The effects of pregnancy complications on the parental adaptation process

The current study examined the effects of high-risk pregnancies on the adaptation process of parents of full-term healthy infants. Gender similarities and differences were also addressed to determine the adaptation process of parents who experience a high-risk pregnancy. The sample consisted of 68 high-risk and 59 low-risk pregnancy couples, making a total of 254 new parents. Questionnaires measuring general issues related to the parental adaptation process as well as several specific components dealing with parental role attainment were administered. An effect of risk status and gender was detected on the parental adaptation process. The experience of high obstetrical risks also appeared to have an effect on the perception of life changes and on the development of a sense of competence among parents. Moreover, the findings demonstrated that the gender of the parent contributed to parental experience. Women experienced significantly more life changes than did men. Mothers also differed from fathers in the sense of satisfaction they experienced in their roles as parents.     

The quest for connection in interpersonal and therapeutic relationships

Objective: This paper focuses on the need for connection as a common core theme at the heart of both close relationships and therapeutic relationships and explores ways to connect these two research domains that have evolved as separate fields of study. Bowlby's attachment theory provides a strong conceptual and empirical base for linking human bonds and bonds in psychotherapy. Method: The growing body of research intersecting attachment and psychotherapy (1980–2014) is documented, and meta-analytic studies on attachment–outcome and attachment–alliance links are highlighted. Results: Five ways of studying attachment as a variable in psychotherapy are underscored: as moderator, as mediator, as outcome, client–therapist attachment match, and as process. By integrating conceptualizations and methods in studying relational narratives of client–therapist dyads (Core Conflictual Relationship Theme), measures of alliance, and client attachment to therapist during psychotherapy, we may discover unique client–therapist relational dances. Conclusions: Future fine-grained studies on how to promote core authentic relational relearning are important to clinicians, supervisors and trainers, who all share the common quest to alleviate interpersonal distress and enhance wellbeing. Directions for advancing research on interpersonal and therapeutic relationships are suggested. Learning from each other, both researchers of close relationships and of psychotherapy relationships can gain a deeper and multidimensional understanding of complex relational processes and outcomes.     

Free Online Consumer Health Classes

Abstract

The National Library of Medicine (NLM) provides many avenues for consumers to find and evaluate online health information. In addition to the consumer health Web sites NLM has developed, there are numerous online training modules available through The National Network of Libraries of Medicine's “National Training Center and Clearinghouse's Educational Database.” This database lists available classes and provides contact information for libraries across the country that offer training and education in using the NLM Web sites and in finding and evaluating health information online.     

The republic of therapy: Triage and sovereignty in West Africa's time of AIDS

Commonalities abound varied health challenges confronting Pakistan and India. Some of these warrant joint collaborative solutions. This study presents existing health collaborations by mapping out active connections between the countries, through a literature review and clinical and public health professionals’ interviews. It reveals that a diversity of practices exist beyond the usual notions of ‘collaboration’ usually depicted in the literature. Outcomes from such initiatives included enhanced learning and exchanges of information and research across various communities and contexts. In various adoptions of the term, contextualisation within and between countries and amongst particular communities is cited as important. Travel and mobility restriction emerged as one key issue that hampers and discourages collaborations. Key lessons conveyed by the participants included an enabling environment, missing on both sides of the border. Opportunities and recommendations are presented to address the obstacles that discourage cross-border dialogue and to enhance collaborations between the two countries.     

纽约大学图书馆可重复性研究支持服务的分析及启示

通过网络调查和内容分析，从服务对象、服务内容、人员配置和服务设施等方面对纽约大学图书馆可重复性研究支持服务进行调研分析，并在此基础上总结其服务特点，提出研究型图书馆应积极应对研究领域的“可重复性危机”，倡导开放科学和可重复性研究，加强基础设施建设和开发应用软件，开展嵌入科研过程的可重复性研究培训和咨询，以期为提升研究的可重复性做出贡献。     

医院战略联盟绩效影响因素分析及评价模型

战略联盟理论被众多的医院重视和认同,越来越多的医院通过"网络+联盟"的方式组建战略联盟;尽管企业战略联盟的理论和实践已取得了深入的发展,但医疗行业战略联盟的理论还很不完善,尤其是缺乏对医院战略联盟绩效评价方面系统和深入的研究。本文从联盟外部环境因素、成员自身特性、成员关系特征以及信息传递方式等方面对医院战略联盟绩效的影响因素进行了分析,建立了一个较为完整的理论评价模型,并在此基础上提出了相关建议。     

The Impact of Hospital Quality on Profits,Volume, and Length of Stay

Using 2006–2007 data from a sample of 6,082 U.S. hospitals, quality of care measures developed by the Hospital Quality Alliance (HQA) are applied to heart attack, heart failure, pneumonia, and surgery. Quality of care for these was related to both higher profits per case and increased number of cases. Length of stay was inversely related to quality of care for preventative (surgical and heart attack) care.