scholarly journals Predictive Role of Caregiver Type, Dependency Level and Time Caring on the Impact of Caring for a Dependent Relative as a Stressor

2014 ◽  
Vol 4 (3) ◽  
pp. 193-202
Author(s):  
Teresa Lanzón Serra ◽  
Amelia Díaz Martínez
Keyword(s):  
Lower Risk ◽  
Lower Number ◽  
Stress Symptoms ◽  
The Future ◽  
Predictive Role ◽  
Professional Nurses ◽  
The Impact ◽  
At Home

This work presents the evaluation of the stress symptoms associated to the task of caring for a dependent relative at home. The role played by variables such as type of caregiver (nurse/non-nurse), the relative dependency level, the number of hours per day dedicated to caring and the years the caregiver had been caring for the relative was studied. The sample was made up of 100 caregivers, and the variables associated to stress studied in the present work were intrusion, avoidance and activation. Results showed that non-nurse caregivers caring for a low dependency relative for a period of less than two years were those suffering a higher impact, with more symptoms associated to stress. Hours caring per day worked as a protective variable of stress, in that those caregivers dedicating a lower number of hours to caring had lower risk of suffering stress symptoms. These results clearly show the stressful impact of the first stages of dependency, even at the lowest level of dependency in a relative, on non-professional caregivers and highlight the need to provide strategies, similar to those shown by professional nurses looking after their own relatives, to reduce stress. This kind of intervention would prepare the caregiver for the future stages when the dependency level in the relatives and the effort caring for them would be higher.

scholarly journals Predictive Role of Caregiver Type, Dependency Level and Time Caring on the Impact of Caring for a Dependent Relative as a Stressor

2014 ◽  
Vol 4 (3) ◽  
pp. 193-202
Author(s):  
Teresa Lanzón Serra ◽  
Amelia Díaz Martínez
Keyword(s):  
Lower Risk ◽  
Lower Number ◽  
Stress Symptoms ◽  
The Future ◽  
Predictive Role ◽  
Professional Nurses ◽  
The Impact ◽  
At Home

This work presents the evaluation of the stress symptoms associated to the task of caring for a dependent relative at home. The role played by variables such as type of caregiver (nurse/non-nurse), the relative dependency level, the number of hours per day dedicated to caring and the years the caregiver had been caring for the relative was studied. The sample was made up of 100 caregivers, and the variables associated to stress studied in the present work were intrusion, avoidance and activation. Results showed that non-nurse caregivers caring for a low dependency relative for a period of less than two years were those suffering a higher impact, with more symptoms associated to stress. Hours caring per day worked as a protective variable of stress, in that those caregivers dedicating a lower number of hours to caring had lower risk of suffering stress symptoms. These results clearly show the stressful impact of the first stages of dependency, even at the lowest level of dependency in a relative, on non-professional caregivers and highlight the need to provide strategies, similar to those shown by professional nurses looking after their own relatives, to reduce stress. This kind of intervention would prepare the caregiver for the future stages when the dependency level in the relatives and the effort caring for them would be higher.

The Role of Oil and Gas in the Economic Development of the Global Economy

2018 ◽  
Author(s):  
Paul Stevens
Keyword(s):  
Economic Development ◽  
Global Economy ◽  
Oil And Gas ◽  
Primary Energy ◽  
Oil And Gas Producers ◽  
The Future ◽  
History Of ◽  
Factor Inputs ◽  
The Impact

This chapter is concerned with the role of oil and gas in the economic development of the global economy. It focuses on the context in which established and newer oil and gas producers in developing countries must frame their policies to optimize the benefits of such resources. It outlines a history of the issue over the last twenty-five years. It considers oil and gas as factor inputs, their role in global trade, the role of oil prices in the macroeconomy and the impact of the geopolitics of oil and gas. It then considers various conventional views of the future of oil and gas in the primary energy mix. Finally, it challenges the drivers behind these conventional views of the future with an emphasis on why they may prove to be different from what is expected and how this may change the context in which producers must frame their policy responses.

scholarly journals The Impact of Some Emerging Technologies in Modern Military Actions

2021 ◽  
Vol 26 (2) ◽  
pp. 188-194
Author(s):  
Aurelian Raţiu ◽  
Onisim Roşu
Keyword(s):  
Technological Progress ◽  
Emerging Technologies ◽  
Decision Making Process ◽  
Legal Action ◽  
Area Of Interest ◽  
The World ◽  
The Future ◽  
International Laws ◽  
The Impact

Abstract Among the emerging technologies, artificial intelligence represents nowadays an area of interest for all of the states around the world, making the technological progress a huge step in human evolution. The future role of the man in military actions will not be to fight in the field anymore, making decisions on how and when to use the weapons in order to stop the incoming enemy while also respecting the international laws. With the help of technology, humanity could provide its much needed security and put an end to conflicts regardless of their nature, because devices are not capable of emotions and subjectivism, making them transparent and objective and transforming the decision making process into a simpler, fairer and legal action. Technology represents the future and man should adapt to it as soon as possible in order to reach the best outcomes even when it comes to war.

scholarly journals The strategic value of corporate social responsibility CSR: the present and future of its management

2021 ◽  
Author(s):  
Estrella Barrio-Fraile ◽  
Ana-María Enrique-Jiménez
Keyword(s):  
Corporate Social Responsibility ◽  
Social Responsibility ◽  
Main Challenge ◽  
Strategic Value ◽  
The Future ◽  
Corporate Social ◽  
Social Entities ◽  
The Impact

Corporate social responsibility (CSR) has become the central theme of many debates on the role of organizations in society in recent years. The voluntary incorporation of strategies that influence economic profitability and in turn social and environmental issues is already a reality in companies. This article has several aims: (1) to analyse whether CSR is strategic and cross-cutting for companies and whether there exists a true dialogue between companies and stakeholders; (2) to identify the functions, relationships and quality of CSR or sustainability directors; (3) to determine the main challenges for the future; (4) to reflect on the impact that Covid-19 has had on the development of CSR in businesses. The study was based on the Delphi method and employed a sample of 20 experts: 10 academics (lecturers and researchers) and 10 professionals (communication and CSR directors, and CSR and reputation consultants). The results reveal that: (1) with the exception of SMEs, CSR management in companies is strategic and cross-cutting; (2) there is no reciprocal dialogue between companies and stakeholders; (3) the functions carried out by CSR directors can be classified as analytical, strategic, tactical and communicative; (4) the most outstanding qualities of the CSR director are communication skills, deep knowledge of the company and a willingness to work as part of a team; (5) the main challenge for senior management for the future is to be more strategic; (6) Covid-19 has changed the focus in CSR areas of action and in the prioritization of stakeholders. In short, we conclude that CSR management is well rooted in companies and represents a true transformation for businesses as social entities.

scholarly journals The Association of Plant-Based Diet With Cardiovascular Disease and Mortality: A Meta-Analysis and Systematic Review of Prospect Cohort Studies

2021 ◽  
Vol 8 ◽  
Author(s):  
Jingxuan Quek ◽  
Grace Lim ◽  
Wen Hui Lim ◽  
Cheng Han Ng ◽  
Wei Zheng So ◽  
...  
Keyword(s):  
Cardiovascular Disease ◽  
Cardiovascular Mortality ◽  
Lower Risk ◽  
Meta Analysis ◽  
Clinical Endpoints ◽  
Hazard Ratios ◽  
Increased Risk ◽  
The Impact ◽  
Dietary Indices

Background: The association between plant-based diets and cardiovascular disease (CVD) remains poorly characterized. Given that diet represents an important and a modifiable risk factor, this study aimed to assess (1) the relationships between the impact of adherence to plant-based diets on cardiovascular mortality, incident CVD, and stroke; (2) if associations differed by adherence to healthful and less healthful plant-based diets.Methods and Findings: MEDLINE and EMBASE databases were searched up to May 2021. Studies assessing CVD outcomes with relation to plant-based dietary patterns or according to plant-based dietary indices (PDI) were included. A meta-analysis of hazard ratios (HR) was conducted using DerSimonian and Laird random effects model. Thirteen studies involving 410,085 participants were included. Greater adherence to an overall plant-based dietary pattern was significantly associated with a lower risk of cardiovascular mortality (pooled HR: 0.92, 95% CI: 0.86–0.99 p = 0.0193, I2 = 88.5%, N = 124,501) and a lower risk of CVD incidence (pooled HR: 0.90, 95% CI: 0.82–0.98, p = 0.0173, I2 = 87.2%, N = 323,854). Among the studies that used PDI, unhealthful plant-based diets were associated with increased risk of cardiovascular mortality (pooled HR: 1.05, 95% CI: 1.01–1.09, p = 0.0123, I2 = 0.00%, N = 18,966), but not CVD incidence. Conversely, healthful plant-based diets were associated with decreased CVD incidence (pooled HR: 0.87, 95% CI: 0.80–0.95, p = 0.0011, I2 = 57.5%, N = 71,301), but not mortality. Vegetarians also had significantly lower CVD incidence (HR: 0.81, 95% CI: 0.72–0.91, p = 0.0004, I2 = 22.2%, N = 16,254), but similar CVD mortality or stroke risk when compared to the meat-eaters.Conclusion: To date, this comprehensive study examines the effects of a plant-based diet on major clinical endpoints using more holistic PDIs. These findings highlight the favorable role of healthful plant-based foods in reducing cardiovascular mortality and CVD.

An Explanation for How FGFs Predict Species-Specific Tooth Cusp Patterns

2018 ◽  
Vol 97 (7) ◽  
pp. 828-834 ◽  
Author(s):  
L. Li ◽  
Q. Tang ◽  
H.-J.E. Kwon ◽  
Z. Wu ◽  
E.-J. Kim ◽  
...  
Keyword(s):  
Expression Pattern ◽  
Expression Patterns ◽  
Evolutionary Changes ◽  
The Future ◽  
Predictive Role ◽  
Species Specific ◽  
Enamel Knots ◽  
Inner Dental Epithelium

Species-specific cusp patterns result from the iterative formation of enamel knots, the epithelial signaling centers, at the future cusp positions. The expressions of fibroblast growth factors (FGFs), especially Fgf4, in the secondary enamel knots in the areas of the future cusp tips are generally used to manifest the appearance of species-specific tooth shapes. However, the mechanism underlying the predictive role of FGFs in species-specific cusp patterns remains obscure. Here, we demonstrated that gerbils, which have a lophodont pattern, exhibit a striped expression pattern of Fgf4, whereas mice, which have a bunodont pattern, have a spotted expression pattern, and these observations verify the predictive role of Fgf4 in species-specific cusp patterns. By manipulating FGFs’ signaling in the inner dental epithelium of gerbils, we provide evidence for the intracellular participation of FGF signaling, specifically FGF4 and FGF20, in Rac1- and RhoA-regulated cellular geometry remolding during the determination of different cusp patterns. Our study presents a novel explanation of how different FGF expression patterns produce different cusp patterns and implies that a conserved intracellular FGF-GTPase signaling module might represent an underlying developmental basis for evolutionary changes in cusp patterns.

scholarly journals Enhancing the role of remittances through social capital: Evidence from Indonesian household data

2020 ◽  
Vol 29 (1) ◽  
pp. 30-54
Author(s):  
Rulyusa Pratikto ◽  
Sylvia Yazid ◽  
Elisabeth Dewi
Keyword(s):  
Social Capital ◽  
Migrant Workers ◽  
Family Members ◽  
Household Data ◽  
Future Income ◽  
The Impact ◽  
Female Migrant ◽  
At Home

The main purpose of this study is to determine whether remittance-receiving households in Indonesia have truly experienced a measurable increase in their welfare. It focuses on how social capital may enhance the efforts of Indonesia’s female migrant workers to improve their and their family’s welfare at home. Our findings confirm that social capital enhances the impact of remittances by increasing the welfare of the migrant workers and their immediate family members. Remittance-receiving households with strong and wide-ranging social capital tend to use the extra income from remittances more for investment. In turn, this generates future income, which boosts the impacts of their remittances on their overall welfare.

Prognostic and predictive role of fumarate hydratase in metastatic clear cell renal cell carcinoma.

2018 ◽  
Vol 36 (6_suppl) ◽  
pp. 617-617
Author(s):  
Claudio Vernieri ◽  
Giovanni Fucà ◽  
Simona Massa ◽  
Raffaele Ratta ◽  
Elena Verzoni ◽  
...  
Keyword(s):  
Renal Cell Carcinoma ◽  
Cell Carcinoma ◽  
Renal Cell ◽  
Clear Cell ◽  
Fumarate Hydratase ◽  
First Line ◽  
Primary Tumors ◽  
Predictive Role ◽  
The Impact

617 Background: Metabolic disruption is frequent in renal cell carcinoma (RCC). Loss of the mitochondrial fumarate hydratase (FH) enzyme is associated with enhanced glycolytic metabolism, angiogenesis and clinical aggressiveness in type 2 papillary RCC. However, FH expression has never been evaluated in clear cell RCC (ccRCC). In this study, we investigated the impact of FH expression on the outcomes of patients (pts) with metastatic ccRCC (mccRCC). Methods: We included pts with mccRCC, for whom formalin-fixed, paraffin embedded (FFPE) tissue from the primary tumor had been obtained before initiation of systemic treatment. FH levels were evaluated by immunohistochemistry (IHC), and were defined as “normal” if FH expression in most cancer cells was comparable to the adjacent normal tubular cells and “low” in the opposite case. We evaluated the association between FH levels and clinico-pathological characteristics through the chi-squared or Fisher’s exact test. The log-rank test was used to compare survival between patient subgroups. Results: We evaluated 49 mccRCC pts, of whom 36 (73.5%) had synchronous metastases. FH levels were normal in 29 (59.2%) pts and low in 20 (40.8%) pts. FH expression was not associated with patient age (p = 0.5), sex (p = 0.34), tumor grade (p = 0.66), T stage (p = 0.38), N stage (p = 0.88), metastatic disease at the time of diagnosis (p = 0.4), number of metastatic sites (p = 1) or sarcomatoid morphology (p = 0.36). 44 pts received first-line therapy with tyrosine kinase inhibitors (TKIs). In pts with low as compared to normal FH levels, median progression free survival (mPFS) during any first-line treatment was 34 and 10.1 months, respectively (HR 0.39, 95% CI 0.18-0.85; p = 0.014), while mPFS during first-line TKI therapy was 34 and 8.42 months, respectively (HR 0.4, 95% CI 0.17-0.94; p = 0.03). Median overall survival (OS) was not reached in pts with FH-low tumors, while it was 22.9 months in normally expressing ones (HR 0.14, 95% CI 0.032-0.63; p = 0.028). Conclusions: In mccRCC pts, low FH expression in primary tumors is associated with longer PFS during any first-line or TKI treatment, and also with better OS. This is the first study to reveal a prognostic and predictive role of FH levels in mccRCC.

Inattention in Contract Markets: Evidence from a Consolidation of Options in Telecom

2021 ◽  
Author(s):  
Bjørn-Atle Reme ◽  
Helene Lie Røhr ◽  
Morten Sæthre
Keyword(s):  
Price Change ◽  
Future Price ◽  
Supporting Evidence ◽  
Search Plan ◽  
Level Data ◽  
Timing Pattern ◽  
The Future ◽  
Telecom Operator ◽  
The Impact

We study customer inattention by utilizing a notification about a future price change in the mobile subscription market. With detailed customer-level data from a large telecom operator, together with data on prices and contracts offered by competitors, we document that the notification causes an increase in customer attention, which triggers search, plan switching, and churn. In particular, we show that the monthly propensity to churn increases by 60% (from 1% to 1.6%) among customers whose costs would decrease with the new prices. We also document an increase in churn directly after the notification, not at the time of the future price change, and argue that this timing pattern is evidence of sophisticated inattention: customers take immediate action to mitigate the impact of their own future inertia. We supplement the analysis with a survey and find supporting evidence for the important role of inattention in determining how consumers adapt to changes in the market. This paper was accepted by Eric Anderson, marketing.

The Emotional Impact of Unfulfilled Career Aspirations for Stay-at-Home Mothers in Australia

2021 ◽  
pp. 0192513X2110307
Author(s):  
Melissa Johnstone ◽  
Jayne Lucke
Keyword(s):  
Quantitative Data ◽  
Well Being ◽  
Emotional Impact ◽  
Paid Work ◽  
Family Outcomes ◽  
Work Family ◽  
The Impact ◽  
Lower Life Satisfaction ◽  
At Home

Australia has a relatively high proportion of stay-at-home mothers, despite most young women aspiring to combine motherhood with paid work. Using two waves of quantitative data from the 1973–1978 cohort of the Australian Longitudinal Study on Women’s Health, and interviews with a subsample of stay-at-home mothers, we aimed to understand the role of agency in women’s work–family outcomes and the impact upon their well-being. More than four out of five stay-at-home mothers (83%) had previously aspired to combine motherhood with paid work. There were no differences in mental health scores of stay-at-home mothers according to prior work aspirations. However, stay-at-home mothers had marginally lower life satisfaction, and were more dissatisfied with the progress of their career when they had previously aspired to paid work, compared with unpaid work. Although women described their current situation as a ‘choice’, their choices were deeply embedded within gendered, social and economic contexts.

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