provocar trastornos psicológicos como estrés, ansiedad y depresión en los niños y en sus familiares. Hubo escasez de producciones que relacionaran la percepción de los familiares ante la incontinencia urinaria diurna e incontinencia fecal con el nivel escolar de los padres. Se evidencia el papel del enfermero que actúa en urología pediátrica con respecto a la importancia de la comprensión de la convivencia familiar, a fin de contribuir con el delinear de orientaciones sobre la educación y comprensión de las experiencias vividas por los cuidadores. Descriptores: Incontinencia Urinaria; Familia; Cuidadores; Niños; Enuresis; Incontinencia Urinaria por Estrés.

scholarly journals Activity Limitations and Depressive Symptoms Among Older Couples: The Moderating Role of Spousal Care

2019 ◽  
Author(s):  
Sae Hwang Han ◽  
Kyungmin Kim ◽  
Jeffrey A Burr
Keyword(s):  
Depressive Symptoms ◽  
Daily Living ◽  
Activity Limitations ◽  
Moderating Effects ◽  
Older Couples ◽  
Spousal Caregiving ◽  
Living Related ◽  
Moderating Role ◽  
Retirement Study

Abstract Objectives Limitations in performing basic daily activities, as well as spousal caregiving that arises from activity limitations, are important factors that have ramifications for mental health among couples. The objective of this study was to investigate the interplay of these factors by focusing on whether the associations between activity limitations and depressive symptoms among coupled-individuals were moderated by receipt and provision of spousal care. Methods Longitudinal household data from the Health and Retirement Study (2004–2014; dyad N = 6,614) were analyzed to estimate within-person associations between one’s own and spousal activity limitations, receipt and provision of spousal care, and depressive symptoms. Results Findings showed a consistent link between one’s own activity limitations and depressive symptoms for both spouses, whereas spousal activity limitations were associated with depressive symptoms for wives only. We also found moderating effects of spousal care in the link between one’s own and spousal activity limitations and depressive symptoms. Discussion Receipt and provision of activities of daily living-related assistance may contextualize the association between activity limitations and depressive symptoms among older coupled-individuals in a direction that could alleviate or aggravate the risk of depression.

scholarly journals Nursing in the hospital accreditation process: practice and implications in the work quotidian

2012 ◽  
Vol 20 (1) ◽  
pp. 151-158 ◽  
Author(s):  
Bruna Figueiredo Manzo ◽  
Helen Cristiny Teodoro Couto Ribeiro ◽  
Maria José Menezes Brito ◽  
Marília Alves
Keyword(s):  
Personal Growth ◽  
Accreditation Process ◽  
Structured Interviews ◽  
Hospital Accreditation ◽  
Research Issues ◽  
Belo Horizonte ◽  
As Stress ◽  
Fragmentation Of Care

The aim of this study was to investigate the role and influence of nursing in the hospital accreditation process. It is a qualitative study, conducted in a private hospital of Belo Horizonte. The study subjects were nine nurses and 15 nursing technicians. Data collection was through semi-structured interviews, which were subjected to content analysis. The results showed that the role of the nursing team in the accreditation involves care, administrative, educational and research issues. The study subjects presented different perceptions regarding the influence of the accreditation process in their work. The positive aspects of personal growth and valorization of the curriculum were highlighted as well as negative aspects such as stress and little professional valorization. Therefore, it is necessary that the professionals understand the logic of the process and act with a view to the interdisciplinarity and overcoming the fragmentation of care, thus achieving integral healthcare and the quality of care desired.

scholarly journals The Factors Affect the Quality of Financial Statements Audit in Vietnam Businesses

2015 ◽  
Vol 12 (1) ◽  
pp. 172 ◽  
Author(s):  
Do Huu Hai ◽  
Ngo Sy Trung
Keyword(s):  
Structural Equation ◽  
Audit Quality ◽  
Financial Statements ◽  
Financial Information ◽  
Equation Modeling ◽  
Factors Affecting ◽  
Study Results ◽  
Occupational Qualification

<p>The development of a market economy, especially the financial markets is asking for transparency and truthfulness of the financial information with high quality. The information in the financial statements will impact directly and indirectly to the rights and decisions of investors. Independent auditors play a role of evaluating truthfulness and reasonable financial information in enterprises, however there are still risks. This study focuses on analyzing the factors affecting the quality of financial statements audit in enterprises. The analytical methods used in this study are: factor analysis method to explore and test the Cronbach's alpha coefficient for the construction and testing of measuring scales. Moreover, linear structural modeling method (Structural Equation Modeling SEM) is used to test the reliability and value of discrimination, convergence, unitary of the concept and scale of research. The study results showed that occupational qualification is an important factor affecting the audit quality in the establishment of the business financial statements and legal environment factors, factors belonging to business, factor of independence, factors of quality control system of audit firm.</p>

scholarly journals IS ME IMPORTANT TO US? ACTOR AND PARTNER EFFECTS OF SELF-ACCEPTANCE ON SPOUSAL SUPPORT

2019 ◽  
Vol 3 (Supplement_1) ◽  
pp. S671-S672
Author(s):  
Kyuho Lee
Keyword(s):  
Couple Therapy ◽  
Spousal Support ◽  
Perceived Support ◽  
Older Couples ◽  
Marital Support ◽  
Curve Model ◽  
Self Acceptance ◽  
Support Exchange ◽  
Retirement Study ◽  
Do So

Abstract Marital relationship is influenced by substantial and perceived support exchange. Therefore, it is important to find predictors of support-giving and support-receiving. However, very few studies attempted to do so. As some previous studies reported, individuals’ personality-related characteristics seem to play a significant role in the support exchange within couples. This study aimed to assess the effect of individuals’ self-acceptance on support exchange within older couples. Data of 2,082 heterosexual older couples aged between 50 and 85 in 2006 from the Health and Retirement Study were assessed utilizing an actor-partner inter-dependence model and growth curve model. For the actor effects, both husbands’ and wives’ higher levels of self-acceptance predicted their own perception of the support from a spouse. For the partner effects as well, individuals’ self-acceptance positively predicted their spouse’s perception of the received support. Husbands’ self-acceptance, however, was associated with a decrease in wives’ perceived support. We discuss the possible mechanism with regard to older adults’ self-acceptance and marital support. The findings of the current study contribute to the theories of spousal support and personality as well as in the practical settings of couple therapy and education.

scholarly journals Technology Readiness and Customer Satisfaction with Travel Technologies: A Cross-Country Investigation

2016 ◽  
Vol 56 (5) ◽  
pp. 563-577 ◽  
Author(s):  
Ying Wang ◽  
Kevin Kam Fung So ◽  
Beverley A. Sparks
Keyword(s):  
Online Survey ◽  
Service Providers ◽  
The United States ◽  
Technology Readiness ◽  
Study Results ◽  
Cross Country ◽  
Tourism And Hospitality

Technologies have dramatically transformed tourist experience. However, research has largely focused on traveler attitudes and technology adoption rather than their experience with travel technologies. Taking a cross-country perspective, this study examines the role of technology readiness (TR) as a personality trait in shaping travelers’ satisfaction with travel technologies, using airlines as a case study. Results of an online survey of travelers in Australia, China, and the United States revealed the moderating effects of the TR dimensions of optimism and innovativeness as well as country of residence on the relationships between perceived quality of technology-enabled services (TESs), satisfaction with TESs, overall satisfaction, and future behavior. These relationships were stronger among travelers with higher TR and varied across countries. The results suggest that tourism and hospitality service providers should incorporate measures of traveler TR and TESs’ performance into their customer-experience monitoring system.

Startup Competitions and their Role in Entrepreneurial Ecosystems: A Conceptual Attempt

2020 ◽  
Vol 64 (4) ◽  
pp. 233-246
Author(s):  
Lennard Stolz
Keyword(s):  
General Framework ◽  
Policy Instrument ◽  
Learning Networks ◽  
Policy Makers ◽  
Entrepreneurial Ecosystems ◽  
Support Organizations ◽  
Study Results ◽  
Positive Climate

AbstractResearch on entrepreneurial ecosystems (EEs) is still advancing as a concept that both practitioners and scholars claim has advanced beyond other approaches to fostering or explaining regional entrepreneurship. However, criticism of the concept centers on a lack of understanding of causes and effects and the importance of single instruments for its functionality. While practitioners and policy makers are jumping on the bandwagon and trying to aim policies directly at entrepreneurial ecosystems, investigation of the role of single instruments and their impact on entrepreneurial ecosystems remains insufficient. Fostering entrepreneurship through startup competitions (SUCs) is a decades-old policy instrument. Today, both scholars and practitioners mention SUCs as an element of entrepreneurial ecosystems, but analyzing them from that perspective remains undone. Building on a regional understanding of entrepreneurship and entrepreneurial ecosystems, this paper provides a novel framework for the role of startup competitions in entrepreneurial ecosystems. Following on previous studies of SUCs, this study identifies core mechanisms and benefits of the competitions and presents a general framework for SUCs. Then, the study results are synthesized with mechanisms central to entrepreneurial ecosystems, e.g., entrepreneurial learning, networks of entrepreneurial-related actors in the region, and financing entrepreneurship. It is argued that startup competitions work as network hubs in entrepreneurial ecosystems because they connect: a) entrepreneurs with each other, b) entrepreneurs with relevant actors (e.g., financiers, experts, entrepreneurship support organizations), c) those actors among themselves. Therefore, the competitions are “anchor events” and strengthen the overall quality of the EE in which they occur. The study also argues that SUCs benefit from a functioning EE’s positive climate for entrepreneurship and the availability of resources. The study is theoretical, and its findings lead to an agenda for further research.

scholarly journals Quality of Family Life and Workplace Deviant Behaviour with Perceived Competence as a Mediator among University Staff

2020 ◽  
Vol 66 (2) ◽  
pp. 15-27
Author(s):  
Dare A. Fagbenro ◽  
Mathew O. Olasupo
Keyword(s):  
Family Life ◽  
Negative Relationship ◽  
Perceived Competence ◽  
Mediating Effect ◽  
University Staff ◽  
Deviant Behaviour ◽  
Study Results ◽  
Quality Of Family Life

AbstractSeveral studies have found a variety of factors as antecedents of deviant behaviour but the role of family life on workplace deviant behaviour, as well as the mediating role of perceived competence in the quality of family life-deviant behaviour relationship, have received little study. This study examines the mediating effect of perceived competence on the relationship between the quality of family life and work-deviant behaviour. The study adopted the wellness model and self-determination theory as theoretical standpoints. Three hundred and eight-four (384) university staff in Nigeria participated in the study. Results revealed that there was a significant negative relationship between the quality of family life and workplace deviant behaviour. The result of the hierarchical multiple regression also revealed that perceived competence mediates the link between the quality of family life and workplace deviant behaviour. These findings suggest that psychologists should design training programmes aimed at improving the sense of competence and quality of family life, which invariably will reduce workplace deviant behaviour.

scholarly journals The Use of tPA in the Treatment of Frostbite: A Systematic Review

Hand ◽  
2018 ◽  
Vol 14 (1) ◽  
pp. 13-18 ◽  
Author(s):  
Richard L. Hutchison ◽  
Hannah M. Miller ◽  
Spencer K. Michalke
Keyword(s):  
Systematic Review ◽  
Cohort Studies ◽  
Case Reports ◽  
Case Series ◽  
Scientific Quality ◽  
Complication Rates ◽  
Outcomes Measures ◽  
Study Results

Background: The use of tissue plasminogen activator (tPA) for the treatment of frostbite has been reported and advocated, but its efficacy has not been well established. We conducted a systematic review to guide physicians on the role of tPA in the treatment of frostbite. Our hypothesis was that the use of tPA improves clinical outcomes, as measured by amputation rate. Methods: We searched MEDLINE (PubMed) and EMBASE for primary research articles on the use of tPA for the treatment of extremity frostbite. Information related to study design, outcomes, and complications was extracted. A total of 204 citations were screened, and then 35 abstracts and 24 reports were reviewed. Fifteen studies met the standard for final review. Results: One randomized, prospective study; 3 cohort studies; 8 case series; and 3 case reports were found. A total of 208 patients were treated. Differences in protocols, inclusion criteria, and outcomes measures prevented combining the study results. In all the studies, the authors reported that the use of tPA was or may have been useful in reducing amputation rates or increasing tissue salvage. Complication rates ranged from 0% to 100%, with a combined rate of 13%. The quality of the evidence was low. Conclusions: Due to the low scientific quality of the studies, the efficacy of tPA in reducing amputation rates cannot currently be established. Randomized, prospective trials or well-controlled cohort studies are needed to better assess the role of tPA. Consideration should be given to limiting its use to research protocols.

scholarly journals Evaluation of Salinity by Using Wavelet Modeling

2022 ◽  
Author(s):  
Funda Dökmen ◽  
Zafer ASLAN
Keyword(s):  
Large Scale ◽  
Agricultural Soils ◽  
Irrigation Methods ◽  
Groundwater Irrigation ◽  
Study Results ◽  
The World ◽  
Agricultural Areas ◽  
Study Laboratory

Abstract Every year, due to the salinity resulting from improper irrigation practices, almost 10 billion ha of agricultural lands across the world cannot be used. Among the main elements (cations) for salinity in regions with dry or semi-dry climate are potassium (K+), sodium (Na+), calcium (Ca+2) and magnesium (Mg+’2). Using proper irrigation methods as well as ensuring the quality of irrigation water are of great importance in terms of the salinity of agricultural soils. In this study, laboratory analyses of ground water resources for salinity parameters were conducted in the province of Yalova (Taşköprü, Çiftlikköy, and Altınova regions). In the explanation of the analysis results, variations and effects based on the level of salinity were taken into account and the role of small, meso and large scale factors were determined through the use of the wavelet model. The study results would be of use in the estimation of salinity contents of soils with respect to groundwater irrigation in agricultural areas.

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