scholarly journals Changes in the Social Networks of Three Women with an Intellectual Disability: A Qualitative Follow-Up Study

2018 ◽  
Vol 7 (3) ◽  
pp. 76 ◽  
Author(s):  
Minna Saarinen ◽  
Laura Holm ◽  
Lotta Uusitalo-Malmivaaara

There is ample evidence to show that people with intellectual disabilities (ID) face an increased risk of being socially excluded. The longer life expectancy of persons with ID carries new challenges. In this paper, we report on a follow-up case study of three Finnish women with ID. The women were interviewed twice (in 1995 and in 2013) and relationship maps were drawn pursuant to the interviews. In all three cases, the density of the relationship maps had decreased. In two cases, intimate relationships had remained or become even closer. In one case, intimate relationships were fewer. External services were inadequate in supporting the women to maintain their social relationships. Resources in the immediate families were decisive in determining their life course which was burdened by several extra obstacles. Some of these obstacles could possibly have been prevented if there had been a more permanent support system. The advantages and disadvantages of service and support paradigms are discussed.

2021 ◽  
Vol 10 (13) ◽  
pp. 2927
Author(s):  
Amaar Obaid Hassan ◽  
Gregory Y. H. Lip ◽  
Arnaud Bisson ◽  
Julien Herbert ◽  
Alexandre Bodin ◽  
...  

There are limited data on the relationship of acute dental infections with hospitalisation and new-onset atrial fibrillation (AF). This study aimed to assess the relationship between acute periapical abscess and incident AF. This was a retrospective cohort study from a French national database of patients hospitalized in 2013 (3.4 million patients) with at least five years of follow up. In total, 3,056,291 adults (55.1% female) required hospital admission in French hospitals in 2013 while not having a history of AF. Of 4693 patients classified as having dental periapical abscess, 435 (9.27%) developed AF, compared to 326,241 (10.69%) without dental periapical abscess that developed AF over a mean follow-up of 4.8 ± 1.7 years. Multivariable analysis indicated that dental periapical abscess acted as an independent predictor for new onset AF (p < 0.01). The CHA2DS2VASc score in patients with acute dental periapical abscess had moderate predictive value for development of AF, with Area Under the Curve (AUC) 0.73 (95% CI, 0.71–0.76). An increased risk of new onset AF was identified for individuals hospitalized with dental periapical abscess. Careful follow up of patients with severe, acute dental periapical infections is needed for incident AF, as well as investigations of possible mechanisms linking these conditions.


Author(s):  
Yuko Yamaguchi ◽  
Marta Zampino ◽  
Toshiko Tanaka ◽  
Stefania Bandinelli ◽  
Yusuke Osawa ◽  
...  

Abstract Background Anemia is common in older adults and associated with greater morbidity and mortality. The causes of anemia in older adults have not been completely characterized. Although elevated circulating growth and differentiation factor 15 (GDF-15) has been associated with anemia in older adults, it is not known whether elevated GDF-15 predicts the development of anemia. Methods We examined the relationship between plasma GDF-15 concentrations at baseline in 708 non-anemic adults, aged 60 years and older, with incident anemia during 15 years of follow-up among participants in the Invecchiare in Chianti (InCHIANTI) Study. Results During follow-up, 179 (25.3%) participants developed anemia. The proportion of participants who developed anemia from the lowest to highest quartile of plasma GDF-15 was 12.9%, 20.1%, 21.2%, and 45.8%, respectively. Adults in the highest quartile of plasma GDF-15 had an increased risk of developing anemia (Hazards Ratio 1.15, 95% Confidence Interval 1.09, 1.21, P&lt;.0001) compared to those in the lower three quartiles in a multivariable Cox proportional hazards model adjusting for age, sex, serum iron, soluble transferrin receptor, ferritin, vitamin B12, congestive heart failure, diabetes mellitus, and cancer. Conclusions Circulating GDF-15 is an independent predictor for the development of anemia in older adults.


1993 ◽  
Vol 7 (1) ◽  
pp. 49-57 ◽  
Author(s):  
Sally A. White

The Psychological Skills Inventory for Sport (PSIS; Mahoney, 1988) identifies certain psychological skills or characteristics possessed by successful athletes. However, little has been done to connect the PSIS with other variables that may have an impact on the athletes’ psychological skills. Therefore the purpose of this study was twofold. First, the psychometric properties of the PSIS for all subjects and by gender were determined. Second, the relationship between the PSIS, experience, practice commitment, and gender of collegiate skiers was examined. A random sample of 131 male and female collegiate skiers responded to the 45-item PSIS. Overall, the six PSIS subscales (anxiety, concentration, confidence, mental preparation, motivation, and team emphasis) demonstrated acceptable internal reliability (coeff. alpha = .69−.84). Results of a 4 × 3 × 2 (Experience × Practice Commitment × Gender) MANOVA and follow-up univariate F tests revealed a significant gender effect on the team emphasis subscale. Female collegiate skiers were more team oriented than male collegiate skiers and placed more importance on the social and affiliative aspects of being on a team than did their male counterparts.


2021 ◽  
Vol 20 (1) ◽  
pp. 71-79
Author(s):  
Mariola Szewczyk-Jarocka ◽  
Janina Sawicka ◽  
Anna Nowacka

The aim of this study is to present the opinions of local labour market participants regarding unregistered work that is performed by socially excluded people who are registered in the Labour Office in the city of Płock, Poland. The paper begins with a literature review of the theoretical issues and presents conclusions based on published studies and articles. This is followed by an empirical data analysis where the authors diagnose the causes, important advantages and disadvantages of unregistered work. The data includes the results of surveys that were distributed to 350 respondents: 195 received PAPI paper questionnaires and 155 people were surveyed using a CAWI questionnaire posted on the Internet (additionally, a campaign on Facebook) in 2018. The analyses includes the distribution of answers to the survey question together with verification of the statistical significance between the answers and specific variables, such as education, sex and age group.


2020 ◽  
Vol 17 (2) ◽  
pp. 53-69
Author(s):  
Petra Tlčimuková

This case study presents the results of long-term original ethnographic research on the international Buddhist organization Soka Gakkai International (SGI). It focuses on the relationship between the material and immaterial and deals with the question of how to study them in the sociology of religion. The analysis builds upon the critique of the modernist paradigm and related research of religion in the social sciences as presented by Harman, Law and Latour. The methodology draws on the approach of Actor-Network Theory as presented by Bruno Latour, and pursues object-oriented ethnography, for the sake of which the concept of iconoclash is borrowed. This approach is applied to the research which focused on the key counterparts in the Buddhist praxis of SGI ‒ the phrase daimoku and the scroll called Gohonzon. The analysis deals mainly with the sources of sociological uncertainties related to the agency of the scroll. It looks at the processes concerning the establishing and dissolving of connections among involved elements, it opens up the black-boxes and proposes answers to the question of new conceptions of the physical as seen through Gohonzon.


Hypertension ◽  
2021 ◽  
Vol 77 (3) ◽  
pp. 919-928
Author(s):  
So-Ryoung Lee ◽  
Chan Soon Park ◽  
Eue-Keun Choi ◽  
Hyo-Jeong Ahn ◽  
Kyung-Do Han ◽  
...  

The association between the cumulative hypertension burden and the development of atrial fibrillation (AF) is unclear. We aimed to investigate the relationship between hypertension burden and the development of incident AF. Using the Korean National Health Insurance Service database, we identified 3 726 172 subjects who underwent 4 consecutive annual health checkups between 2009 and 2013, with no history of AF. During the median follow-up of 5.2 years, AF was newly diagnosed in 22 012 patients (0.59% of the total study population; 1.168 per 1000 person-years). Using the blood pressure (BP) values at each health checkup, we determined the burden of hypertension (systolic BP ≥130 mm Hg or diastolic BP ≥80 mm Hg), stratified as 0 to 4 per the hypertension criteria. The subjects were grouped according to hypertension burden scale 1 to 4: 20% (n=742 806), 19% (n=704 623), 19% (n=713 258), 21% (n=766 204), and 21% (n=799 281). Compared with normal people, subjects with hypertension burdens of 1, 2, 3, and 4 were associated with an 8%, 18%, 26%, and 27% increased risk of incident AF, respectively. On semiquantitative analyses with further stratification of stage 1 (systolic BP of 130–139 mm Hg or diastolic BP of 80–89 mm Hg) and stage 2 (systolic BP ≥140 mm Hg or diastolic BP ≥90 mm Hg) hypertension, the risk of AF increased with the hypertension burden by up to 71%. In this study, both a sustained exposure and the degree of increased BP were associated with an increased risk of incident AF. Tailored BP management should be emphasized to reduce the risk of AF.


2016 ◽  
Vol 5 (2) ◽  
pp. 351-363
Author(s):  
Tarcísio Staudt ◽  
Carla Joseandra Dillenburg ◽  
Jucelaine Bitarello

ABSTRACTThe objective is to identify the relationship of managers and employees the forms of recognition of Spiritual Capital as part of the integral being in the workplace. Thus, we described the spiritual evolution of man through the ages, we discuss theories about the whole being, identify and analyze the values that constitute the Spiritual Capital, showing its relevance in the business environment in two ways: the reflections generated by the formation of a team spirit high, and the values and principles that guide the actions of managers and employees. The research is characterized as qualitative descriptive exploratory design, whose basis was made by the literature review. The case study was conducted at the Agency for Post Franchised Rua Grande, located in São Leopoldo / RS. We used the methodology of content analysis, using the technique of speech analysis performed by guiding tours of interviews with two managers and a non-probability sample of ten employees. In the analyzed company, identified as a factor of greater relevance to management integration with your staff, creating involvement and complicity in the team. Leaders seek personal satisfaction and professional staff as well as realize the extent of the social issues of particular employees by making the work environment supportive. The methodology applied by management contributes to the formation of the integral, since it gives employees freedom of action, stimulating their potential and enhancing their qualifications. The agency has an integrated team, strengthened by the values and purposes guiding spirituality.RESUMOO objetivo é identificar nas relações de gestores e funcionários as formas de reconhecimento do Capital Espiritual como elemento do ser integral no ambiente de trabalho. Desta forma, descrevemos a evolução espiritual do ser humano através dos tempos; abordamos teorias sobre o ser integral; identificamos e analisamos os valores que constituem o Capital Espiritual, demonstrando sua relevância no ambiente empresarial sob dois aspectos: os reflexos gerados pela formação de uma equipe espiritualmente elevada, e, os valores e princípios que norteiam as ações dos gestores e funcionários. A pesquisa caracteriza-se como qualitativa com delineamento descritivo-exploratório, cujo embasamento deu-se através da revisão bibliográfica. O estudo de caso foi realizado na Agência de Correios Franqueada Rua Grande, situada na cidade de São Leopoldo/RS. Utilizou-se a metodologia de análise de conteúdo, através da técnica de análise de discurso realizada por meio de roteiros norteadores de entrevistas aplicadas aos dois gestores e em uma amostra não-probabilística de dez funcionários. Na empresa analisada, identificamos como fator de maior relevância a integração da gestão com seu quadro funcional, criando envolvimento e cumplicidade na equipe. Os líderes buscam a satisfação pessoal e profissional dos funcionários, bem como percebem a extensão social das questões particulares dos colaboradores tornando o ambiente de trabalho solidário. A metodologia aplicada pela gestão contribui para a formação do ser integral, visto que proporciona aos funcionários liberdade de ação, estimulando suas potencialidades e valorizando suas qualificações. A agência conta com uma equipe integrada, fortalecida pelos valores e propósitos norteadores da espiritualidade.


Circulation ◽  
2008 ◽  
Vol 118 (suppl_18) ◽  
Author(s):  
Andrew P DeFilippis ◽  
Holly J Kramer ◽  
Ronit Katz ◽  
Nathan Wong ◽  
Alain Bertoni ◽  
...  

Background: Microalbuminuria (MA) is associated with an increased risk of cardiovascular disease (CVD) but the mechanism by which microalbuminuria imparts this increased risk is not known. In this study we assessed the relationship between MA and the development and progression of atherosclerosis by measuring the incidence of new CAC and the progression of existing CAC in individuals free of clinical CVD. Methods : The Multi-Ethnic Study of Atherosclerosis (MESA) is a prospective cohort study of 6,814 participants free of clinical CVD at entry who underwent assessment of coronary artery calcification (CAC) by computerized tomography at baseline. Overall, 6,775 individuals had data available on urinary albumin creatinine ratio (UACR); 1,109 individuals were excluded for missing data or macroalbuminuria (UACR≥300 mg/g). Incident CAC was defined as detectable CAC at follow-up among those with CAC=0 at baseline, and absolute CAC score change among those with CAC>0 at baseline. Relative risk (RR) regression adjusted for covariates; and multivariable adjusted median regression was employed to assess the independent relationship of MA with CAC incidence and progression. Results : Of the 5,666 subjects (mean age 62±10 years, 48% males), baseline MA was seen in 424 (7%) participants, who were more likely to have CAC compared to those with normal UACR (62% vs. 48%, p<0.0001). During a mean follow-up of 2.4±0.8 years, those with MA were more likely to develop CAC (28% vs. 15%, p<0.0001) and they had a higher absolute median increase in CAC (47 vs. 29 Agatston Units, p<0.0001). After adjustment for age, gender, ethnicity, site, follow-up duration, diabetes, hypertension, smoking, family history of heart attack, total cholesterol, lipid lowering medications and body mass index; MA was associated with incident CAC (RR 1.65; 95%CI 1.41–2.48) among those with CAC=0 at baseline. Among those with CAC>0 at baseline, MA was associated with a median increase in CAC of 7.93 (95%CI 0.38 –15.47) Agatston Units in multivariable adjusted analyses (variables noted above). Conclusion : MA is independently associated with development of incident CAC and progression of CAC in an asymptomatic multi-ethnic population, and may in part explain its associated increased risk of CVD.


2019 ◽  
Vol 98 (5) ◽  
pp. 534-540 ◽  
Author(s):  
K. Takeuchi ◽  
K. Matsumoto ◽  
M. Furuta ◽  
S. Fukuyama ◽  
T. Takeshita ◽  
...  

Although they are known to share pathophysiological processes, the relationship between periodontitis and chronic obstructive pulmonary disease (COPD) is not fully understood. The aim of the present study was to test the hypothesis that periodontitis is associated with a greater risk of development of COPD, when smoking is taken into account. The analysis in a 5-y follow-up population-based cohort study was based on 900 community-dwelling Japanese adults (age: 68.8 ± 6.3 [mean ± SD], 46.0% male) without COPD aged 60 or older with at least 1 tooth. Participants were classified into 3 categories according to baseline periodontitis severity (no/mild, moderate, and severe). COPD was spirometrically determined by a fixed ratio of <0.7 for forced expiratory volume in 1 s (FEV1)/forced vital capacity (FVC) and by FEV1/FVC below the lower limit of normal. Poisson regression was used to calculate the relative risk (RR) of developing COPD according to the severity of periodontitis. The population attributable fraction (PAF) was also calculated. During follow-up, 22 (2.4%) subjects developed COPD. Compared with no/mild periodontitis subjects, a significantly increased risk of COPD occurred among severe periodontitis subjects (RR = 3.55; 95% confidence interval [CI], 1.18 to 10.67), but no significant differences were observed between the no/mild and moderate categories (RR = 1.48; 95% CI, 0.56 to 3.90). After adjustment for potential confounders, including smoking intensity, the relationship between severe periodontitis and risk of COPD remained significant (RR = 3.51; 95% CI, 1.15 to 10.74). Likewise, there was a positive association of periodontitis severity with risk of COPD ( P for trend = 0.043). The PAF for COPD due to periodontitis was 22.6%. These data highlight the potential importance of periodontitis as a risk factor for COPD.


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