In this population-based study, CD and UC incidences increased dramatically in adolescents across a 24-year span, suggesting that one or more strong environmental factors may predispose this population to IBD.
According to communication privacy management (CPM) theory, people manage the boundaries around information that they seek to keep private. How does this theory apply when employees are monitored electronically? Using data from 154 face-to-face interviews with employees from a range of organizations, the authors identified various ways organizations, employees, and coworkers describe electronic surveillance and the privacy expectations, boundaries, and turbulence that arise. Privacy boundaries are established during new-employee orientation when surveillance is described as coercive control, as benefiting the company, and/or as benefiting employees. Correlations exist between the surveillance-related socialization messages interviewees remember receiving and their attitudes. Although little boundary turbulence appeared, employees articulated boundaries that companies should not cross. The authors conclude that CPM theory suppositions need modification to fit the conditions of electronic surveillance.
Pulmonary function loss in patients with Duchenne muscular dystrophy (DMD) is progressive and leads to pulmonary insufficiency. The purpose of this study in 10-18 year old patients with DMD is the assessment of the inter-correlation between pulmonary function tests (PFTs), their reliability and the association with the general disease stage measured by the Brooke score. Dynamic PFTs (peak expiratory flow [PEF], forced vital capacity [FVC], forced expiratory volume in one second [FEV1]) and maximum static airway pressures (MIP, MEP) were prospectively collected from 64 DMD patients enrolled in the DELOS trial (ClinicalTrials.gov, number NCT01027884). Baseline PEF percent predicted (PEF%p) was <80% and patients had stopped taking glucocorticoids at least 12 months prior to study start. At baseline PEF%p, FVC%p and FEV1%p correlated well with each other (Spearman's rho: PEF%p-FVC%p: 0.54; PEF%p-FEV1%p: 0.72; FVC%p-FEV1%p: 0.91). MIP%p and MEP%p correlated well with one another (MIP%p-MEP%p: 0.71) but less well with PEF%p (MIP%p-PEF%p: 0.40; MEP%p-PEF%p: 0.41) and slightly better with FVC%p (MIP%p-FVC%p: 0.59; MEP%p-FVC%p: 0.74). The within-subject coefficients of variation (CV) for successive measures were 6.97% for PEF%p, 6.69% for FVC%p and 11.11% for FEV1%p, indicating that these parameters could be more reliably assessed compared to maximum static airway pressures (CV for MIP%p: 18.00%; MEP%p: 15.73%). Yearly rates of PFT decline (placebo group) were larger in dynamic parameters (PEF%p: -8.9% [SD 2.0]; FVC%p: -8.7% [SD 1.1]; FEV1%p: -10.2% [SD 2.0]) than static airway pressures (MIP%p: -4.5 [SD 1.3]; MEP%p: -2.8 [SD 1.1]). A considerable drop in dynamic pulmonary function parameters was associated with loss of upper limb function (transition from Brooke score category 4 to category 5). In conclusion, these findings expand the understanding of the reliability, correlation and evolution of different pulmonary function measures in DMD patients who are in the pulmonary function decline phase.
Central to hospice care is the interdisciplinary team. Such health care teams are by definition democratic, self-managing teams. Fifty-two team members on seven hospice teams in three hospice organizations participated in the study. Hospice team members perceived the teams to be not as democratic as might be expected. One dimension of team democracy, perceived involvement of all members in team decisions, was positively and significantly associated with perceived team cohesiveness, productiveness, satisfaction with the team, satisfaction with team communication, and desire to stay with the team. Perception of team productiveness was a mediating variable between team involvement and job satisfaction. This study adds to empirical research on teamwork and participation in organizations by identifying the importance of a specific dimension of participation, involvement in decision making. The findings suggest the necessity of training team members in developing strategies to encourage involvement in decision making. However, practitioners are also cautioned against viewing involvement in team decision making as the answer to all teamwork ills.
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