A network under stress: using embeddedness to understand uncertainty management and resilience in campus emergencies

Persistent school shootings have generated ongoing pressure to assess and enhance crisis communication effectiveness via strategies such as resilience-building and post-crisis restoration. A network perspective offers a robust, multilevel approach for examining complex information flows among community, campus, and individual actors affected by crises. Drawing on relational and structural embeddedness and Uncertainty Management Theory, we offer nine propositions that help explain structural and relational changes in a network over time. Although theoretically driven, these propositions are primarily functional, offering practical implications for safety officials and administrators trying to understand, prepare for, and respond to crises. Thus, we suggest measures and recommendations to improve information flow, uncertainty management, and resilience before, during, and after a crisis.     

Unfair play in World Cup qualification? An analysis of the 1998–2010 FIFA World Cup performances and the bias in the allocation of tournament berths

This paper reviews the FIFA World Cups 1998–2010 with data available from the FIFA website and assesses the performance of each region in relation to the number of World Cup qualifications spots that the region is awarded. We raise the issue of whether FIFA should be more concerned with the participation of more members from its federations in the World Cup than the financial gain from doing so. Our non-econometric analysis illustrates that the current allocation may be resulting in the awarding of qualification spots to teams that if not unfair, certainly warrants discussion. We seek to demonstrate that the current system of qualification is based neither on ensuring the qualification of the best 32 teams in the world, nor does it fairly allocate qualification spots on the number of teams per federation or any other metric. We conclude with a plea for more transparent allocation processes.     

Provider documentation of patient education: a lean investigation

Purpose

The study evaluates how providers give patient education materials and identifies improvements to comply with Meaningful Use (MU) requirements.

Methods

Thirty-eight patient-provider interactions in two health care outpatient clinics were observed.

Results

Providers do not uniformly know MU patient education requirements. Providers have individual preferences and find gaps in what is available. Accessing and documenting patient education varies among providers. Embedded electronic health record (EHR) materials, while available, have technical access barriers.

Conclusions

Providers'' EHR skills and knowledge levels contribute to non-standardized patient education delivery.     

Enhancing nursing home care for seniors: impact of a living classroom on nursing assistant’s education

ABSTRACT

Nursing Assistants (NAs) are the largest workforce in nursing homes, but often lack adequate preparation for their role. The Living Classroom (LC) is an integrated learning approach, whereby a NA program is delivered in a nursing home (NH) in collaboration with a community college. This paper describes the implementation and evaluation of the LC. Mixed methods were used to gather data from 48 NA students, 5 faculty, and 42 NH staff over 30 weeks. Students, faculty, and nursing home staff described the LC as a positive learning experience. Students’ gerontological knowledge increased over time (p = .0012). Students reported very positive relationships with program mentors and NH residents. The LC provides a unique approach to prepare NAs to work in nursing homes. This model could expand to other educational programs with a gerontology focus.     

The Past is Present: Responses to Infant Crying Among Mothers High in Attachment Anxiety

SYNOPSIS

This commentary explores potential mechanisms underlying the links between mothers’ attachment anxiety and levels of salivary alpha amylase in response to infant crying across levels of spouse support. The commentary argues that the current design cannot disentangle different explanations for the effects – whether they reflect general stress reactivity patterns or patterns occurring specifically in response to infant distress – and offers suggestions for ways in which to explore putative explanations in future studies. Understanding mechanisms is essential to identify risk factors for insensitive parenting.     

Inter-Parietal White Matter Development Predicts Numerical Performance in Young Children

In an effort to understand the role of interhemispheric transfer in numerical development, we investigated the relationship between children's developing knowledge of numbers and the integrity of their white matter connections between the cerebral hemispheres (the corpus callosum). We used diffusion tensor imaging (DTI) tractography analyses to test the link between the development of the corpus callosum and performance on symbolic and non-symbolic numerical judgment tasks. We were especially interested in the interhemispheric connections of parietal cortex in 6-year-old children, because regions of parietal cortex have been implicated in the development of numerical skills by several prior studies. Our results revealed significant structural differences between children and adults in the fibers of the corpus callosum connecting the left and right parietal lobes. Importantly, these structural differences were predictive of individual differences among children in performance on numerical judgment tasks: children with poor numerical performance relative to their peers exhibited reduced white matter coherence in the fibers passing through the isthmus of the corpus callosum, which connects the parietal hemispheres.