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Experienced High Levels (experience + high_level)
Selected AbstractsStress affects carers before patient's first visit to a memory clinicINTERNATIONAL JOURNAL OF GERIATRIC PSYCHIATRY, Issue 10 2009Tor Atle Rosness Abstract Objective To measure and compare the burden on spousal carers of patients with and without dementia who were consulting a memory clinic for the first time. Methods We included 413 dyads of patients and their spousal carers consulting a memory clinic for the first time. Of them 276 had a diagnosis of Cognitive Impairment No Dementia (CIND) and 137 had a dementia diagnosis. The burden of care was measured with the Relative Stress Scale (RSS). The gender of patients and their spouses was recorded and measures of cognition, depression and functional capacity of the patients were included in the analysis. Results Of all carers, 27.6% had a score on the RSS of above 23, indicating a moderate to severe burden. The corresponding score for carers of patients with CIND was 20.3%, compared to 42.2% for those with dementia. However, in a linear regression analysis with RSS as the dependent variable, the dementia diagnosis variable was not significant. Three variables were significant (p,<,0.05) and has explained 34% of the variance of the score on the RSS, impaired function in activities of daily living (ADL) was the most important variable (, 0.56), followed by female gender of carers (, 0.19) and the extent of the symptoms of depression observed in the patients (, 0.10). Conclusion Carers of both CIND and dementia patients when attending a memory clinic for initial diagnostic assessment experience high levels of stress. Impaired function in ADL in patients is the strongest predictor of this stress. Copyright © 2009 John Wiley & Sons, Ltd. [source] HIV, AIDS and human services: exploring public attitudes in West Hollywood, CaliforniaHEALTH & SOCIAL CARE IN THE COMMUNITY, Issue 2 2000Robin M. Law Abstract The provision of human services associated with HIV and AIDS has been a controversial issue in Western countries, given the degree of stigma attached to AIDS, and the high level of public concern about the possibility of contracting HIV. Previous research on attitudes to controversial human services has identified some key characteristics associated with negative attitudes and resistant ,not-in-my-backyard' behaviour. Attitudes towards HIV- and AIDS-related services may be affected by other factors as well; in particular, they may be related to self-identified sexual orientation, given the role of HIV and AIDS in the emergence of a strong gay political identity. However, little research has yet been conducted to explore how knowledge and attitudes towards these services in particular localities are associated with a range of characteristics of local residents, including sensitive information such as sexual orientation and household HIV status, and how these might contribute to the creation of more accepting environments. This paper provides an analysis of a 1994 city-wide survey conducted in West Hollywood, California. This small city has a large and politically-organized gay and lesbian population, as well as significant numbers of residents in other, diverse social groupings, and has experienced high levels of HIV infection and AIDS relative to the surrounding Los Angeles County. Although issues of HIV and AIDS service provision have been well publicized in the city, residents may be expected to hold rather different sets of knowledge about and attitudes to these services, depending on their personal characteristics. Analysis of the survey data reveals that a large proportion of residents of West Hollywood rated HIV and AIDS services as very important, but there were interesting differences among groups. Most notably, variation in knowledge of services and attitudes to services (rating of importance) was particularly associated with age and language, but was less affected by sexual orientation and household HIV status. [source] Aggression and violence in mental health services: categorizing the experiences of Irish nursesJOURNAL OF PSYCHIATRIC & MENTAL HEALTH NURSING, Issue 2 2007J. MAGUIRE msc ba(hons) ffnrcsi rpn rgn dip There is growing evidence that nurses in mental health services are likely to be victims of violence or aggression. One of the key difficulties in comparing international findings, however, has been that there has been an inadequate categorization of the types of incident to which staff are exposed. The current study aimed to identify the types of violent or aggressive incidents that staff in Irish Mental Health Services were exposed to within a 1-month long period. A cross-sectional study was undertaken with all nurses working in one of the Mental Health Services in Ireland, serving both an urban and rural population. Data were collected through a questionnaire (Scale of Aggressive and Violent Experiences) adapted from the Perceptions of Prevalence of Aggression Scale. The questionnaire was designed to collect data relating to both personal and professional demographics of the sample as well as experiences of aggressive or violent incidents respondents may have encountered in their work situation. There was a response rate of 31%. Data were analysed utilizing SPSS-11. Both descriptive and inferential analyses were undertaken. The relevant data were subjected to a series of one-way anovas and chi-squared analysis. The findings suggest that nursing staff in this Mental Health Service experienced high levels of verbal aggression, with distinctions obvious between threatening and non-threatening aggression, suggesting discernment in terms of intentionality. Additionally, respondents encountered greater levels of covert or indirect violence or aggression than forms that were overtly directed towards staff. The implications are discussed in relation to both policy and practice. [source] Bottlenecks, drift and differentiation: the population structure and demographic history of sika deer (Cervus nippon) in the Japanese archipelagoMOLECULAR ECOLOGY, Issue 6 2001Simon J. Goodman Abstract We assessed genetic differentiation and diversity in 14 populations of sika deer (Cervus nippon) from Japan and four populations of sika deer introduced to the UK, using nine microsatellite loci. We observed extreme levels of differentiation and significant differences in diversity between populations. Our results do not support morphological subspecies designations, but are consistent with previous mitochondrial DNA analyses which suggest the existence of two genetically distinct lineages of sika deer in Japan. The source of sika introduced to the UK was identified as Kyushu. The underlying structure of Japanese populations probably derives from drift in separate glacial refugia and male dispersal limited by distance. This structure has been perturbed by bottlenecks and habitat fragmentation, resulting from human activity from the mid-nineteenth century. Most current genetic differentiation and differences in diversity among populations probably result from recent drift. Coalescent model analysis suggests sika on each of the main Japanese islands have experienced different recent population histories. Hokkaido, which has large areas of continuous habitat, has maintained high levels of gene flow. In Honshu the population is highly fragmented and is likely to have been evolving by drift alone. In Kyushu there has been a balance between gene flow and drift but all the populations have experienced high levels of drift. Habitat fragment size was not significantly associated with genetic diversity in populations but there was a significant correlation between habitat fragment size and effective population size. [source] Factors associated with violent victimisation among homeless adults in Sydney, AustraliaAUSTRALIAN AND NEW ZEALAND JOURNAL OF PUBLIC HEALTH, Issue 4 2009Sarah Larney Abstract Objective: To determine the prevalence and correlates of violent victimisation among homeless people in inner-Sydney. Method: Cross-sectional design. Clients of a shelter for homeless, substance-using adults were interviewed about their drug use, mental health and violent victimisation in the previous 12 months. Logistic regression was used to identify factors associated with victimisation. Results: Participants reported complex drug use histories and high levels of depression, post-traumatic stress disorder (PTSD) and schizophrenia or other psychotic disorders. Forty-eight per cent of participants reported past year victimisation. In univariate analyses, being female, schizophrenia/psychotic disorder, PTSD, depression and regular use of psychostimulants were associated with increased risk of victimisation. In multivariate analyses, regular use of psychostimulants (odds ratio [95% CI] 5.07 [1.53-16.84]), schizophrenia or other psychotic disorder (3.13 [1.24-7.9], and depression (2.65 [1.07-6.59]) were associated with increased risk of victimisation. Conclusions and implications: This sample of homeless, substance-using adults experienced high levels of violence. People with poor mental health and regular psychostimulant users were at greater risk of victimisation. A longitudinal study to determine whether victimisation prolongs homelessness is warranted. Clinical staff working with homeless populations need to be aware of the likelihood of past and future victimisation and its effects on mental health. Homeless persons may benefit from learning to identify risk situations for victimisation and how to de-escalate potentially violent situations. [source] ,Mingling together': promoting the social inclusion of disabled children and young people during the school holidaysCHILD & FAMILY SOCIAL WORK, Issue 1 2009Abigail Knight ABSTRACT The promotion of social inclusion of disabled children and their families is currently high on the UK political agenda. Research shows that disabled children and their families are highly disadvantaged, both economically and socially. This paper reports some of the findings of a qualitative study, entitled On Holiday!, which involved analysing the views of 297 people across six local authority research sites in England including 86 disabled children and young people. The study showed that many disabled children and their families experienced high levels of social isolation and exclusion during out-of-school periods and during the school holidays in particular. The paper recounts some of the experiences of disabled young people and their families and ways in which local authorities can promote their social inclusion. We argue that disabled young people and their families can only be truly socially included and empowered when all levels of the local authority (managers, officers and elected members) recognize the rights and entitlements of disabled children and have the political will and commitment to implement them. [source] | ||||||||||