Factors associated with work sustainability in patients with bone metastasis.

BACKGROUND: Working while receiving cancer treatment is challenging for patients, with considerable impact on their quality of life (QOL). However, there have been no reports on the factors that prevent employment in patients with bone metastases. This study aimed to investigate the employment status and factors impacting the continued employment of patients with bone metastases. METHODS: We analyzed clinical data from new patients consulting The University of Tokyo Hospital team for bone metastasis treatment between June 2015 and September 2017. Patients who were working at the time of cancer diagnosis (n = 124) completed four QOL questionnaires. Factors associated with work sustainability were identified via univariate analysis and a chi-squared test. Multivariate logistic regression analysis was used for significant variables. Relationships between employment and QOL scales were investigated using the Wilcoxon rank-sum test, with P < .05 considered as statistically significant. RESULTS: Among the 124 patients, only 45 (36.3%) were still working when the questionnaire was administered. Multivariate analysis revealed temporary employment, lytic or mixed bone metastases, and lower limb or acetabular metastasis, as significant factors hindering work sustainability. The QOL scores were high in the continued employment group. However, the relationship between employment status and pain remains unclear. CONCLUSIONS: Lytic or mixed bone metastases and the lower limb and acetabular metastasis were significantly associated with employment resignation. Mobility difficulties may prevent patients with bone metastases from sustaining employment. Collaboration between rehabilitation professionals, oncologists, and workplaces is imperative to address this problem.

It will (never) stop hurting: Do repeated or chronic experiences of exclusion lead to hyper- or hyposensitive psychological responses?

Unlike one-time lab manipulations of exclusion, in real life, many people experience exclusion, from others and from groups, over extended periods, raising the question of whether individuals could, over time, develop hypo- or hypersensitive responses to chronic exclusion. In Study 1, we subjected participants to repeated experiences of inclusion or exclusion (three Cyberball games, time lag of three days, N = 194; 659 observations). We find that repeatedly excluded individuals become hypersensitive to inclusion, but not to exclusion. Study 2 (N = 183) tested whether individuals with chronic experiences of real-world exclusion show hypo- or hypersensitive responses to a novel episode of exclusion. In line with Study 1, exclusion hurt to the same extent regardless of baseline levels of chronic exclusion in daily life. However, chronically excluded individuals show more psychological distress in general. We discuss theoretical and practical implications for dealing with chronically excluded individuals and groups.

A theory based study on diabetes self-management in older Chinese adults.

Approximately 1 in 3 (or 80 million) Chinese age 60 years or older are living with type 2 diabetes in China. New perspectives are needed to understand the intricate phenomenon of diabetes self-management (DSM) in older Chinese adults. Guided by the expanded Tripartite Model of Self-Management, this study aimed to identify the inter-relationships between the tripartite components simultaneously and their influencing factors. This cross-sectional study included a stratified random sample of 98 community-dwelling adults age 60 or older with type 2 diabetes. Findings revealed distinct predictors for knowledge about DSM, DSM behaviors and coping. There were significant inter-relationships among the tripartite components. The theoretical model was a good fit for the data. This study provides valuable insights into the complex relationships between knowledge about DSM, DSM behaviors, and coping strategies, offering direct implications for improving the health outcomes of older adults with diabetes.

Assessing the Great Resignation phenomenon: voluntary resignation of young Italian workers during the COVID-19 pandemic.

Introduction: The COVID-19 pandemic has determined a radical change in workplace dynamics, with a reported increase in voluntary resignation from employment at a global level, especially among the young-est workers. The aim of this study is to investigate the social, demographic, and cultural characteristics of young people aged between 25 and 45 years who voluntarily resigned from their previous jobs during the COVID-19 pandemic. Methods: This is a cross-sectional observational study; an ad hoc questionnaire was designed and admin-istered via an online link. Descriptive analyses were performed to describe the sample, and the Pearson analysis was performed to investigate statistically significant correlations; p values ≤ 0.05 were considered statistically significant. Results: A total of 72 valid responses were gathered. Mean age was 32.6 years; 43.1% participants were males, 54.2% were married, and 80.6% had no children; most participants (68.1%) had a college level education. The most reported cause of job resignation was work dissatisfaction (38.9%), followed by inadequate remuneration (27.8%). The most reported perspective for people who had resigned or were planning on resigning, was a better salary (27.8%), followed by the pursuit of a higher work-life balance (25.0%). The perception that having resigned was the right choice was significantly correlated with the timeframe of resignation (p<0.01), with having suffered from COVID-19 (p<0.05), and with a close relative having suffered from COVID-19 (p<0.01). Conclusion: This study highlighted that voluntarily resigning was significantly correlated to having suffered from COVID-19, or a close relative having suffered from it; 84.9% of participants who had resigned thought that it had been the right choice. The COVID-19 pandemic could have changed workplace perception, making employees feel more at risk; the indirect impact of the pandemic should be further investigated, and prevention strategies should be implemented to ensure the safety and wellbeing of employees.

How The "Great Resignation" and COVID Unemployment Have Eroded the Employer Sponsored Insurance Model and Access to Healthcare.

Pre-pandemic, employer-sponsored health insurance (ESI) covered 175 million workers and their dependents, the equivalent of 49% of the country's total population. ESI, a valuable tax preference to employer and employee alike, spurred worker job dependence on employers resulting in access to healthcare dependent upon continued employment. With the advent of the pandemic and the dramatic increase in unemployment, the number of uninsured increased by more than 2.7 million people. Then, unemployment proliferated further by an unprecedented exit from the workforce dubbed the "Great Resignation." Over 47 million Americans voluntarily quit their jobs in a movement characterized as a general labor strike. The pandemic opened the floodgates to workers' concerns about COVID safety in the workplace, wage stagnation despite increases in the cost of living, enduring job dissatisfaction, and increased demand for a remote-working environment. Data shows that the unemployed shifted to the Affordable Care Act marketplace or to the public payer option, Medicaid, for coverage. This shift signals a change, post-pandemic, away from the destabilizing system of access to care based on employment and unwanted job dependence and provides a policy argument favoring the more stabilizing influence of public insurance options in the health insurance market.

Influence of nurse work environment and psychological distress on resignation from hospitals: a prospective study.

With the global nurse shortage, identifying nurse work environments that allow nurses to continue working is a common concern worldwide. This study examined whether a better nurse work environment (1) is associated with reducing nurses' psychological distress; (2) reduces nurse resignations; (3) weakens the influence of psychological distress on their resignation through interaction effect; and (4) whether psychological distress increases nurse turnover. Multilevel logistic regression analyses were performed using data obtained in 2014 from 2,123 staff nurses from a prospective longitudinal survey project of Japanese hospitals. The nurse work environment was measured by the Practice Environment Scale of the Nursing Work Index (PES-NWI) consisting of five subscales and a composite, and psychological distress by K6. All the PES-NWI subscales and composite (ORs 0.679-0.834) were related to K6, significantly. Regarding nurse turnover, K6 had a consistent effect (ORs 1.834-1.937), and only subscale 2 of the PES-NWI had a direct effect (OR 0.754), but there was no effect due to the interaction term. That is, (1) and (4) were validated, (2) was partly validated, but (3) was not. As better work environment reduces K6 and a lower K6 decreases nurses' resignation, high-level hospital managers need to continue improving the nurse work environment.

Quiet Quitting reason and behavior scale design and development process.

BACKGROUND: The concept of "Quiet Quitting", which might be considered new in the literature, is used to describe a passive and silent giving up. OBJECTIVE: The aim of this study is to develop a scale to evaluate both the causes and consequences of "quiet quitting" which is believed to be increasing for various reasons in our country as well as in the world. METHOD: Five-stage scale development method which was presented by Cohen and Swerdik was used in the process of developing the Quiet Quitting Reason and Behavior Scale (QQRBS). First, the conceptual structure of the scale was determined. In the second stage, the scale was structured. Structuring the scale is deciding on the scale type and scaling technique. The third stage is the first application of the scale. After the scale was applied, factor analysis, internal consistency assessment and validity studies were carried out in the item analysis section, which is the fourth stage. The fifth stage is the second application stage of the scale and at this stage, the scale was reviewed by test-retest and an application guideline was prepared. RESULTS: Cronbach's alpha value of draft items is 0.87, quiet quitting behavior sub-dimension Cronbach's Alpha value is 0.76 and reasons for quiet quitting Cronbach's Alpha value is 0.820. It was decided to keep the remaining 35 items after EFA analysis because the corrected correlation numbers of the items were >0.30. This study explains the design and development process of the QQRBS in Turkish society. CONCLUSION: According to this developed scale, as the scale mean score of the total and sub-dimensions increases, the tendency to quiet quitting increases.

Detection and prediction of anomalous behaviors of enterprise's employees based on data-mining and optimization algorithm.

Internal employees have always been at the core of organizational security management challenges. Once an employee exhibits behaviors that threaten the organization, the resulting damage can be profound. Therefore, analyzing reasonably stored behavioral data can equip managers with effective threat monitoring and warning solutions. Through data-mining, a knowledge graph for internal threat data is deduced, and models for detecting anomalous behaviors and predicting resignations are developed. Initially, data-mining is employed to model the knowledge ontology of internal threats and construct the knowledge graph; subsequently, using the behavioral characteristics, the BP neural network is optimized with the Sparrow Search Algorithm (SSA), establishing a detection model for anomalous behaviors (SBP); additionally, behavioral sequences are processed through data feature vectorization. Utilizing SBP, the LSTM network is further optimized, creating a predictive model for employee behaviors (SLSTM); ultimately, SBP detects anomalous behaviors, while SLSTM predicts resignation intentions, thus enhancing detection strategies for at-risk employees. The integration of these models forms a comprehensive threat detection technology within the organization. The efficacy and practicality of detecting anomalous behaviors and predicting resignations using SBP and SLSTM are demonstrated, comparing them with other algorithms and analyzing potential causes of misjudgment. This work has enhanced the detection efficiency and update speed of abnormal employee behaviors, lowered the misjudgment rate, and significantly mitigated the impact of internal threats on the organization.

The loss of political connections and the fluctuation of corporate stock prices: Moderating effect based on media attention.

This article examines the impact and mechanism of political connections on stock price fluctuations after the resignation of independent directors with "official" status, based on the exogenous influence of Document No. 18 of the Central Organization Department. Using panel data of A-share listed companies on the Shanghai and Shenzhen stock markets from 2012 to 2020, the experimental group and control group for political affiliation deficiency events were determined through propensity score matching (PSM), and a quasi natural experiment was constructed using differences in differences (DID) for empirical research. By examining the relationship between regional financial development, lack of political connections, and stock price fluctuations, we found that regions with higher levels of financial development are more prone to stock price fluctuations due to the lack of political connections, which is related to higher levels of debt financing in regions with higher levels of financial development. In addition, the increasing level of debt exacerbates conflicts and inconsistencies among stakeholders, which is not conducive to the stability of the company's stock price. Through the above research, relevant suggestions have been provided to enterprises, media, and governments. For example, enterprises should clarify the boundary between government and enterprise, focus on long-term strategic goals, build core competitiveness, and thereby enhance their own value; The media should play a correct role in information transmission and public opinion guidance, and play a positive role in the economic development of the industry; The government should promote market-oriented construction and establish positive government enterprise relationships.

Testing a chain mediation model of effort-reward imbalance, Confucian values, job satisfaction, and intention to quit among Chinese vocational education teachers.

Context: This research delves into the significant impact of Confucian Values on the societal fabric of China, particularly in the realm of vocational education. In this setting, these principles are instrumental in guiding both educators and students. The study employs the Culture-Value Structure (CVS) model to dissect the intricate dynamics between Confucian Values, the Effort-Reward Imbalance (ERI), educators' job satisfaction, and their inclination toward leaving the profession. Teachers in vocational education, who are often regarded as moral guides, play a pivotal role in the ethical and social upbringing of students. Adopting Confucian values not only promotes academic success but also nurtures all-round development, equipping students for conscientious societal roles. In the backdrop of Confucian influence, these educators face substantial stressors in the workplace due to varied demands. The ERI model, proposed by Siegrist, serves as a tool to comprehend the stress experienced when there is a disproportion between efforts and rewards. This study delves into how ERI correlates with job satisfaction among vocational education teachers, with a focus on the modifying effect of Confucian values. Additionally, it examines the potential role of job satisfaction in mediating the relationship between ERI and the tendency to consider leaving the job. The research illuminates the complex interrelation of cultural values, occupational stress, job contentment, and career decision-making in the context of vocational education in China. Methodology: The research involved a group of 332 Vocational education teachers from diverse Chinese institutions. Through thorough statistical analysis, the study validated the model's effectiveness, notably indicating a substantial direct impact of ERI on the Intention to Quit. Findings: The investigation pinpointed Factors I (Integrity), II (Confucian Ethos), and IV (Moderation) as key determinants of job satisfaction. Notably, an increase in job satisfaction was found to inversely relate to the likelihood of leaving the profession, implying it could lessen the propensity to resign. The research applied a Chain Mediation Model to elucidate the influence of ERI on the decision to quit, mediated by various factors. The findings highlight the complex interaction of elements influencing teachers' decisions to leave, showcasing the utility of sophisticated statistical methodologies in decoding complex social dynamics.

Novas construções em análise perante o vazio psíquico, o tédio e a apatia / New constructions in analysis in the face of psychic emptiness, boredom and apathy / Nuevas construcciones en análisis ante el vacío psíquico, o el tedio y la apatía / Nouvelles constructions en cours d'analyse face au vide psychique, à l'ennui et à l'apathie

RESUMO No texto "Construções em análise", Freud afirma que a tarefa do analista envolve uma atividade de construção, originária da complementação e da integração dos restos conservados da história do analisando. Neste artigo, sustenta-se que, além do modelo de 1937, existem outras formas de construção em análise, concebidas a partir da relação da dupla analista-analisando e decorrentes do vínculo transferencial. Essas construções repercutem na simbolização primária e na elaboração de novas narrativas sobre o vazio psíquico. Propõe-se que, nos casos de vazio psíquico, tédio e apatia, o analista há de se envolver em um trabalho de construção para revitalizar a cena analítica, propiciar uma rota de simbolização do material cindido do analisando e contribuir para que a análise funcione como um espaço potencial para esse fim. Exemplifica-se tal manejo com um caso clínico da chamada síndrome da resignação.

ABSTRACT In the text Constructions in Analysis, Freud (1937/2018) states that the task of the analyst involves a construction activity, originating from the "complementation" and "integration of surviving remains" of the analysand's history. The aim of this article is to argue that, besides this 1937 model, there are also other forms of constructions in analysis, conceived from the relationship between analyst-analysand and resulting from the transference-countertransference link - constructions that generate repercussions on primary symbolization and the elaboration of new narratives about the psychic void. It is proposed that, in cases of psychic emptiness, boredom and apathy, the analyst should engage in a constructive work to revitalize the analytic scene, providing a route of symbolization of the analysand's split material and contributing to the analysis functioning as a potential space for that purpose. Such management is exemplified with a clinical case of the so-called Resignation Syndrome.

RESUMEN En el texto "Construcciones en análisis", Freud afirma que la tarea del analista envuelve una actividad de construcción, que tiene origen en la complementación y la integración de los restos conservados de la historia del analizado. En este artículo, se sostiene que, además del modelo de 1937, existen otras formas de construcción en análisis, concebidas a partir de la relación entre el dúo analista-analizado y decurrentes del vínculo transferencial. Estas construcciones repercuten en el simbolismo primario y en la elaboración de nuevas narrativas sobre el vacío psíquico. Se propone que, en los casos de vacío psíquico, tedio y apatía, el analista se envolverá en un trabajo de construcción para revitalizar la escena analítica, propiciar una ruta de simbolismo del material escindido del analizado y contribuir para que el análisis funcione como un espacio potencial para esa finalidad. Se ejemplifica tal manejo con un caso clínico de la llamada síndrome de la resignación.

RÉSUMÉ Dans le texte Constructions en analyse, Freud (1937/2018) affirme que la tâche de l'analyste implique une activité de construction, qui découle de la «complémentation¼ et de « l'intégration de vestiges conservés ¼ de l'histoire de l'analysant. Dans cet article, on soutient que, outre ce modèle de 1937, il existe aussi d'autres formes de constructions en cours d'analyse, conçues à partir de la relation entre l'analyste et l'analysant et résultant du lien transfert / contre-transfert, constructions qui ont des répercussions sur la symbolisation primaire et l'élaboration de nouveaux récits concernant le vide psychique. Il est proposé que, dans les cas de vide psychique, d'ennui et d'apathie, l'analyste s'engage dans un travail de construction visant à revitaliser la scène analytique, à fournir une voie de symbolisation du matériel scindé de l'analysant et à contribuer au fonctionnement de l'analyse en tant qu'un espace potentiel à cet effet. Une telle gestion est illustrée par la mention d'un cas clinique du syndrome dit de résignation.

Regulación emocional en pacientes con trastornos de ansiedad: un estudio comparativo con una muestra comunitaria / Emotion regulation in patients with anxiety disorders: a comparative study with a community sample

Según modelos psicopatológicos recientes el desarrollo y mantenimiento de los trastornos de ansiedad (TA) se relacionaría con el uso de estrategias de regulación emocional desadaptativas. El estudio comparó el uso de estrategias de regulación emocional para afrontar emociones displacenteras en un grupo de 62 pacientes con TA y uno integrado por 61 controles (GC). No se hallaron diferencias en el uso de las estrategias de aproximación cognitiva. Comparados con el GC, los pacientes con TA utilizaron en mayor medida estrategias de Evitación Cognitiva, Resignación-Aceptación, Descarga Emocional y Búsqueda de apoyo; a la vez que emplearon en menor medida estrategias de Resolución de Problemas. Para el grupo ansioso, las estrategias de Resignación-Aceptación, Descarga Emocional y Análisis Lógico correlacionaron positivamente con todas las medidas de severidad sintomatológica, mientras que la Revaloración positiva lo hizo negativamente. En vista de los resultados, se discuten sus implicaciones para el desarrollo de nuevos protocolos de tratamiento.

According to current psychopathological models development and maintenance of anxiety disorders (AD) would be related to the use of maladaptive emotion regulation strategies. The study compared the use of emotional regulation strategies to cope with unpleasant emotions in a group of 62 patients with AD and one composed by 61 controls (CG). No di f ferences were found between groups regarding use of cognitive approximation strategies. Compared with control group patients with AD reported a greater tendency to engage in Cognitive Avoidance, Resignation-Acceptance, Emotional discharge and Support Seeking strategies. In turn, AD patients were less prone to use Problem Solving strategies. For AD group Resignation-Acceptance, Emotional discharge and Logical Analysis strategies were positively correlated to all symptomatology measures while Positive Revaluation strategy did negatively. In view of the results their implications for the development of new treatment protocols are discussed.

Incertezas e cotidiano: uma breve reflexão / Uncertainties and everyday life: a brief reflection

O processo de globalização ocorrido nas últimas décadas trouxe repercussões nos modos de produção econômica, científica e cultural. Neste contexto, a noção de cotidiano emergiu, a partir das contribuições teóricas de Henri Lefebvre, Agnes Heller e Michel de Certeau, como um importante instrumento de conhecimento e de análise da realidade social, trazendo visibilidade à dinâmica dos processos de acomodação/mudança social.

In the last decades, the economic, scientific and cultural means of production were affected by the globalization process. In this context, the studies of Henri Lebfevre, Agnes Heller and Michel de Certeau about everyday life revealed that this notion can be an important tool for the knowledge and analysis of the social reality, in particular of the resignation/changing social processes.