Analysis of An Intervention to Reduce or Prevent Secondary Conditions for People with Spinal Cord Injuries

People with acute spinal cord injuries (SCI) are at risk for developing secondary conditions such as pressure sores, urinary tract infections, pain, weight gain and deconditioning, and depression. This study analyzed the effectiveness of an Internet assessment and feedback tool in determining secondary condition risk for this population based on individual responses to a knowledge and behavioral questionnaire. Seventy-one people with newly-diagnosed SCI who were treated at one of five Model Spinal Cord Injury Systems Centers were randomly assigned to either an experimental condition in which they received computerized feedback and one-on-one consultations based on their online questionnaire answers, or to a control condition in which they received no feedback until the study's completion. One year after the initial assessment, the online questionnaire was re-administered to all participants as a post-test. Three times between the pre- and post-test assessments researchers telephoned participants to administer phone surveys probing secondary condition development. Results indicate there were significant differences among race groups and between complete and incomplete injury status for pressure sore occurrence. This study represents a new era of interactive technology in health promotion that can serve as a basis for future research to decrease secondary condition risk for people with SCI.     

《管子》的天地人和合观探析

《管子》的"和合"是一种差等和合,治国理念以天地人和合观为基础,建立了形而上的天地和合道德根据,治国的目标是为了达到社会和合偕习,和合观的使用在方法上运用个人内心和合、国家内外和合达到国家治理,形下之用体现于政治上政通人和以实现天地人和。管子之所以成为我国春秋初期著名的政治家,是因为他的治国理念高远、方法得当、运用适宜,既有道德感化,又有法治辅助,还有礼义调和,实现了社会上下和合、内外和合、形上形下和合。     

Positive perception of time and its association with successful ageing / Percepción positiva del tiempo y su relación con el envejecimiento exitoso

Abstract

The objective of this study was to explore the relationship between perception of time and indicators of successful ageing. The study evaluated preference in temporal orientation, perception of speed of the passage of time and a wide range of psychosocial well-being and health indicators. The sample consisted of 1,178 people aged over 60 years from the ELES longitudinal study, which was representative of the Spanish population. Results showed that: (a) the majority of people of all ages are oriented to the present, although as they become older there is a shift towards the past; (b) orientation to the present implies higher levels of well-being and health, as opposed to orientation to the past; and (c) a perception of a faster passage of time is associated with well-being. In conclusion, the way in which older people perceive time is an indicator of adaptation, well-being and health.     

老年人认知功能的变化轨迹：基于潜变量增长模型的分析

摘 要 本研究采用中国老年健康影响因素跟踪调查（CLHLS）的4次数据（2002,2005,2008,2011）,对老年人认知功能的变化趋势以及影响因素进行了探讨。结果显示：（1）老年人认知功能在4次测查中呈非线性的下降趋势。（2）日常生活活动能力较低的个体其认知功能也较低;老年人读书年限越高,其认知功能水平越高;女性的认知功能水平低于男性;不饮酒的老年人认知功能低于饮酒的老年人。（3）读书年限与饮酒会正向预测模型的斜率。     

视觉经验缺失对盲人听觉词汇识别的影响

听觉词汇识别包含复杂的认知加工过程。视觉通道受阻的盲人在听觉词汇加工中具有一定听觉补偿优势; 但由于视觉经验的缺失, 盲人对一些视觉相关词(比如颜色词)的语义加工和理解比明眼人弱。未来的研究应对词汇的视觉相关性进行分类讨论; 对音、形、义等多层面及其神经生理机制进行深入探究, 发展符合盲人感知特点的听觉词汇加工模型; 并拓展不同年龄段的发展性研究。最终, 揭示视觉经验缺失对盲人听觉词汇识别影响机制的全貌。     

(Dis)comfort in the city: How young travellers in London negotiate mobility within the city

Conflicting claims are made about the extent to which Travellers in Britain remain outsiders in urban society (McGarry 2017; Sibley 1981). This paper sheds light on this question by addressing a neglected aspect of Traveller mobility, namely the day-to-day traversing of urban spaces beyond their (typically segregated) trailer sites. Focusing on public transport, it draws on eighteen months of ethnographic research with young people from Traveller backgrounds from a London-based youth group to understand the nature of the encounters they have as they go out and about in the city. The paper is interested in the place of affect in these encounters, and more generally, affect's role in shaping – or failing to shape – young Travellers' behaviour. The paper considers discomfort experienced through the mobility of young Travellers; it argues that young Travellers are encouraged by their elders to discipline and regulate emotional responses in encounters with non-Travellers and that this constitutes evidence of their continuing outsider status.     

Increasing walking among older people: A test of behaviour change techniques using factorial randomised N-of-1 trials

Objective: Evaluations of techniques to promote physical activity usually adopt a randomised controlled trial (RCT). Such designs inform how a technique performs on average but cannot be used for treatment of individuals. Our objective was to conduct the first N-of-1 RCTs of behaviour change techniques with older people and test the effectiveness of the techniques for increasing walking within individuals.

Design: Eight adults aged 60–87 were randomised to a 2 (goal-setting vs. active control) × 2 (self-monitoring vs. active control) factorial RCT over 62 days. The time series data were analysed for each single case using linear regressions.

Main outcome measures: Walking was objectively measured using pedometers.

Results: Compared to control days, goal-setting increased walking in 4 out of 8 individuals and self-monitoring increased walking in 7 out of 8 individuals. While the probability for self-monitoring to be effective in 7 out of 8 participants was beyond chance (p = .03), no intervention effect was significant for individual participants. Two participants had a significant but small linear decrease in walking over time.

Conclusion: We demonstrate the utility of N-of-1 trials for advancing scientific enquiry of behaviour change and in practice for increasing older people’s physical activity.     

Solidarity and Reciprocity Between People With and Without Disabilities

Governments of contemporary welfare states call upon citizens to care for people with psychiatric or intellectual disabilities. This is deemed sensible and morally just. However, social–psychological theory suggests that stereotyping may stand in the way of engaging into contact. Sociological theory suggests that the giving of help is based on either balanced or generalized reciprocity. Balanced reciprocity depends on one's ability to ‘pay back’, which people with disabilities may have trouble doing. Generalized reciprocity depends on close social bonds, while people with disabilities often have fewer social bonds than other citizens. The current study aimed to find out whether citizens—despite socio‐psychological and sociological theories expecting otherwise—enter into supporting relationships with people with intellectual or psychiatric disabilities. Although we found socio‐psychological and sociological theory to be largely correct, we also found people to be more creative than theory assumes. A smile can be experienced as a return gift, thus including people with intellectual disabilities in the web of balanced reciprocity. Some people create new social bonds to include people with disabilities: they feel close to them because they had a job in the healthcare sector or because they had a family member with a disability. In disadvantaged neighbourhoods, recognition of each other's problems can create feelings of similarity and concomitant reciprocity. Copyright © 2016 John Wiley & Sons, Ltd.     

Studying the ecclesiology of a national church: the Danish context

Studying the ecclesiology of the Evangelical Lutheran Church in Denmark is a complicated matter. It requires knowledge of a broad range of subjects such as theology, political science, history, and anthropology. This article shows some of the difficulties and problems related to studying a national church which is heavily politicised, because a national church, in a globalised context, easily becomes the symbol of a past identification of nation, state, church, and people. Today, this identification is changing because of immigration, secular ideologies, and secularisation. Researchers in ecclesiology must be aware of the political and national dimensions of their research and how their conclusions are used in the political debate.