Parental HIV disclosure: from perspectives of children affected by HIV in Henan, China.

PubMed

Zhao, Junfeng; Li, Xiaoming; Qiao, Shan; Zhao, Guoxiang; Zhang, Liying; Stanton, Bonita

2015-01-01

Culturally and developmentally appropriate parental HIV disclosure (i.e., parents disclose their HIV infection to children) has been shown to be closely related with the well-being of both HIV-infected parents and their children. However, current practices and effects of parental HIV disclosure remain poorly understood in low- and middle-income countries including China. Quantitative data from 626 children affected by parental HIV (orphans and vulnerable children) in Henan, China, were collected in 2011 to examine children's perceptions and knowledge regarding their parents' HIV disclosure practices and to assess the associations of these practices with children's demographic and psychosocial factors. The data in the current study revealed that only a small proportion of children learned parental HIV infection from their parents (direct disclosure), and many of these disclosure seemed being unplanned. Among the children who were not told by their parents, at least 95% of them either knew parental illness from others (indirect disclosure) or from their own observations or suspicions. The children reported similar disclosure practices by fathers and mothers. There were minimum differences between disclosed and nondisclosed children on a number of psychosocial measures. The findings support the notion that parental HIV disclosure is a complex process and can only be beneficial if it is carefully planned. The data in the current study suggest the needs for the culturally and developmentally appropriate approach in parental HIV disclosure in order to maximize both short- and long-term benefits to children, parents, and family functioning.

Combination of watermarking and joint watermarking-decryption for reliability control and traceability of medical images.

PubMed

Bouslimi, D; Coatrieux, G; Cozic, M; Roux, Ch

2014-01-01

In this paper, we propose a novel crypto-watermarking system for the purpose of verifying the reliability of images and tracing them, i.e. identifying the person at the origin of an illegal distribution. This system couples a common watermarking method, based on Quantization Index Modulation (QIM), and a joint watermarking-decryption (JWD) approach. At the emitter side, it allows the insertion of a watermark as a proof of reliability of the image before sending it encrypted; at the reception, another watermark, a proof of traceability, is embedded during the decryption process. The scheme we propose makes interoperate such a combination of watermarking approaches taking into account risks of interferences between embedded watermarks, allowing the access to both reliability and traceability proofs. Experimental results confirm the efficiency of our system, and demonstrate it can be used to identify the physician at the origin of a disclosure even if the image has been modified.

Guidelines for Proof Test Analysis

NASA Technical Reports Server (NTRS)

Chell, G. G.; McClung, R. C.; Kuhlman, C. J.; Russell, D. A.; Garr, K.; Donnelly, B.

1999-01-01

These guidelines integrate state-of-the-art elastic-plastic fracture mechanics (EPFM) and proof test implementation issues into a comprehensive proof test analysis procedure in the form of a road map which identifies the types of data, fracture mechanics based parameters, and calculations needed to perform flaw screening and minimum proof load analyses of fracture critical components. Worked examples are presented to illustrate the application of the road map to proof test analysis. The state-of-the art fracture technology employed in these guidelines is based on the EPFM parameter, J, and a pictorial representation of a J fracture analysis, called the failure assessment diagram (FAD) approach. The recommended fracture technology is validated using finite element J results, and laboratory and hardware fracture test results on the nickel-based superalloy Inconel 718, the aluminum alloy 2024-T3511, and ferritic pressure vessel steels. In all cases the laboratory specimens and hardware failed by ductile mechanisms. Advanced proof test analyses involving probability analysis and multiple-cycle proof testing (MCPT) are addressed. Finally, recommendations are provided on how to account for the effects of the proof test overload on subsequent service fatigue and fracture behaviors.

A proof of the DBRF-MEGN method, an algorithm for deducing minimum equivalent gene networks

PubMed Central

2011-01-01

Background We previously developed the DBRF-MEGN (difference-based regulation finding-minimum equivalent gene network) method, which deduces the most parsimonious signed directed graphs (SDGs) consistent with expression profiles of single-gene deletion mutants. However, until the present study, we have not presented the details of the method's algorithm or a proof of the algorithm. Results We describe in detail the algorithm of the DBRF-MEGN method and prove that the algorithm deduces all of the exact solutions of the most parsimonious SDGs consistent with expression profiles of gene deletion mutants. Conclusions The DBRF-MEGN method provides all of the exact solutions of the most parsimonious SDGs consistent with expression profiles of gene deletion mutants. PMID:21699737

30 CFR 778.21 - Proof of publication.

Code of Federal Regulations, 2010 CFR

2010-07-01

... COAL MINING AND RECLAMATION OPERATIONS PERMITS AND COAL EXPLORATION SYSTEMS UNDER REGULATORY PROGRAMS PERMIT APPLICATIONS-MINIMUM REQUIREMENTS FOR LEGAL, FINANCIAL, COMPLIANCE, AND RELATED INFORMATION § 778...

10 CFR 707.16 - Records.

Code of Federal Regulations, 2011 CFR

2011-01-01

... retrieval of all information pertaining to the individual urine specimens for a minimum period of five years... disclosure of such information shall be followed. Moreover, owing to DOE's express environmental, public..., DOE must be kept fully apprised of all aspects of the contractor's program, including such information...

10 CFR 707.16 - Records.

Code of Federal Regulations, 2012 CFR

2012-01-01

... retrieval of all information pertaining to the individual urine specimens for a minimum period of five years... disclosure of such information shall be followed. Moreover, owing to DOE's express environmental, public..., DOE must be kept fully apprised of all aspects of the contractor's program, including such information...

NASA Contractor Report: Guidelines for Proof Test Analysis

NASA Technical Reports Server (NTRS)

Chell, G. G.; McClung, R. C.; Kuhlman, C. J.; Russell, D. A.; Garr, K.; Donnelly, B.

1997-01-01

These Guidelines integrate state-of-the-art Elastic-Plastic Fracture Mechanics (EPFM) and proof test implementation issues into a comprehensive proof test analysis procedure in the form of a Road Map which identifies the types of data, fracture mechanics based parameters, and calculations needed to perform flaw screening and minimum proof load analyses of fracture critical components. Worked examples are presented to illustrate the application of the Road Map to proof test analysis. The state-of-the-art fracture technology employed in these Guidelines is based on the EPFM parameter, J, and a pictorial representation of a J fracture analysis, called the Failure Assessment Diagram (FAD) approach. The recommended fracture technology is validated using finite element J results, and laboratory and hardware fracture test results on the nickel-based superalloy IN-718, the aluminum alloy 2024-T351 1, and ferritic pressure vessel steels. In all cases the laboratory specimens and hardware failed by ductile mechanisms. Advanced proof test analyses involving probability analysis and Multiple Cycle Proof Testing (MCPT) are addressed. Finally, recommendations are provided on to how to account for the effects of the proof test overload on subsequent service fatigue and fracture behaviors.

Good eggs? Evaluating consent forms for egg donation.

PubMed

Cattapan, Alana Rose

2016-07-01

Beyond gaps in the provision of information, the informed consent process for egg donation is complicated by conflicts of interest, payment and a lack of longitudinal data about physiological and psychological risks. Recent scholarship has suggested that egg donation programmes could improve the informed consent process by revising consent documents. At a minimum, these documents should include information about eight key criteria: the nature and objectives of treatment; the benefits, risks and inconveniences of egg donation; the privacy of donors and their anonymity (where applicable); disclosure that participation is voluntary (withdrawal); the availability of counselling; financial considerations; the possibility of an unsuccessful cycle and potential uses of the eggs retrieved. This study evaluates the incorporation of these minimum criteria in consent forms for egg donation, obtained through requests to Canadian fertility clinics. Even when clinics were considered to have met criteria simply by mentioning them, among the eight consent forms assessed, none met the minimum standards. Only half of clinics addressed privacy/anonymity concerns, financial issues and the possibility of a future cycle. Improving the quality of consent documentation to meet the minimum standards established by this study may not be an onerous task. For some, this will include re-evaluating how they include one or two elements of disclosure, and for others, this will require a substantial overhaul. Using the criteria provided by this study as the minimum standard for consent could ensure that donors have the basic information they need to make informed decisions. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/

Advancement of proprotor technology. Task 1: Design study summary. [aerodynamic concept of minimum size tilt proprotor research aircraft

NASA Technical Reports Server (NTRS)

1969-01-01

A tilt-proprotor proof-of-concept aircraft design study has been conducted. The results are presented. The ojective of the contract is to advance the state of proprotor technology through design studies and full-scale wind-tunnel tests. The specific objective is to conduct preliminary design studies to define a minimum-size tilt-proprotor research aircraft that can perform proof-of-concept flight research. The aircraft that results from these studies is a twin-engine, high-wing aircraft with 25-foot, three-bladed tilt proprotors mounted on pylons at the wingtips. Each pylon houses a Pratt and Whitney PT6C-40 engine with a takeoff rating of 1150 horsepower. Empty weight is estimated at 6876 pounds. The normal gross weight is 9500 pounds, and the maximum gross weight is 12,400 pounds.

78 FR 23253 - Proposed Agency Information Collection Activities; Comment Request

Federal Register 2010, 2011, 2012, 2013, 2014

2013-04-18

... extension for three years, without revision, of the following report: Report title: Reporting and Disclosure... 7(a) of the Federal Deposit Insurance Act (12 U.S.C. 1817(a)). Together, these statutory provisions... environment and, at a minimum, reviewed by the system every two years. Proposal to approve under OMB delegated...

12 CFR 620.17 - Special notice provisions for events related to minimum permanent capital.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Special notice provisions for events related to... SYSTEM DISCLOSURE TO SHAREHOLDERS Notice to Shareholders § 620.17 Special notice provisions for events... any event(s) that may have significantly contributed to the institution's noncompliance with the...

Genotype disclosure in the genomics era: roles and responsibilities.

PubMed

Denholm, L

2017-09-01

Disclosure of affected breed without disclosure of major progenitors has been the usual practice in scientific papers reporting recessive heritable disorders of cattle. Before molecular genetics, carrier identity could not be used by breeders to control causal mutations because phenotypically normal heterozygotes among genetically related animals could not be detected other than by test mating. Accurate, low-cost DNA tests fundamentally changed this situation. Genomics can provide relief from the old problem of emerging recessive disorders in cattle breeding, but greater transparency of genotype data between breeders is necessary to fully exploit the opportunities for cost-efficient genetic disease control. Effective control of several recessive disorders has been demonstrated in Angus cattle, based entirely on voluntary DNA testing by breeders but mandatory public disclosure of test results and genotype probabilities for all registered animals. When a DNA test is available, major progenitors (particularly bulls from which semen has been distributed) should be identified and disclosed concurrently with the affected breed. As a minimum, whenever possible the closest common ancestors in the pedigrees of the parents of homozygous mutants should be disclosed after confirmation of carrier status. Progenitor disclosure in scientific publications should occur in cooperation with breed societies, which should have the opportunity to advise breeders and initiate management programs before scientific publication. Unless properly managed, genomic enhancement of animal selection using SNP markers may increase inbreeding, co-ancestry and emergence of recessive disorders. The information systems and genotype disclosure policies of some breed societies will be increasingly challenged, particularly with accelerating mutation discovery using next-generation sequencing. © 2017 State of New South Wales.

45 CFR 155.320 - Verification of eligibility for minimum essential coverage other than through an eligible...

Code of Federal Regulations, 2013 CFR

2013-10-01

... subchapter, the disclosure to HHS of information regarding eligibility for and enrollment in a health plan, which may be considered protected health information, as that term is defined in § 160.103 of this... DEPARTMENT OF HEALTH AND HUMAN SERVICES REQUIREMENTS RELATING TO HEALTH CARE ACCESS EXCHANGE ESTABLISHMENT...

12 CFR Appendix M1 to Part 226 - Repayment Disclosures

Code of Federal Regulations, 2012 CFR

2012-01-01

... of time, as set forth by the card issuer. (2) “Deferred interest or similar plan” means a plan where... payment repayment estimate, card issuers must use the minimum payment formula(s) that apply to a..., such as a “club plan purchase.” Also, assume that based on a consumer's balances in these features and...

12 CFR Appendix M1 to Part 226 - Repayment Disclosures

Code of Federal Regulations, 2011 CFR

2011-01-01

... of time, as set forth by the card issuer. (2) “Deferred interest or similar plan” means a plan where... payment repayment estimate, card issuers must use the minimum payment formula(s) that apply to a..., such as a “club plan purchase.” Also, assume that based on a consumer's balances in these features and...

Validity, Vaudeville, and Values: A Short History of Social Concerns over Standardized Testing.

ERIC Educational Resources Information Center

Haney, Walt

1981-01-01

Discusses the meaning of intelligence, the social functions that tests serve, the appropriate use of personality tests, controversies regarding IQ measurement, minimum competency testing, test disclosure, test bias, and "truth in testing." Stresses that testing is as much a social and political issue as it is an issue of scientific measurement.…

26 CFR 1.6011-4 - Requirement of statement disclosing participation in certain transactions by taxpayers.

Code of Federal Regulations, 2010 CFR

2010-04-01

... disclosure protects the confidentiality of that advisor's tax strategies. A transaction is treated as... paragraph (b)(3), in determining the minimum fee, all fees for a tax strategy or for services for advice... taxpayer's tax return reflects tax consequences or a tax strategy described in the published guidance that...

DOE Office of Scientific and Technical Information (OSTI.GOV)

Guha, Saikat; Shapiro, Jeffrey H.; Erkmen, Baris I.

Previous work on the classical information capacities of bosonic channels has established the capacity of the single-user pure-loss channel, bounded the capacity of the single-user thermal-noise channel, and bounded the capacity region of the multiple-access channel. The latter is a multiple-user scenario in which several transmitters seek to simultaneously and independently communicate to a single receiver. We study the capacity region of the bosonic broadcast channel, in which a single transmitter seeks to simultaneously and independently communicate to two different receivers. It is known that the tightest available lower bound on the capacity of the single-user thermal-noise channel is thatmore » channel's capacity if, as conjectured, the minimum von Neumann entropy at the output of a bosonic channel with additive thermal noise occurs for coherent-state inputs. Evidence in support of this minimum output entropy conjecture has been accumulated, but a rigorous proof has not been obtained. We propose a minimum output entropy conjecture that, if proved to be correct, will establish that the capacity region of the bosonic broadcast channel equals the inner bound achieved using a coherent-state encoding and optimum detection. We provide some evidence that supports this conjecture, but again a full proof is not available.« less

Minimum income protection and European integration: trends and levels of minimum benefits in comparative perspective, 1990-2005.

PubMed

Nelson, Kenneth

2008-01-01

This article draws attention to the Europeanization of social policy and the development of minimum income protection in a large number of welfare democracies. The empirical analyses are based on unique institutional and comparative data on benefit levels from the Social Assistance and Minimum Income Protection Interim Dataset. There is some evidence of convergence in benefit levels among the European countries in the new millennium, but there is no clear proof of universal ambitions to fight poverty or of the existence of a single European social model. There are still welfare front-runners and those who lag behind in this regard, not only among industrial welfare democracies in general but also in Europe.

What are the ultimate limits to computational techniques: verifier theory and unverifiability

NASA Astrophysics Data System (ADS)

Yampolskiy, Roman V.

2017-09-01

Despite significant developments in proof theory, surprisingly little attention has been devoted to the concept of proof verifiers. In particular, the mathematical community may be interested in studying different types of proof verifiers (people, programs, oracles, communities, superintelligences) as mathematical objects. Such an effort could reveal their properties, their powers and limitations (particularly in human mathematicians), minimum and maximum complexity, as well as self-verification and self-reference issues. We propose an initial classification system for verifiers and provide some rudimentary analysis of solved and open problems in this important domain. Our main contribution is a formal introduction of the notion of unverifiability, for which the paper could serve as a general citation in domains of theorem proving, as well as software and AI verification.

Systematic adaptation of data delivery

DOEpatents

Bakken, David Edward

2016-02-02

This disclosure describes, in part, a system management component for use in a power grid data network to systematically adjust the quality of service of data published by publishers and subscribed to by subscribers within the network. In one implementation, subscribers may identify a desired data rate, a minimum acceptable data rate, desired latency, minimum acceptable latency and a priority for each subscription and the system management component may adjust the data rates in real-time to ensure that the power grid data network does not become overloaded and/or fail. In one example, subscriptions with lower priorities may have their quality of service adjusted before subscriptions with higher priorities. In each instance, the quality of service may be maintained, even if reduced, to meet or exceed the minimum acceptable quality of service for the subscription.

49 CFR 575.401 - Vehicle labeling of fuel economy, greenhouse gas, and other pollutant emissions information.

Code of Federal Regulations, 2011 CFR

2011-10-01

... U.S.C. 1231-1233 (also known as the “Automobile Information Disclosure Act label”). (5) Other air... legible and prominent fashion. The label must be rectangular in shape with a minimum height of 4.5 inches...,” as shown in the appendix to this section. (C) Identify plug-in hybrid electric vehicles with the...

Public Disclosure to Improve Physical Education in an Urban School District: Results from a 2-year Quasi-Experimental Study

ERIC Educational Resources Information Center

Thompson, Hannah R.; Vittinghoff, Eric; Linchey, Jennifer K.; Madsen, Kristine A.

2015-01-01

Background: Many elementary schools have policies requiring a minimum amount of physical education (PE). However, few schools comply with local/state PE policy and little is known about how to improve adherence. We evaluated changes in PE among fifth-grade classes, following participatory action research efforts to improve PE quantity and policy…

Quantum proofs can be verified using only single-qubit measurements

NASA Astrophysics Data System (ADS)

Morimae, Tomoyuki; Nagaj, Daniel; Schuch, Norbert

2016-02-01

Quantum Merlin Arthur (QMA) is the class of problems which, though potentially hard to solve, have a quantum solution that can be verified efficiently using a quantum computer. It thus forms a natural quantum version of the classical complexity class NP (and its probabilistic variant MA, Merlin-Arthur games), where the verifier has only classical computational resources. In this paper, we study what happens when we restrict the quantum resources of the verifier to the bare minimum: individual measurements on single qubits received as they come, one by one. We find that despite this grave restriction, it is still possible to soundly verify any problem in QMA for the verifier with the minimum quantum resources possible, without using any quantum memory or multiqubit operations. We provide two independent proofs of this fact, based on measurement-based quantum computation and the local Hamiltonian problem. The former construction also applies to QMA1, i.e., QMA with one-sided error.

28 CFR 79.40 - Scope of subpart.

Code of Federal Regulations, 2011 CFR

2011-07-01

... ACT Eligibility Criteria for Claims by Uranium Miners § 79.40 Scope of subpart. The regulations in... miners, i.e., uranium mine workers, and the nature of the evidence that will be accepted as proof of the... exposure to a defined minimum level of radiation during employment in aboveground or underground uranium...

28 CFR 79.40 - Scope of subpart.

Code of Federal Regulations, 2013 CFR

2013-07-01

... ACT Eligibility Criteria for Claims by Uranium Miners § 79.40 Scope of subpart. The regulations in... miners, i.e., uranium mine workers, and the nature of the evidence that will be accepted as proof of the... exposure to a defined minimum level of radiation during employment in aboveground or underground uranium...

28 CFR 79.40 - Scope of subpart.

Code of Federal Regulations, 2012 CFR

2012-07-01

... ACT Eligibility Criteria for Claims by Uranium Miners § 79.40 Scope of subpart. The regulations in... miners, i.e., uranium mine workers, and the nature of the evidence that will be accepted as proof of the... exposure to a defined minimum level of radiation during employment in aboveground or underground uranium...

29 CFR 570.121 - Age certificates.

Code of Federal Regulations, 2010 CFR

2010-07-01

... certificate furnishes protection to the employer as provided by the act only if it shows the minor to be above the minimum age applicable thereunder to the occupation in which he is employed. Thus, a State.... Pursuant to the regulations of the Secretary, State employment or age certificates are accepted as proof of...

28 CFR 79.40 - Scope of subpart.

Code of Federal Regulations, 2010 CFR

2010-07-01

... ACT Eligibility Criteria for Claims by Uranium Miners § 79.40 Scope of subpart. The regulations in... miners, i.e., uranium mine workers, and the nature of the evidence that will be accepted as proof of the... exposure to a defined minimum level of radiation during employment in aboveground or underground uranium...

The Search for 'Evolution-Proof' Antibiotics.

PubMed

Bell, Graham; MacLean, Craig

2018-06-01

The effectiveness of antibiotics has been widely compromised by the evolution of resistance among pathogenic bacteria. It would be restored by the development of antibiotics to which bacteria cannot evolve resistance. We first discuss two kinds of 'evolution-proof' antibiotic. The first comprises literally evolution-proof antibiotics to which bacteria cannot become resistant by mutation or horizontal gene transfer. The second category comprises agents to which resistance may arise, but so rarely that it does not become epidemic. The likelihood that resistance to a novel agent will spread is evaluated here by a simple model that includes biological and therapeutic parameters governing the evolution of resistance within hosts and the transmission of resistant strains between hosts. This model leads to the conclusion that epidemic spread is unlikely if the frequency of mutations that confer resistance falls below a defined minimum value, and it identifies potential targets for intervention to prevent the evolution of resistance. Whether or not evolution-proof antibiotics are ever found, searching for them is likely to improve the deployment of new and existing agents by advancing our understanding of how resistance evolves. Copyright © 2017. Published by Elsevier Ltd.

Disclosures and refutations: clinical psychoanalysis as a logic of enquiry.

PubMed

Ahumada, J L

1997-12-01

The author argues that the empirical status of psychoanalysis has been distorted by the controversy surrounding Aristotelian and Galilean-Newtonian schemes of science, whose core ideas, respectively, are scientific concepts or forms and scientific laws. Bound by the Euclidian axiomatic tradition, Newtonian-style 'laws' do not obtain in the social sciences, and in biology they apply only at near-molecular levels, not at the level of mind. Continuing the traditional Aristotelian reliance on 'exemplars', neither Freud's nor Darwin's work fits the deductivist, infallibilistic scientific criteria used by philosophers such as Tarski, Popper or Grünbaum. Rebutting the charge that the workings of psychoanalysis are not explicit enough, this paper unfolds the logic of enquiry it utilises. In contrast to Newtonian inductivism, Popper's method of conjectures and refutations and Lakatos's method of proofs and refutations, clinical psychoanalysis employs a 'practical logic' of disclosures and refutations, a constantly evolving enquiry of multi-layered and tentative evidence of discordance and analogy. Such epistemic fallibilism, relying on a build-up of ostensive evidences rather than on 'certainties', is illustrated in the text by Moore's famous 'two-hands' argument, is held to fit in with the workings of everyday discernment and, arguably, with Darwinian evolution.

Rate based failure detection

DOE Office of Scientific and Technical Information (OSTI.GOV)

Johnson, Brett Emery Trabun; Gamage, Thoshitha Thanushka; Bakken, David Edward

This disclosure describes, in part, a system management component and failure detection component for use in a power grid data network to identify anomalies within the network and systematically adjust the quality of service of data published by publishers and subscribed to by subscribers within the network. In one implementation, subscribers may identify a desired data rate, a minimum acceptable data rate, desired latency, minimum acceptable latency and a priority for each subscription. The failure detection component may identify an anomaly within the network and a source of the anomaly. Based on the identified anomaly, data rates and or datamore » paths may be adjusted in real-time to ensure that the power grid data network does not become overloaded and/or fail.« less

Firefighter's compressed air breathing system pressure vessel development program

NASA Technical Reports Server (NTRS)

Beck, E. J.

1974-01-01

The research to design, fabricate, test, and deliver a pressure vessel for the main component in an improved high-performance firefighter's breathing system is reported. The principal physical and performance characteristics of the vessel which were required are: (1) maximum weight of 9.0 lb; (2) maximum operating pressure of 4500 psig (charge pressure of 4000 psig); (3) minimum contained volume of 280 in. 3; (4) proof pressure of 6750 psig; (5) minimum burst pressure of 9000 psig following operational and service life; and (6) a minimum service life of 15 years. The vessel developed to fulfill the requirements described was completely sucessful, i.e., every category of performence was satisfied. The average weight of the vessel was found to be about 8.3 lb, well below the 9.0 lb specification requirement.

46 CFR 178.330 - Simplified stability proof test (SST).

Code of Federal Regulations, 2011 CFR

2011-10-01

... limits of heel: (1) On a flush deck vessel, not more than one-half of the freeboard may be immersed. (2... is less, may be immersed. (7) In no case may the angle of heel exceed 14 degrees. (e) The limits of heel must be measured at: (1) The point of minimum freeboard; or (2) At a point three-quarters of the...

The Conditional Entropy Power Inequality for Bosonic Quantum Systems

NASA Astrophysics Data System (ADS)

De Palma, Giacomo; Trevisan, Dario

2018-06-01

We prove the conditional Entropy Power Inequality for Gaussian quantum systems. This fundamental inequality determines the minimum quantum conditional von Neumann entropy of the output of the beam-splitter or of the squeezing among all the input states where the two inputs are conditionally independent given the memory and have given quantum conditional entropies. We also prove that, for any couple of values of the quantum conditional entropies of the two inputs, the minimum of the quantum conditional entropy of the output given by the conditional Entropy Power Inequality is asymptotically achieved by a suitable sequence of quantum Gaussian input states. Our proof of the conditional Entropy Power Inequality is based on a new Stam inequality for the quantum conditional Fisher information and on the determination of the universal asymptotic behaviour of the quantum conditional entropy under the heat semigroup evolution. The beam-splitter and the squeezing are the central elements of quantum optics, and can model the attenuation, the amplification and the noise of electromagnetic signals. This conditional Entropy Power Inequality will have a strong impact in quantum information and quantum cryptography. Among its many possible applications there is the proof of a new uncertainty relation for the conditional Wehrl entropy.

The Conditional Entropy Power Inequality for Bosonic Quantum Systems

NASA Astrophysics Data System (ADS)

De Palma, Giacomo; Trevisan, Dario

2018-01-01

We prove the conditional Entropy Power Inequality for Gaussian quantum systems. This fundamental inequality determines the minimum quantum conditional von Neumann entropy of the output of the beam-splitter or of the squeezing among all the input states where the two inputs are conditionally independent given the memory and have given quantum conditional entropies. We also prove that, for any couple of values of the quantum conditional entropies of the two inputs, the minimum of the quantum conditional entropy of the output given by the conditional Entropy Power Inequality is asymptotically achieved by a suitable sequence of quantum Gaussian input states. Our proof of the conditional Entropy Power Inequality is based on a new Stam inequality for the quantum conditional Fisher information and on the determination of the universal asymptotic behaviour of the quantum conditional entropy under the heat semigroup evolution. The beam-splitter and the squeezing are the central elements of quantum optics, and can model the attenuation, the amplification and the noise of electromagnetic signals. This conditional Entropy Power Inequality will have a strong impact in quantum information and quantum cryptography. Among its many possible applications there is the proof of a new uncertainty relation for the conditional Wehrl entropy.

Public disclosure to improve physical education in an urban school district: results from a 2-year quasi-experimental study

PubMed Central

Vittinghoff, Eric; Linchey, Jennifer K.; Madsen, Kristine A.

2015-01-01

BACKGROUND Many elementary schools have policies requiring a minimum amount of physical education (PE). However, few schools comply with local/state PE policy and little is known about how to improve adherence. We evaluated changes in PE among 5th-grade classes, following participatory action research efforts to improve PE quantity and policy compliance that focused on publically disclosing PE data. METHODS Data were collected at 20 San Francisco public elementary schools in the spring of 2011 and 2013. PE schedules were collected and PE classes were directly observed (2011, N = 30 teachers; 2013, N = 33 teachers). Data on the proportion of schools meeting state PE mandates in 2011 were shared within the school district and disclosed to the general public in 2012. RESULTS From 2011 to 2013, PE increased by 11 minutes/week based on teachers’ schedules (95% CI: 3.0, 19.6) and by 14 minutes/week (95% CI: 1.9, 26.0) based on observations. The proportion of schools meeting the state PE mandate increased from 20% to 30% (p = .27). CONCLUSIONS Positive changes in PE were seen over a 2-year period following the public disclosure of data that highlighted poor PE policy compliance. Public disclosure could be a method for ensuring greater PE policy adherence. PMID:26201757

Public Disclosure to Improve Physical Education in an Urban School District: Results From a 2-Year Quasi-Experimental Study.

PubMed

Thompson, Hannah R; Vittinghoff, Eric; Linchey, Jennifer K; Madsen, Kristine A

2015-09-01

Many elementary schools have policies requiring a minimum amount of physical education (PE). However, few schools comply with local/state PE policy and little is known about how to improve adherence. We evaluated changes in PE among fifth-grade classes, following participatory action research efforts to improve PE quantity and policy compliance that focused on publically disclosing PE data. Data were collected in 20 San Francisco public elementary schools in spring 2011 and 2013. PE schedules were collected and PE classes were directly observed (2011, N = 30 teachers; 2013, N = 33 teachers). Data on the proportion of schools meeting state PE mandates in 2011 were shared within the school district and disclosed to the general public in 2012. From 2011 to 2013, PE increased by 11 minutes/week based on teachers' schedules (95% CI: 3.0, 19.6) and by 14 minutes/week (95% CI: 1.9, 26.0) based on observations. The proportion of schools meeting the state PE mandate increased from 20% to 30% (p = .27). Positive changes in PE were seen over a 2-year period following the public disclosure of data that highlighted poor PE policy compliance. Public disclosure could be a method for ensuring greater PE policy adherence. © 2015, American School Health Association.

46 CFR 54.15-25 - Minimum relief capacities for cargo tanks containing compressed or liquefied gas.

Code of Federal Regulations, 2012 CFR

2012-10-01

... overpressure permitted shall be in accordance with § 54.15-5. (c) The rate of discharge for heat input of fire... exposure factor for the following tank types: F=1.0 for tanks without insulation located on the open deck. F=0.5 for tanks on the open deck having insulation that has approved fire proofing, thermal...

46 CFR 54.15-25 - Minimum relief capacities for cargo tanks containing compressed or liquefied gas.

Code of Federal Regulations, 2011 CFR

2011-10-01

... overpressure permitted shall be in accordance with § 54.15-5. (c) The rate of discharge for heat input of fire... exposure factor for the following tank types: F=1.0 for tanks without insulation located on the open deck. F=0.5 for tanks on the open deck having insulation that has approved fire proofing, thermal...

46 CFR 54.15-25 - Minimum relief capacities for cargo tanks containing compressed or liquefied gas.

Code of Federal Regulations, 2010 CFR

2010-10-01

... overpressure permitted shall be in accordance with § 54.15-5. (c) The rate of discharge for heat input of fire... exposure factor for the following tank types: F=1.0 for tanks without insulation located on the open deck. F=0.5 for tanks on the open deck having insulation that has approved fire proofing, thermal...

46 CFR 54.15-25 - Minimum relief capacities for cargo tanks containing compressed or liquefied gas.

Code of Federal Regulations, 2014 CFR

2014-10-01

... overpressure permitted shall be in accordance with § 54.15-5. (c) The rate of discharge for heat input of fire... exposure factor for the following tank types: F=1.0 for tanks without insulation located on the open deck. F=0.5 for tanks on the open deck having insulation that has approved fire proofing, thermal...

46 CFR 54.15-25 - Minimum relief capacities for cargo tanks containing compressed or liquefied gas.

Code of Federal Regulations, 2013 CFR

2013-10-01

... overpressure permitted shall be in accordance with § 54.15-5. (c) The rate of discharge for heat input of fire... exposure factor for the following tank types: F=1.0 for tanks without insulation located on the open deck. F=0.5 for tanks on the open deck having insulation that has approved fire proofing, thermal...

Convex central configurations for the n-body problem

NASA Astrophysics Data System (ADS)

Xia, Zhihong

We give a simple proof of a classical result of MacMillan and Bartky (Trans. Amer. Math. Soc. 34 (1932) 838) which states that, for any four positive masses and any assigned order, there is a convex planar central configuration. Moreover, we show that the central configurations we find correspond to local minima of the potential function with fixed moment of inertia. This allows us to show that there are at least six local minimum central configurations for the planar four-body problem. We also show that for any assigned order of five masses, there is at least one convex spatial central configuration of local minimum type. Our method also applies to some other cases.

Probabilistic Assessment of National Wind Tunnel

NASA Technical Reports Server (NTRS)

Shah, A. R.; Shiao, M.; Chamis, C. C.

1996-01-01

A preliminary probabilistic structural assessment of the critical section of National Wind Tunnel (NWT) is performed using NESSUS (Numerical Evaluation of Stochastic Structures Under Stress) computer code. Thereby, the capabilities of NESSUS code have been demonstrated to address reliability issues of the NWT. Uncertainties in the geometry, material properties, loads and stiffener location on the NWT are considered to perform the reliability assessment. Probabilistic stress, frequency, buckling, fatigue and proof load analyses are performed. These analyses cover the major global and some local design requirements. Based on the assumed uncertainties, the results reveal the assurance of minimum 0.999 reliability for the NWT. Preliminary life prediction analysis results show that the life of the NWT is governed by the fatigue of welds. Also, reliability based proof test assessment is performed.

Owens-Illinois liquid solar collector materials assessment

NASA Technical Reports Server (NTRS)

Nichols, R. L.

1978-01-01

From the beginning, it was noted that the baseline drawings for the liquid solar collector exhibited a distinct weakness concerning materials specification where elastomers, plastics, and foam insulation materials were utilized. A relatively small effort by a competent design organization would alleviate this deficiency. Based on results obtained from boilout and stagnation tests on the solar simulator, it was concluded that proof testing of the collector tubes prior to use helps to predict their performance for limited service life. Fracture mechanics data are desirable for predicting extended service life and establishing a minimum proof pressure level requirement. The temperature capability of this collector system was increased as the design matured and the coating efficiency improved. This higher temperature demands the use of higher temperature materials at critical locations in the collector.

HIPAA Privacy 101: essentials for case management practice.

PubMed

DiBenedetto, Deborah V

2003-01-01

The Health Insurance Portability and Accountability Act (HIPAA) has significant impact on the delivery of healthcare in the United States. The Administrative Simplification (AS) requirements of HIPAA are aimed at reducing administrative costs and burdens in the healthcare industry. The core components of HIPAA's AS requirements address healthcare transactions, code sets, security, unique identifiers, and privacy of health information. HIPAA's privacy standard limits the nonconsensual use and release of private health information, gives patients new rights to access their medical records and to know who else has accessed them, restricts most disclosure of health information to the minimum needed for the intended purpose, establishes new criminal and civil sanctions for improper use or disclosure, and establishes new requirements for access to records by researchers and others. This article focuses on HIPAA's privacy requirements as related to case management of workers compensation populations, the treatment of protected health information, and how case managers can ensure they provide appropriate services while navigating the requirements of HIPAA's privacy standard.

How to obtain a shortest mode converter based on periodic waveguide with limited index contrast?

NASA Astrophysics Data System (ADS)

Zhang, Lingxuan; Zhang, Wenfu; Wang, Guoxi; Hu, Yaowei; Ge, Zhiqiang; Wang, Leiran; Sun, Qibing; Wang, Weiqiang; Gong, Yongkang; Zhao, Wei

2017-05-01

Mode converter is one of most significant elements in photonic integrated circuits. It relies on increasing index contrast to shorten its length. However, index contrast is limited for technology. In addition, an overlarge index contrast leads to some disadvantages, such as large scattering loss, reflection loss, and small tolerance for manufacturing. Thus, an approximate scheme to design a mode converter is manipulating the transverse distribution of index to achieve the minimum length when the index contrast is given. We have analytically deduced the theoretical maximum coupled efficiency in periodic waveguide, which determines the minimum coupling length of mode converter. What is more, we have demonstrated how to construct a distribution function of indices in a cross section of waveguide to achieve the minimum length and a case is also given to illustrate the process. Proofs, based on both mathematic derivation and numerical simulation, have been exhibited in the paper.

Direct and enhanced disclosure of researcher financial conflicts of interest: the role of trust.

PubMed

Spece, Roy G

2013-01-01

In earlier writing, I recommended direct disclosure of major researcher financial conflicts of interest in per capita funding arrangements--the practice of providing researchers with a fixed sum for each subject recruited and enrolled in a study. This Article adds a recommendation for enhanced direct disclosure. The enhancement in the disclosure is a summary of why per capita and excess payments are being discussed and further includes whether the sponsors of the research and the researchers have claimed that there are no excess payments. The reason per capita payments are being discussed is because of the risk--with special caution when sponsors and researchers are not willing to claim that there are no excess payments--of introducing bias into researchers' decisions regarding study design, implementation, and interpretation, as well as concerning whom to enroll or keep in studies. Researchers' claims that there are no excess payments do not vitiate the risk of such payments. Nevertheless, a special admonition when sponsors and researchers do not claim the absence of excess payments would hopefully encourage them to eschew excess payments. My recommendations are required by the rights to bodily integrity and autonomy embedded in informed consent. Several arguments have been made against my recommendations, many of which relate to supposed effects on trust. My rights-based recommendations should not be rejected because of objections based on propositions that (1) are conceptually unclear because of a failure to unbundle different kinds and degrees of trust and (2) have not been empirically proven even where concepts are clarified. In some instances, the required strong empirical confirmation cannot be made because of practical or ethical restraints, including the fact that some of the necessary studies would require invasion of the right to informed consent. Finally, I suggest and partially apply an organizational method to generate empirical questions and guidance for future research in this area. Even the few hypothetical scenarios addressed demonstrate how complex--and sometimes practically or ethically impossible--the empirical studies must be to adduce proofs sufficient to overcome the imperative of informed consent.

New upper bounds on the rate of a code via the Delsarte-MacWilliams inequalities

NASA Technical Reports Server (NTRS)

Mceliece, R. J.; Rodemich, E. R.; Rumsey, H., Jr.; Welch, L. R.

1977-01-01

An upper bound on the rate of a binary code as a function of minimum code distance (using a Hamming code metric) is arrived at from Delsarte-MacWilliams inequalities. The upper bound so found is asymptotically less than Levenshtein's bound, and a fortiori less than Elias' bound. Appendices review properties of Krawtchouk polynomials and Q-polynomials utilized in the rigorous proofs.

Trans fatty acid content in Malaysian supermarket foods: a field-to-laboratory approach in assessing food risk.

PubMed

Karupaiah, Tilakavati; Tan, Hui Kuen; Ong, Wei Wen; Tan, Choon Heen; Sundram, Kalyana

2014-01-01

The extent of industrial trans fatty acids (TFA) in the food supply is unknown in Malaysia, whilst TFA disclosure on food labels is not mandatory by Malaysian food standards. Supermarket foods such as dairy products, fats and oils, meat products, snack foods, soups, and confectionery are commonly cited to be major contributors of TFA in the diet. A consumer survey (n = 622) was used to develop a food listing of these 'high risk' foods. TFA content of high-risk foods were analysed by gas chromatography. Food samples (n = 158) were analysed and their total TFA content were compared with Malaysian Food Standards. A wide variation in TFA content within food categories was indicated. Of the foods containing TFA, many food labels did not cite TFA content or the use of partially hydrogenated vegetable oils (PHVO) as an ingredient. Hypothesised estimates of TFA intake from these supermarket foods in a sample day's menu providing 2000 kcal projected a minimum intake of 0.5 g and a maximum intake of 5.2 g TFA. This study found there was no voluntary disclosure of TFA content on food labels or identifying PHVO as an ingredient. It appears that health education targeting consumers to minimise TFA consumption is required supported by mandatory PHVO disclosure on the food label.

Detection of oxidative hair treatment using fluorescence microscopy.

PubMed

Witt, Silvana; Wunder, Cora; Paulke, Alexander; Verhoff, Marcel A; Schubert-Zsilavecz, Manfred; Toennes, Stefan W

2016-08-01

In assessing abstinence from drug or alcohol abuse, hair analysis plays an important role. Cosmetic hair treatment influences the content of deposited drugs which is not always detectable during analysis. Since oxidation of melanin leads to an increase in fluorescence, a microscopic method was developed to distinguish natural from cosmetically treated hair. For validation, natural hair samples were treated with different types of cosmetics and inspected by fluorescence microscopy. Hair samples from 20 volunteers with documented cosmetic treatment and as a proof of concept 100 hair samples from forensic cases were analyzed by this method. Apart from autofluorescence with excitation at 365 nm, no obvious fluorescence was observed in untreated hair samples. Tinting and a natural plant product had no influence on fluorescence, but dyeing procedures including oxidation led to a marked increase in fluorescence. Proof of cosmetic treatment was achieved in hair samples from the 20 volunteers. In 100 forensic cases, 13 samples were characterized as oxidatively treated, which was in accordance with the respective disclosure except for one case where treatment was not admitted. This fluorescence microscopic procedure proved to be fast, easy, and reliable to identify oxidatively treated hair samples, which must be considered especially in evaluating cases of negative drug results. Copyright © 2015 John Wiley & Sons, Ltd. Copyright © 2015 John Wiley & Sons, Ltd.

Discrete Methods and their Applications

DTIC Science & Technology

1993-02-03

problem of finding all near-optimal solutions to a linear program. In paper [18], we give a brief and elementary proof of a result of Hoffman [1952) about...relies only on linear programming duality; second, we obtain geometric and algebraic representations of the bounds that are determined explicitly in...same. We have studied the problem of finding the minimum n such that a given unit interval graph is an n--graph. A linear time algorithm to compute

On-Orbit Reconfigurable Solar Array

NASA Technical Reports Server (NTRS)

Levy, Robert K. (Inventor)

2017-01-01

In one or more embodiments, the present disclosure teaches a method for reconfiguring a solar array. The method involves providing, for the solar array, at least one string of solar cells. The method further involves deactivating at least a portion of at least one of the strings of solar cells of the solar array when power produced by the solar array reaches a maximum power allowance threshold. In addition, the method involves activating at least a portion of at least one of the strings of the solar cells in the solar array when the power produced by the solar array reaches a minimum power allowance threshold.

12 mJ Yb:YAG/Cr:YAG microchip laser

NASA Astrophysics Data System (ADS)

Guo, Xiaoyang; Tokita, Shigeki; Kawanaka, Junji

2018-02-01

By cryogenically cooling the Yb:YAG/Cr:YAG medium, one can break through the damage limit of Yb:YAG/Cr:YAG passively Q-switched microchip lasers at room temperature and thus achieve a shorter minimum pulse duration. In the proof of principle experiment we carried out, a 160.6 ps pulse duration was obtained. To the best of our knowledge, this is the first realization of sub-200 ps pulse operation for an Yb:YAG/Cr:YAG microchip laser

Elevation-relief ratio, hypsometric integral, and geomorphic area-altitude analysis.

NASA Technical Reports Server (NTRS)

Pike, R. J.; Wilson, S. E.

1971-01-01

Mathematical proof establishes identity of hypsometric integral and elevation-relief ratio, two quantitative topographic descriptors developed independently of one another for entirely different purposes. Operationally, values of both measures are in excellent agreement for arbitrarily bounded topographic samples, as well as for low-order fluvial watersheds. By using a point-sampling technique rather than planimetry, elevation-relief ratio (defined as mean elevation minus minimum elevation divided by relief) is calculated manually in about a third of the time required for the hypsometric integral.

Uncertainty relations with quantum memory for the Wehrl entropy

NASA Astrophysics Data System (ADS)

De Palma, Giacomo

2018-03-01

We prove two new fundamental uncertainty relations with quantum memory for the Wehrl entropy. The first relation applies to the bipartite memory scenario. It determines the minimum conditional Wehrl entropy among all the quantum states with a given conditional von Neumann entropy and proves that this minimum is asymptotically achieved by a suitable sequence of quantum Gaussian states. The second relation applies to the tripartite memory scenario. It determines the minimum of the sum of the Wehrl entropy of a quantum state conditioned on the first memory quantum system with the Wehrl entropy of the same state conditioned on the second memory quantum system and proves that also this minimum is asymptotically achieved by a suitable sequence of quantum Gaussian states. The Wehrl entropy of a quantum state is the Shannon differential entropy of the outcome of a heterodyne measurement performed on the state. The heterodyne measurement is one of the main measurements in quantum optics and lies at the basis of one of the most promising protocols for quantum key distribution. These fundamental entropic uncertainty relations will be a valuable tool in quantum information and will, for example, find application in security proofs of quantum key distribution protocols in the asymptotic regime and in entanglement witnessing in quantum optics.

The Impact of Therapist Disclosure on Patient Disclosure

ERIC Educational Resources Information Center

Simonson, Norman R.

1976-01-01

A psychotherapy analogue study examined the effects of therapist disclosure on subject disclosure to the therapist during a first interview. Three levels of therapist disclosure, no disclosure, demographic disclosure, and personal disclosure, and two levels of therapist warmth were manipulated. Results are discussed. (Author)

Combinatorics of least-squares trees.

PubMed

Mihaescu, Radu; Pachter, Lior

2008-09-09

A recurring theme in the least-squares approach to phylogenetics has been the discovery of elegant combinatorial formulas for the least-squares estimates of edge lengths. These formulas have proved useful for the development of efficient algorithms, and have also been important for understanding connections among popular phylogeny algorithms. For example, the selection criterion of the neighbor-joining algorithm is now understood in terms of the combinatorial formulas of Pauplin for estimating tree length. We highlight a phylogenetically desirable property that weighted least-squares methods should satisfy, and provide a complete characterization of methods that satisfy the property. The necessary and sufficient condition is a multiplicative four-point condition that the variance matrix needs to satisfy. The proof is based on the observation that the Lagrange multipliers in the proof of the Gauss-Markov theorem are tree-additive. Our results generalize and complete previous work on ordinary least squares, balanced minimum evolution, and the taxon-weighted variance model. They also provide a time-optimal algorithm for computation.

On the locality of the no hair conjection and the measure of the universe

NASA Technical Reports Server (NTRS)

Pacher, Tibor; Stein-Schabes, Jaime A.

1988-01-01

The reently proposed proof by Jensen and Stein-Schabes of the No Hair Theorem for inhomogeneous spacetimes is analyzed, putting a special emphasis on the asymptotic behavior of the shear and curvature. It is concluded that the theorem only holds locally, and the minimum size a region should be is estimated in order for it to inflate. The assumptions used in the theorem are discussed in detail. The last section speculates about the possible measure of the set of spacetimes that would undergo inflation.

Robust interferometry against imperfections based on weak value amplification

NASA Astrophysics Data System (ADS)

Fang, Chen; Huang, Jing-Zheng; Zeng, Guihua

2018-06-01

Optical interferometry has been widely used in various high-precision applications. Usually, the minimum precision of an interferometry is limited by various technical noises in practice. To suppress such kinds of noises, we propose a scheme which combines the weak measurement with the standard interferometry. The proposed scheme dramatically outperforms the standard interferometry in the signal-to-noise ratio and the robustness against noises caused by the optical elements' reflections and the offset fluctuation between two paths. A proof-of-principle experiment is demonstrated to validate the amplification theory.

Case Complexity and Quality Attestation for Clinical Ethics Consultants.

PubMed

Spielman, Bethany; Craig, Jana; Gorka, Christine; Miller, Keith

2015-01-01

A proposal by the American Society for Bioethics and Humanities (ASBH) to identify individuals who are qualified to perform ethics consultations neglects case complexity in candidates' portfolios. To protect patients and healthcare organizations, and to be fair to candidates, a minimum case complexity level must be clearly and publicly articulated. This proof-of-concept study supports the feasibility of assessing case complexity. Using text analytics, we developed a complexity scoring system, and retrospectively analyzed more than 500 ethics summaries of consults performed at an academic medical center during 2013. We demonstrate its use with seven case summaries that range in complexity from uncomplicated to very complicated. We encourage the ASBH to require a minimum level of case complexity, and recommend that attestation portfolios include several cases of moderate complexity and at least one very complex case. Copyright 2015 The Journal of Clinical Ethics. All rights reserved.

Complying with the Health Insurance Portability and Accountability Act. Privacy standards.

PubMed

Shuren, A W; Livsey, K

2001-11-01

The Privacy Rule: Limits the use and disclosure of PHI to purposes of treatment, payment, or routine health care operations. Requires covered entities to provide advance notice to the public of its policy governing disclosure of PHI. Requires entities covered by the Standard to secure general client consent to use and to disclose PHI for treatment, payment, or routine health care operations and to obtain specific client authorization to use or to disclose PHI for all other purposes unless the disclosure is specifically permitted without consent or authorization (e.g., a covered entity may disclose PHI to a health care oversight agency such as the Office of the Inspector General without first obtaining client authorization). In certain situations, a covered entity need only obtain client agreement to disclose PHI which may be oral or inferred from the circumstances surrounding the disclosure. For example, a covered entity could disclose PHI to a relative caring for the individual who is the subject of the health information. Expects covered entities to take measures to protect PHI from both inadvertent and deliberate misuse and disclosure. Requires, except in certain circumstances, the amount of PHI disclosed on any occasion to be limited to the minimum necessary to achieve the purpose of the disclosure. Gives individuals more control of their health information by permitting them to review and amend health information pertaining to themselves and to demand an accounting of persons to whom their health information has been disclosed. Establishes terms under which a covered entity may disclose PHI to a business associate. Permits states to maintain state laws that are more stringent than the Privacy Rule. The statute provides for significant civil and criminal penalties for failure to comply with the Standards. Violations are punishable by fines as much as $250,000 and 10 years imprisonment. The HHS, Office of Civil Rights is charged with enforcing the Standards. The HHS is expected to issue a single Enforcement Rule applicable to all three of the HIPAA Administrative Simplification Standards. Many worksite records will not be protected under the HIPAA Privacy Rule because employers are not covered entities and few occupational health professionals meet the criteria of being considered a covered entity. Nevertheless, occupational health professionals need to be knowledgeable about the application of HIPAA in the occupational health care setting. Furthermore, given that the Rule does not preempt state privacy laws that are more stringent than the Standards, occupational health professionals should monitor legislative activity related to privacy in the states in which they practice. To date, Oregon, Texas, and New Jersey have broadened HIPAA's definitions to create more covered entities and services.

Depression and HIV Serostatus Disclosure to Sexual Partners Among Newly HIV-Diagnosed Men Who Have Sex with Men.

PubMed

Abler, Laurie; Sikkema, Kathleen J; Watt, Melissa H; Hansen, Nathan B; Wilson, Patrick A; Kochman, Arlene

2015-10-01

HIV disclosure to sexual partners facilitates joint decision-making and risk reduction strategies for safer sex behaviors, but disclosure may be impacted by depression symptoms. Disclosure is also associated with disclosure self-efficacy, which in turn may also be influenced by depressive symptoms. This study examined the relationship between depression and HIV disclosure to partners following diagnosis among men who have sex with men (MSM), mediated by disclosure self-efficacy. Newly HIV-diagnosed MSM (n=92) who reported sexual activity after diagnosis completed an assessment soon after diagnosis which measured depressive symptoms, and another assessment within 3 months of diagnosis that measured disclosure self-efficacy and disclosure. Over one-third of the sample reported elevated depressive symptoms soon after diagnosis and equal proportions (one-third each) disclosed to none, some, or all partners in the 3 months after diagnosis. Depressive symptoms were negatively associated with disclosure self-efficacy and disclosure to partners, while disclosure self-efficacy was positively associated with disclosure. Disclosure self-efficacy partially mediated the relationship between depression and disclosure, accounting for 33% of the total effect. These findings highlight the importance of addressing depression that follows diagnosis to enhance subsequent disclosure to sexual partners.

Testicular Biopsy for Fertility Preservation in Prepubertal Boys with Cancer: Identifying Preferences for Procedure and Reactions to Disclosure Practices.

PubMed

Gupta, Abha A; Donen, Rachel M; Sung, Lillian; Boydell, Katherine M; Lo, Kirk C; Stephens, Derek; Pritchard, Sheila; Portwine, Carol; Maloney, Anne Marie; Lorenzo, Armando J

2016-07-01

Fertility preservation options are limited in prepubertal boys with cancer. Worldwide there has been growing interest in testicular tissue cryopreservation as a promising experimental strategy to address future infertility. We measured and compared parent, male cancer survivor and provider willingness to accept the risk of testicular biopsy among prepubertal boys with cancer, and identified reactions to disclosure practices. We conducted a multicenter study that included 153 parents of prepubertal boys with cancer, 77 male survivors of childhood cancer and 30 oncology providers. The threshold technique was used to measure subject relative willingness to accept risk of testicular biopsy under 4 different aspects of care, ie chance of infertility, complications from biopsy, development of technology to use tissue and tissue storage cost. A total of 47 in-depth interviews were conducted to identify reactions to disclosure practices. A total of 52 survivors (67%), 22 providers (73%) and 110 parents (72%) selected to have testicular biopsy (vs no biopsy). Median minimum infertility risk to make biopsy worthwhile varied from 25% to 30% among the 3 respondent groups. Interviews revealed that some providers would not offer biopsy in cases of greater perceived risk than benefit, that parents preferred having information regardless of risk of infertility and that nondisclosure elicited adverse feelings from some parents. Parents, survivors and providers were willing to accept risk of prepubertal testicular biopsy. Parental/survivor desire for information and provider decision not to disclose suggest that barriers to information delivery need to be addressed. Copyright © 2016 American Urological Association Education and Research, Inc. Published by Elsevier Inc. All rights reserved.

Depression and HIV Serostatus Disclosure to Sexual Partners Among Newly HIV-Diagnosed Men Who Have Sex with Men

PubMed Central

Abler, Laurie; Watt, Melissa H.; Hansen, Nathan B.; Wilson, Patrick A.; Kochman, Arlene

2015-01-01

Abstract HIV disclosure to sexual partners facilitates joint decision-making and risk reduction strategies for safer sex behaviors, but disclosure may be impacted by depression symptoms. Disclosure is also associated with disclosure self-efficacy, which in turn may also be influenced by depressive symptoms. This study examined the relationship between depression and HIV disclosure to partners following diagnosis among men who have sex with men (MSM), mediated by disclosure self-efficacy. Newly HIV-diagnosed MSM (n = 92) who reported sexual activity after diagnosis completed an assessment soon after diagnosis which measured depressive symptoms, and another assessment within 3 months of diagnosis that measured disclosure self-efficacy and disclosure. Over one-third of the sample reported elevated depressive symptoms soon after diagnosis and equal proportions (one-third each) disclosed to none, some, or all partners in the 3 months after diagnosis. Depressive symptoms were negatively associated with disclosure self-efficacy and disclosure to partners, while disclosure self-efficacy was positively associated with disclosure. Disclosure self-efficacy partially mediated the relationship between depression and disclosure, accounting for 33% of the total effect. These findings highlight the importance of addressing depression that follows diagnosis to enhance subsequent disclosure to sexual partners. PMID:26430721

Developing a new treatment device: how to get an idea to the marketplace.

PubMed

Dymond, Elizabeth; Long, Adele; McCarthy, Avril; Drake, Marcus J

2012-04-01

A good idea does not inevitably lead to successful innovation; it needs additional "drivers" and coherent activity of a specialized team. The initial idea needs proof-of-concept and prototype testing. Alongside, market review must anticipate future need and competitors, and ensure that no current patents are infringed. The likelihood that reimbursement will be secured and that health systems will "adopt" the device has to be considered. Intellectual property (IP) protection is needed to maintain sole rights to exploit the core concept. Non-disclosure agreements (NDA) should be put in place, and commercial considerations should be remembered before any disclosure in the public domain, including publications. Prospective business partners will review the concept from many perspectives, including stage of device development, effective IP protection, any clinical trial evidence, and whether the device aligns with their business strategy. Royalties arising from sales of a marketed device are distributed to all parties contributing to its development; the party bearing the greater financial burden of developing the final product will gain the greater share of royalties. The innovator's employer will have a call on proceeds if the idea arose in the course of employment. All stages of development require fastidious documentation to meet requirements of the regulatory authorities responsible for permitting use in patients. Specific regulatory requirements depend on which region(s) of the world the device will be marketed in. This review explains all stages of the innovation pathway from concept to adoption, giving practical advice and signposting expertise relevant to each stage. Copyright © 2011 Wiley Periodicals, Inc.

Maximizing return on socioeconomic investment in phase II proof-of-concept trials.

PubMed

Chen, Cong; Beckman, Robert A

2014-04-01

Phase II proof-of-concept (POC) trials play a key role in oncology drug development, determining which therapeutic hypotheses will undergo definitive phase III testing according to predefined Go-No Go (GNG) criteria. The number of possible POC hypotheses likely far exceeds available public or private resources. We propose a design strategy for maximizing return on socioeconomic investment in phase II trials that obtains the greatest knowledge with the minimum patient exposure. We compare efficiency using the benefit-cost ratio, defined to be the risk-adjusted number of truly active drugs correctly identified for phase III development divided by the risk-adjusted total sample size in phase II and III development, for different POC trial sizes, powering schemes, and associated GNG criteria. It is most cost-effective to conduct small POC trials and set the corresponding GNG bars high, so that more POC trials can be conducted under socioeconomic constraints. If δ is the minimum treatment effect size of clinical interest in phase II, the study design with the highest benefit-cost ratio has approximately 5% type I error rate and approximately 20% type II error rate (80% power) for detecting an effect size of approximately 1.5δ. A Go decision to phase III is made when the observed effect size is close to δ. With the phenomenal expansion of our knowledge in molecular biology leading to an unprecedented number of new oncology drug targets, conducting more small POC trials and setting high GNG bars maximize the return on socioeconomic investment in phase II POC trials. ©2014 AACR.

Teaching Self-Disclosure through an Activity Exploring Disclosure Research and Online Dating Sites

ERIC Educational Resources Information Center

Baker, Nicole Marie; Hastings, Sally O.

2013-01-01

Most interpersonal communication course textbooks include a section or chapter on the topic of self-disclosure. Students are normally introduced to elements of self-disclosure, such as a definition, functions, or reasons for self-disclosure, risks of self-disclosure, and the role of self-disclosure in relationships. Historically, research on…

Advancing methodology in the study of HIV status disclosure: the importance of considering disclosure target and intent.

PubMed

Dima, Alexandra L; Stutterheim, Sarah E; Lyimo, Ramsey; de Bruin, Marijn

2014-05-01

Disclosure of HIV status has been the focus of three decades of research, which have revealed its complex relations to many behaviors involved in HIV prevention and treatment, and exposed its central role in managing the HIV epidemic. The causes and consequences of disclosure acts have recently been the subject of several theoretical models. Although it is acknowledged that individual disclosure events are part of a broader process of disclosing one's HIV status to an increasing number of people, this process has received less theoretical attention. In quantitative studies of disclosure, researchers have often implicitly assumed that disclosure is a single unidimensional process appropriately measured via the total number of one's disclosure acts. However, there is also evidence that disclosure may have different causes and consequences depending on the types of actors involved (e.g. family members, friends) and on the presence or absence of the discloser's intention, suggesting that the unidimensionality assumption may not hold. We quantitatively examined the dimensionality of voluntary and involuntary disclosure to different categories of actors, using data collected via structured interviews in the spring of 2010 from 158 people living with HIV in Kilimanjaro, Tanzania. For voluntary disclosure, nonparametric item response analyses identified two multi-category clusters, family and community, and two single-category dimensions, partner and children. Involuntary disclosure consisted of several single- or two-category dimensions. Correlation analyses between the resulting disclosure dimensions and stigma and social support revealed distinct relationships for each disclosure dimension. Our results suggest that treating disclosure as a unidimensional construct is a simplification of disclosure processes that may lead to incorrect conclusions about disclosure correlates. We therefore recommend examining disclosure acts jointly to identify sample-specific dimensions before examining causes and consequences of disclosure. We propose a methodology for investigating disclosure processes, and recommend its adoption in future disclosure studies. Copyright © 2014 Elsevier Ltd. All rights reserved.

Facilitating HIV Disclosure Across Diverse Settings: A Review

PubMed Central

Baijal, Parijat; Pegurri, Elisabetta

2011-01-01

HIV status disclosure is central to debates about HIV because of its potential for HIV prevention and its links to privacy and confidentiality as human-rights issues. Our review of the HIV-disclosure literature found that few people keep their status completely secret; disclosure tends to be iterative and to be higher in high-income countries; gender shapes disclosure motivations and reactions; involuntary disclosure and low levels of partner disclosure highlight the difficulties faced by health workers; the meaning and process of disclosure differ across settings; stigmatization increases fears of disclosure; and the ethical dilemmas resulting from competing values concerning confidentiality influence the extent to which disclosure can be facilitated. Our results suggest that structural changes, including making more services available, could facilitate HIV disclosure as much as individual approaches and counseling do. PMID:21493947

19 CFR 201.29 - Commission disclosure of individual records, accounting of record disclosures, and requests for...

Code of Federal Regulations, 2010 CFR

2010-04-01

..., accounting of record disclosures, and requests for accounting of record disclosures. 201.29 Section 201.29..., accounting of record disclosures, and requests for accounting of record disclosures. (a) It is the policy of... disclosure required by 5 U.S.C. 552, the Privacy Act Officer shall keep an accurate accounting of: (1) The...

Equilibrium Droplets on Deformable Substrates: Equilibrium Conditions.

PubMed

Koursari, Nektaria; Ahmed, Gulraiz; Starov, Victor M

2018-05-15

Equilibrium conditions of droplets on deformable substrates are investigated, and it is proven using Jacobi's sufficient condition that the obtained solutions really provide equilibrium profiles of both the droplet and the deformed support. At the equilibrium, the excess free energy of the system should have a minimum value, which means that both necessary and sufficient conditions of the minimum should be fulfilled. Only in this case, the obtained profiles provide the minimum of the excess free energy. The necessary condition of the equilibrium means that the first variation of the excess free energy should vanish, and the second variation should be positive. Unfortunately, the mentioned two conditions are not the proof that the obtained profiles correspond to the minimum of the excess free energy and they could not be. It is necessary to check whether the sufficient condition of the equilibrium (Jacobi's condition) is satisfied. To the best of our knowledge Jacobi's condition has never been verified for any already published equilibrium profiles of both the droplet and the deformable substrate. A simple model of the equilibrium droplet on the deformable substrate is considered, and it is shown that the deduced profiles of the equilibrium droplet and deformable substrate satisfy the Jacobi's condition, that is, really provide the minimum to the excess free energy of the system. To simplify calculations, a simplified linear disjoining/conjoining pressure isotherm is adopted for the calculations. It is shown that both necessary and sufficient conditions for equilibrium are satisfied. For the first time, validity of the Jacobi's condition is verified. The latter proves that the developed model really provides (i) the minimum of the excess free energy of the system droplet/deformable substrate and (ii) equilibrium profiles of both the droplet and the deformable substrate.

Interviewing Children Versus Tossing Coins: Accurately Assessing the Diagnosticity of Children’s Disclosures of Abuse

PubMed Central

LYON, THOMAS D.; AHERN, ELIZABETH C.; SCURICH, NICHOLAS

2014-01-01

We describe a Bayesian approach to evaluating children’s abuse disclosures and review research demonstrating that children’s disclosure of genital touch can be highly probative of sexual abuse, with the probative value depending on disclosure spontaneity and children’s age. We discuss how some commentators understate the probative value of children’s disclosures by: confusing the probability of abuse given disclosure with the probability of disclosure given abuse, assuming that children formally questioned about sexual abuse have a low prior probability of sexual abuse, misstating the probative value of abuse disclosure, and confusing the distinction between disclosure and nondisclosure with the distinction between true and false disclosures. We review interviewing methods that increase the probative value of disclosures, including interview instructions, narrative practice, noncontingent reinforcement, and questions about perpetrator/caregiver statements and children’s reactions to the alleged abuse. PMID:22339423

32 CFR 310.25 - Disclosure accounting.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 32 National Defense 2 2013-07-01 2013-07-01 false Disclosure accounting. 310.25 Section 310.25... PROGRAM DOD PRIVACY PROGRAM Disclosure of Personal Information to Other Agencies and Third Parties § 310.25 Disclosure accounting. (a) Disclosure accountings. (1) Keep an accurate record of all disclosures...

32 CFR 310.25 - Disclosure accounting.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 32 National Defense 2 2014-07-01 2014-07-01 false Disclosure accounting. 310.25 Section 310.25... PROGRAM DOD PRIVACY PROGRAM Disclosure of Personal Information to Other Agencies and Third Parties § 310.25 Disclosure accounting. (a) Disclosure accountings. (1) Keep an accurate record of all disclosures...

32 CFR 310.25 - Disclosure accounting.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 32 National Defense 2 2012-07-01 2012-07-01 false Disclosure accounting. 310.25 Section 310.25... PROGRAM DOD PRIVACY PROGRAM Disclosure of Personal Information to Other Agencies and Third Parties § 310.25 Disclosure accounting. (a) Disclosure accountings. (1) Keep an accurate record of all disclosures...

32 CFR 310.25 - Disclosure accounting.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 32 National Defense 2 2011-07-01 2011-07-01 false Disclosure accounting. 310.25 Section 310.25... PROGRAM DOD PRIVACY PROGRAM Disclosure of Personal Information to Other Agencies and Third Parties § 310.25 Disclosure accounting. (a) Disclosure accountings. (1) Keep an accurate record of all disclosures...

32 CFR 310.25 - Disclosure accounting.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 2 2010-07-01 2010-07-01 false Disclosure accounting. 310.25 Section 310.25....25 Disclosure accounting. (a) Disclosure accountings. (1) Keep an accurate record of all disclosures... accounting is required even if the individual has consented to the disclosure of the information. (3...

The importance of a proper against-medical-advice (AMA) discharge: how signing out AMA may create significant liability protection for providers.

PubMed

Levy, Frederick; Mareiniss, Darren P; Iacovelli, Corianne

2012-09-01

Every year, patients leave the Emergency Department against medical advice (AMA) and before an adequate evaluation can be performed. It is well known that many of these patients are at risk of subsequent complications. The goal of this article is to explain the potential legal protections that may be created from a proper AMA discharge. In this article, the authors review the steps that need to be taken when performing an AMA discharge, including an assessment of capacity, proper documentation, and adequate disclosure. The authors then review the potential legal protections that can result from a properly documented and performed discharge. Among these protections are: proof that the provider's duty to the patient ended with discharge and that the patient assumed the risk of a subsequent complication. The authors conclude that a properly executed discharge can provide significant legal protection from liability risks. Copyright © 2012 Elsevier Inc. All rights reserved.

32 CFR 321.10 - Disclosure to other than subject.

Code of Federal Regulations, 2010 CFR

2010-07-01

....11. (7) Legal guardians recognized by the Act. (b) Accounting of disclosures. Except for disclosures... Freedom of Information Act, an accounting will be kept of all disclosures of records maintained in DSS... the disclosure is made. (3) An accounting of disclosures made to agencies outside the DoD of records...

32 CFR 806b.49 - Disclosure accountings.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 6 2010-07-01 2010-07-01 false Disclosure accountings. 806b.49 Section 806b.49... PROGRAM Disclosing Records to Third Parties § 806b.49 Disclosure accountings. System managers must keep an... 771 10 , Accounting of Disclosures. Retain disclosure accountings for 5 years after the disclosure, or...

Perceptions of Therapist Self-Disclosure: An Analogue Study.

ERIC Educational Resources Information Center

Nilsson, David E.; And Others

Self-disclosure to a therapist was investigated with 120 female subjects who viewed a video-taped vignette of a simulated psychotherapy session. Therapist self-disclosure was manipulated so that subjects saw a therapist exhibiting no disclosure, interpersonal disclosure, or intrapersonal disclosure. Subjects rated these therapists on a variety of…

FASB Statement No. 132 simplifies benefits disclosures.

PubMed

Luecke, R W; Andrzejewski, C

1999-06-01

In February 1998, the FASB issued Statement of Financial Accounting Standards No. 132, Employers' Disclosures about Pensions and Other Postretirement Benefits. The new standard is designed to streamline pension and other postretirement benefits disclosures in public and nonpublic entities' financial statements. For nonpublic entities, the statement eliminates separate disclosures of the components of net periodic benefit cost, eliminates the disclosure of the components of benefit obligations and of alternative obligation measures, eliminates the disclosure of plan provisions, adds the disclosure of comprehensive income, eliminates the disclosure of sensitivity to changes in healthcare trend rates, and standardizes the disclosures for pension and other postretirement benefits. Financial managers and their organizations' actuaries and auditors should work together to determine which disclosures their organizations should make to be in compliance with FASB Statement No. 132.

Effects of therapist general self-disclosure and countertransference disclosure on ratings of the therapist and session.

PubMed

Myers, David; Hayes, Jeffrey A

2006-01-01

Therapist decisions about self-disclosure depend theoretically upon both content and context, such as the quality of the therapeutic relationship. In this analogue study, 224 undergraduates viewed 1 of 3 videos for which the working alliance was described as positive or negative and in which a therapist made general self-disclosures, countertransference disclosures, or no disclosures. Interaction effects indicated that participants rated sessions as deeper and the therapist as more expert when the therapist made general disclosures compared to no disclosures, but only when the alliance was positive. When the alliance was negative, participants perceived sessions as shallower and the therapist as less expert when the therapist made either general or countertransference disclosures compared to no disclosures. (PsycINFO Database Record (c) 2010 APA, all rights reserved).

HIV disclosure among adults living with HIV.

PubMed

Mayfield Arnold, E; Rice, E; Flannery, D; Rotheram-Borus, M J

2008-01-01

Research on disclosure among heterosexual adult person(s) living with HIV (PLH) was reviewed, omitting disclosure of parental HIV to children. Disclosure has been studied within five additional relational contexts: with partners, family members, friends, healthcare professionals and in work settings. Disclosure is higher among women than men, among Latino and white compared to African-American families, and among younger compared to older HIV-positive adults. Most PLH disclose to their sexual partners and family members, yet there is a significant minority who do not disclose. Similarly, rates of disclosure to employers range from 27-68%, suggesting broad variability in perceived consequences of employment disclosures. Of concern, 40% of PLH do not consistently disclose to their healthcare professionals. Rather than examine HIV disclosures in the context of relationships, it is possible to understand disclosures around personal identity. Disclosure decisions are often made to tell everyone (making HIV status a central attribute of one's identity), no one (requiring strategies for securing social support while remaining anonymous) or some people (requiring strategic decisions based on context). Given that disclosure decisions are central to personal identity, future data on disclosure and interventions designed to increase disclosure or comfort with disclosure must focus on communication strategies adopted by PLH to present a coherent identity.

Spin correlations and entanglement in partially magnetised ensembles of fermions

NASA Astrophysics Data System (ADS)

Thekkadath, G. S.; Jiang, Liang; Thywissen, J. H.

2016-11-01

We show that the singlet fraction p s and total magnetisation (or polarisation) m can bound the minimum concurrence in an ensemble of spins. We identify {p}{{s}}\\gt (1-{m}2)/2 as a sufficient and tight condition for bipartite entanglement. Our proof makes no assumptions about the state of the system or symmetry of the particles, and can therefore be used as a witness for spin entanglement between fermions. We discuss the implications for recent experiments in which spin correlations were observed, and the prospect to study entanglement dynamics in the demagnetisation of a cold Fermi gas.

HIV serostatus disclosure: development and validation of indicators considering target and modality. Results from a community-based research in 5 countries.

PubMed

Préau, Marie; Beaulieu-Prévost, Dominic; Henry, Emilie; Bernier, Adeline; Veillette-Bourbeau, Ludivine; Otis, Joanne

2015-12-01

HIV serostatus disclosure is a complex challenge for persons living with HIV (PLHIV). Despite its beneficial effects, it can also lead to stigmatization and rejection. The current lack of multi-dimensional measurement tools impede an in-depth understanding of the dynamic of disclosure. To develop and validate complex measures of serostatus disclosure. This international community based research study was performed by joint research teams (researchers/community based organizations (CBO)) in five countries (Democratic Republic of the Congo, Ecuador, Mali, Morocco and Romania). A convenience sample of 1500 people living with HIV (PLHIV) in contact with local CBO were recruited in 2011 (300 in each country). Face-to-face interviews were performed using a 125-item questionnaire covering HIV status disclosure to 23 potential disclosure targets and related issues (including personal history with HIV, people's reaction to disclosure, sexuality). A principal component analysis and a hierarchical cluster analysis were performed, in order to identify the main components of HIV disclosure, create measures and classify participants into profiles. Patterns of disclosure were summarized using two main measures: direct and indirect disclosure. Disclosure to sexual partners, whether steady or not, was different from patterns of disclosure to other targets. Among the participants, three profiles emerged - labelled Restricted disclosure, Mainly indirect disclosure and Mainly direct disclosure, respectively representing 61%, 13% and 26% of the total sample. The profiles were associated with different aspects of PLHIV's lives, including self-efficacy, functional limitations and social exclusion. Patterns varied across the five studied countries. Results suggest that multi-dimensional constructs should be used to measure disclosure in order to improve understanding of the disclosure process. Copyright © 2015 Elsevier Ltd. All rights reserved.

Perceived intimacy of expressed emotion.

PubMed

Howell, A; Conway, M

1990-08-01

Research on norms for emotional expression and self-disclosure provided the basis for two hypotheses concerning the perceived intimacy of emotional self-disclosure. The first hypothesis was that the perceived intimacy of negative emotional disclosure would be greater than that of positive emotional disclosure; the second was that disclosures of more intense emotional states would be perceived as more intimate than disclosures of less intense emotional states for both negative and positive disclosures. Both hypotheses received support when male students in Canada rated the perceived intimacy of self-disclosures that were equated for topic and that covered a comprehensive sample of emotions and a range of emotional intensities. The effects were observed across all the topics of disclosure examined.

Mental illness disclosure decision making.

PubMed

Pahwa, Rohini; Fulginiti, Anthony; Brekke, John S; Rice, Eric

2017-01-01

Disclosure related to mental illness has been linked to various positive outcomes, including better mental health. However, many individuals with serious mental illness (SMI) continue to practice non-disclosure. Even though disclosure inherently occurs within the context of one's social relationships, research has generally conceptualized mental illness disclosure as an individual level phenomenon and neglected to consider preferences concerning to whom an individual discloses and the factors that influence this decision. The current study uses the disclosure decision-making model (DD-MM) by Greene (2009) to better understand the processes of mental illness disclosure preference and selective disclosure for individuals with SMI (n = 60) using multivariate random intercept logistic regression with an emphasis on the constituent factors of disclosure preference at both individual and relational levels. The majority of participants were found to practice selective disclosure, with 68% of the participants identifying at least 1 network member to whom they could disclose. Family members and friends were central to the selective disclosure process, comprising the greatest proportion of network members who, both were and were not identified as preferred confidants. Women were found to show higher odds of preference for mental illness disclosure than men. Having lower perceived social support was associated with lower odds of disclosure preference. Among relational factors, greater relationship availability and lower dyadic tangible social support were associated with lower odds of disclosure preference. Practice and research implications of using social network analysis to get a deeper understanding of disclosure and disclosure preference are discussed, including implications for future interventions targeting stigma reduction. (PsycINFO Database Record (c) 2017 APA, all rights reserved).

44 CFR 6.22 - Accounting of disclosures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 44 Emergency Management and Assistance 1 2010-10-01 2010-10-01 false Accounting of disclosures. 6... Accounting of disclosures. (a) Except for disclosures made pursuant to § 6.20 (a) and (b), an accurate accounting of each disclosure shall be made and retained for 5 years after the disclosure or for the life of...

41 CFR 51-9.202 - Accounting of disclosures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 41 Public Contracts and Property Management 1 2010-07-01 2010-07-01 true Accounting of disclosures... RULES 9.2-Disclosure of Records § 51-9.202 Accounting of disclosures. (a) Except for disclosures made pursuant to paragraphs (a) and (b) of § 51-9.201 of this part, an accurate accounting of each disclosure...

Using Health Provider Insights to Inform Pediatric HIV Disclosure: A Qualitative Study and Practice Framework from Kenya

PubMed Central

John-Stewart, Grace; Shah, Brandi; Wamalwa, Dalton; Maleche-Obimbo, Elizabeth; Kelley, Maureen

2014-01-01

Abstract Optimal pediatric HIV disclosure impacts illness and developmental experiences while improving access to timely treatment. However, disclosure rates in high HIV prevalence countries remain low and there are limited data on best practices. We conducted a qualitative study of disclosure practices and interviewed healthcare providers from five pediatric HIV clinics in Kenya. We identified themes central to disclosure practices, rationale for approaches, barriers to implementing disclosure, and creative strategies to overcome challenges. We used these insights to develop a practice-based framework for disclosure that is sensitive to practical challenges. Overall, providers had limited training but extensive experience in disclosure, endorsed individualized disclosure practices, invested substantial time on disclosure despite clinical burden, and noted adverse outcomes associated with unplanned or abrupt disclosure. Providers advocated for an approach to disclosure that is child-centered but respects caregiver fears and values. Caregiver support was provided to enable caregivers to be the person who ultimately disclosed HIV status to children. Unplanned or abrupt disclosure to children was reported to have severe and persistent adverse impact and was a stimulus to accelerate disclosure in scenarios when providers believed children may be suspecting their diagnosis. Based on these expert insights, the framework we developed incorporates concurrent evaluation of child and caregiver readiness, identifies cues to prompt disclosure discussions, includes caregiver education and support, and utilizes a gradual approach of unveiling HIV diagnosis to the child. PMID:25216105

Interferometer for Space Station Windows

NASA Technical Reports Server (NTRS)

Hall, Gregory

2003-01-01

Inspection of space station windows for micrometeorite damage would be a difficult task insitu using current inspection techniques. Commercially available optical profilometers and inspection systems are relatively large, about the size of a desktop computer tower, and require a stable platform to inspect the test object. Also, many devices currently available are designed for a laboratory or controlled environments requiring external computer control. This paper presents an approach using a highly developed optical interferometer to inspect the windows from inside the space station itself using a self- contained hand held device. The interferometer would be capable as a minimum of detecting damage as small as one ten thousands of an inch in diameter and depth while interrogating a relatively large area. The current developmental state of this device is still in the proof of concept stage. The background section of this paper will discuss the current state of the art of profilometers as well as the desired configuration of the self-contained, hand held device. Then, a discussion of the developments and findings that will allow the configuration change with suggested approaches appearing in the proof of concept section.

Disclosure History Among Persons Initiating Antiretroviral Treatment at Six HIV Clinics in Oromia, Ethiopia, 2012-2013.

PubMed

Gadisa, Tsigereda; Tymejczyk, Olga; Kulkarni, Sarah Gorrell; Hoffman, Susie; Lahuerta, Maria; Remien, Robert H; Yigzaw, Muluneh; Daba, Shalo; Elul, Batya; Nash, Denis; Melaku, Zenebe

2017-01-01

HIV status disclosure can help patients obtain support which may influence treatment adherence and subsequent healthcare needs. We examined the extent of disclosure and correlates of non-disclosure among 1180 adults newly initiating antiretroviral treatment (ART). While 91 % of those in a relationship shared their status with their partners, 14 % of the overall sample had not disclosed to anyone. Non-disclosure was positively associated with older age; control over household resources; and concerns about unintended disclosure, life disruptions, and family reactions. Knowing other HIV-positive people and longer time since diagnosis were associated with lower odds of non-disclosure. Most respondents reporting disclosure experienced supportive responses, frequently including decision to get an HIV test by confidants who had not known their own status. Although HIV status disclosure prior to ART initiation was high, some individuals cited concerns about unintended disclosure, gossip, and partner violence, and may benefit from additional disclosure support.

Disclosure History Among Persons Initiating Antiretroviral Treatment at Six HIV Clinics in Oromia, Ethiopia, 2012–2013

PubMed Central

Gadisa, Tsigereda; Kulkarni, Sarah Gorrell; Hoffman, Susie; Lahuerta, Maria; Remien, Robert H.; Yigzaw, Muluneh; Daba, Shalo; Elul, Batya; Nash, Denis; Melaku, Zenebe

2016-01-01

HIV status disclosure can help patients obtain support which may influence treatment adherence and subsequent healthcare needs. We examined the extent of disclosure and correlates of non-disclosure among 1180 adults newly initiating antiretroviral treatment (ART). While 91 % of those in a relationship shared their status with their partners, 14 % of the overall sample had not disclosed to anyone. Non- disclosure was positively associated with older age; control over household resources; and concerns about unintended disclosure, life disruptions, and family reactions. Knowing other HIV-positive people and longer time since diagnosis were associated with lower odds of non-disclosure. Most respondents reporting disclosure experienced supportive responses, frequently including decision to get an HIV test by confidants who had not known their own status. Although HIV status disclosure prior to ART initiation was high, some individuals cited concerns about unintended disclosure, gossip, and partner violence, and may benefit from additional disclosure support. PMID:26781869

The disclosure processes model: Understanding disclosure decision-making and post-disclosure outcomes among people living with a concealable stigmatized identity

PubMed Central

Chaudoir, Stephenie R.; Fisher, Jeffrey D.

2010-01-01

Disclosure is a critical aspect of the experience of people who live with concealable stigmatized identities. This article presents the Disclosure Processes Model (DPM)— a framework that examines when and why interpersonal disclosure may be beneficial. The DPM suggests that antecedent goals representing approach and avoidance motivational systems moderate the effect of disclosure on numerous individual, dyadic, and social contextual outcomes and that these effects are mediated by three distinct processes: (1) alleviation of inhibition, (2) social support, and (3) changes in social information. Ultimately, the DPM provides a framework that advances disclosure theory and identifies strategies that can assist disclosers in maximizing the likelihood that disclosure will benefit well-being. PMID:20192562

Disclosure of HIV status to children in resource-limited settings: a systematic review

PubMed Central

Vreeman, Rachel C; Gramelspacher, Anna Maria; Gisore, Peter O; Scanlon, Michael L; Nyandiko, Winstone M

2013-01-01

Introduction Informing children of their own HIV status is an important aspect of long-term disease management, yet there is little evidence of how and when this type of disclosure takes place in resource-limited settings and its impact. Methods MEDLINE, EMBASE and Cochrane Databases were searched for the terms hiv AND disclos* AND (child* OR adolesc*). We reviewed 934 article citations and the references of relevant articles to find articles describing disclosure to children and adolescents in resource-limited settings. Data were extracted regarding prevalence of disclosure, factors influencing disclosure, process of disclosure and impact of disclosure on children and caregivers. Results Thirty-two articles met the inclusion criteria, with 16 reporting prevalence of disclosure. Of these 16 studies, proportions of disclosed children ranged from 0 to 69.2%. Important factors influencing disclosure included the child's age and perceived ability to understand the meaning of HIV infection and factors related to caregivers, such as education level, openness about their own HIV status and beliefs about children's capacities. Common barriers to disclosure were fear that the child would disclose HIV status to others, fear of stigma and concerns for children's emotional or physical health. Disclosure was mostly led by caregivers and conceptualized as a one-time event, while others described it as a gradual process. Few studies measured the impact of disclosure on children. Findings suggested adherence to antiretroviral therapy (ART) improved post-disclosure but the emotional and psychological effects of disclosure were variable. Conclusions Most studies show that a minority of HIV-infected children in resource-limited settings know his/her HIV status. While caregivers identify many factors that influence disclosure, studies suggest both positive and negative effects for children. More research is needed to implement age- and culture-appropriate disclosure in resource-limited settings. PMID:23714198

The dimensionality of disclosure of HIV status amongst post-partum women in Cape Town, South Africa.

PubMed

Hunter-Adams, Jo; Zerbe, Allison; Philips, Tamsin; Rini, Zanele; Myer, Landon; Petro, Greg; Abrams, Elaine

2017-07-01

Disclosure of HIV status to sexual partners and others has been presented as positive health behaviour and is widely encouraged by antiretroviral treatment (ART) programmes, providers and policies. However, disclosure is also highly contextual and its positive effects are not universal. We explore the dimensions of disclosure amongst post-partum women who initiated ART during pregnancy in Cape Town, South Africa. Forty-seven semi-structured interviews with post-partum women were conducted as part of the Maternal Child Health-Antiretroviral Therapy (MCH-ART) study. Primary elements of disclosure were coded and interpreted according to dominant themes and subthemes. Disclosure was commonplace in the sample, ranging from widely disclosing status (rare); to disclosing to some family, friends and partners; to tacit disclosure, where participants took medication in front of others without explicitly discussing their status. Women described reasons for non-disclosure in terms of not being ready, fear of negative reactions (including violence and loss of financial support), and fear of their status being widely known. Self-reported adherence was uniformly high throughout the range of disclosure. Even those who made special efforts to avoid disclosure, such as attending clinics distant from their homes, reported good adherence. Those who disclosed experienced a range of responses to their disclosure, from support to shunning. Despite access to ART, stigma remained a persistent feature in descriptions of disclosure, particularly in relation to partner disclosure. Our findings suggest that disclosure is not always positive and adherence can be maintained within a wide range of disclosure behaviours. It is important that clinic settings allow women to retain control over their disclosure process.

Disclosure of HIV status to children in resource-limited settings: a systematic review.

PubMed

Vreeman, Rachel C; Gramelspacher, Anna Maria; Gisore, Peter O; Scanlon, Michael L; Nyandiko, Winstone M

2013-05-27

Informing children of their own HIV status is an important aspect of long-term disease management, yet there is little evidence of how and when this type of disclosure takes place in resource-limited settings and its impact. MEDLINE, EMBASE and Cochrane Databases were searched for the terms hiv AND disclos* AND (child* OR adolesc*). We reviewed 934 article citations and the references of relevant articles to find articles describing disclosure to children and adolescents in resource-limited settings. Data were extracted regarding prevalence of disclosure, factors influencing disclosure, process of disclosure and impact of disclosure on children and caregivers. Thirty-two articles met the inclusion criteria, with 16 reporting prevalence of disclosure. Of these 16 studies, proportions of disclosed children ranged from 0 to 69.2%. Important factors influencing disclosure included the child's age and perceived ability to understand the meaning of HIV infection and factors related to caregivers, such as education level, openness about their own HIV status and beliefs about children's capacities. Common barriers to disclosure were fear that the child would disclose HIV status to others, fear of stigma and concerns for children's emotional or physical health. Disclosure was mostly led by caregivers and conceptualized as a one-time event, while others described it as a gradual process. Few studies measured the impact of disclosure on children. Findings suggested adherence to antiretroviral therapy (ART) improved post-disclosure but the emotional and psychological effects of disclosure were variable. Most studies show that a minority of HIV-infected children in resource-limited settings know his/her HIV status. While caregivers identify many factors that influence disclosure, studies suggest both positive and negative effects for children. More research is needed to implement age- and culture-appropriate disclosure in resource-limited settings.

The effects of different methods of emotional disclosure: differentiating post-traumatic growth from stress symptoms.

PubMed

Slavin-Spenny, Olga M; Cohen, Jay L; Oberleitner, Lindsay M; Lumley, Mark A

2011-10-01

Research on emotional disclosure should test the effects of different disclosure methods and whether symptoms are affected differently than post-traumatic growth. We randomized 214 participants with unresolved stressful experiences to four disclosure conditions (written, private spoken, talking to a passive listener, talking to an active facilitator) or two control conditions. All groups had one 30-minute session. After 6 weeks, disclosure groups reported more post-traumatic growth than controls, and disclosure conditions were similar in this effect. All groups decreased in stress symptoms (intrusions, avoidance, psychological and physical symptoms), but disclosure did not differ from control. We conclude that 30 minutes of disclosure leads to post-traumatic growth but not necessarily symptom reduction, and various disclosure methods have similar effects. Research on the effects of disclosure should focus on the benefits of growth as well as symptom reduction. © 2010 Wiley Periodicals, Inc.

Spiritual disclosure between older adolescents and their mothers.

PubMed

Brelsford, Gina M; Mahoney, Annette

2008-02-01

This study examines the role of spiritual disclosure within older adolescent-mother relationships. Spiritual disclosure is defined as mutual disclosure of personal religious and spiritual beliefs and practices. Three hundred 18- to 20-year-old college students and 130 of their mothers reported on spiritual disclosure in their relationships. According to both parties, greater spiritual disclosure was related to higher relationship satisfaction, greater use of collaborative conflict resolution strategies, less dysfunctional communication patterns, less verbal aggression, and increased general disclosure in mother-adolescent relationships beyond global religiousness and demographics. Spiritual disclosure also predicted unique variance in collaborative conflict resolution strategies beyond these factors and general disclosure. The findings underscore the value of attending to the interpersonal dimension of religion/spirituality. More specifically, the results suggest that spiritual disclosure is an indicator of relationship quality, one that is tied to better relationship functioning, and one that merits further attention in studies of family dynamics.

Disclosure of adverse events: a data linkage study reporting patient experiences among Australian adults aged ≥ 45 years.

PubMed

Walton, Merrilyn; Harrison, Reema; Smith-Merry, Jennifer; Kelly, Patrick; Manias, Elizabeth; Jorm, Christine; Iedema, Rick

2018-04-26

Objective Since Australia initiated national open disclosure standards in 2002, open disclosure policies have been adopted in all Australian states and territories. Yet, research evidence regarding their adoption is limited. The aim of the present study was to determine the frequency with which patients who report an adverse event had information disclosed to them about the incident, including whether they participated in a formal open disclosure process, their experiences of the process and the extent to which these align with the current New South Wales (NSW) policy. Methods A cross-sectional survey about patient experiences of disclosure associated with an adverse event was administered to a random sample of 20000 participants in the 45 and Up Study who were hospitalised in NSW, Australia, between January and June 2014. Results Of the 18993 eligible potential participants, completed surveys were obtained from 7661 (40% response rate), with 474 (7%) patients reporting an adverse event. Of those who reported an adverse event, a significant majority reported an informal or bedside disclosure (91%; 430/474). Only 79 patients (17%) participated in a formal open disclosure meeting. Most informal disclosures were provided by nurses, with only 25% provided by medical practitioners. Conclusions Experiences of open disclosure may be enhanced by informing patients of their right to full disclosure in advance of or upon admission to hospital, and recognition of and support for informal or bedside disclosure for appropriate types of incidents. A review of the open disclosure guidelines in relation to the types of adverse events that require formal open disclosure and those more suitable to informal bedside disclosure is indicated. Guidelines for bedside disclosure should be drafted to assist medical practitioners and other health professionals facilitate and improve their communications about adverse events. Alignment of formal disclosure with policy requirements may also be enhanced by training multidisciplinary teams in the process. What is known about the topic? While open disclosure is required in all cases of serious adverse events, patients' experiences are variable, and lack of, or poor quality disclosures are all too common. What does this paper add? This paper presents experiences reported by patients across New South Wales in a large cross-sectional survey. Unlike previous studies of open disclosure, recently hospitalised patients were identified and invited using data linkage with medical records. Findings suggest that most patients receive informal disclosures rather than a process that aligns with the current policy guidance. What are the implications for practitioners? Experiences of open disclosure may be enhanced by informing patients of their right to full disclosure in advance of or upon admission to hospital, and recognition of and support for informal or bedside disclosure for appropriate types of incidents.

Are Norms of Disclosure of Online and Offline Personal Information Associated with the Disclosure of Personal Information Online?

ERIC Educational Resources Information Center

Mesch, Gustavo S.; Beker, Guy

2010-01-01

This study investigated whether norms of self-disclosure of one's online and offline identity are linked to online disclosure of personal and intimate information. We expected online disclosure of personal and intimate information to be associated with norms of online disclosure. Secondary analysis of the 2006 Pew and American Life Survey of…

Attachment avoidance, alexithymia, and gender: Examining their associations with distress disclosure tendencies and event-specific disclosure.

PubMed

O'Loughlin, Julia I; Cox, Daniel W; Kahn, Jeffrey H; Wu, Amery D

2018-01-01

Distress disclosure has been linked with reduced psychological distress, increased wellbeing, and successful psychotherapeutic outcome. Because of the importance of distress disclosure, researchers have worked to develop and improve theoretical models of disclosure to facilitate counseling practices that reduce impediments to disclosure. Presently, we conducted a 2-part study to investigate distress disclosure's associations with attachment avoidance, gender, and alexithymia-3 constructs frequently linked with disclosure. In Part 1, we examined the extent to which attachment avoidance, alexithymia, and gender predicted general disclosure tendencies. In Part 2, we examined the extent to which attachment avoidance, alexithymia, and gender predicted event-specific disclosure. Participants were recruited from a crowdsourcing website (N = 178 in Part 1; N = 108 in Part 2). In Part 1, alexithymia partially mediated the association between attachment avoidance and disclosure tendencies, and the link between attachment avoidance and alexithymia was stronger for men than women. In Part 2, the association between distress intensity and event-specific disclosure was weaker for people with high levels of alexithymia. Implications for counseling theory and practice are discussed. (PsycINFO Database Record (c) 2018 APA, all rights reserved).

Caregiver Perceptions and Motivation for Disclosing or Concealing the Diagnosis of HIV Infection to Children Receiving HIV Care in Mbarara, Uganda: A Qualitative Study

PubMed Central

Kiwanuka, Julius; Mulogo, Edgar; Haberer, Jessica E.

2014-01-01

Background Disclosure of the diagnosis of HIV to HIV-infected children is challenging for caregivers. Despite current recommendations, data suggest that levels of disclosure of HIV status to HIV-infected children receiving care in resource-limited settings are very low. Few studies describe the disclosure process for children in these settings, particularly the motivators, antecedent goals, and immediate outcomes of disclosure to HIV-infected children. This study examined caregivers' perception of the disclosure concept prior to disclosure, their motivation towards or away from disclosure, and their short- and long-term intentions for disclosure to their HIV-infected children. Methods In-depth interviews were conducted with primary caregivers of 40 HIV-infected children (ages 5–15 years) who were receiving HIV care but did not know their HIV status. Results Caregivers of HIV-infected children mainly perceived disclosure as a single event rather than a process of gradual delivery of information about the child's illness. They viewed disclosure as potentially beneficial both to children and themselves, as well as an opportunity to explain the parents' role in the transmission of HIV to the children. Caregivers desired to personally conduct the disclosure; however, most reported being over-whelmed with fear of negative outcomes and revealed a lack of self-efficacy towards managing the disclosure process. Consequently, most cope by deception to avoid or delay disclosure until they perceive their own readiness to disclose. Conclusions Interventions for HIV disclosure should consider that caregivers may desire to be directly responsible for disclosure to children under their care. They, however, need to be empowered with practical skills to recognize opportunities to initiate the disclosure process early, as well as supported to manage it in a phased, developmentally appropriate manner. The potential role for peer counselors in the disclosure process deserves further study. PMID:24667407

Caregiver perceptions and motivation for disclosing or concealing the diagnosis of HIV infection to children receiving HIV care in Mbarara, Uganda: a qualitative study.

PubMed

Kiwanuka, Julius; Mulogo, Edgar; Haberer, Jessica E

2014-01-01

Disclosure of the diagnosis of HIV to HIV-infected children is challenging for caregivers. Despite current recommendations, data suggest that levels of disclosure of HIV status to HIV-infected children receiving care in resource-limited settings are very low. Few studies describe the disclosure process for children in these settings, particularly the motivators, antecedent goals, and immediate outcomes of disclosure to HIV-infected children. This study examined caregivers' perception of the disclosure concept prior to disclosure, their motivation towards or away from disclosure, and their short- and long-term intentions for disclosure to their HIV-infected children. In-depth interviews were conducted with primary caregivers of 40 HIV-infected children (ages 5-15 years) who were receiving HIV care but did not know their HIV status. Caregivers of HIV-infected children mainly perceived disclosure as a single event rather than a process of gradual delivery of information about the child's illness. They viewed disclosure as potentially beneficial both to children and themselves, as well as an opportunity to explain the parents' role in the transmission of HIV to the children. Caregivers desired to personally conduct the disclosure; however, most reported being over-whelmed with fear of negative outcomes and revealed a lack of self-efficacy towards managing the disclosure process. Consequently, most cope by deception to avoid or delay disclosure until they perceive their own readiness to disclose. Interventions for HIV disclosure should consider that caregivers may desire to be directly responsible for disclosure to children under their care. They, however, need to be empowered with practical skills to recognize opportunities to initiate the disclosure process early, as well as supported to manage it in a phased, developmentally appropriate manner. The potential role for peer counselors in the disclosure process deserves further study.

Exploring a Contextual Model of Sexual Self-Disclosure and Sexual Satisfaction.

PubMed

Brown, Randal D; Weigel, Daniel J

2018-02-01

Sexual self-disclosure is a critical component of relationship and sexual satisfaction, yet little is known about the mechanisms that facilitate a person's engagement in sexual self-disclosure. Individuals (N = 265) involved in romantic relationships participated in an online study testing a contextual model of sexual self-disclosure across three contexts: relationship context, sexual self-disclosure context, and outcome of sexual self-disclosure. Results suggest that sexual satisfaction was predicted by a positive relationship context and a positive sexual self-disclosure context. In addition, the sexual self-disclosure context was predicted by the relationship context. These findings emphasize the importance of examining contextual influences that determine whether an individual will engage in or avoid sexual self-disclosure and the consequences of this engagement or avoidance on sexual satisfaction.

When the topic is you: genetic counselor responses to prenatal patients' requests for self-disclosure.

PubMed

Balcom, Jessica R; Veach, Patricia McCarthy; Bemmels, Heather; Redlinger-Grosse, Krista; LeRoy, Bonnie S

2013-06-01

A limited amount of research indicates patient requests play a major role in genetic counselors' self-disclosure decisions and that disclosure and non-disclosure responses to patient requests may differentially affect genetic counseling processes. Studies further suggest patient requests may be more common in prenatal settings, particularly when counselors are pregnant. Empirical evidence is limited however, concerning the nature of patient requests. This study explored genetic counselors' experiences of prenatal patients' requests for self-disclosure. Four major research questions were: (1) What types of questions do prenatal patients ask that invite self-disclosure?; (2) Do pregnant genetic counselors have unique experiences with prenatal patient disclosure requests?; (3) How do genetic counselors typically respond to disclosure requests?; and (4) What strategies are effective and ineffective in responding to disclosure requests? One hundred seventy-six genetic counselors completed an online survey and 40 also participated in telephone interviews. Inductive analysis of 21 interviews revealed patient questions vary, although questions about counselor demographics are most common, and patients are more likely to ask pregnant counselors questions about their personal pregnancy decisions. Participants reported greater discomfort with self-disclosure requests during pregnancy, yet also disclosing more frequently during pregnancy. Counselor responses included personal self-disclosure, professional self-disclosure, redirection, and declining to disclose. Factors perceived as influencing disclosure included: topic, patient motivations, timing of request, quality of counseling relationship, patient characteristics, and ethical/legal responsibilities. Disclosure practices changed over time for most counselors. Additional findings, practice implications, and research recommendations are discussed.

Does the HIPAA Privacy Rule Allow Parents the Right to See Their Children's Medical Records?

MedlinePlus

... 2) Covered Entities (14) Decedents (8) Disclosures for Law Enforcement Purposes (7) Disclosures for Rule Enforcement (2) Disclosures in Emergency Situations (2) Disclosures Required by Law (6) Disclosures to Family and Friends (28) Disposal ...

Developing guidelines for disclosure or non-disclosure of bad news around life-limiting illness and death to people with intellectual disabilities.

PubMed

Tuffrey-Wijne, Irene; Giatras, Nikoletta; Butler, Gary; Cresswell, Amanda; Manners, Paula; Bernal, Jane

2013-05-01

There is insufficient evidence to guide decisions around (non-)disclosure of bad news of life-limiting illness and death to people with intellectual disabilities. The aim of this study was to develop guidelines for decisions about (non-)disclosure of bad news around life-limiting illness and death to people with intellectual disabilities, by examining stakeholders' preferences (and reasons) around disclosure and non-disclosure. Focus groups and interviews were held with 109 participants: people with intellectual disabilities, family carers, intellectual disabilities professionals and medical healthcare professionals. People with intellectual disabilities had wide-ranging views about disclosure. Reasons for non-disclosure included: preventing distress; too difficult for the bearer of bad news; the bearer of bad news lacks knowledge; inability to understand; no sense of time; conflicting views among stakeholders. Reasons for disclosure included: a right to know; knowledge helps the person cope; need for involvement. Disclosure of bad news could cause harm in some situations, but this needs careful assessment. The authors present guidelines for disclosure that now need to be tested in practice. © 2013 Blackwell Publishing Ltd.

From disclosure to transparency: the use of company payment data.

PubMed

Chimonas, Susan; Frosch, Zachary; Rothman, David J

2011-01-10

It has become standard practice in medical journals to require authors to disclose their relationships with industry. However, these requirements vary among journals and often lack specificity. As a result, disclosures may not consistently reveal author-industry ties. We examined the 2007 physician payment information from 5 orthopedic device companies to evaluate the current journal disclosure system. We compared company payment information for recipients of $1 million or more with disclosures in the recipients' journal articles. Payment data were obtained from Biomet, DePuy, Smith & Nephew, Stryker, and Zimmer. Disclosures were obtained in the acknowledgments section, conflict of interest statements, and financial disclosures of recipients' published articles. We also assessed variations in disclosure by authorship position, payment-article relatedness, and journal disclosure policies. Of the 41 individuals who received $1 million or more in 2007, 32 had published articles relating to orthopedics between January 1, 2008, and January 15, 2009. Disclosures of company payments varied considerably. Prominent authorship position and article-payment relatedness were associated with greater disclosure, although nondisclosure rates remained high (46% among first-, sole-, and senior-authored articles and 50% among articles directly or indirectly related to payments). The accuracy of disclosures did not vary with the strength of journals' disclosure policies. Current journal disclosure practices do not yield complete or consistent information regarding authors' industry ties. Medical journals, along with other medical institutions, should consider new strategies to facilitate accurate and complete transparency.

HIV status disclosure among HIV-positive African and Afro-Caribbean people in the Netherlands.

PubMed

Stutterheim, Sarah E; Shiripinda, Iris; Bos, Arjan E R; Pryor, John B; de Bruin, Marijn; Nellen, Jeannine F J B; Kok, Gerjo; Prins, Jan M; Schaalma, Herman P

2011-02-01

HIV status disclosure is often characterized as a dilemma. On the one hand, disclosure can promote health, social support, and psychological well-being. On the other, disclosure can lead to stigmatization, rejection, and other negative social interactions. Previous research has shown that HIV status disclosure is a reasoned process whereby the costs and benefits to oneself and to others are weighed. As such, understanding disclosure requires understanding the reasons for and against disclosure employed by people living with HIV (PLWH). In this study, disclosure among a population disproportionately affected by HIV in the Netherlands, namely African and Afro-Caribbean diaspora, was investigated. Reasons for nondisclosure were fear of stigmatization, previous negative experiences with disclosure, having observed the stigmatization of other PLWH, shame, the desire to protect others - particularly one's children and family - from stigmatization by association and/or worrying, and the belief that one's HIV status is a private matter. Participants reported disclosing because they were in a close and supportive relationship, disclosure led to emotional release, disclosure could lead to emotional or financial support, they felt a perceived duty to inform, and they had a desire to educate others about sexual risk-taking. The findings suggest that stigma plays an important role in disclosure decisions among these populations. They further point to a need for HIV-related stigma reduction interventions in African and Afro-Caribbean communities and culturally sensitive counseling for PLWH whereby caregivers do not automatically assume that disclosure is best but rather provide a safe environment in which the costs and benefits of disclosure can be weighed and strategies for disclosure can be developed, if perceived as beneficial by PLWH.

Adult survivors of childhood cancers' identity disclosures in the workplace.

PubMed

Martinez, Larry R; Hebl, Michelle R

2016-04-01

Recent medical advances have resulted in unprecedented increases in the number and vitality of employed adult survivors. These survivors must make decisions about whether or not to disclose their identities to others. The purpose of this study was to examine the characteristics that are related to cancer survivorship disclosure in workplace settings (perceived organizational support, centrality of survivorship to one's self-concept, and the degree to which family and friends know about one's survivor status) and an important organizational consequence: intentions to leave one's job. A total of 151 adult survivors of childhood cancer completed an online survey. Extent of disclosure of one's identity as a cancer survivor was negatively associated with turnover intentions. Furthermore, organizational support, identity centrality, and disclosure outside of work were all related to disclosure in the workplace. Relative weight analysis revealed that disclosure outside of work was the most strongly related to disclosure at work. Finally, there were indirect relations such that disclosure mediated the relations among organizational support, identity centrality, and disclosure outside of work and turnover intentions. Survivors who were more open about their cancer survivor status at work had fewer intentions to leave their organizations. Importantly, although some antecedents to disclosure were personal characteristics, organizations can also encourage identity disclosure demonstrating that they are related to of work retention. While disclosure in the workplace is a complex decision to make, the relationship with work retention may reflect that disclosure is more likely to occur in an existing positive work environment or that disclosure itself may contribute to a positive work environment where employees tend to remain. The specific factors that trigger both disclosure and retention require further study although they are clearly related.

Knowledge, attitudes and practices of HIV-positive patients regarding disclosure of HIV results at Betesda Clinic in Namibia

PubMed Central

2013-01-01

Abstract Background This study examined the practices, knowledge, attitudes, and the reasons for disclosure and non-disclosure of HIV-positive patients with regard to the disclosure of HIV results at Betesda Clinic in Windhoek, Namibia. Objectives The objectives of the study were to determine knowledge, attitudes, and practices of HIV-positive patients regarding the disclosure of HIV status at Betesda Clinic in Namibia, and to determine the reasons for disclosure and non-disclosure. Methods This was a cross-sectional descriptive study and 263 HIV-positive patients were enrolled in the study. Results Analyses revealed that knowledge on disclosure was good, with 68% who thought it was important. The majority (73%) have disclosed and 60% disclosed within 1 week of receiving their results. The most common reasons for disclosure were that 32% needed help, 25% wanted his or her partner to go for testing, and 20% wanted to let relatives know. Reasons for non-disclosure were mainly the fear of gossip (79%). Seventy-three per cent had disclosed to their partners, and 23% had disclosed to more than one person. People's reactions were supportive in 43%, whereas 29% understood, 9% accepted and 6% were angry. Upon disclosure 40% received help, 24% of partners were tested, 23% received psychological support and 5% were stigmatised. Disclosure was higher amongst the married and cohabitating. Conclusion The attitude was positive with regard to knowledge of disclosure, with most participants thinking that disclosure was important and good. The attitudes and actual practices of disclosure were encouraging; however, people are disclosing only to trusted individuals in the society and the fear of stigma is still present although the actual stigma was very low.

Planning a Stigmatized Nonvisible Illness Disclosure: Applying the Disclosure Decision-Making Model

PubMed Central

Choi, Soe Yoon; Venetis, Maria K.; Greene, Kathryn; Magsamen-Conrad, Kate; Checton, Maria G.; Banerjee, Smita C.

2016-01-01

This study applied the disclosure decision-making model (DD-MM) to explore how individuals plan to disclose nonvisible illness (Study 1), compared to planning to disclose personal information (Study 2). Study 1 showed that perceived stigma from the illness negatively predicted disclosure efficacy; closeness predicted anticipated response (i.e., provision of support) although it did not influence disclosure efficacy; disclosure efficacy led to reduced planning, with planning leading to scheduling. Study 2 demonstrated that when information was considered to be intimate, it negatively influenced disclosure efficacy. Unlike the model with stigma (Study 1), closeness positively predicted both anticipated response and disclosure efficacy. The rest of the hypothesized relationships showed a similar pattern to Study 1: disclosure efficacy reduced planning, which then positively influenced scheduling. Implications of understanding stages of planning for stigmatized information are discussed. PMID:27662447

Planning a Stigmatized Nonvisible Illness Disclosure: Applying the Disclosure Decision-Making Model.

PubMed

Choi, Soe Yoon; Venetis, Maria K; Greene, Kathryn; Magsamen-Conrad, Kate; Checton, Maria G; Banerjee, Smita C

2016-11-16

This study applied the disclosure decision-making model (DD-MM) to explore how individuals plan to disclose nonvisible illness (Study 1), compared to planning to disclose personal information (Study 2). Study 1 showed that perceived stigma from the illness negatively predicted disclosure efficacy; closeness predicted anticipated response (i.e., provision of support) although it did not influence disclosure efficacy; disclosure efficacy led to reduced planning, with planning leading to scheduling. Study 2 demonstrated that when information was considered to be intimate, it negatively influenced disclosure efficacy. Unlike the model with stigma (Study 1), closeness positively predicted both anticipated response and disclosure efficacy. The rest of the hypothesized relationships showed a similar pattern to Study 1: disclosure efficacy reduced planning, which then positively influenced scheduling. Implications of understanding stages of planning for stigmatized information are discussed.

26 CFR 301.7216-0 - Table of contents.

Code of Federal Regulations, 2010 CFR

2010-04-01

... for disclosure or use of tax return information. (a) In general. (b) Definitions. (c) Gramm-Leach... IRS. (c) Disclosures or uses for preparation of a taxpayer's return. (d) Disclosures to other tax... disclosures by attorneys and accountants. (i) Corporate fiduciaries. (j) Disclosure to taxpayer's fiduciary...

40 CFR 350.40 - Disclosure to health professionals.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 40 Protection of Environment 28 2014-07-01 2014-07-01 false Disclosure to health professionals... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Disclosure of Trade Secret Information to Health Professionals § 350.40 Disclosure to health professionals. (a...

40 CFR 350.40 - Disclosure to health professionals.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 40 Protection of Environment 27 2010-07-01 2010-07-01 false Disclosure to health professionals... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Disclosure of Trade Secret Information to Health Professionals § 350.40 Disclosure to health professionals. (a...

40 CFR 350.40 - Disclosure to health professionals.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 40 Protection of Environment 29 2012-07-01 2012-07-01 false Disclosure to health professionals... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Disclosure of Trade Secret Information to Health Professionals § 350.40 Disclosure to health professionals. (a...

40 CFR 350.40 - Disclosure to health professionals.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 40 Protection of Environment 28 2011-07-01 2011-07-01 false Disclosure to health professionals... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Disclosure of Trade Secret Information to Health Professionals § 350.40 Disclosure to health professionals. (a...

40 CFR 350.40 - Disclosure to health professionals.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 40 Protection of Environment 29 2013-07-01 2013-07-01 false Disclosure to health professionals... COMMUNITY RIGHT-TO-KNOW INFORMATION: AND TRADE SECRET DISCLOSURES TO HEALTH PROFESSIONALS Disclosure of Trade Secret Information to Health Professionals § 350.40 Disclosure to health professionals. (a...

12 CFR 226.31 - General rules.

Code of Federal Regulations, 2010 CFR

2010-01-01

... shall furnish the disclosures required by § 226.32 at least three business days prior to consummation of... disclosures inaccurate, new disclosures shall be provided in accordance with the requirements of this subpart. (ii) Telephone disclosures. A creditor may provide new disclosures by telephone if the consumer...

42 CFR 480.133 - Disclosure of information about practitioners, reviewers and institutions.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.133 Disclosure of... 42 Public Health 4 2011-10-01 2011-10-01 false Disclosure of information about practitioners...

17 CFR 4.34 - General disclosures required.

Code of Federal Regulations, 2011 CFR

2011-04-01

... such person must be indicated. (g) Principal risk factors. A discussion of the principal risk factors... OF THIS DISCLOSURE DOCUMENT. (b) Risk Disclosure Statement. (1) The following Risk Disclosure... securities laws and regulations or by any applicable laws of non-United States jurisdictions: RISK DISCLOSURE...

42 CFR 480.133 - Disclosure of information about practitioners, reviewers and institutions.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Disclosure of information about practitioners..., AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.133 Disclosure of...

Self-Disclosure and Internet Addiction

ERIC Educational Resources Information Center

Arslan, Nihan; Kiper, Aydin

2018-01-01

The aim of study is to investigate the relationship between self-disclosure and internet addiction. Self-Disclosure Scale and Internet Addiction Scale were applied to students. Results indicated a negative correlation between self-disclosure and internet addiction. Self-disclosure was negative predicted by internet addiction in the structural…

14 CFR 1212.203 - Disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Records § 1212.203 Disclosures. (a) The system manager shall keep a disclosure accounting for each... computer matching programs (See NASA Management Instruction (NMI) 1382.18). (b) Disclosure accountings are... (2) In accordance with § 1212.203(g) (1) and (2), below. (c) The disclosure accounting required by...

A 62-year-old woman with skin cancer who experienced wrong-site surgery: review of medical error.

PubMed

Gallagher, Thomas H

2009-08-12

After a life-threatening complication of an injection for neck pain several years ago, Ms W experienced a wrong-site surgery to remove a squamous cell lesion from her nose, followed by pain, distress, and shaken trust in clinicians. Her experience highlights the challenges of communicating with patients after errors. Harmful medical errors occur relatively frequently. Gaps exist between patients' expectations for disclosure and apology and physicians' ability to deliver disclosures well. This discrepancy reflects clinicians' fear of litigation, concern that disclosure might harm patients, and lack of confidence in disclosure skills. Many institutions are developing disclosure programs, and some are reporting success in coupling disclosures with early offers of compensation to patients. However, much has yet to be learned about effective disclosure strategies. Important future developments include increased emphasis on institutions' responsibility for disclosure, involving trainees and other team members in disclosure, and strengthening the relationship between disclosure and quality improvement.

Making the invisible visible: fear and disclosure of sexual orientation at work.

PubMed

Ragins, Belle Rose; Singh, Romila; Cornwell, John M

2007-07-01

Stigma theory was used to examine the fears underlying the disclosure of a gay identity at work. Using a national sample of 534 gay, lesbian, and bisexual employees, this study examined the antecedents that affect the degree of disclosure of a gay identity at work and, for those who had not disclosed, the factors that influence their fears about full disclosure. Employees reported less fear and more disclosure when they worked in a group that was perceived as supportive and sharing their stigma. Perceptions of past experience with sexual orientation discrimination were related to increased fears but to greater disclosure. For those who had not fully disclosed their stigma, the fears associated with disclosure predicted job attitudes, psychological strain, work environment, and career outcomes. However, actual disclosure was unrelated to these variables. The utility of fear of disclosure for understanding processes underlying the disclosure of gay and other invisible stigmatized identities in the workplace is discussed.

Disclosure appraisal mediating the association between perceived stigma and HIV disclosure to casual sex partners among HIV+ MSM: a path model analysis.

PubMed

Li, Haochu; Chen, Xinguang; Yu, Bin

2016-01-01

HIV stigma is widely believed to be related to HIV disclosure. However, there is a dearth of studies examining the mechanisms that link stigma to disclosure. This is a specific study to assess the relationship between perceived stigma and HIV disclosure to casual sex partners based on a social cognitive theory. HIV+ men who have sex with men (MSM) from two US cities (N = 297) completed questionnaires administered using audio computer-assisted self-interviewing. Path modeling analysis was used to assess the theory-based structural relationships. Perceived stigma was negatively associated with attitudes, intention and behavior of HIV disclosure to casual sex partners. The association was fully mediated by disclosure appraisal, including disclosure outcome expectations, costs and self-efficacy. Findings of this study add new knowledge regarding HIV stigma and disclosure, and provide timely data supporting more effective behavioral interventions to encourage HIV disclosure among MSM.

Conflict of interest in oncology publications: a survey of disclosure policies and statements.

PubMed

Kesselheim, Aaron S; Lee, Joy L; Avorn, Jerry; Servi, Amber; Shrank, William H; Choudhry, Niteesh K

2012-01-01

Disclosure of conflicts of interest in biomedical research is receiving increased attention. The authors sought to define current disclosure policies and how they relate to disclosure statements provided by authors in major oncology journals. The authors identified all oncology journals listed in the Thomson Institute for Scientific Information and sought their policies on conflict-of-interest disclosure. For a subset of journals with an Impact Factor >2.0, they catalogued the number and type of articles and the details of the published disclosures in all papers from the 2 most recent issues. Disclosure policies were provided by 112 of 131 journals (85%); 99 (88%) of these requested that authors disclose conflicts of interest (mean Impact Factor for these journals: 4.6), whereas the remaining 13 (12%) did not (mean Impact Factor: 2.9). Ninety-three journals (94%) required financial disclosure, and 42 (42%) also sought nonfinancial disclosures. For a subset of 52 higher-impact journals (Impact Factor >2.0), we reviewed 1734 articles and identified published disclosures in 51 journals (98%). Many of these journals (31 of 51, 61%) included some disclosure statement in >90% of their articles. Among 27 journals that published editorials/commentaries, only 14 (52%) included disclosures with such articles. There was no publication of any nonfinancial conflicts of interest in any article reviewed. Disclosure policies and the very definition of conflict of interest varied considerably among journals. Although most journals had some policy in this area, a substantial proportion did not publish disclosure statements consistently, with deficiencies particularly among editorials and commentaries. Copyright © 2011 American Cancer Society.

Error disclosure: a new domain for safety culture assessment.

PubMed

Etchegaray, Jason M; Gallagher, Thomas H; Bell, Sigall K; Dunlap, Ben; Thomas, Eric J

2012-07-01

To (1) develop and test survey items that measure error disclosure culture, (2) examine relationships among error disclosure culture, teamwork culture and safety culture and (3) establish predictive validity for survey items measuring error disclosure culture. All clinical faculty from six health institutions (four medical schools, one cancer centre and one health science centre) in The University of Texas System were invited to anonymously complete an electronic survey containing questions about safety culture and error disclosure. The authors found two factors to measure error disclosure culture: one factor is focused on the general culture of error disclosure and the second factor is focused on trust. Both error disclosure culture factors were unique from safety culture and teamwork culture (correlations were less than r=0.85). Also, error disclosure general culture and error disclosure trust culture predicted intent to disclose a hypothetical error to a patient (r=0.25, p<0.001 and r=0.16, p<0.001, respectively) while teamwork and safety culture did not predict such an intent (r=0.09, p=NS and r=0.12, p=NS). Those who received prior error disclosure training reported significantly higher levels of error disclosure general culture (t=3.7, p<0.05) and error disclosure trust culture (t=2.9, p<0.05). The authors created and validated a new measure of error disclosure culture that predicts intent to disclose an error better than other measures of healthcare culture. This measure fills an existing gap in organisational assessments by assessing transparent communication after medical error, an important aspect of culture.

Physical requirements and milestones for the HIT-PoP Experiment

NASA Astrophysics Data System (ADS)

Jarboe, Thomas

2011-10-01

Recent success with HIT-SI demonstrates the viability of steady inductive helicity injection (SIHI) as a spheromak formation and sustainment method. Results include the sustainment of toroidal current of over 50 kA, up to 40 kA of plasma current that is separate from the injectors, toroidal flux up to 6 times the peak injected flux, and j/n > 1014Am. All were achieved with 10MW or less applied power. This paper explores the requirements for a confinement test of the concept using a larger proof of principle experiment. The confinement experiment must not exceed the beta limit, the drift parameter limit, or the wall loading limit, where the drift parameter is (drift of electrons relative to ions to produce current)/(ion thermal speed). It must also exceed a minimum j/n, a minimum n a, and a minimum electron temperature, where a is the minor radius. The drift parameter limit and beta limit appear to play defining roles in spheromak performance leading to a very favorable scaling of wall loading with size. The milestones sequence suggested is the following: 1. Startup at drift parameter and beta limit minimum density. 2. Raise current until j/n exceeds 10-14Am. 3. Raise the current and temperature until T ~ 50 eV for good ionization. 4. Raise the current and density until n a > 2x1019 m-2 for neutral screening. 5. Raise current and temperature until T > 200eV so magnetic confinement can be studied.

5 CFR 2100.12 - Accounting of disclosure.

Code of Federal Regulations, 2012 CFR

2012-01-01

... disclosures will be made available to the data subject upon request in accordance with the access procedures... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Accounting of disclosure. 2100.12 Section... PROCEDURES § 2100.12 Accounting of disclosure. (a) The AFRH or agency will maintain a record of disclosures...

5 CFR 2100.12 - Accounting of disclosure.

Code of Federal Regulations, 2011 CFR

2011-01-01

... disclosures will be made available to the data subject upon request in accordance with the access procedures... 5 Administrative Personnel 3 2011-01-01 2011-01-01 false Accounting of disclosure. 2100.12 Section... PROCEDURES § 2100.12 Accounting of disclosure. (a) The AFRH or agency will maintain a record of disclosures...

5 CFR 2100.12 - Accounting of disclosure.

Code of Federal Regulations, 2013 CFR

2013-01-01

... disclosures will be made available to the data subject upon request in accordance with the access procedures... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Accounting of disclosure. 2100.12 Section... PROCEDURES § 2100.12 Accounting of disclosure. (a) The AFRH or agency will maintain a record of disclosures...

5 CFR 2100.12 - Accounting of disclosure.

Code of Federal Regulations, 2014 CFR

2014-01-01

... disclosures will be made available to the data subject upon request in accordance with the access procedures... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Accounting of disclosure. 2100.12 Section... PROCEDURES § 2100.12 Accounting of disclosure. (a) The AFRH or agency will maintain a record of disclosures...

5 CFR 297.403 - Accounting of disclosure.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Office's exempt systems of records, the accounting of disclosures will be made available to the data... 5 Administrative Personnel 1 2013-01-01 2013-01-01 false Accounting of disclosure. 297.403 Section... PROCEDURES FOR PERSONNEL RECORDS Disclosure of Records § 297.403 Accounting of disclosure. (a) The Office or...

5 CFR 297.403 - Accounting of disclosure.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Office's exempt systems of records, the accounting of disclosures will be made available to the data... 5 Administrative Personnel 1 2012-01-01 2012-01-01 false Accounting of disclosure. 297.403 Section... PROCEDURES FOR PERSONNEL RECORDS Disclosure of Records § 297.403 Accounting of disclosure. (a) The Office or...

5 CFR 297.403 - Accounting of disclosure.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Office's exempt systems of records, the accounting of disclosures will be made available to the data... 5 Administrative Personnel 1 2011-01-01 2011-01-01 false Accounting of disclosure. 297.403 Section... PROCEDURES FOR PERSONNEL RECORDS Disclosure of Records § 297.403 Accounting of disclosure. (a) The Office or...

5 CFR 297.403 - Accounting of disclosure.

Code of Federal Regulations, 2014 CFR

2014-01-01

... Office's exempt systems of records, the accounting of disclosures will be made available to the data... 5 Administrative Personnel 1 2014-01-01 2014-01-01 false Accounting of disclosure. 297.403 Section... PROCEDURES FOR PERSONNEL RECORDS Disclosure of Records § 297.403 Accounting of disclosure. (a) The Office or...

42 CFR 480.141 - Disclosure of QIO interpretations on the quality of health care.

Code of Federal Regulations, 2011 CFR

2011-10-01

..., AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.141 Disclosure of... 42 Public Health 4 2011-10-01 2011-10-01 false Disclosure of QIO interpretations on the quality of...

42 CFR 480.141 - Disclosure of QIO interpretations on the quality of health care.

Code of Federal Regulations, 2010 CFR

2010-10-01

..., AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.141 Disclosure of... 42 Public Health 4 2010-10-01 2010-10-01 false Disclosure of QIO interpretations on the quality of...

Evaluating Parental Autism Disclosure Strategies

ERIC Educational Resources Information Center

Austin, Jillian E.; Galijot, Ratka; Davies, W. Hobart

2018-01-01

The relative effects of different autism disclosure methods on the perceptions of a mother-child dyad were investigated. Using three conditions, disclosure card, disclosure bracelet, and no disclosure, U.S. community parents (N = 383) were asked 18 questions about their perceptions of the dyad. An ANOVA revealed significant protection from stigma…

36 CFR 703.5 - Records exempt from disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... disclosure. 703.5 Section 703.5 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.5 Records exempt from disclosure. (a) The public disclosure of Library records provided for by this part does not apply to records...

36 CFR 703.5 - Records exempt from disclosure.

Code of Federal Regulations, 2012 CFR

2012-07-01

... disclosure. 703.5 Section 703.5 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.5 Records exempt from disclosure. (a) The public disclosure of Library records provided for by this part does not apply to records...

36 CFR 703.5 - Records exempt from disclosure.

Code of Federal Regulations, 2014 CFR

2014-07-01

... disclosure. 703.5 Section 703.5 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.5 Records exempt from disclosure. (a) The public disclosure of Library records provided for by this part does not apply to records...

36 CFR 703.5 - Records exempt from disclosure.

Code of Federal Regulations, 2011 CFR

2011-07-01

... disclosure. 703.5 Section 703.5 Parks, Forests, and Public Property LIBRARY OF CONGRESS DISCLOSURE OR PRODUCTION OF RECORDS OR INFORMATION Availability of Library of Congress Records § 703.5 Records exempt from disclosure. (a) The public disclosure of Library records provided for by this part does not apply to records...

5 CFR 2100.12 - Accounting of disclosure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Accounting of disclosure. 2100.12 Section... PROCEDURES § 2100.12 Accounting of disclosure. (a) The AFRH or agency will maintain a record of disclosures... in the performance of their duties. (b) This accounting of the disclosures will be retained for a...

5 CFR 2100.10 - Conditions of disclosure and accounting of certain disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Conditions of disclosure and accounting of certain disclosures. 2100.10 Section 2100.10 Administrative Personnel ARMED FORCES RETIREMENT HOME ARMED FORCES RETIREMENT HOME PRIVACY ACT PROCEDURES § 2100.10 Conditions of disclosure and accounting of...

32 CFR Appendix D to Part 806b - General and Specific Exemptions

Code of Federal Regulations, 2010 CFR

2010-07-01

... of the disclosure accounting, for disclosures pursuant to the routine uses published for this system... the disclosure accounting, for disclosures pursuant to the routine uses published for this system...) From subsection (c)(3) because the release of accounting of disclosure would inform a subject that he...

5 CFR 2606.207 - Accounting of disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 3 2010-01-01 2010-01-01 false Accounting of disclosures. 2606.207... ACT RULES Access to Records and Accounting of Disclosures § 2606.207 Accounting of disclosures. (a... accounting of disclosures will be retained for at least five years or for the life of the record, whichever...

12 CFR 226.27 - Language of disclosures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 3 2011-01-01 2011-01-01 false Language of disclosures. 226.27 Section 226.27... TRUTH IN LENDING (REGULATION Z) Miscellaneous § 226.27 Language of disclosures. Disclosures required by this regulation may be made in a language other than English, provided that the disclosures are made...

49 CFR Appendix C to Part 580 - Separate Disclosure Form

Code of Federal Regulations, 2011 CFR

2011-10-01

... 49 Transportation 7 2011-10-01 2011-10-01 false Separate Disclosure Form C Appendix C to Part 580... ADMINISTRATION, DEPARTMENT OF TRANSPORTATION (CONTINUED) ODOMETER DISCLOSURE REQUIREMENTS Pt. 580, App. C Appendix C to Part 580—Separate Disclosure Form Odometer Disclosure Statement Federal law (and State law...

28 CFR 802.20 - Accounting of disclosures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Accounting of disclosures. 802.20 Section... COLUMBIA DISCLOSURE OF RECORDS Privacy Act § 802.20 Accounting of disclosures. (a) We will provide an accounting of all disclosures of a record for five years or until the record is destroyed, whichever is...

Self-Disclosure Avoidance: Why I Am Afraid to Tell You Who I Am.

ERIC Educational Resources Information Center

Rosenfeld, Lawrence B.

1979-01-01

Reports on research to determine relationships between self-disclosure and self-disclosure avoidance. Generally, males avoid self-disclosure in order to maintain control over their relationships; females avoid self-disclosure in order to avoid personal hurt and problems with their interpersonal relationships. (JMF)

Influence of Model's Race and Sex on Interviewees' Self-Disclosure.

ERIC Educational Resources Information Center

Casciani, Joseph M.

1978-01-01

Examined how a model's personal characteristics and disclosure characteristics affect White interviewees' self-disclosures. Validity of Jourard's Self-Disclosure Questionnaire was investigated. Results showed that the model's race did not affect his/her behavior or ratings of models. Self-Disclosure Questionnaire showed subjects would disclose as…

Therapist self-disclosure and the therapeutic alliance in the treatment of eating problems.

PubMed

Simonds, Laura M; Spokes, Naomi

2017-01-01

Evidence is mixed regarding the potential utility of therapist self-disclosure. The current study modelled relationships between perceived helpfulness of therapist self-disclosures, therapeutic alliance, patient non-disclosure, and shame in participants (n = 120; 95% women) with a history of eating problems. Serial multiple mediator analyses provided support for a putative model connecting the perceived helpfulness of therapist self-disclosures with current eating disorder symptom severity through therapeutic alliance, patient self-disclosure, and shame. The analyses presented provide support for the contention that therapist self-disclosure, if perceived as helpful, might strengthen the therapeutic alliance. A strong therapeutic alliance, in turn, has the potential to promote patient disclosure and reduce shame and eating problems.

Mental illness stigma and disclosure in college students.

PubMed

Corrigan, Patrick W; Kosyluk, Kristin A; Markowitz, Fred; Brown, Robyn Lewis; Conlon, Bridget; Rees, Jo; Rosenberg, Jessica; Ellefson, Sarah; Al-Khouja, Maya

2016-06-01

The aim of this study was to investigate the relationship between mental illness identity, shame, secrecy, public stigma, and disclosure amongst college students. Participants included 1393 college students from five postsecondary institutions. Structural equation modeling was used to examine two path models predicting disclosure and desire to join a program aiding with disclosure. Variables found to be significant in predicting disclosure included mental illness identity and public stigma. In turn, desire for disclosure predicted desire to join a program aiding in disclosure. Gender and race/ethnic differences were observed, with men and Whites more likely to want to disclose a mental illness or join a program aiding with disclosure compared with women and non-Whites, respectively. These findings suggest that some college students may find programs aiding in disclosure useful in assisting them to achieve their desire to be "out" with their mental illness.

Understanding perceptions of genital herpes disclosure through analysis of an online video contest.

PubMed

Catallozzi, Marina; Ebel, Sophia C; Chávez, Noé R; Shearer, Lee S; Mindel, Adrian; Rosenthal, Susan L

2013-12-01

The aims of this study were to examine pre-existing videos in order to explore the motivation for, possible approaches to, and timing and context of disclosure of genital herpes infection as described by the lay public. A thematic content analysis was performed on 63 videos submitted to an Australian online contest sponsored by the Australian Herpes Management Forum and Novartis Pharmaceuticals designed to promote disclosure of genital herpes. Videos either provided a motivation for disclosure of genital herpes or directed disclosure without an explicit rationale. Motivations included manageability of the disease or consistency with important values. Evaluation of strategies and logistics of disclosure revealed a variety of communication styles including direct and indirect. Disclosure settings included those that were private, semiprivate and public. Disclosure was portrayed in a variety of relationship types, and at different times within those relationships, with many videos demonstrating disclosure in connection with a romantic setting. Individuals with genital herpes are expected to disclose to susceptible partners. This analysis suggests that understanding lay perspectives on herpes disclosure to a partner may help healthcare providers develop counselling messages that decrease anxiety and foster disclosure to prevent transmission.

Managing disclosure following recent-onset psychosis: utilizing the individual placement and support model.

PubMed

Allott, Kelly A; Turner, Luana R; Chinnery, Gina L; Killackey, Eoin J; Nuechterlein, Keith H

2013-08-01

Individual Placement and Support is the most defined and evidence-based approach to supported employment for severe mental illness, including recent-onset psychosis. However, there is limited evidence or detailed guidelines informing the management of mental illness disclosure to educators or employers when delivering individual placement and support. In this paper, we describe the initial disclosure preferences of young people with recent-onset psychosis enrolled in individual placement and support and provide guidance for managing disclosure when delivering Individual Placement and Support with this population. Drawing from sites in Melbourne, Australia and Los Angeles, USA, clients' initial disclosure preferences were examined. We describe approaches to providing individual placement and support when no disclosure is permitted compared with when disclosure is permitted, including two illustrative case vignettes. No disclosure of mental illness or disability was requested by 54-59% of clients; 41-46% of clients permitted partial or complete disclosure. The 'no disclosure' scenario required the individual placement and support worker to provide support 'behind the scenes', whereas when disclosure was permitted, the individual placement and support worker could have contact with instructors/employers and work 'on the front lines'. The case vignettes illustrate how both approaches can lead to successful vocational outcomes. We found that Individual Placement and Support can be provided in an educative, flexible, creative and collaborative manner according to client disclosure preferences. We suggest that disclosure preferences do not prevent successful vocational outcomes, although this supposition requires empirical investigation. © 2013 Wiley Publishing Asia Pty Ltd.

To tell or not to tell: A systematic review of the disclosure practices of children living with epilepsy and their parents.

PubMed

Benson, A; O'Toole, S; Lambert, V; Gallagher, P; Shahwan, A; Austin, J K

2015-10-01

Disclosing an epilepsy diagnosis to others is complex due to the condition's largely invisible nature and associated stigma. Despite this, little has been documented in terms of what this process involves for children living with epilepsy (CWE) and their parents. A systematic review was conducted to examine and synthesize evidence pertaining to: (i) the disclosure practices of CWE and their parents, (ii) enablers and barriers for disclosure, (iii) the impact of disclosure practices, and (iv) the relationship between disclosure management and other variables. The electronic databases PsycINFO, PubMed, MEDLINE, CINAHL, Scopus, and Web of Science were searched systematically. Any empirical, peer-reviewed journal articles with findings reported regarding the self- or proxy-reported disclosure practices of children aged 0-18years with any type of epilepsy and/or their parents were deemed eligible for inclusion. Two review authors completed all stages of screening, data extraction, and quality assessment independently with two additional review authors resolving any discrepancies. A total of 32 articles were included in the review. Only one dated study examined disclosure as a primary focus; in the remaining studies, disclosure was a subfocus of larger studies or pertinent qualitative themes/subthemes incidentally emerged. The limited evidence suggests that: 1) CWE and parents adopt varying disclosure management strategies - from concealment to voluntary disclosure; 2) disclosure decisions are challenging for CWE and parents; 3) many barriers to disclosure exist (e.g., fear of stigmatization and rejection); 4) only a limited number of factors that enable disclosure are known (e.g., openness by others to engage with and learn about epilepsy); 5) disclosure management is significantly related to a number of variables (e.g., child/maternal perceived stigma and seizure control); and 6) there are varying outcomes for CWE and/or their parents in accordance with the adoption of specific disclosure management strategies (e.g., disclosure resulting in greater acceptance and the receipt of support or evoking anxiety/fear in others; and concealment resulting in misunderstandings, embarrassment, and stigma-coaching), but the evidence remains inconclusive in terms of which disclosure management strategy is optimal. While some preliminary work has been conducted, disclosure of epilepsy is a topic that has been largely neglected to date. This is despite the fact that disclosure is a significant source of concern for CWE and parent populations. Future studies should focus on elucidating the unique contextual factors that inform disclosure decisions in order to develop a theoretical framework that can explain the epilepsy disclosure decision-making process. Copyright © 2015 Elsevier Inc. All rights reserved.

38 CFR 17.503 - Improper disclosure.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Confidentiality of Healthcare Quality Assurance Review Records § 17.503 Improper disclosure. (a) Improper disclosure is the disclosure of confidential and privileged healthcare quality assurance review records or...

38 CFR 17.503 - Improper disclosure.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Confidentiality of Healthcare Quality Assurance Review Records § 17.503 Improper disclosure. (a) Improper disclosure is the disclosure of confidential and privileged healthcare quality assurance review records or...

38 CFR 17.503 - Improper disclosure.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Confidentiality of Healthcare Quality Assurance Review Records § 17.503 Improper disclosure. (a) Improper disclosure is the disclosure of confidential and privileged healthcare quality assurance review records or...

38 CFR 17.503 - Improper disclosure.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Confidentiality of Healthcare Quality Assurance Review Records § 17.503 Improper disclosure. (a) Improper disclosure is the disclosure of confidential and privileged healthcare quality assurance review records or...

38 CFR 17.503 - Improper disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Confidentiality of Healthcare Quality Assurance Review Records § 17.503 Improper disclosure. (a) Improper disclosure is the disclosure of confidential and privileged healthcare quality assurance review records or...

Prevalence and Correlates of HIV Disclosure Among Children and Adolescents in Low- and Middle-Income Countries: A Systematic Review

PubMed Central

Britto, Carl; Mehta, Kayur; Thomas, Rwituja; Shet, Anita

2018-01-01

Objective Disclosure of HIV status among children and adolescents living with HIV has both beneficial and challenging aspects. To address existing knowledge gaps and update the literature on childhood disclosure, we conducted a systematic review on caregivers’ perceptions and practices of HIV disclosure in low- and middle-income countries (LMICs). Methods Standard databases were searched for studies conducted in LMICs, published in English between 2004 and 2015. Excluded articles were reviews or case reports, and those not reporting childhood disclosure. Data regarding prevalence, correlates and impact of disclosure, were presented as frequencies. Results Two authors independently screened 982 articles. After applying eligibility criteria, 22 articles representing 12 countries and 2,843 children were reviewed. The proportion of fully disclosed children ranged from 1.7% to 41.0%. Up to 49.5% children were provided “deflected” information (use of a non-HIV-related reason for explaining illness and health care visits). Factors associated with full disclosure included antiretroviral treatment initiation and caregivers’ felt need for maintaining optimal adherence. Barriers to disclosure included fear of negative psychological reactions and inadvertent disclosure to others. Caregivers perceived a strong need for active participation from health care providers to aid the process of disclosure. Conclusions Full disclosure of HIV status was not common among children and adolescents in LMICs, while the practice of deflected disclosure was prominent. Caregivers perceived the need for support from health care providers during the disclosure process. Evidence-based guidelines incorporating the developmental status of the child, locally prevalent cultures, and caregiver perceptions are prerequisite to enhancing disclosure in these settings. PMID:27262128

HIV status disclosure to families for social support in South Africa (NIMH Project Accept/HPTN 043).

PubMed

Maman, Suzanne; van Rooyen, Heidi; Groves, Allison K

2014-02-01

Literature on HIV status disclosure among persons living with HIV/AIDS (PLWHA) is dominated by research on the rates, barriers and consequences of disclosure to sexual partners, because of the assumed preventive health benefits of partner disclosure. Disclosure of HIV status can lead to an increase in social support and other positive psychosocial outcomes for PLWHA, but disclosure can also be associated with negative social outcomes including stigma, discrimination, and violence. The purpose of this article is to describe the HIV status disclosure narratives of PLWHA living in South Africa. Thirty in-depth interviews were conducted with 13 PLWHA (11 women, 2 men) over a three-year period. We explored disclosure narratives of the PLWHA through questions about who they chose to disclose to, how they disclosed to these individuals, and how these individuals reacted. Narratives focused on disclosure to family members and contained relatively little discussion of disclosure to sexual partners. Participants often disclosed first to one trusted family member, and news of the diagnosis remained with this person for a long period of time, prior to sharing with others. This family member helped the PLWHA cope with the news of their diagnosis and prepared them to disclose to others. Disclosure to one's partner was motivated primarily by a desire to encourage partners to test for HIV. Two participants described overtly negative reactions from a partner upon disclosure, and none of the PLWHA in this sample described very supportive relationships with their partners after disclosure. The critical role that family members played in the narratives of these PLWHA emphasizes the need for a greater focus on disclosure to families for social support in HIV counseling protocols.

32 CFR 1701.9 - Requests for an accounting of record disclosures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 6 2010-07-01 2010-07-01 false Requests for an accounting of record disclosures... of record disclosures. (a) How to request. Except where accountings of disclosures are not required... representatives) may request an accounting of disclosures that have been made to another person, organization, or...

5 CFR 297.403 - Accounting of disclosure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 5 Administrative Personnel 1 2010-01-01 2010-01-01 false Accounting of disclosure. 297.403 Section... PROCEDURES FOR PERSONNEL RECORDS Disclosure of Records § 297.403 Accounting of disclosure. (a) The Office or... accounting of the disclosures will be retained for at least 5 years or for the life of the record, whichever...

40 CFR 1602.7 - Requests for an accounting of record disclosures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... accounting of record disclosures. (a) How made and addressed. Except where accountings of disclosures are not... record about you. This accounting contains the date, nature, and purpose of each disclosure, as well as... not required to provide accountings to you where they relate to disclosures for which accountings are...

36 CFR 1600.27 - Requests for an accounting of record disclosures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Requests for an accounting of record disclosures. (a) How made and addressed. Except where accountings of... for an accounting of any disclosure that has been made by the Foundation to another person... disclosures for which accountings are not required to be kept—in other words, disclosures that are made to...

38 CFR 1.576 - General policies, conditions of disclosure, accounting of certain disclosures, and definitions.

Code of Federal Regulations, 2010 CFR

2010-07-01

..., conditions of disclosure, accounting of certain disclosures, and definitions. 1.576 Section 1.576 Pensions..., accounting of certain disclosures, and definitions. (a) The Department of Veterans Affairs will safeguard an... Accounting Office; or (11) Pursuant to the order of a court of competent jurisdiction. (c) With respect to...

22 CFR 1003.1 - General policies, conditions of disclosure, accounting of certain disclosures, and definitions.

Code of Federal Regulations, 2010 CFR

2010-04-01

..., accounting of certain disclosures, and definitions. 1003.1 Section 1003.1 Foreign Relations INTER-AMERICAN... disclosure, accounting of certain disclosures, and definitions. (a) The Inter-American Foundation will... Accounting Office; or (11) Pursuant to the order of a court of competent jurisdiction. (c) With respect to...

10 CFR 1008.18 - Accounting for disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false Accounting for disclosures. 1008.18 Section 1008.18 Energy... Parties § 1008.18 Accounting for disclosures. (a) For each disclosure of information contained in a system... accounting of: (1) The date, nature, and purposes of each disclosure of a record made to any person or to...

“The doctor said I didn’t look gay”: Young adults’ experiences of disclosure and non-disclosure of LGBTQ identity to healthcare providers

PubMed Central

Rossman, Kinton; Salamanca, Paul; Macapagal, Kathryn

2018-01-01

Shifting cultural attitudes and legislation have increased focus on the healthcare needs of lesbian, gay, bisexual, transgender, and queer (LGBTQ) patients. However, patient non-disclosure of LGBTQ identity creates a barrier to accessing care. This study examined a diverse sample of LGBTQ young adults and their experiences of disclosure and non-disclosure to medical providers. Participants (N = 206, age range 18–27) completed questionnaires assessing healthcare access and use as part of a larger study. Participants’ responses to open-ended items asking about experiences of LGBTQ identity disclosure to medical providers and reasons for non-disclosure were analyzed thematically. Results revealed intra- and interpersonal factors related to patient disclosure. Reasons for participant non-disclosure included providers not asking about identity, internalized stigma, and belief that health and LGBTQ identity are not related. When participants did disclose, they experienced reactions ranging from discrimination and disbelief to affirmation and respect. Findings confirm and extend previous research on young adults’ identity disclosure and provide avenues continuing education for health professionals working with LGBTQ patients. PMID:28459379

Disclosure and Nondisclosure Among People Newly Diagnosed with HIV: An Analysis from a Stress and Coping Perspective

PubMed Central

Wrubel, Judith; Bränström, Richard; Acree, Michael; Moskowitz, Judith Tedlie

2012-01-01

Abstract Disclosing HIV status to friends, family, and sex partners is often stressful. However, HIV disclosure has been associated with improved physical health, psychological well-being, and improved health behaviors. The aim of this study was to address some of the gaps in the literature regarding the disclosure process by conducting a mixed-methods study of disclosure in people newly diagnosed with HIV and the relationship of disclosure to stigma and social support. The CHAI (Coping, HIV, and Affect Interview) Study was a longitudinal cohort study that followed individuals who were newly diagnosed with HIV. The study took place from October 2004 to June 2008 in the San Francisco Bay Area. This sample includes data from 50 participants who were interviewed 1, 3, and 9 months following diagnosis with HIV. We identified four main approaches to HIV disclosure that revealed distinct differences in how participants appraised disclosure, whether disclosure was experienced as stressful, and whether disclosure or nondisclosure functioned as a way of coping with an HIV diagnosis. Implications of these findings for disclosure counseling are discussed. PMID:22256856

Geometric derivations of minimal sets of sufficient multiview constraints

USGS Publications Warehouse

Thomas, Orrin H.; Oshel, Edward R.

2012-01-01

Geometric interpretations of four of the most common determinant formulations of multiview constraints are given, showing that they all enforce the same geometry and that all of the forms commonly in use in the machine vision community are a subset of a more general form. Generalising the work of Yi Ma yields a new general 2 x 2 determinant trilinear and 3 x 3 determinant quadlinear. Geometric descriptions of degenerate multiview constraints are given, showing that it is necessary, but insufficient, that the determinant equals zero. Understanding the degeneracies leads naturally into proofs for minimum sufficient sets of bilinear, trilinear and quadlinear constraints for arbitrary numbers of conjugate observations.

A second chance for Solar Max

NASA Technical Reports Server (NTRS)

Maran, S. P.; Woodgate, B. E.

1984-01-01

Using NASA's Tracking and Data Relay Satellite as a communications link, astronomers are able to receive scans from the Solar Maximum Mission (SMM) satellite immediately and regularly at the Goddard Space Flight Center. This major operational improvement permits the examination of SMM imagery and spectra as they arrive, as well as the formulation of future observational sequences on the basis of the solar activity in progress. Attention is given to aspects of the sun that change in the course of the 11-year sunspot cycle's movement from maximum to minimum. Proof has been obtained by means of SMM for the near-simultaneity of X-ray and UV bursts at flare onset.

Learning Through Experience: Influence of Formal and Informal Training on Medical Error Disclosure Skills in Residents.

PubMed

Wong, Brian M; Coffey, Maitreya; Nousiainen, Markku T; Brydges, Ryan; McDonald-Blumer, Heather; Atkinson, Adelle; Levinson, Wendy; Stroud, Lynfa

2017-02-01

Residents' attitudes toward error disclosure have improved over time. It is unclear whether this has been accompanied by improvements in disclosure skills. To measure the disclosure skills of internal medicine (IM), paediatrics, and orthopaedic surgery residents, and to explore resident perceptions of formal versus informal training in preparing them for disclosure in real-world practice. We assessed residents' error disclosure skills using a structured role play with a standardized patient in 2012-2013. We compared disclosure skills across programs using analysis of variance. We conducted a multiple linear regression, including data from a historical cohort of IM residents from 2005, to investigate the influence of predictor variables on performance: training program, cohort year, and prior disclosure training and experience. We conducted a qualitative descriptive analysis of data from semistructured interviews with residents to explore resident perceptions of formal versus informal disclosure training. In a comparison of disclosure skills for 49 residents, there was no difference in overall performance across specialties (4.1 to 4.4 of 5, P  = .19). In regression analysis, only the current cohort was significantly associated with skill: current residents performed better than a historical cohort of 42 IM residents ( P  < .001). Qualitative analysis identified the importance of both formal (workshops, morbidity and mortality rounds) and informal (role modeling, debriefing) activities in preparation for disclosure in real-world practice. Residents across specialties have similar skills in disclosure of errors. Residents identified role modeling and a strong local patient safety culture as key facilitators for disclosure.

What would you say? Genetic counseling graduate students' and counselors' hypothetical responses to patient requested self-disclosure.

PubMed

Redlinger-Grosse, Krista; Veach, Patricia McCarthy; MacFarlane, Ian M

2013-08-01

Genetic counselor self-disclosure is a complex behavior that lacks extensive characterization. In particular, data are limited about genetic counselors' responses when patients ask them to self-disclose. Accordingly, this study investigated genetic counseling students' (n = 114) and practicing genetic counselors' (n = 123) responses to two hypothetical scenarios in which a female prenatal patient requests self-disclosure. Scenarios were identical except for a final patient question: "Have you ever had an amniocentesis?" or "What would you do if you were me?" Imagining themselves as the counselor, participants wrote a response for each scenario and then explained their response. Differences in disclosure frequency for students vs. counselors and disclosure question were assessed, and themes in participant responses and explanations were extracted via content and thematic analysis methods. Chi-square analyses indicated no significant differences in frequency of student versus counselor disclosure. Self-disclosure was significantly higher for, "Have you ever had an amniocentesis?" (78.5 %) than for, "What would you do if you were me?" (53.2 %) (p < .001). Types of self-disclosures included personal, professional, and mixed disclosures. Prevalent explanations for disclosure and non-disclosure responses included: remain patient focused and support/empower the patient. Additional findings, practice and training implications, and research recommendations are presented.

Disclosure of HIV-positive status to Latino gay men's social networks.

PubMed

Zea, María Cecilia; Reisen, Carol A; Poppen, Paul J; Echeverry, John J; Bianchi, Fernanda T

2004-03-01

This study explored disclosure of serostatus in a sample of 155 HIV-positive Latino gay men from New York City and Washington, DC. We examined rates of disclosure to different members of the social network: mothers, fathers, close friends, and primary sexual partners. There were high rates of disclosure of HIV-positive serostatus to main partners and closest friends and lower rates to fathers and mothers. We examined the role of 3 contextual target-dependent factors (emotional closeness to target, anticipated reactions from target, and target's knowledge of sexual orientation), as well as acculturation and time since diagnosis. Three separate logistic regression models were performed to predict disclosure of HIV-positive status to 3 targets: mothers, fathers, and closest friends. We found that disclosure was not a generalized tendency, but rather different factors were influential depending on the target. Whether the target was aware of participant's sexual orientation was associated with disclosure in all 3 models. Greater emotional closeness also predicted disclosure to mother and father; greater U.S. acculturation was associated with disclosure to father and marginally to mother. A longer time since diagnosis was associated with disclosure to the closest friend. These findings highlight the importance of taking into account roles and relationships, and their effect on disclosure.

31 CFR 50.15 - Cap disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Cap disclosure. 50.15 Section 50.15... Disclosures as Conditions for Federal Payment § 50.15 Cap disclosure. (a) General. Under section 103(e)(2) of... existence of the $100,000,000,000 cap under section 103(e)(2). The cap disclosure must be made at the time...

32 CFR 318.11 - Disclosure of record to persons other than the individual to whom it pertains.

Code of Federal Regulations, 2010 CFR

2010-07-01

... Threat Reduction Agency system of records notice. (b) Accounting of disclosures. Except for disclosures... Freedom of Information Act, an accounting will be kept of all disclosures of records maintained in DTRA... to whom the disclosure is made. (3) Accounting records will be maintained for at least 5 years after...

22 CFR 171.34 - Request for an accounting of record disclosures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Request for an accounting of record disclosures... disclosures. (a) How made. Except where accountings of disclosures are not required to be kept, as set forth... individual. This accounting shall contain the date, nature, and purpose of each disclosure as well as the...

32 CFR 326.14 - Disclosure of records to person other than subject.

Code of Federal Regulations, 2010 CFR

2010-07-01

... disclosures required by the Freedom of Information Act, an accounting will be kept of all disclosures of.... Accounting entries will record the date, kind of information, purpose of each disclosure, and the name and address of the person or agency to whom the disclosure is made. Accounting records will be maintained for...

6 CFR 5.27 - Requests for an accounting of record disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Requests for an accounting of record disclosures... DISCLOSURE OF RECORDS AND INFORMATION Privacy Act § 5.27 Requests for an accounting of record disclosures. (a) How made and addressed. Except where accountings of disclosures are not required to be kept (as stated...

10 CFR 1044.04 - What is a protected disclosure?

Code of Federal Regulations, 2010 CFR

2010-01-01

... 10 Energy 4 2010-01-01 2010-01-01 false What is a protected disclosure? 1044.04 Section 1044.04 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) SECURITY REQUIREMENTS FOR PROTECTED DISCLOSURES UNDER SECTION 3164 OF THE NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2000 § 1044.04 What is a protected disclosure? A protected disclosure is: (a)...

10 CFR 1044.04 - What is a protected disclosure?

Code of Federal Regulations, 2011 CFR

2011-01-01

... 10 Energy 4 2011-01-01 2011-01-01 false What is a protected disclosure? 1044.04 Section 1044.04 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) SECURITY REQUIREMENTS FOR PROTECTED DISCLOSURES UNDER SECTION 3164 OF THE NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2000 § 1044.04 What is a protected disclosure? A protected disclosure is: (a)...

10 CFR 1044.04 - What is a protected disclosure?

Code of Federal Regulations, 2012 CFR

2012-01-01

... 10 Energy 4 2012-01-01 2012-01-01 false What is a protected disclosure? 1044.04 Section 1044.04 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) SECURITY REQUIREMENTS FOR PROTECTED DISCLOSURES UNDER SECTION 3164 OF THE NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2000 § 1044.04 What is a protected disclosure? A protected disclosure is: (a)...

10 CFR 1044.04 - What is a protected disclosure?

Code of Federal Regulations, 2014 CFR

2014-01-01

... 10 Energy 4 2014-01-01 2014-01-01 false What is a protected disclosure? 1044.04 Section 1044.04 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) SECURITY REQUIREMENTS FOR PROTECTED DISCLOSURES UNDER SECTION 3164 OF THE NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2000 § 1044.04 What is a protected disclosure? A protected disclosure is: (a)...

10 CFR 1044.04 - What is a protected disclosure?

Code of Federal Regulations, 2013 CFR

2013-01-01

... 10 Energy 4 2013-01-01 2013-01-01 false What is a protected disclosure? 1044.04 Section 1044.04 Energy DEPARTMENT OF ENERGY (GENERAL PROVISIONS) SECURITY REQUIREMENTS FOR PROTECTED DISCLOSURES UNDER SECTION 3164 OF THE NATIONAL DEFENSE AUTHORIZATION ACT FOR FISCAL YEAR 2000 § 1044.04 What is a protected disclosure? A protected disclosure is: (a)...

Implementing primary health care-based PMTCT interventions: operational perspectives from Muhima cohort analysis (Rwanda)

PubMed Central

Bucagu, Maurice; Muganda, John

2014-01-01

Introduction In countries with high burden of HIV, major programmatic challenges have been identified to preventing new infections among children and scaling up of treatment for pregnant mothers. We initiated this study to examine operational approaches that were used to enhance implementation of PMTCT interventions in Muhima health Centre (Kigali/Rwanda) from 2007 to 2010. Methods The prospective cohort study was conducted at Muhima health centre. A sample size of 656 was the minimum number required for the study. The main outcome was cumulative incidence of mother - to - child transmission of HIV-1 measured at 6 weeks of life among live born children. Results Among the 679 live born babies and followed up in this study, the overall cumulative rate of HIV-1 mother - to - child transmission observed was 3.2% at 6 weeks of age after birth. Disclosure of HIV status to partner was significantly associated with HIV-1 status of infants at 6 weeks of age (non-disclosure of HIV status adjusted odds ratio [AOR] 4.68, CI 1.39 to 15.77, p. Conclusion The Muhima type of decentralized health facility offered an appropriate platform for implementation of PMTCT interventions, with the following operational features: family - centered approach; integrated service delivery for PMTCT/MCH interventions, task shifting; subsidized membership fees for people living with HIV, allowing for access to the community-based health insurance benefits. PMID:26113893

Self-critical perfectionism, daily stress, and disclosure of daily emotional events.

PubMed

Richardson, Clarissa M E; Rice, Kenneth G

2015-10-01

Although disclosure of stressful events can alleviate distress, self-critical perfectionism may pose an especially strong impediment to disclosure during stress, likely contributing to poorer psychological well-being. In the current study, after completing a measure of self-critical perfectionism (the Discrepancy subscale of the Almost Perfect Scale--Revised; Slaney, Rice, Mobley, Trippi, & Ashby, 2001), 396 undergraduates completed measures of stress and disclosure at the end of each day for 1 week. Consistent with hypotheses and previous research, multilevel modeling results indicated significant intraindividual coupling of daily stress and daily disclosure where disclosure was more likely when experiencing high stress than low stress. As hypothesized, Discrepancy moderated the relationship between daily stress and daily disclosure. Individuals higher in self-critical perfectionism (Discrepancy) were less likely to engage in disclosure under high stress, when disclosure is often most beneficial, than those with lower Discrepancy scores. These results have implications for understanding the role of stress and coping in the daily lives of self-critical perfectionists. (c) 2015 APA, all rights reserved).

Perceived Benefits and Drawbacks of Disclosure Practices: An Analysis of PLWHAs' Strategies for Disclosing HIV Status.

PubMed

Catona, Danielle; Greene, Kathryn; Magsamen-Conrad, Kate

2015-01-01

People living with HIV/AIDS must make decisions about how, where, when, what, and to whom to disclose their HIV status. This study explores their perceptions of benefits and drawbacks of various HIV disclosure strategies. The authors interviewed 53 people living with HIV/AIDS from a large AIDS service organization in a northeastern U.S. state and used a combination of deductive and inductive coding to analyze disclosure strategies and advantages and disadvantages of disclosure strategies. Deductive codes consisted of eight strategies subsumed under three broad categories: mode (face-to-face, non-face-to-face, and third-party disclosure), context (setting, bringing a companion, and planning a time), and content (practicing and incremental disclosure). Inductive coding identified benefits and drawbacks for enacting each specific disclosure strategy. The discussion focuses on theoretical explanations for the reasons for and against disclosure strategy enactment and the utility of these findings for practical interventions concerning HIV disclosure practices and decision making.

Disclosure of terminal illness to patients and families: diversity of governing codes in 14 Islamic countries.

PubMed

Abdulhameed, Hunida E; Hammami, Muhammad M; Mohamed, Elbushra A Hameed

2011-08-01

The consistency of codes governing disclosure of terminal illness to patients and families in Islamic countries has not been studied until now. To review available codes on disclosure of terminal illness in Islamic countries. DATA SOURCE AND EXTRACTION: Data were extracted through searches on Google and PubMed. Codes related to disclosure of terminal illness to patients or families were abstracted, and then classified independently by the three authors. Codes for 14 Islamic countries were located. Five codes were silent regarding informing the patient, seven allowed concealment, one mandated disclosure and one prohibited disclosure. Five codes were silent regarding informing the family, four allowed disclosure and five mandated/recommended disclosure. The Islamic Organization for Medical Sciences code was silent on both issues. Codes regarding disclosure of terminal illness to patients and families differed markedly among Islamic countries. They were silent in one-third of the codes, and tended to favour a paternalistic/utilitarian, family-centred approach over an autonomous, patient-centred approach.

Social Support and Violence-prone Relationships as Predictors of Disclosure of HIV Status Among Newly Diagnosed HIV-positive South Africans.

PubMed

Fifield, Jocelyn; O'Sullivan, Lucia; Kelvin, Elizabeth A; Mantell, Joanne E; Exner, Theresa; Ramjee, Gita; Blanchard, Kelly; Hoffman, Susie

2018-05-09

Despite the salience of social support and violence as potential outcomes of disclosure, how pre-existing social support and relationship violence among people living with HIV shapes and influences HIV status disclosure has received limited attention. Following the Disclosure Process Model, this study investigated pre-disclosure support and violence-prone relationships as predictors of disclosure using data from a prospective study of 459 newly diagnosed South African women and men. Most (88%) disclosed their status to at least one person by their 8-month interview. Level of social support was unrelated to disclosure to a partner. However, those with higher levels of support had higher odds of disclosing to family and to others. Women in violence-prone relationships were more likely to report disclosure to a partner than were those not in such relationships, counter to expectations. The findings suggest that the same mechanisms may not explain processes of disclosure across all relationship types.

To self-disclose or not self-disclose? A systematic review of clinical self-disclosure in primary care.

PubMed

Arroll, Bruce; Allen, Emily-Charlotte Frances

2015-09-01

There is a debate in medicine about the value of self-disclosure by the physician as a communication tool. To review the empirical literature of self-disclosure in primary care. Systematic review of empirical literature relating to self-disclosure by primary care physicians (including US paediatricians) from seven electronic databases (MEDLINE(®), Scopus, PsycINFO, Embase, Social Sciences Citation Index, EBSCOhost, and Cochrane Central Register of Controlled Trials [CENTRAL]). Databases were searched for empirical studies on self-disclosure and primary care published from 1946 to 28 November 2014, as well as references from primary studies. The search was extended to include working papers, theses, and dissertations. Nine studies were identified, with response rates ranging from 34% to 100%, as well as several not reported. Self-disclosure occurred in 14-75% of consultations, the most from paediatricians. Self-disclosure had intended benefit; however, one standardised patient study found that 85% of self-disclosures were not useful as reported by the transcript coders. Conflicting data emerged on the self-disclosure outcome. This is the first systematic review of self-disclosure in primary care and medicine. Self-disclosure appears to be common and has the potential to be helpful when used judiciously. Few studies examined the impact on patients, and no studies considered the individual patient perspective nor the content which results in benefit or harm. No evidence was found of any training into how to deal with self-disclosure. © British Journal of General Practice 2015.

A Mixed-Methods Study Supporting a Model of Chinese Parental HIV Disclosure.

PubMed

Yang, Joyce P; Xie, Tianyi; Simoni, Jane M; Shiu, Cheng-Shi; Chen, Wei-ti; Zhao, Hongxin; Lu, Hongzhou

2016-01-01

Parents who are HIV-positive confront difficult decisions regarding whether, when, and how to disclose their HIV status to their children. In China, a setting of acute HIV stigma where family harmony is culturally valued, limited research has been conducted on parental disclosure. We aimed to develop a model of parental disclosure that accounts for the cultural context in China based on a mixed-methods study. In our individual, in-depth interviews (N = 24) as well as survey data (N = 84) collected from parents living with HIV in Shanghai and Beijing, we found the primary barriers to disclosure were stigma, fear of exposing the mode by which they acquired HIV, psychologically burdening the child, rejection by the child, and negative social consequences for the family. Parents concurrently cited many motivations for disclosure, such as disease progression, ensuring safety of the child, gaining assistance, and fulfilling their parental responsibility. Most parents had not actively disclosed their HIV status (68 %); many parents reported some form of partial disclosure (e.g., sharing they have a blood disease but not labeling it HIV), unplanned disclosure, or unintentional disclosure to their children by other people. Findings informed the development of a Chinese Parental HIV Disclosure Model, with primary components accounting for distal cultural factors, decision-making (balancing approach and avoid motivations), the disclosure event, and outcomes resulting from the disclosure. This model highlights the cultural context of the Chinese parental disclosure process, and may be useful in guiding future observational research and intervention work.

A Mixed-Methods Study Supporting a Model of Chinese Parental HIV Disclosure

PubMed Central

Yang, Joyce P.; Xie, Tianyi; Simoni, Jane M.; Shiu, Cheng-Shi; Chen, Wei-ti

2017-01-01

Parents who are HIV-positive confront difficult decisions regarding whether, when, and how to disclose their HIV status to their children. In China, a setting of acute HIV stigma where family harmony is culturally valued, limited research has been conducted on parental disclosure. We aimed to develop a model of parental disclosure that accounts for the cultural context in China based on a mixed-methods study. In our individual, in-depth interviews (N = 24) as well as survey data (N = 84) collected from parents living with HIV in Shanghai and Beijing, we found the primary barriers to disclosure were stigma, fear of exposing the mode by which they acquired HIV, psychologically burdening the child, rejection by the child, and negative social consequences for the family. Parents concurrently cited many motivations for disclosure, such as disease progression, ensuring safety of the child, gaining assistance, and fulfilling their parental responsibility. Most parents had not actively disclosed their HIV status (68 %); many parents reported some form of partial disclosure (e.g., sharing they have a blood disease but not labeling it HIV), unplanned disclosure, or unintentional disclosure to their children by other people. Findings informed the development of a Chinese Parental HIV Disclosure Model, with primary components accounting for distal cultural factors, decision-making (balancing approach and avoid motivations), the disclosure event, and outcomes resulting from the disclosure. This model highlights the cultural context of the Chinese parental disclosure process, and may be useful in guiding future observational research and intervention work. PMID:25877832

The struggle against perceived negligence. A qualitative study of patients' experiences of adverse events in Norwegian hospitals.

PubMed

Hågensen, Gunn; Nilsen, Gudrun; Mehus, Grete; Henriksen, Nils

2018-04-25

Every year, 14 % of patients in Norwegian hospitals experience adverse events, which often have health-damaging consequences. The government, hospital management and health personnel attempt to minimize such events. Limited research on the first-hand experience of the patients affected is available. The aim of this study is to present patients' perspectives of the occurrence of, disclosure of, and healthcare organizations' responses to adverse events. Findings are discussed within a social constructivist framework and with reference to principles of open disclosure policy. This qualitative study with an explorative descriptive design included fifteen in-depth interviews with former patients recruited by the Health and Social Services ombudsmen in the two northernmost counties of Norway. Inclusion criteria were as follows: 1) experience of adverse events in connection with surgical, orthopedic or medical treatment in general hospitals; 2) men and women; 3) aged 20-70; and 4) a minimum of one year since the event occurred. Transcribed audio-recorded interviews were analyzed through qualitative content analysis. The analysis revealed three main topics regarding patients' experiences of adverse events: 1) ignored concerns or signs of complications; 2) lack of responsibility and error correction; and 3) lack of support, loyalty and learning opportunities. Patients had to struggle to demonstrate the error that had occurred and to receive the necessary treatment and monitoring in the aftermath of the events. Patient narratives reveal a lack of openness, care and responsibility in connection with adverse events. Conflicting power structures, attitudes and established procedures may inhibit prevention, learning and patient safety work in spite of major efforts and good intentions. Attitudes in day-to-day patient care and organizational procedures should be challenged to invite patients into open disclosure processes and include them in health and safety work to a greater extent. The study's small sample of self-selected participants limits the generalizability of the findings, and future studies should include a larger number of patients as well as professional perspectives.

Understanding HIV disclosure: A review and application of the Disclosure Processes Model

PubMed Central

Chaudoir, Stephenie R.; Fisher, Jeffrey D.; Simoni, Jane M.

2014-01-01

HIV disclosure is a critical component of HIV/AIDS prevention and treatment efforts, yet the field lacks a comprehensive theoretical framework with which to study how HIV-positive individuals make decisions about disclosing their serostatus and how these decisions affect them. Recent theorizing in the context of the Disclosure Processes Model has suggested that the disclosure process consists of antecedent goals, the disclosure event itself, mediating processes and outcomes, and a feedback loop. In this paper, we apply this new theoretical framework to HIV disclosure in order to review the current state of the literature, identify gaps in existing research, and highlight the implications of the framework for future work in this area. PMID:21514708

Revealing all: misleading self-disclosure rates in laboratory-based online research.

PubMed

Callaghan, Diana E; Graff, Martin G; Davies, Joanne

2013-09-01

Laboratory-based experiments in online self-disclosure research may be inadvertently compromising the accuracy of research findings by influencing some of the factors known to affect self-disclosure behavior. Disclosure-orientated interviews conducted with 42 participants in the laboratory and in nonlaboratory settings revealed significantly greater breadth of self-disclosure in laboratory interviews, with message length and intimacy of content also strongly related. These findings suggest that a contrived online setting with a researcher presence may stimulate motivation for greater self-disclosure than would occur naturally in an online environment of an individual's choice. The implications of these findings are that researchers should consider the importance of experimental context and motivation in self-disclosure research.

Media reporting, carbon information disclosure, and the cost of equity financing: evidence from China.

PubMed

Li, Li; Liu, Quanqi; Tang, Dengli; Xiong, Jucheng

2017-04-01

By using Shanghai and Shenzhen A-share listed companies in heavy polluting industry as research object from 2009 to 2014, this paper examines the relationship between media reporting, carbon information disclosure, and the cost of equity financing. The results show that media reporting can improve the quality of carbon information disclosure, and carbon information disclosure level is negatively associated with the cost of equity financing. This study also finds that financial carbon information disclosure and non-financial carbon information disclosure have significant negative relationship with the cost of equity financing respectively. Moreover, this paper shows that media reporting can strengthen the relationship between carbon information disclosure and the cost of equity financing.

Associations between individual and relationship characteristics and genital herpes disclosure.

PubMed

Myers, Jaime L; Buhi, Eric R; Marhefka, Stephanie; Daley, Ellen; Dedrick, Robert

2016-10-01

Disclosure is often a challenge for individuals living with genital herpes. This study explores determinants of genital herpes disclosure with one's most recent sexual partner using an online questionnaire (n = 93). The majority of participants reported (80.4%) disclosure. Among non-disclosers, fear of negative partner reactions was the primary reason for non-disclosure. Age, relationship commitment, time in relationship, and expectations of partner's reaction were statistically significant predictors at the bivariate level. Reaction expectations and relationship commitment remained significant in the multivariate logistic regression model. Findings indicate that future disclosure research should focus on relationship context and managing negative expectations to increase disclosure. © The Author(s) 2015.

The Disclosure Processes Model: Understanding Disclosure Decision Making and Postdisclosure Outcomes among People Living with a Concealable Stigmatized Identity

ERIC Educational Resources Information Center

Chaudoir, Stephenie R.; Fisher, Jeffrey D.

2010-01-01

Disclosure is a critical aspect of the experience of people who live with concealable stigmatized identities. This article presents the disclosure processes model (DPM)--a framework with which to examine when and why interpersonal disclosure may be beneficial. The DPM suggests that antecedent goals representing approach and avoidance motivational…

41 CFR 105-64.504 - Under what conditions will I be denied an accounting of disclosures?

Code of Federal Regulations, 2010 CFR

2010-07-01

... will I be denied an accounting of disclosures? 105-64.504 Section 105-64.504 Public Contracts and... Records § 105-64.504 Under what conditions will I be denied an accounting of disclosures? The system manager will deny your request for an accounting of disclosures when the disclosures are to GSA officials...

A voxel-based morphometry study of regional gray and white matter correlate of self-disclosure.

PubMed

Wang, ShanShan; Wei, DongTao; Li, WenFu; Li, HaiJiang; Wang, KangCheng; Xue, Song; Zhang, Qinglin; Qiu, Jiang

2014-01-01

Self-disclosure is an important performance in human social communication. Generally, an individual is likely to have a good physical and mental health if he is prone to self-disclosure under stressful life events. However, as for now, little is known about the neural structure associated with self-disclosure. Therefore, in this study, we used voxel-based morphometry to explore regional gray matter volume (rGMV) and white matter volume (rWMV) associated with self-disclosure measured by the Jourard Self-disclosure Questionnaire in a large sample of college students. Results showed that individual self-disclosure was significantly and positively associated with rGMV of the left postcentral gyrus, which might be related to strengthen individual's ability of body feeling; while self-disclosure was significantly and negatively associated with rGMV of the right orbitofrontal cortex (OFC), which might be involved in increased positive emotion experience seeking (intrinsically rewarding). In addition, individual self-disclosure was also associated with smaller rWMV in the right inferior parietal lobule (IPL). These findings suggested a biological basis for individual self-disclosure, distributed across different gray and white matter areas of the brain.

Gender differences in online and offline self-disclosure in pre-adolescence and adolescence.

PubMed

Valkenburg, Patti M; Sumter, Sindy R; Peter, Jochen

2011-06-01

Although there is developmental research on the prevalence of offline self-disclosure in pre-adolescence and adolescence, it is still unknown (a) how boys' and girls'online self-disclosure develops in this period and (b) how online and offline self-disclosure interact with each other. We formulated three hypotheses to explain the possible interaction between online and offline self-disclosure: the displacement, the rich-get-richer, and the rehearsal hypothesis. We surveyed 690 pre-adolescents and adolescents (10-17 years) at three time points with half-year intervals in between. We found significant gender differences in the developmental trajectories of self-disclosure. For girls, both online and offline self-disclosure increased sharply during pre- (10-11 years) and early adolescence (12-13 years), and then stabilized in middle and late adolescence. For boys, the same trajectory was found although the increase in self-disclosure started 2 years later. We found most support for the rehearsal hypothesis: Both boys and girls seemed to use online self-disclosure to rehearse offline self-disclosure skills. This particularly held for boys in early adolescence who typically have difficulty disclosing themselves offline.

Disclosure of adverse events and errors in surgical care: challenges and strategies for improvement.

PubMed

Lipira, Lauren E; Gallagher, Thomas H

2014-07-01

The disclosure of adverse events to patients, including those caused by medical errors, is a critical part of patient-centered healthcare and a fundamental component of patient safety and quality improvement. Disclosure benefits patients, providers, and healthcare institutions. However, the act of disclosure can be difficult for physicians. Surgeons struggle with disclosure in unique ways compared with other specialties, and disclosure in the surgical setting has specific challenges. The frequency of surgical adverse events along with a dysfunctional tort system, the team structure of surgical staff, and obstacles created inadvertently by existing surgical patient safety initiatives may contribute to an environment not conducive to disclosure. Fortunately, there are multiple strategies to address these barriers. Participation in communication and resolution programs, integration of Just Culture principles, surgical team disclosure planning, refinement of informed consent and morbidity and mortality processes, surgery-specific professional standards, and understanding the complexities of disclosing other clinicians' errors all have the potential to help surgeons provide patients with complete, satisfactory disclosures. Improvement in the regularity and quality of disclosures after surgical adverse events and errors will be key as the field of patient safety continues to advance.

Should disclosure of conflicts of interest in medicine be made public? Medical students' views.

PubMed

Williams, Jane; Lipworth, Wendy; Mayes, Christopher; Olver, Ian; Kerridge, Ian

2017-12-01

Conflicts of interest (CoIs) are considered to be ubiquitous in health care and biomedicine. The disclosure of relevant interests is a first step in managing conflicts, although its usefulness is contested. Although several countries have mandated the public disclosure of doctors' financial relationships with the pharmaceutical industry, little is known about medical students' understanding of mandatory public disclosure. Six 90-minute focus groups were conducted with medical students in New South Wales, Australia. Participants ranged from first- to final-year students. Students were asked about their understanding and experiences of CoIs and, more specifically, for their views on and experiences of disclosure in medical education, mandatory disclosure and public registers. Qualitative data analysis was based on a framework approach. Participants were generally not supportive of mandatory public disclosure of financial relationships with industry, principally because of concerns about privacy, control over disclosure, and others' (mis)interpretations of disclosures. Further, they did not know how to assess the disclosures presented to them as part of their medical education and described a wide range of reactions to disclosed information. This study suggests that students are currently not well prepared for mandatory public disclosure of CoIs. The subsequent discussion draws on Bourdieu's doxa to highlight assumptions of altruism in medicine, assumptions that are potentially in tension with recent events that have exposed doctors to moral scrutiny by the public. Medical students could be better prepared for future obligations by encouraging disclosures, and contextualising and helping students to interpret them. Disclosure as a box-ticking exercise is unlikely to achieve goals implied by transparency, but a more reflective approach may assist both scrutinisers and the scrutinised. © 2017 John Wiley & Sons Ltd and The Association for the Study of Medical Education.

Financial, nonfinancial and editors' conflicts of interest in high-impact biomedical journals.

PubMed

Bosch, Xavier; Pericas, Juan M; Hernández, Cristina; Doti, Pamela

2013-07-01

To assess financial, nonfinancial and editors' conflicts of interest (COI) disclosure policies among the most influential biomedical journals publishing original research. We conducted a cross-sectional study of 399 high-impact biomedical journals in 27 biomedical categories of the Journal Citation Reports (JCR) in December 2011. Information relevant to COI and requirements for disclosures that was publicly available on journal websites was collected. While financial COI disclosures were required by 358 (89.7%) and nonfinancial by 280 (70.2%) journals, 155 (38.8%) required editors' disclosures. Journals in the first decile of the JCR classification scored significantly higher than those in the second decile for all disclosure policies. Ninety (22.6%) journals were published by Elsevier and 59 (14.8%) by Wiley-Blackwell, with Elsevier scoring significantly better in financial disclosure policies (P = 0.022). Clinical journals scored significantly higher than basic journals for all disclosure policies. No differences were observed between open-access (n = 25) and nonopen-access (n = 374) journals for any type of disclosure. Somewhat incoherently, authors' disclosure statements were included in some published manuscript in 57.1% of journals without any COI disclosure policies. Authors' financial COI disclosures were required by about 90% of high-impact clinical and basic journals publishing original research. Unlike recent studies showing a significantly lower prevalence of nonfinancial compared with financial disclosures, the former were required by about 70% of journals, suggesting that editors are increasingly concerned about nonfinancial competing interests. Only 40% of journals required disclosure of editors' COI, in conflict with the recommendations of the most influential editors' associations. © 2013 Stichting European Society for Clinical Investigation Journal Foundation. Published by John Wiley & Sons Ltd.

HIV disclosure patterns, predictors, and psychosocial correlates among HIV-positive women in Zimbabwe

PubMed Central

Patel, Rena; Ratner, Jamie; Gore-Felton, Cheryl; Kadzirange, Gerard; Woelk, Godfrey; Katzenstein, David

2011-01-01

Disclosure of positive HIV status in Sub-Saharan Africa has been associated with safer sexual practices and better antiretroviral therapy (ART) adherence, but associations with psychosocial function are unclear. We examined patterns and psychosocial correlates of disclosure in a Zimbabwean community. Two hundred HIV positive women at different stages of initiating ART participated in a cross-sectional study examining actual disclosures, disclosure beliefs, perceived stigma, self-esteem, depression, and quality of life. Ninety-seven percent of the women disclosed to at least one person, 78% disclosed to their current husband/partner, with an average disclosure of 4.0 persons per woman. The majority (85–98%) of disclosures occurred in a positive manner and 72–95% of the individuals reacted positively. Factors significantly correlated with HIV disclosure to partners included being married, later age at menses, longer duration of HIV since diagnosis, being on ART, being more symptomatic at baseline, ever having used condoms, and greater number of partners in the last year. In multivariate analysis, being married and age at menses predicted disclosure to partners. Positive disclosure beliefs, but not the total number of disclosures, significantly correlated with lower perceived stigma (rho=0.44 for personalized subscale and rho=0.51 for public subscale, both p<0.0001), higher self-esteem (rho=0.15, p=0.04), and fewer depressive symptoms (rho=−0.14, p=0.05). In conclusion, disclosure of positive HIV status among Zimbabwean women is common and is frequently met with positive reactions. Moreover, positive disclosure beliefs correlate significantly with psychosocial measures, including lower perceived stigma, higher self-esteem, and lower depression. PMID:21902570

Impromptu everyday disclosure dances: how women with fibromyalgia respond to disclosure risks at work.

PubMed

Oldfield, M; MacEachen, E; Kirsh, B; MacNeill, M

2016-07-01

Findings from a study examining how women with fibromyalgia remain employed are used to explicate a conceptualization that adds to literature on workplace disclosure of stigmatized illnesses and impairments: disclosure dances that employees improvise in response to workplace-relationships needs and disclosure risks. Critical-discourse-analysis (CDA) methodology framed the study. Data were collected through 26 semi-structured, individual interviews with participant triads or dyads comprising women with fibromyalgia, family members and supervisors or co-workers. Interviews with managers who supervised disabled employees other than the women supplemented these data. Following coding, data were compared within and across triads/dyads through code-dimension summaries, narrative summaries and relational diagrams. Women with fibromyalgia and other stigmatized illnesses improvised everyday disclosures when they needed to explain fluctuating work ability, when others needed reminding about invisible impairments, and when workplace relationships changed. These impromptu disclosures comprised three dimensions: exposing oneself to scrutiny by disclosing both illness and impairments, divulging stigmatized illness, and revealing invisible impairments selectively. Through impromptu disclosure dances, women tailored disclosure to changing immediate circumstances. While assumptions from psychological theories of risk underlie current conceptualizations of disclosure as planned in advance, this article examines disclosure through a different lens: social theories of everyday risk. Implications for rehabilitation For women with fibromyalgia, disclosing illness and impairments at work may entail risks to their jobs and workplace relationships. Rehabilitation professionals need to consider these risks when advising women with fibromyalgia about disclosing their illness and impairments at work. Professionals may first want to learn from clients about their workplace cultures and relationships, and their perceptions of disclosure risk. Professionals can then suggest a range of disclosure responses, depending on the relationship and risk.

75 FR 17205 - Securities Offering Disclosures

Federal Register 2010, 2011, 2012, 2013, 2014

2010-04-05

... DEPARTMENT OF THE TREASURY Office of Thrift Supervision Securities Offering Disclosures AGENCY... collection. Title of Proposal: Securities Offering Disclosures. OMB Number: 1550-0035. Form Numbers: SEC...: The Securities Offering regulation provides necessary information, including financial disclosure, to...

The hydrodynamic theory of detonation

NASA Technical Reports Server (NTRS)

Langweiler, Heinz

1939-01-01

This report derives equations containing only directly measurable constants for the quantities involved in the hydrodynamic theory of detonation. The stable detonation speed, D, is revealed as having the lowest possible value in the case of positive material velocity, by finding the minimum of the Du curve (u denotes the speed of the gases of combustion). A study of the conditions of energy and impulse in freely suspended detonating systems leads to the disclosure of a rarefaction front traveling at a lower speed behind the detonation front; its velocity is computed. The latent energy of the explosive passes into the steadily growing detonation zone - the region between the detonation front and the rarefaction front. The conclusions lead to a new definition of the concept of shattering power. The calculations are based on the behavior of trinitrotoluene.

Transparency ethics in practice: Revisiting financial conflicts of interest disclosure forms in clinical practice guidelines

PubMed Central

Sharara, Nour; Kaltenbach, Tonya; Laine, Loren; McQuaid, Kenneth; Soetikno, Roy; Subramanian, Venkataraman

2017-01-01

Background Authors of clinical practice guidelines (CPGs) disclose financial conflicts of interest (FCOIs) to promote transparency ethics. Typically, they do so on standard declaration forms containing generic open-ended questions on FCOIs. Yet, the literature is scant on the format and effect of alternative disclosure forms. Does supplementing a standard form with subsequent detailed disclosure forms tailored to the context of the CPG improve the yield or accuracy of FCOIs declarations? Methods For an international CPG in gastroenterology on the endoscopic surveillance for colorectal neoplasia in inflammatory bowel disease, we compared the use of a standard FCOIs disclosure form with a contextual FCOIs disclosure form that detailed commercial relations related to the CPG topic. This included manufacturers of endoscopes, endoscopy equipment and accessories. Participants completed the generic form early, and the supplementary contextual form six months later. We then compared the FCOI disclosures obtained. Findings 26 participants provided FCOIs disclosures using both disclosure forms. We found discrepancies regarding (1) the disclosure of FCOIs (presence/absence), and (2) the listing of financial entities. While the number of participants who disclosed a FCOI remained the same (30.8%) using the two forms, disclosures were not from the same individuals: two additional participants disclosed a FCOI, whereas two participants withdrew previous disclosures. Among those who reported a FCOI in either form, we noted inconsistencies in disclosures for 70% of the participants. This included changes in FCOIs disclosure status or modifications of "their commercial relations". Discussion Accurate reporting of FCOIs advances the transparency and ethical integrity of CPGs. Our experience suggests that a contextual FCOIs disclosure form tailored to content of the CPG with narrow, detailed questions provides supplementary, more complete FCOIs declarations than generic forms alone. The finding raises challenges on how forms are best written and formatted, optimally timed, and more effectively processed with sensitivity to professional behaviour, so as to heighten transparency. PMID:28841650

How Radiation Oncologists Would Disclose Errors: Results of a Survey of Radiation Oncologists and Trainees

DOE Office of Scientific and Technical Information (OSTI.GOV)

Evans, Suzanne B., E-mail: Suzannne.evans@yale.edu; Yu, James B.; Chagpar, Anees

2012-10-01

Purpose: To analyze error disclosure attitudes of radiation oncologists and to correlate error disclosure beliefs with survey-assessed disclosure behavior. Methods and Materials: With institutional review board exemption, an anonymous online survey was devised. An email invitation was sent to radiation oncologists (American Society for Radiation Oncology [ASTRO] gold medal winners, program directors and chair persons of academic institutions, and former ASTRO lecturers) and residents. A disclosure score was calculated based on the number or full, partial, or no disclosure responses chosen to the vignette-based questions, and correlation was attempted with attitudes toward error disclosure. Results: The survey received 176 responses:more » 94.8% of respondents considered themselves more likely to disclose in the setting of a serious medical error; 72.7% of respondents did not feel it mattered who was responsible for the error in deciding to disclose, and 3.9% felt more likely to disclose if someone else was responsible; 38.0% of respondents felt that disclosure increased the likelihood of a lawsuit, and 32.4% felt disclosure decreased the likelihood of lawsuit; 71.6% of respondents felt near misses should not be disclosed; 51.7% thought that minor errors should not be disclosed; 64.7% viewed disclosure as an opportunity for forgiveness from the patient; and 44.6% considered the patient's level of confidence in them to be a factor in disclosure. For a scenario that could be considerable, a non-harmful error, 78.9% of respondents would not contact the family. Respondents with high disclosure scores were more likely to feel that disclosure was an opportunity for forgiveness (P=.003) and to have never seen major medical errors (P=.004). Conclusions: The surveyed radiation oncologists chose to respond with full disclosure at a high rate, although ideal disclosure practices were not uniformly adhered to beyond the initial decision to disclose the occurrence of the error.« less

The relationship between perceived stigma, disclosure patterns, support and distress in new attendees at an infertility clinic.

PubMed

Slade, P; O'Neill, C; Simpson, A J; Lashen, H

2007-08-01

A model suggesting that high perception of stigma is associated with reduced disclosure to others, leading to lower social support and higher distress in new attendees at an infertility clinic is tested. Questionnaires measuring stigmatization (Stigma consciousness questionnaire), disclosure of fertility difficulties (Disclosure questionnaire), social support (Duke-UNC Functional Social Support Questionnaire) and fertility-related [Fertility Problem Inventory (FPI)] and generic distress [Hospital Anxiety and Depression Scale (HADS)] were completed by 87 women and 64 men. Data were analysed by gender comparisons, correlations and path analysis. Women reported higher stigma and disclosure than men. For women, stigma and disclosure were unrelated but in men higher stigma was associated with lower disclosure. Perceptions of stigma were related to low social support for both genders. Social support was negatively related to anxiety, depression and overall infertility distress and showed greater predictive capacity than satisfaction with partner relationship. Testing the model showed that, for men, stigma was linked to lower disclosure and support and higher fertility-related and generic distress. Disclosure itself did not link to support. For women, greater disclosure linked only to higher generic distress. Stigma was directly linked to fertility-related distress and to low perceived support which mediated a relationship with generic distress. Stigma and the wider social context should be considered when supporting people with fertility problems. Greater disclosure may be associated with higher distress in women.

The effects of gender, personal trauma history and memory continuity on the believability of child sexual abuse disclosure among psychologists.

PubMed

Page, Alexandra; Morrison, Natalie M V

2018-06-01

Gender, a personal history of trauma and attitudes towards continuous vs recovered memories of abuse significantly impact the believability of Child Sexual Abuse (CSA) disclosures in community samples. Yet, whether these variables influence the believability of CSA disclosure and subsequent clinical decisions made by practicing psychologists is underexplored. A vignette of trauma disclosure from a hypothetical adult client was presented via an online survey to 292 registered psychologists. Participants rated the believability of the disclosure, answered an open-ended item regarding treatment planning, and completed the Brief Betrayal Trauma Survey to measure personal trauma history. Results indicated that female psychologists believed disclosures significantly more than male psychologists and that disclosures comprised of continuous memories were believed more than recently recovered memories. A significant interaction between gender and personal trauma history was also revealed. Female psychologists believed disclosures regardless of their personal trauma history, while male psychologists with a personal history of trauma believed disclosures significantly more than male psychologists without personal trauma history. Reported believability of the disclosure, while unrelated to treatment planning, was associated with a reported intention to validate the client's experience. The results support that, similar to community samples, gender and a personal trauma history impact psychologist believability of CSA disclosure. The research further supports that psychologist level of belief then translates into clinical implications. Copyright © 2018 Elsevier Ltd. All rights reserved.

Disclosure of Sexual Orientation and Subsequent Substance Use and Abuse Among Lesbian, Gay, and Bisexual Youths: Critical Role of Disclosure Reactions

PubMed Central

Rosario, Margaret; Schrimshaw, Eric W.; Hunter, Joyce

2010-01-01

Research on whether disclosure of sexual orientation promotes lower substance use among lesbian, gay, and bisexual (LGB) individuals has been inconsistent. One reason for this may be that disclosure results in accepting and rejecting reactions. The current report longitudinally examines whether the types of reactions to disclosure are associated with substance use and abuse among an ethnically diverse, urban sample of 156 LGB youths (ages 14 – 21 years). Neither the number of disclosures nor the numbers of accepting or neutral disclosure reactions experienced were associated with substance use or abuse. However, the number of rejecting reactions to disclosure was associated with current and subsequent alcohol, cigarette, and marijuana use even after controlling for demographic factors, social desirability, and emotional distress. Further, high numbers of accepting reactions were found to moderate or protect youths from the negative role of rejecting reactions on alcohol use, but not other substances. This research indicates that, rather than disclosure per se, it is the number of accepting and rejecting reactions in response to disclosure that are critical to understanding substance use among LGB youths. Further, the results suggest that to be maximally effective in helping LGB youths, substance use prevention and treatment efforts should address the rejecting reactions to disclosure of sexual orientation. PMID:19290704

42 CFR 480.139 - Disclosure of QIO deliberations and decisions.

Code of Federal Regulations, 2012 CFR

2012-10-01

... HUMAN SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.139 Disclosure of QIO deliberations and...

42 CFR 480.139 - Disclosure of QIO deliberations and decisions.

Code of Federal Regulations, 2014 CFR

2014-10-01

... HUMAN SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.139 Disclosure of QIO deliberations and...

42 CFR 480.139 - Disclosure of QIO deliberations and decisions.

Code of Federal Regulations, 2013 CFR

2013-10-01

... HUMAN SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.139 Disclosure of QIO deliberations and...

Disease disclosure in individuals with cystic fibrosis: Association with psychosocial and health outcomes.

PubMed

Borschuk, Adrienne P; Everhart, Robin S; Eakin, Michelle N; Rand-Giovannetti, Devin; Borrelli, Belinda; Riekert, Kristin A

2016-09-01

This study aimed to quantify cystic fibrosis (CF) disclosure and examine associations between disclosure and psychosocial and health outcomes. Participants completed measures assessing disease disclosure and psychosocial outcomes. Data from chart reviews and pharmacy records were obtained. Participants (N=128; ages 16-63) were more likely to disclose to romantic partners (97%) and close friends (94%) than to casual friends (79%), bosses (71%), or co-workers (53%). Participants reported more comfort discussing CF with and doing treatments in front of romantic partners and close friends than other groups. Disclosure was associated with higher social support, social functioning, and medication adherence self-efficacy. Lower lung-function was associated with disclosure to bosses and co-workers. Clinicians should consider discussing disclosure with patients, as limited disclosure may have a negative impact on psychosocial outcomes. Copyright © 2016 European Cystic Fibrosis Society. Published by Elsevier B.V. All rights reserved.

An Experimental Test of the Roles of Audience Involvement and Message Frame in Shaping Public Reactions to Celebrity Illness Disclosures.

PubMed

Myrick, Jessica Gall

2018-04-13

Much research has investigated what happens when celebrities disclose an illness (via media) to the public. While audience involvement (i.e., identification and parasocial relationships) is often the proposed mechanism linking illness disclosures with audience behavior change, survey designs have prevented researchers from understanding if audience involvement prior to the illness disclosure actually predicts post-disclosure emotions, cognitions, and behaviors. Rooted in previous work on audience involvement as well as the Extended Parallel Process Model, the present study uses a national online experiment (N = 1,068) to test how pre-disclosure audience involvement may initiate post-disclosure effects for the message context of skin cancer. The data demonstrate that pre-disclosure audience involvement as well as the celebrity's framing of the disclosure can shape emotional responses (i.e., fear and hope), and that cognitive perceptions of the illness itself also influence behavioral intentions.

Method development towards qualitative and semi-quantitative analysis of multiple pesticides from food surfaces and extracts by desorption electrospray ionization mass spectrometry as a preselective tool for food control.

PubMed

Gerbig, Stefanie; Stern, Gerold; Brunn, Hubertus E; Düring, Rolf-Alexander; Spengler, Bernhard; Schulz, Sabine

2017-03-01

Direct analysis of fruit and vegetable surfaces is an important tool for in situ detection of food contaminants such as pesticides. We tested three different ways to prepare samples for the qualitative desorption electrospray ionization mass spectrometry (DESI-MS) analysis of 32 pesticides found on nine authentic fruits collected from food control. Best recovery rates for topically applied pesticides (88%) were found by analyzing the surface of a glass slide which had been rubbed against the surface of the food. Pesticide concentration in all samples was at or below the maximum residue level allowed. In addition to the high sensitivity of the method for qualitative analysis, quantitative or, at least, semi-quantitative information is needed in food control. We developed a DESI-MS method for the simultaneous determination of linear calibration curves of multiple pesticides of the same chemical class using normalization to one internal standard (ISTD). The method was first optimized for food extracts and subsequently evaluated for the quantification of pesticides in three authentic food extracts. Next, pesticides and the ISTD were applied directly onto food surfaces, and the corresponding calibration curves were obtained. The determination of linear calibration curves was still feasible, as demonstrated for three different food surfaces. This proof-of-principle method was used to simultaneously quantify two pesticides on an authentic sample, showing that the method developed could serve as a fast and simple preselective tool for disclosure of pesticide regulation violations. Graphical Abstract Multiple pesticide residues were detected and quantified in-situ from an authentic set of food items and extracts in a proof of principle study.

Cross Sectional Characterization of Factors Associated with Pediatric HIV Status Disclosure in Southern Ethiopia.

PubMed

Tadesse, Birkneh Tilahun; Foster, Byron Alexander; Berhan, Yifru

2015-01-01

Disclosure of HIV positive status to children and adolescents is a complex process. However, disclosure has been found to be associated with improved outcomes. The objective of the current study was to identify the predictors that facilitate disclosure of HIV status to children and adolescents and to study the reasons for non-disclosure. Interviews of caregivers and reviews of records were done to collect data on caregiver and child information and details regarding the disclosure status of children. Bivariate analysis was done to test the association between HIV status disclosure and different caregiver and child factors. To identify the independent predictors of disclosure, we did multivariable logistic regression. A total of 177 children attending an HIV clinic were included. The mean age of the participants was 10.1 years (SD = 2.8), and about half (50.8%) were female. Most caregivers, 137 (77.8%) stated that disclosure of HIV status to children is important and should be done. However, disclosure had only been made to 59 (33.3%) of the participants. Child age more than 10 years [AOR = 6.7; 95%CI: 1.73-26.01], duration of HIV diagnosis of 5 years or more [AOR = 4.4; 95%CI: 1.26-15.06] and taking a zidovudin (AZT) based regimen [AOR = 3.5; 95%CI: 1.31-9.53] predicted HIV positive status disclosure. Additionally, length of treatment of caregivers of more than 14 years [AOR = 3.9; 95%CI: 1.07-14.61], disclosure of caregiver's HIV status to children and/or others [AOR = 4.7; 95%CI: 1.19-18.74], and the child's inquiry about their condition [AOR = 4.5; 95%CI: 1.16-17.43] increased the odds of disclosure. The rate of disclosure among HIV infected children in southern Ethiopia is low. Primarily time-based factors were associated with the probability of HIV positive status disclosure and a specific regimen which has not been found previously. Further qualitative research may elucidate more on these factors; educational strategies may address some of these determinants.

To self-disclose or not self-disclose? A systematic review of clinical self-disclosure in primary care

PubMed Central

Arroll, Bruce; Allen, Emily-Charlotte Frances

2015-01-01

Background There is a debate in medicine about the value of self-disclosure by the physician as a communication tool. Aim To review the empirical literature of self-disclosure in primary care. Design and setting Systematic review of empirical literature relating to self-disclosure by primary care physicians (including US paediatricians) from seven electronic databases (MEDLINE®, Scopus, PsycINFO, Embase, Social Sciences Citation Index, EBSCOhost, and Cochrane Central Register of Controlled Trials [CENTRAL]). Method Databases were searched for empirical studies on self-disclosure and primary care published from 1946 to 28 November 2014, as well as references from primary studies. The search was extended to include working papers, theses, and dissertations. Results Nine studies were identified, with response rates ranging from 34% to 100%, as well as several not reported. Self-disclosure occurred in 14–75% of consultations, the most from paediatricians. Self-disclosure had intended benefit; however, one standardised patient study found that 85% of self-disclosures were not useful as reported by the transcript coders. Conflicting data emerged on the self-disclosure outcome. Conclusion This is the first systematic review of self-disclosure in primary care and medicine. Self-disclosure appears to be common and has the potential to be helpful when used judiciously. Few studies examined the impact on patients, and no studies considered the individual patient perspective nor the content which results in benefit or harm. No evidence was found of any training into how to deal with self-disclosure. PMID:26324498

Parent Preferences for Medical Error Disclosure: A Qualitative Study.

PubMed

Coffey, Maitreya; Espin, Sherry; Hahmann, Tara; Clairman, Hayyah; Lo, Lisha; Friedman, Jeremy N; Matlow, Anne

2017-01-01

According to disclosure guidelines, patients experiencing adverse events due to medical errors should be offered full disclosure, whereas disclosure of near misses is not traditionally expected. This may conflict with parental expectations; surveys reveal most parents expect full disclosure whether errors resulted in harm or not. Protocols regarding whether to include children in these discussions have not been established. This study explores parent preferences around disclosure and views on including children. Fifteen parents of hospitalized children participated in semistructured interviews. Three hypothetical scenarios of different severity were used to initiate discussion. Interviews were audiotaped, transcribed, and coded for emergent themes. Parents uniformly wanted disclosure if harm occurred, although fewer wanted their child informed. For nonharmful errors, most parents wanted disclosure for themselves but few for their children.With respect to including children in disclosure, parents preferred to assess their children's cognitive and emotional readiness to cope with disclosure, wishing to act as a "buffer" between the health care team and their children. Generally, as event severity decreased, they felt that risks of informing children outweighed benefits. Parents strongly emphasized needing reassurance of a good final outcome and anticipated difficulty managing their emotions. Parents have mixed expectations regarding disclosure. Although survey studies indicate a stronger desire for disclosure of nonharmful events than for adult patients, this qualitative study revealed a greater degree of hesitation and complexity. Parents have a great need for reassurance and consistently wish to act as a buffer between the health care team and their children. Copyright © 2017 by the American Academy of Pediatrics.

The role of the family in HIV status disclosure among women in Vietnam: Familial dependence and independence.

PubMed

Dinh, H T; White, J L; Hipwell, M; Nguyen, C T K; Pharris, A

2018-04-01

Insights into disclosure by people living with HIV and AIDS (PLWHA) can inform strategies for treatment and support, yet Vietnamese women's self-disclosure patterns are poorly understood. We conducted interviews with 12 HIV-positive women, identifying three principal factors influencing disclosure to family members: patrilocal residence, desire to protect own family, and the need for financial support. Women's decision-making about disclosure was significantly affected by dependence on or independence of parents-in-law and their own parents. We believe that our findings reveal the complex interplay of stigma and disclosure within Vietnamese families, highlighting the need for specific social measures that promote self-disclosure combined with family support for female PLWHA.

A family of trust: African American parents' stories of adoption disclosure.

PubMed

Alexander, Leslie B; Hollingsworth, Leslie Doty; Dore, Martha Morrison; Hoopes, Janet W

2004-10-01

Dramatic increases in same-race adoptions of African American children have stimulated interest in the experiences of these families, including those related to disclosure. Data from interviews with 27 African American adoptive parents (7 mothers and fathers interviewed conjointly, 13 mothers interviewed alone) from 20 different families revealed the following themes: (a) efforts to prevent trauma to the child; (b) respect for the child's differentness and birth history; (c) developmental decisions in disclosure; (d) children's questions as motivations for disclosure; and (e) parents' feelings about disclosure. Findings confirm the importance of psychoeducation regarding methods and timing of disclosure and provide support for comparative research on contemporary disclosure, including racial differences in process and content. ((c) 2004 APA, all rights reserved).

An unexplored ethical issue in clinical research: disclosure of individual findings in the Creando Posibilidades [Creating Possibilities] study.

PubMed

Stein, Karen Farchaus; Keller, Colleen; Fishstrom, Astrid

2013-06-01

Individual disclosure refers to the presumptive ethical responsibility of an investigator to communicate to a study participant information that was collected as a part of a research study protocol and is specific to the individual. Currently, there are no federal regulatory guidelines specifying the conditions and management of disclosure of health-related individual-specific information. In this report, the authors discuss the challenges associated with individual disclosure in the context of a longitudinal descriptive study. Arguments favoring disclosure and those challenging disclosure as a general ethical duty are presented. Finally, strategies for addressing individual disclosure are discussed using a research exemplar in which risk behaviors related to health outcomes were measured. Copyright © 2013 Wiley Periodicals, Inc.

42 CFR 480.142 - Disclosure of sanction reports.

Code of Federal Regulations, 2014 CFR

2014-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.142 Disclosure of sanction reports. (a) The QIO must disclose sanction reports...

42 CFR 480.142 - Disclosure of sanction reports.

Code of Federal Regulations, 2011 CFR

2011-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.142 Disclosure of sanction reports. (a) The QIO must disclose...

42 CFR 480.142 - Disclosure of sanction reports.

Code of Federal Regulations, 2012 CFR

2012-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.142 Disclosure of sanction reports. (a) The QIO must disclose sanction reports...

42 CFR 480.142 - Disclosure of sanction reports.

Code of Federal Regulations, 2013 CFR

2013-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.142 Disclosure of sanction reports. (a) The QIO must disclose sanction reports...

42 CFR 480.142 - Disclosure of sanction reports.

Code of Federal Regulations, 2010 CFR

2010-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.142 Disclosure of sanction reports. (a) The QIO must disclose...

Statistical Characterization of the Mechanical Parameters of Intact Rock Under Triaxial Compression: An Experimental Proof of the Jinping Marble

NASA Astrophysics Data System (ADS)

Jiang, Quan; Zhong, Shan; Cui, Jie; Feng, Xia-Ting; Song, Leibo

2016-12-01

We investigated the statistical characteristics and probability distribution of the mechanical parameters of natural rock using triaxial compression tests. Twenty cores of Jinping marble were tested under each different levels of confining stress (i.e., 5, 10, 20, 30, and 40 MPa). From these full stress-strain data, we summarized the numerical characteristics and determined the probability distribution form of several important mechanical parameters, including deformational parameters, characteristic strength, characteristic strains, and failure angle. The statistical proofs relating to the mechanical parameters of rock presented new information about the marble's probabilistic distribution characteristics. The normal and log-normal distributions were appropriate for describing random strengths of rock; the coefficients of variation of the peak strengths had no relationship to the confining stress; the only acceptable random distribution for both Young's elastic modulus and Poisson's ratio was the log-normal function; and the cohesive strength had a different probability distribution pattern than the frictional angle. The triaxial tests and statistical analysis also provided experimental evidence for deciding the minimum reliable number of experimental sample and for picking appropriate parameter distributions to use in reliability calculations for rock engineering.

Minimum Interference Planar Geometric Topology in Wireless Sensor Networks

NASA Astrophysics Data System (ADS)

Nguyen, Trac N.; Huynh, Dung T.

The approach of using topology control to reduce interference in wireless sensor networks has attracted attention of several researchers. There are at least two definitions of interference in the literature. In a wireless sensor network the interference at a node may be caused by an edge that is transmitting data [15], or it occurs because the node itself is within the transmission range of another [3], [1], [6]. In this paper we show that the problem of assigning power to nodes in the plane to yield a planar geometric graph whose nodes have bounded interference is NP-complete under both interference definitions. Our results provide a rigorous proof for a theorem in [15] whose proof is unconvincing. They also address one of the open issues raised in [6] where Halldórsson and Tokuyama were concerned with the receiver model of node interference, and derived an O(sqrt {Δ}) upper bound for the maximum node interference of a wireless ad hoc network in the plane (Δ is the maximum interference of the so-called uniform radius network). The question as to whether this problem is NP-complete in the 2-dimensional case was left open.

A model for HIV disclosure of a parent’s and/or a child’s illness

PubMed Central

Burkholder, Gary J.

2016-01-01

HIV prevalence in Kenya remains steady at 5.6% for adults 15 years and older, and 0.9% among children aged below 14 years. Parents and children are known to practice unprotected sex, which has implications for continued HIV spread within the country. Additionally, due to increased accessibility of antiretroviral therapy, more HIV-positive persons are living longer. Therefore, the need for HIV disclosure of a parent’s and/or a child’s HIV status within the country will continue for years to come. We conducted a qualitative phenomenological study to understand the entire process of disclosure from the time of initial HIV diagnosis of an index person within an HIV-affected family, to the time of full disclosure of a parent’s and/or a child’s HIV status to one or more HIV-positive, negative, or untested children within these households. Participants were purposively selected and included 16 HIV-positive parents, seven HIV-positive children, six healthcare professionals (physician, clinical officer, psychologist, registered nurse, social worker, and a peer educator), and five HIV-negative children. All participants underwent an in-depth individualized semistructured interview that was digitally recorded. Interviews were transcribed and analyzed in NVivo 8 using the modified Van Kaam method. Six themes emerged from the data indicating that factors such as HIV testing, living with HIV, evolution of disclosure, questions, emotions, benefits, and consequences of disclosure interact with each other and either impede or facilitate the HIV disclosure process. Kenya currently does not have guidelines for HIV disclosure of a parent’s and/or a child’s HIV status. HIV disclosure is a process that may result in poor outcomes in both parents and children. Therefore, understanding how these factors affect the disclosure process is key to achieving optimal disclosure outcomes in both parents and children. To this end, we propose an HIV disclosure model incorporating these six themes that is geared at helping healthcare professionals provide routine, clinic-based, targeted, disclosure-related counseling/advice and services to HIV-positive parents and their HIV-positive, HIV-negative, and untested children during the HIV disclosure process. The model should help improve HIV disclosure levels within HIV-affected households. Future researchers should test the utility and viability of our HIV disclosure model in different settings and cultures. PMID:26870614

A model for HIV disclosure of a parent's and/or a child's illness.

PubMed

Gachanja, Grace; Burkholder, Gary J

2016-01-01

HIV prevalence in Kenya remains steady at 5.6% for adults 15 years and older, and 0.9% among children aged below 14 years. Parents and children are known to practice unprotected sex, which has implications for continued HIV spread within the country. Additionally, due to increased accessibility of antiretroviral therapy, more HIV-positive persons are living longer. Therefore, the need for HIV disclosure of a parent's and/or a child's HIV status within the country will continue for years to come. We conducted a qualitative phenomenological study to understand the entire process of disclosure from the time of initial HIV diagnosis of an index person within an HIV-affected family, to the time of full disclosure of a parent's and/or a child's HIV status to one or more HIV-positive, negative, or untested children within these households. Participants were purposively selected and included 16 HIV-positive parents, seven HIV-positive children, six healthcare professionals (physician, clinical officer, psychologist, registered nurse, social worker, and a peer educator), and five HIV-negative children. All participants underwent an in-depth individualized semistructured interview that was digitally recorded. Interviews were transcribed and analyzed in NVivo 8 using the modified Van Kaam method. Six themes emerged from the data indicating that factors such as HIV testing, living with HIV, evolution of disclosure, questions, emotions, benefits, and consequences of disclosure interact with each other and either impede or facilitate the HIV disclosure process. Kenya currently does not have guidelines for HIV disclosure of a parent's and/or a child's HIV status. HIV disclosure is a process that may result in poor outcomes in both parents and children. Therefore, understanding how these factors affect the disclosure process is key to achieving optimal disclosure outcomes in both parents and children. To this end, we propose an HIV disclosure model incorporating these six themes that is geared at helping healthcare professionals provide routine, clinic-based, targeted, disclosure-related counseling/advice and services to HIV-positive parents and their HIV-positive, HIV-negative, and untested children during the HIV disclosure process. The model should help improve HIV disclosure levels within HIV-affected households. Future researchers should test the utility and viability of our HIV disclosure model in different settings and cultures.

The role of enacted stigma in parental HIV disclosure among HIV-infected parents in China.

PubMed

Qiao, Shan; Li, Xiaoming; Zhou, Yuejiao; Shen, Zhiyong; Tang, Zhenzhu; Stanton, Bonita

2015-01-01

Existing studies have delineated that HIV-infected parents face numerous challenges in disclosing their HIV infection to the children ("parental HIV disclosure"), and practices of parental HIV disclosure vary with individual characteristics, family contexts, and social environment. Using cross-sectional data from 1254 HIV-infected parents who had children aged 5-16 years in southwest China, the current study examined the association of parental HIV disclosure with mental health and medication adherence among parents and explored the possible effect of enacted stigma on such association. Multivariate analysis of variance revealed that parents who had experienced disclosure to children reported higher level enacted stigma, worse mental health conditions, and poorer medication adherence. Enacted stigma partially mediated the associations between disclosure and both mental health and medication adherence after controlling basic background characteristics. Our findings highlight the importance of providing appropriate disclosure-related training and counseling service among HIV-infected parents. In a social setting where HIV-related stigma is still persistent, disclosure intervention should address and reduce stigma and discrimination in the practice of parental HIV disclosure.

Disclosure of HIV Status Beyond Sexual Partners by People Living with HIV in France: A Call for Help? Results from the National Cross-Sectional Survey ANRS-VESPA2.

PubMed

Marcellin, Fabienne; Suzan-Monti, Marie; Vilotitch, Antoine; Sagaon-Teyssier, Luis; Mora, Marion; Dray-Spira, Rosemary; Préau, Marie; Lert, France; Spire, Bruno

2017-01-01

HIV status disclosure remains a complex issue for most people living with HIV (PLWH). We analyzed PLWH disclosure behaviors in France, where treatment is free and where the social image of HIV has improved in the general population. Analyses focused on disclosure to the social network excluding sexual partners (close family, other relatives, friends, colleagues). The study sample comprised 3016 participants from the nationally representative survey ANRS-VESPA2. Three PLWH clusters were identified using hierarchical classification ("high disclosure level": 28.2 %, "medium disclosure level": 27.5 %, and "low disclosure level": 44.3 %). In multivariable analyses, the variable "not living in a couple but psychological social support needed" was independently associated with medium (AOR [95 % CI] 1.8 [1.4; 2.3]) and high levels of disclosure (1.4 [1.1; 1.8]) (multinomial regression models). For PLWH living alone, HIV status disclosure may reveal a need for psychological social support, a key component to treatment adherence and positive prevention.

42 CFR 480.130 - Disclosure to the Department.

Code of Federal Regulations, 2010 CFR

2010-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.130 Disclosure to the Department. Except as limited by §§ 480...

42 CFR 480.104 - Procedures for disclosure by a QIO.

Code of Federal Regulations, 2011 CFR

2011-10-01

... SERVICES (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations... disclosure. (1) Any disclosure of information under the authority of this subpart is subject to the...

42 CFR 480.130 - Disclosure to the Department.

Code of Federal Regulations, 2011 CFR

2011-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION REVIEW INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.130 Disclosure to the Department. Except as limited by § 480.139...

12 CFR 1730.3 - Periodic disclosures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... Banks and Banking OFFICE OF FEDERAL HOUSING ENTERPRISE OVERSIGHT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS DISCLOSURE OF FINANCIAL AND OTHER INFORMATION § 1730.3 Periodic disclosures. (a) Each Enterprise shall prepare disclosures relating to its financial condition, results of...

12 CFR 1730.3 - Periodic disclosures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... Banks and Banking OFFICE OF FEDERAL HOUSING ENTERPRISE OVERSIGHT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS DISCLOSURE OF FINANCIAL AND OTHER INFORMATION § 1730.3 Periodic disclosures. (a) Each Enterprise shall prepare disclosures relating to its financial condition, results of...

12 CFR 1730.3 - Periodic disclosures.

Code of Federal Regulations, 2013 CFR

2013-01-01

... Banks and Banking OFFICE OF FEDERAL HOUSING ENTERPRISE OVERSIGHT, DEPARTMENT OF HOUSING AND URBAN DEVELOPMENT SAFETY AND SOUNDNESS DISCLOSURE OF FINANCIAL AND OTHER INFORMATION § 1730.3 Periodic disclosures. (a) Each Enterprise shall prepare disclosures relating to its financial condition, results of...

Stigma and Disease Disclosure Among HIV+ Individuals: The Moderating Role of Emotion Dysregulation

PubMed Central

Heggeness, Luke F.; Brandt, Charles P.; Paulus, Daniel J.; Lemaire, Chad; Zvolensky, Michael J.

2017-01-01

Increased disclosure of HIV status has been shown to reduce disease transmission among persons living with HIV (PLHIV). HIV-related stigma has been shown to reduce HIV disclosure; however, little is known about factors that may underlie the relation between HIV-related stigma and HIV disclosure. The current study examined emotion dysregulation (i.e., maladaptive generation, processing, and modulation of one’s emotions) n the relation between HIV-related stigma, sub-facets of HIV-related stigma, and HIV disclosure among PLHIV seeking psychological treatment [n=80; 61.3% male; 56.3% African-American (non-Hispanic); Mage=48.25, SD=7.39]. Results indicated past experiences of rejection due to one’s HIV status (i.e., enacted stigma), as well as subjective beliefs regarding how PLHIV are evaluated by others (i.e., public attitudes stigma), are significantly related to HIV disclosure. Additionally, these relations are moderated by emotion dysregulation. Specifically, greater HIV-related stigma is associated with reduced HIV disclosure for individuals with greater emotion dysregulation. However, emotion dysregulation did not moderate the relations between negative self-image (e.g., shame, guilt) or disclosure concerns and HIV disclosure. Findings suggest emotion dysregulation may play a moderating role for certain types of HIV disclosure. PMID:27410250

Perceptions and Experiences about Self-Disclosure of HIV Status among Adolescents with Perinatal Acquired HIV in Poor-Resourced Communities in South Africa.

PubMed

Madiba, Sphiwe; Mokgatle, Mathildah

2016-01-01

Background. There is limited research on the disclosure experiences of adolescents with perinatal acquired HIV (PAH). The study explores how adolescents with PAH experience living with HIV and examined their perceptions and experiences regarding disclosure and onward self-disclosure to friends and sexual partners. Methods. Thematic analysis was used to analyze in-depth interviews conducted with 37 adolescents. Findings. Adolescents received disclosure about their status at mean age of 12 years. They perceived disclosure as necessary and appreciated the truthful communication they received. Adolescents have learned to accept and live with HIV, and they desired to be healthy and normal like other people. After receiving disclosure, they found their treatment meaningful, and they adhered to medication. However, they also expressed a strong message that their HIV status was truly their secret and that self-disclosure to others will take the feeling of being normal away from them because they will be treated differently. Conclusion. Adolescents maintained secrecy in order to be accepted by their peers but also to protect themselves from stigma and isolation. Given that adolescents want to be informed of their HIV status but desire controlling self-disclosure of their HIV status, these should form the basis for development of disclosure interventions.

Diminishing self-disclosure to maintain security in partners' care.

PubMed

Lemay, Edward P; Melville, Michael C

2014-01-01

Six studies demonstrate that perceivers' desire to bond with targets motivates perceivers to misconstrue their own self-disclosure in ways that maintain perceivers' security in targets' care and commitment. Perceivers who strongly valued relationships with targets reported high levels of global self-disclosure, consistent with many findings suggesting salutary effects of disclosure. However, these same perceivers reported low self-disclosure of needs and desires in hypothetical (Study 1) and actual (Study 2) situations characterized by targets' unresponsive behavior. Similarly, in daily report (Study 3) and behavioral observation (Study 4) studies, perceivers who valued relationships with targets perceived high levels of self-disclosure when targets were responsive, but they perceived low self-disclosure when targets were unresponsive, and these perceptions seemed partly illusory. In turn, these perceptions of low self-disclosure in situations characterized by partners' unresponsive behavior predicted decreased perceptions of diagnosticity of targets' behavior (Studies 1-3) and buffered the negative affective and interpersonal effects of unresponsive behavior (Study 4). Experimental manipulations (Studies 5 and 6) demonstrated the motivational nature of perceived self-disclosure. Collectively, the results suggest that a desire to bond with targets motivates perceivers to downplay the diagnosticity of targets' unresponsive behavior through diminishing their self-disclosure, in turn preserving perceivers' trust in targets' care and commitment.

Disclosure of disease status among employed multiple sclerosis patients: association with negative work events and accommodations.

PubMed

Frndak, Seth E; Kordovski, Victoria M; Cookfair, Diane; Rodgers, Jonathan D; Weinstock-Guttman, Bianca; Benedict, Ralph H B

2015-02-01

Unemployment is common in multiple sclerosis (MS) and detrimental to quality of life. Studies suggest disclosure of diagnosis is an adaptive strategy for patients. However, the role of cognitive deficits and psychiatric symptoms in disclosure are not well studied. The goals of this paper were to (a) determine clinical factors most predictive of disclosure, and (b) measure the effects of disclosure on workplace problems and accommodations in employed patients. We studied two overlapping cohorts: a cross-sectional sample (n = 143) to determine outcomes associated with disclosure, and a longitudinal sample (n = 103) compared at four time points over one year on reported problems and accommodations. A case study of six patients, disclosing during monitoring, was also included. Disclosure was associated with greater physical disability but not cognitive impairment. Logistic regression predicting disclosure status retained physical disability, accommodations and years of employment (p < 0.0001). Disclosed patients reported more work problems and accommodations over time. The case study revealed that reasons for disclosing are multifaceted, including connection to employer, decreased mobility and problems at work. Although cognitive impairment is linked to unemployment, it does not appear to inform disclosure decisions. Early disclosure may help maintain employment if followed by appropriate accommodations. © The Author(s), 2014.

Data-centric protection in DICOM

NASA Astrophysics Data System (ADS)

Künzi, Julien; Petkovic, M.; Koster, Paul

2009-02-01

In this paper we address the problem of privacy protection and trust enhancement in a distributed healthcare eco system. Increased trust in other parties of the eco system encourages medical entities to share data. This increases the availability of data and consequently improves the general quality of health care. We present two different solutions to the above described problem, both being developed using the DICOM standard (Digital Imaging and Communications in Medicine). The first approach, which is partially relying on legislation, uses sticky policies and commitment protocols to enhance trust. We propose to attach the access control policies to the data in the DICOM files. Furthermore, the source of data disclosure makes sure that the destination commits to enforce the policies by obtaining a signature on the policies and thus providing a proof of the commitment by the destination. The second approach aims at increasing trust by technical enforcement. For this purpose, digital rights management (DRM) technology is used. We demonstrate that it is possible to create a DICOM DRM container using the tools provided by this standard, hence still guaranteeing backward compatibility.

Specialist Physicians' Attitudes and Practice Patterns Regarding Disclosure of Pre-referral Medical Errors.

PubMed

Dossett, Lesly A; Kauffmann, Rondi M; Lee, Jay S; Singh, Harkamal; Lee, M Catherine; Morris, Arden M; Jagsi, Reshma; Quinn, Gwendolyn P; Dimick, Justin B

2018-06-01

Our objective was to determine specialist physicians' attitudes and practices regarding disclosure of pre-referral errors. Physicians are encouraged to disclose their own errors to patients. However, no clear professional norms exist regarding disclosure when physicians discover errors in diagnosis or treatment that occurred at other institutions before referral. We conducted semistructured interviews of cancer specialists from 2 National Cancer Institute-designated Cancer Centers. We purposively sampled specialists by discipline, sex, and experience-level who self-described a >50% reliance on external referrals (n = 30). Thematic analysis of verbatim interview transcripts was performed to determine physician attitudes regarding disclosure of pre-referral medical errors; whether and how physicians disclose these errors; and barriers to providing full disclosure. Participants described their experiences identifying different types of pre-referral errors including errors of diagnosis, staging and treatment resulting in adverse events ranging from decreased quality of life to premature death. The majority of specialists expressed the belief that disclosure provided no benefit to patients, and might unnecessarily add to their anxiety about their diagnoses or prognoses. Specialists had varying practices of disclosure including none, non-verbal, partial, event-dependent, and full disclosure. They identified a number of barriers to disclosure, including medicolegal implications and damage to referral relationships, the profession's reputation, and to patient-physician relationships. Specialist physicians identify pre-referral errors but struggle with whether and how to provide disclosure, even when clinical circumstances force disclosure. Education- or communication-based interventions that overcome barriers to disclosing pre-referral errors warrant development.

Thirty years of disclosure of conflict of interest in surgery journals.

PubMed

Probst, Pascal; Hüttner, Felix J; Klaiber, Ulla; Diener, Markus K; Büchler, Markus W; Knebel, Phillip

2015-04-01

A conflict of interest (COI) creates the risk that a professional judgment will be unduly influenced by a secondary interest. In practice, the leading concern is the creation of bias by industry sponsorship. Several organizations for ethics in scientific publishing exist, and standardized disclosure forms have been developed. The aim of this study was to investigate the present status of the definition, management, and disclosure of COI in journals devoted to general and abdominal surgery. Information on publisher, definition of COI, whether COI disclosure was mandatory, publication of the disclosure statement with the article, and when publication of disclosure statements was introduced were gathered from instructions for authors and from journal editors and presented descriptively. The hypothesis that journals with a disclosure policy have greater impact factors was tested with a Wilcoxon rank-sum test. A sample of 64 journals was investigated. In 8 journals (13%) disclosure was deemed unnecessary. In the remaining 56 journals (88%) disclosure of COI was mandatory and in 39 of these journals (61%) the COI statement was published with the article. Journals declaring COI disclosure as mandatory had a greater impact factor (0.626 vs 1.732; P = .006). Transparency is critical to the reliability of evidence-based medicine. All efforts should be made to give the reader the maximum amount of information. We recommend that every surgeon maintain a standardized, up-to-date disclosure form. Copyright © 2015 Elsevier Inc. All rights reserved.

Disclosures, conflict of interest, and funding issues in urogynecology articles: a bibliometric study.

PubMed

Koch, Marianne; Riss, Paul; Kölbl, Heinz; Umek, Wolfgang; Hanzal, Engelbert

2015-10-01

The ethical behavior of authors, editors, and journals is increasingly placed in the spotlight, by both the public and the research community. Disclosures and conflict of interest (COI) statements of publishing authors represent one important aspect. We aimed to unravel the current management of disclosures, COI, and funding statements in the subspecialty urogynecology. A bibliometric study was carried out. We included six journals that published urogynecology articles between January and December 2013. All original articles, reviews, and opinion articles were assessed for the presence of disclosure/COI and funding statements. Information given on the official disclosure form was compared with information given in the final article (International Urogynecology Journal). All journals investigated require disclosure and funding statements in their instructions to authors. Of the 434 articles included, almost all contained a disclosure statement (98-100 %). Funding statements were present in 41-100 % of articles, indicating a difference in journal type (50 % on average among urogynecology journals; 75 % on average among general gynecology journals). The main source of funding was "grants" (58 %), followed by "none" (16 %), "industry" (16 %), and lastly "hospital/university" (10 %). Disclosure statements in the article were identical to the official disclosure form in 80 % (IUJ). Disclosure/COI statements were included in almost all urogynecology articles investigated. Their content, however, is sometimes incomplete and should possibly be monitored more closely by journals and authors. Despite universal requirements of journals, the reporting of funding seems inconsistent. This issue in addition to the completeness of disclosures should be given more attention.

Variable Reporting by Authors Presenting Arthroplasty Research at Multiple Annual Conferences.

PubMed

Choo, Kevin J; Yi, Paul H; Burns, Robert; Mohan, Rohith; Wong, Kevin

2017-01-01

Prior studies have demonstrated discrepancies in financial conflict of interest (COI) disclosure among authors presenting research at multiple spine and sports medicine conferences. The purpose of this study was to quantify the variability of self-reported financial disclosures of individual authors presenting at multiple arthroplasty conferences during the same year. The author disclosure information published for the 2012 annual meetings of the American Academy of Orthopaedic Surgeons (AAOS), American Association of Hip and Knee Surgeons, the Hip Society, and the Knee Society were compiled. We tabulated the author disclosures, the number of companies/entities represented, and the types of disclosures reported. The disclosures made by authors presenting at more than one meeting were then compared for discrepancies. Of the 209 authors who presented at both the AAOS and American Association of Hip and Knee Surgeons meetings, 79 (37.79%) demonstrated discrepancies in their disclosures with 7 (8.8%) reporting no disclosures to the AAOS. Of the 84 authors who presented at both the AAOS and Hip Society meetings, 1 (1.19%) had discrepancies in their disclosures. Of the 52 authors who presented at both the AAOS and Knee Society meetings, 2 (3.84%) had discrepancies in their disclosures. There is variability in reported financial COIs by authors presenting at multiple arthroplasty conferences within the same year. Further work is warranted to improve transparency of COI disclosures among arthroplasty surgeons presenting research at national meetings. Copyright © 2016 Elsevier Inc. All rights reserved.

42 CFR 480.130 - Disclosure to the Department.

Code of Federal Regulations, 2013 CFR

2013-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.130 Disclosure to the Department. Except as limited by § 480.139(a) and § 480...

42 CFR 480.130 - Disclosure to the Department.

Code of Federal Regulations, 2012 CFR

2012-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.130 Disclosure to the Department. Except as limited by § 480.139(a) and § 480...

42 CFR 480.130 - Disclosure to the Department.

Code of Federal Regulations, 2014 CFR

2014-10-01

... (CONTINUED) QUALITY IMPROVEMENT ORGANIZATIONS ACQUISITION, PROTECTION, AND DISCLOSURE OF QUALITY IMPROVEMENT ORGANIZATION INFORMATION Utilization and Quality Control Quality Improvement Organizations (QIOs) Disclosure of Confidential Information § 480.130 Disclosure to the Department. Except as limited by § 480.139(a) and § 480...

17 CFR 4.35 - Performance disclosures.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 17 Commodity and Securities Exchanges 1 2012-04-01 2012-04-01 false Performance disclosures. 4.35... OPERATORS AND COMMODITY TRADING ADVISORS Commodity Trading Advisors § 4.35 Performance disclosures. (a) General principles—(1) Capsule performance information. Unless otherwise specified, disclosure of the past...

17 CFR 4.35 - Performance disclosures.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 17 Commodity and Securities Exchanges 1 2013-04-01 2013-04-01 false Performance disclosures. 4.35... OPERATORS AND COMMODITY TRADING ADVISORS Commodity Trading Advisors § 4.35 Performance disclosures. (a) General principles—(1) Capsule performance information. Unless otherwise specified, disclosure of the past...

17 CFR 4.35 - Performance disclosures.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 17 Commodity and Securities Exchanges 1 2014-04-01 2014-04-01 false Performance disclosures. 4.35... OPERATORS AND COMMODITY TRADING ADVISORS Commodity Trading Advisors § 4.35 Performance disclosures. (a) General principles—(1) Capsule performance information. Unless otherwise specified, disclosure of the past...

17 CFR 4.35 - Performance disclosures.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 17 Commodity and Securities Exchanges 1 2011-04-01 2011-04-01 false Performance disclosures. 4.35... OPERATORS AND COMMODITY TRADING ADVISORS Commodity Trading Advisors § 4.35 Performance disclosures. (a) General principles—(1) Capsule performance information. Unless otherwise specified, disclosure of the past...

17 CFR 4.35 - Performance disclosures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 17 Commodity and Securities Exchanges 1 2010-04-01 2010-04-01 false Performance disclosures. 4.35... OPERATORS AND COMMODITY TRADING ADVISORS Commodity Trading Advisors § 4.35 Performance disclosures. (a) General principles—(1) Capsule performance information. Unless otherwise specified, disclosure of the past...

Patients' experiences of self-disclosure in psychotherapy: the effects of gender and gender role identification.

PubMed

Pattee, Dailey; Farber, Barry A

2008-05-01

This study examined the effects of gender and gender role identification on 223 patients' experiences of self-disclosure in psychotherapy. Factor analysis of the Disclosure-to-Therapist Inventory-IV revealed two dimensions: a distress factor, reflecting the perceived difficulty and the anticipated impact of disclosures on the therapist, and an openness factor, reflecting the extent and perceived importance of disclosures and the interpersonal connection experienced during them. Female patients working with female therapists experienced greater distress in disclosure than male patients working with female therapists; in addition, patients with more flexible gender role identifications (i.e., androgynous) experienced greater openness than those with more traditional gender identifications. Findings suggest a need for greater discussion in therapy of the effects of gender on disclosure.

Coming Out in Color: Racial/Ethnic Differences in the Relationship between Level of Sexual Identity Disclosure and Depression among Lesbians

PubMed Central

Aranda, Frances; Matthews, Alicia K.; Hughes, Tonda L.; Muramatsu, Naoko; Wilsnack, Sharon C.; Johnson, Timothy P.; Riley, Barth B.

2014-01-01

Disclosing one's sexual minority identity, or “coming out,” has varying effects on the mental health of lesbians. Previous research indicates a negative association between disclosure and depression. However, these findings are based on research with White lesbians. To date, there is a paucity of studies that examined how the relationship between disclosure and depression may differ by race/ethnicity among lesbians. To address this gap, we examined the relationship between disclosure and depression among African American (26.5%), Latina (19.7%), and White (53.8%) self-identified lesbians (N=351) in two survey-interviews (~3-years apart). Over 50% of the participants reported a history of lifetime depression at baseline and 35.9% reported depression at T2. Disclosure levels varied: 78.9% had disclosed to their mother, 58.4% to their father, and 83.3% to a sibling. The mean level for disclosure to nonfamily individuals was 6.29 (SD 2.64; range 0–9). Disclosure results varied by race/ethnicity showing African American lesbians (versus White lesbians) were less likely to disclose to nonfamily individuals when controlling for covariates. Results for the relationship between disclosure and depression showed disclosure to either parent or sibling was not associated with depression for the total sample. Among Latinas only, disclosure to nonfamily individuals was associated with less depression. Additional research is needed to explore racial/ethnic differences in disclosure with certain individuals and to better understand the relation between disclosure and depression. Findings have implications for reducing overall rates of depression among lesbians living with multiple-minority identities. PMID:25181323

Community Disclosure by People Living With HIV in Rural China.

PubMed

Lan, Chiao-Wen; Li, Li; Lin, Chunqing; Feng, Nan; Ji, Guoping

2016-08-01

The decision to disclose HIV serostatus is a complex and a challenging task because of potential stigma, blame, and fear associated with HIV infection. Despite continued research on HIV disclosure, literature on HIV disclosure to community is still scarce. The purpose of the study is to describe patterns of HIV status disclosure to community members in a sample of HIV-infected men and women in rural China. This study used the baseline data of a randomized controlled intervention trial for HIV-affected families in China. The data was collected between late 2011 to early 2013. In addition to demographic and HIV-related clinical characteristics, we collected the extent of HIV disclosure to members within the community. We first calculated descriptive statistics and frequencies to describe the demographics of the sample. We then compared the extents of HIV disclosure to different community members. We performed chi-square tests to determine whether the demographic and socioeconomic variables were associated with the extent of HIV disclosure to community. A total of 522 PLH were included in the study. The results show that age and family income are associated with the extent of disclosure of HIV status to members within the community, including neighbor, village leaders, people in the village, and coworkers. More disclosures were found among older age groups. People with less family income tend to disclose more to the community than those with higher family income. There is a need to explore the association of HIV disclosure to the community to help realize the public health and personal implications of disclosure. Our results underscore the potential benefits of age and socioeconomic status-specific interventions in the efforts to dispel barriers to HIV status disclosure to the community.

Biobank participants' preferences for disclosure of genetic research results: perspectives from the OurGenes, OurHealth, OurCommunity project.

PubMed

Allen, Nicole L; Karlson, Elizabeth W; Malspeis, Susan; Lu, Bing; Seidman, Christine E; Lehmann, Lisa Soleymani

2014-06-01

To assess biobank participants' preferences for disclosure of genetic research results. We conducted a cross-sectional survey of participants in the OurGenes, OurHealth, OurCommunity biobank. Respondents were surveyed about preferences for disclosure, importance of disclosure, communication of results with practitioners, and sharing of results after respondents' death. Multivariate regression analysis was used to assess independent sociodemographic and clinical predictors of disclosure preferences. Data collection occurred from June 6, 2011, to June 25, 2012. Among 1154 biobank participants, 555 (48%) responded. Most thought that research result disclosure was important (90%). Preference for disclosure varied, depending on availability of disease treatment (90% vs 64%, P<.001), high vs low disease risk (79% vs 66%, P<.001), and serious vs mild disease (83% vs 68%, P<.001). More than half of respondents (57%) preferred disclosure even when there is uncertainty about the results' meaning, and 87% preferred disclosure if the disease is highly heritable. Older age was positively associated with interest in disclosure, whereas female sex, nonwhite race, diabetes mellitus, and depression and/or anxiety were negatively associated with disclosure. More than half of respondents (52%) would want their results returned to their nearest biological relative after death. OurGenes biobank participants report strong preferences for disclosure of research results, and most would designate a relative to receive results after death. Participant preferences for serious vs mild disease, high vs low disease risk, and availability of disease treatment differed significantly. Future research should consider family members' preferences for receiving research results from enrolled research participants. Copyright © 2014 Mayo Foundation for Medical Education and Research. Published by Elsevier Inc. All rights reserved.

Biobank Participants’ Preferences for Disclosure of Genetic Research Results: Perspectives From the OurGenes, OurHealth, OurCommunity Project

PubMed Central

Allen, Nicole L.; Karlson, Elizabeth W.; Malspeis, Susan; Lu, Bing; Seidman, Christine E.; Lehmann, Lisa Soleymani

2014-01-01

Objective To assess biobank participants’ preferences for disclosure of genetic research results. Patients and Methods: We conducted a cross-sectional survey of participants in the OurGenes, OurHealth, OurCommunity biobank. Respondents were surveyed about preferences for disclosure, importance of disclosure, communication of results with practitioners, and sharing of results after respondents’ death. Multivariate regression analysis was used to assess independent sociodemographic and clinical predictors of disclosure preferences. Data collection occurred from June 6, 2011, to June 25, 2012. Results Among 1154 biobank participants, 555 (48%) responded. Most thought that research result disclosure was important (90%). Preference for disclosure varied, depending on availability of disease treatment (90% vs. 64%, P<.001), high vs. low disease risk (79% vs. 66%, P<.001), and serious vs. mild disease (83% vs. 68%, P<.001). More than half of respondents (57%) preferred disclosure even when there is uncertainty about the results’ meaning, and 87% preferred disclosure if the disease is highly heritable. Older age was positively associated with interest in disclosure, whereas female sex, nonwhite race, diabetes mellitus, and depression and/or anxiety were negatively associated with disclosure. More than half of respondents (52%) would want their results returned to their nearest biological relative after death. Conclusions OurGenes biobank participants report strong preferences for disclosure of research results, and most would designate a relative to receive results after death. Participant preferences for serious vs. mild disease, high vs. low disease risk, and availability of disease treatment differed significantly. Future research should consider family members’ preferences for receiving research results from enrolled research participants. PMID:24943692

Factors influencing HIV disclosure among people living with HIV/AIDS in Nigeria: a systematic review using narrative synthesis and meta-analysis.

PubMed

Adeoye-Agboola, D I; Evans, H; Hewson, D; Pappas, Y

2016-07-01

To critically review, appraise and evaluate quality of evidence on HIV disclosure among people living with HIV/AIDS (PLWHA) in Nigeria, and to identify a possible gap in knowledge on HIV/AIDS and disclosure. A systematic review using narrative synthesis and meta-analysis. MedLine, PsycINFO, PubMed Central, Scopus and CINAHL were searched. Data were extracted with the use of spread sheet. An analysis of heterogeneity was performed for the disclosure rate and the presence of a supportive reaction from partners. A meta-analysis was performed for the disclosure rates to sexual partners, with data available for all ten studies. Ten studies met the inclusion criteria. The outcomes show that HIV disclosure of sero-positive status is most common between spouses or sexual partners than disclosure to relatives/family members, friends, pastor/Imam or work colleagues/employers. The participants in most of these studies are women, and amongst the most influential factors on disclosure are gender, anticipated outcome, marital status and knowledge of partners' status. Some studies reported non-disclosure as a way of limiting stigma. Almost all of the studies highlighted that there is fear of stigma and social exclusion associated with disclosure. This review discusses the overall experience of HIV disclosure on the management of the disease and barriers to disclosure. We found that PLWHA in Nigeria disclosed to at least one person within their social networks. Stigma is still a major consideration for PLWHA who experience a range of misconceptions around HIV transmission. The findings of this study may inform local policies and plans for improving the PLWHA quality of life. Targeted policies to increase disclosure of sero-positive status and reduce stigma may facilitate disease prevention. The methodological rigour of the included studies was appraised low. Copyright © 2016 The Royal Society for Public Health. Published by Elsevier Ltd. All rights reserved.

Impact of Disclosure of HIV Infection on Health-Related Quality of Life Among Children and Adolescents With HIV Infection

PubMed Central

Butler, Anne M.; Williams, Paige L.; Howland, Lois C.; Storm, Deborah; Hutton, Nancy; Seage, George R.

2009-01-01

Background Little is known concerning the impact of HIV status disclosure on quality of life, leaving clinicians and families to rely on research of children with other terminal illnesses. Objectives The purpose of this work was to examine the impact of HIV disclosure on pediatric quality of life and to describe the distribution of age at disclosure in a perinatally infected pediatric population. Methods A longitudinal analysis was conducted of perinatally HIV-infected youth ≥5 years of age enrolled in a prospective cohort study, Pediatric AIDS Clinical Trials Group 219C, with ≥1 study visit before and after HIV disclosure. Age-specific quality-of-life instruments were completed by primary caregivers at routine study visits. The distribution of age at disclosure was summarized. Six quality-of-life domains were assessed, including general health perception, symptom distress, psychological status, health care utilization, physical functioning, and social/role functioning. For each domain, mixed-effects models were fit to estimate the effect of disclosure on quality of life. Results A total of 395 children with 2423 study visits were analyzed (1317 predisclosure visits and 1106 postdisclosure visits). The median age at disclosure was estimated to be 11 years. Older age at disclosure was associated with earlier year of birth. Mean domain scores were not significantly different at the last undisclosed visit compared with the first disclosed visit, with the exception of general health perception. When all of the visits were considered, 5 of 6 mean domain scores were lower after disclosure, although the differences were not significant. In mixed-effects models, disclosure did not significantly impact quality of life for any domain. Conclusions Age at disclosure decreased significantly over time. There were no statistically significant differences between predisclosure and postdisclosure quality of life; therefore, disclosure should be encouraged at an appropriate time. PMID:19255023

38 CFR 17.504 - Disclosure methods.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2011-07-01 2011-07-01 false Disclosure methods. 17.504 Section 17.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Confidentiality of Healthcare Quality Assurance Review Records § 17.504 Disclosure methods. (a) Disclosure of...

38 CFR 17.504 - Disclosure methods.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2014-07-01 2014-07-01 false Disclosure methods. 17.504 Section 17.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Confidentiality of Healthcare Quality Assurance Review Records § 17.504 Disclosure methods. (a) Disclosure of...

38 CFR 17.504 - Disclosure methods.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2010-07-01 2010-07-01 false Disclosure methods. 17.504 Section 17.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Confidentiality of Healthcare Quality Assurance Review Records § 17.504 Disclosure methods. (a) Disclosure of...

38 CFR 17.504 - Disclosure methods.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2013-07-01 2013-07-01 false Disclosure methods. 17.504 Section 17.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Confidentiality of Healthcare Quality Assurance Review Records § 17.504 Disclosure methods. (a) Disclosure of...

38 CFR 17.504 - Disclosure methods.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 38 Pensions, Bonuses, and Veterans' Relief 1 2012-07-01 2012-07-01 false Disclosure methods. 17.504 Section 17.504 Pensions, Bonuses, and Veterans' Relief DEPARTMENT OF VETERANS AFFAIRS MEDICAL Confidentiality of Healthcare Quality Assurance Review Records § 17.504 Disclosure methods. (a) Disclosure of...

12 CFR 345.42 - Data collection, reporting, and disclosure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Data collection, reporting, and disclosure. 345... OF GENERAL POLICY COMMUNITY REINVESTMENT Records, Reporting, and Disclosure Requirements § 345.42 Data collection, reporting, and disclosure. (a) Loan information required to be collected and...

32 CFR 310.21 - Conditions of disclosure.

Code of Federal Regulations, 2011 CFR

2011-07-01

... National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) PRIVACY PROGRAM DOD PRIVACY PROGRAM Disclosure of Personal Information to Other Agencies and Third Parties § 310.21 Conditions of disclosure. (a) Disclosures to third parties. (1) The Privacy Act only compels...

32 CFR 310.21 - Conditions of disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... National Defense Department of Defense (Continued) OFFICE OF THE SECRETARY OF DEFENSE (CONTINUED) PRIVACY PROGRAM DOD PRIVACY PROGRAM Disclosure of Personal Information to Other Agencies and Third Parties § 310.21 Conditions of disclosure. (a) Disclosures to third parties. (1) The Privacy Act only compels...

78 FR 69289 - Privacy Act; Implementation

Federal Register 2010, 2011, 2012, 2013, 2014

2013-11-19

... for Disclosures) because release of the accounting of disclosures could alert the subject of an... efforts to preserve national security. Disclosure of the accounting would also permit the individual who... individual will be provided access to the information exempt to the extent that disclosure would reveal the...

Sibling Self-Disclosure in Early Adolescence.

ERIC Educational Resources Information Center

Howe, Nina; Aquan-Assee, Jasmin; Bukowski, William M.; Rinaldi, Christina M.; Lehoux, Pascale M.

2000-01-01

Studied sibling-directed self-disclosure of 40 preadolescents through interviews, a questionnaire, and subjects' daily diaries. Found that warmth in sibling relationship was most strongly associated with sibling disclosure, but not with rivalry, conflict, or power. Daily sibling disclosures were more strongly associated with reports of unhappy…

12 CFR 205.7 - Initial disclosures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... TRANSFERS (REGULATION E) § 205.7 Initial disclosures. (a) Timing of disclosures. A financial institution shall make the disclosures required by this section at the time a consumer contracts for an electronic fund transfer service or before the first electronic fund transfer is made involving the consumer's...

12 CFR 205.7 - Initial disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... TRANSFERS (REGULATION E) § 205.7 Initial disclosures. (a) Timing of disclosures. A financial institution shall make the disclosures required by this section at the time a consumer contracts for an electronic fund transfer service or before the first electronic fund transfer is made involving the consumer's...

32 CFR 701.111 - Disclosure accounting.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 5 2010-07-01 2010-07-01 false Disclosure accounting. 701.111 Section 701.111... THE NAVY DOCUMENTS AFFECTING THE PUBLIC DON Privacy Program § 701.111 Disclosure accounting. Disclosure accounting allows the individual to determine what agencies or persons have been provided...

Counselor Self-Disclosure.

ERIC Educational Resources Information Center

Anderson, Wayne; Andersen, Blake

The act of counselor self-disclosure has been regarded favorably by humanistic practitioners, while psychoanalytic figures have generally regarded the sharing of this type of information negatively. Counselor self-disclosure may be a useful means of eliciting reciprocal disclosure by the client or communicating that the counselor is willing to…

15 CFR 718.3 - Disclosure of confidential business information.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 15 Commerce and Foreign Trade 2 2014-01-01 2014-01-01 false Disclosure of confidential business... CONFIDENTIAL BUSINESS INFORMATION § 718.3 Disclosure of confidential business information. (a) General... Information Act, as appropriate. (b) Disclosure of confidential business information contained in advance...

15 CFR 718.3 - Disclosure of confidential business information.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 15 Commerce and Foreign Trade 2 2012-01-01 2012-01-01 false Disclosure of confidential business... CONFIDENTIAL BUSINESS INFORMATION § 718.3 Disclosure of confidential business information. (a) General... Information Act, as appropriate. (b) Disclosure of confidential business information contained in advance...

15 CFR 718.3 - Disclosure of confidential business information.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 15 Commerce and Foreign Trade 2 2013-01-01 2013-01-01 false Disclosure of confidential business... CONFIDENTIAL BUSINESS INFORMATION § 718.3 Disclosure of confidential business information. (a) General... Information Act, as appropriate. (b) Disclosure of confidential business information contained in advance...

Disclosing Mental Illness Information to a Friend: Exploring How the Disclosure Decision-Making Model Informs Strategy Selection.

PubMed

Venetis, Maria K; Chernichky-Karcher, Skye; Gettings, Patricia E

2018-06-01

Within the context of mental illness disclosure between friends, this study tested the disclosure decision-making model (DD-MM; Greene, 2009) to comprehensively investigate factors that predict disclosure enactment strategies. The DD-MM describes how individuals determine whether they will reveal or conceal non-visible health information. Processes of revealing, called disclosures, take various forms including preparation and rehearsal, directness, third-party disclosure, incremental disclosures, entrapment, and indirect mediums (Afifi & Steuber, 2009). We explore the disclosure decision-making process to understand how college students select to disclose their mental illness information with a friend. Participants were 144 students at a Midwestern university who had disclosed their mental illness information to a friend. Structural equation modeling analyses revealed that college students choose strategies based on their evaluation of information assessment and closeness, and that for some strategies, efficacy mediates the relationship between information assessment and strategy. This manuscript discusses implications of findings and suggests direction for future research.

Cognitive, personality, and social factors associated with adolescents' online personal information disclosure.

PubMed

Liu, Cong; Ang, Rebecca P; Lwin, May O

2013-08-01

The current study aims to understand the factors that influence adolescents' disclosure of personally identifiable information (PII) on social networking sites (SNSs). A survey was conducted among 780 adolescent participants (between 13 and 18) who were Facebook users. Structural equation modeling was used for analyzing the data and obtaining an overarching model that include cognitive, personality, and social factors that influence adolescents' PII disclosure. Results showed privacy concern as the cognitive factor reduces adolescents' PII disclosure and it serves as a potential mediator for personality and social factors. Amongst personality factors, narcissism was found to directly increase PII disclosure, and social anxiety indirectly decreases PII disclosure by increasing privacy concern. Amongst social factors, active parental mediation decreases PII disclosure directly and indirectly by increasing privacy concern. Restrictive parental mediation decreases PII disclosure only indirectly by increasing privacy concern. Implications of the findings to parents, educators, and policy makers were discussed. Copyright © 2013 The Foundation for Professionals in Services for Adolescents. Published by Elsevier Ltd. All rights reserved.

Exploring the Self-Disclosure Process in Peer Mentoring Relationships for Transition-Age Youth With Developmental Disabilities.

PubMed

Ryan, Cathryn T; Kramer, Jessica M; Cohn, Ellen S

2016-08-01

The purpose of this study was to examine the role of the self-disclosure process in regard to connection development and relationship quality in peer mentoring relationships between transition-age youth (ages 15-20) and young adults (ages 18-36) with intellectual and/or developmental disabilities. Self-disclosure is defined as "the disclosure of inner feelings and experiences to another person" that "fosters liking, caring, and trust, thereby facilitating the deepening of close relationships" ( Reis & Shaver, 1988 , p. 372). Nine peer mentoring dyads with varied interpersonal connections were purposefully selected from a larger intervention study. Recorded mentoring conversations were analyzed for self-disclosure content and peer mentor response. The findings demonstrated trends related to connection development and differences across degree of connection. In relationships with stronger connections, there was a higher quantity of self-disclosure and more frequent disclosure of emotions, and peer mentors responded more frequently with advice and reciprocated self-disclosure. Implications of findings for promoting higher-quality peer mentoring relationships are discussed.

Loneliness, self-disclosure, and ICQ ("I seek you") use.

PubMed

Leung, Louis

2002-06-01

This study investigated the relationships between self-disclosure in ICQ ("I seek you") chat, level of loneliness, and ICQ usage. The Revised UCLA Loneliness Scale and the Revised Self-Disclosure Scale (RSDS) were administered to a multistaged stratified random sample of 576 college students. The results indicate that loneliness is not related to level of ICQ use, but inversely related to valence, accuracy, and the amount dimensions of self-disclosure in ICQ chat, and that ICQ usage is significantly related to control of depth and intent of disclosure. Specifically, it was found that the lonelier the student, the more dishonest, more negative, and the less revealing was the quality of the self-disclosure in their ICQ interaction. Conversely, appropriate, honest, positive, and accurate self-disclosure might lead to decreased loneliness when one feels understood, accepted, and cared about on ICQ. More important, as intimate relationships are based on high degrees of depth and intent of self-disclosure, heavy users of ICQ are usually open, personal, and consciously aware of what they are disclosing.

Taking into Account the Quality of the Relationship in HIV Disclosure.

PubMed

Smith, Charlotte; Cook, Rachel; Rohleder, Poul

2017-01-01

Despite growing interest in HIV disclosure, most theoretical frameworks and empirical studies focus on individual and social factors affecting the process, leaving the contribution of interpersonal factors relatively unexplored. HIV transmission and disclosure often occur within a couple however, and this is where disclosure has the most scope as a HIV transmission intervention. With this in mind, this study explores whether perceived relationship quality influences HIV disclosure outcomes. Ninety-five UK individuals with HIV participated in a cross-sectional survey. Retrospective data were collected on their perceived relationship quality prior to disclosing their HIV positive status, and on disclosure outcomes. Perceived relationship quality was found to significantly affect disclosure outcomes. Positive qualities in the relationship were associated with positive outcomes, whereas negative qualities were associated with negative outcomes. Results further confirmed that this association was not merely correlational, but demonstrated predictive power. Relationship quality might act as either a risk or a resilience factor in the disclosure process, and thus warrants greater attention in future research.

Caregivers’ Attitudes towards HIV Testing and Disclosure of HIV Status to At-Risk Children in Rural Uganda

PubMed Central

Lorenz, Rick; Grant, Eisha; Muyindike, Winnie; Maling, Samuel; Card, Claire; Henry, Carol; Nazarali, Adil J.

2016-01-01

Caregivers of HIV-positive children were interviewed in the Mbarara and Isingiro districts of Uganda to identify current trends in practices related to HIV testing and the disclosure of HIV status to the child. A total of 28 caregivers of at least one HIV-positive child participated in semi-structured interviews exploring when and why they tested the child for HIV, when the child was informed of their positive status, and what the caregiver did to prepare themselves and the child for status disclosure. For a majority (96%) of respondents, the decision to test the child for HIV was due to existing illness in either the child or a relative. Other common themes identified included the existence of stigma in the caregivers’ communities and doubt that the children truly understood what was being explained to them when their status was disclosed. Most (65%) children were informed of their HIV status between the ages of 5 and 9, with the mean age of disclosure occurring at the age of 7. General provision of HIV information typically began at the same age as disclosure, and as many as two thirds (64%) of the caregivers sought advice from an HIV counsellor prior to disclosure. How a caregiver chose to prepare themselves and the child did not affect the caregiver’s perception of whether the disclosure experience was beneficial or not. These findings suggest that the HIV disclosure experience in Mbarara and Isingiro districts differs from current guidelines, especially with respect to age of disclosure, how caregivers prepare themselves and the child, and approaching disclosure as an ongoing process. The doubts expressed by caregivers regarding the child’s level of HIV understanding following the disclosure experience suggest the children may be insufficiently prepared at the time of the initial disclosure event. The findings also suggest that examining the content of pre-disclosure counselling and HIV education, and how health care professionals are trained to facilitate the disclosure process as important avenues for further research. PMID:26881773

Parental HIV disclosure in Burkina Faso: experiences and challenges in the era of HAART.

PubMed

Tiendrebeogo, Georges; Hejoaka, Fabienne; Belem, Edwige Mireille; Compaoré, Pascal Louis Germain; Wolmarans, Liezel; Soubeiga, André; Ouangraoua, Nathalie

2013-07-01

Increasingly parents living with HIV will have to confront the dilemmas of concealing their lifelong treatment or disclosing to their children exposed to their daily treatment practices. However, limited data are available regarding parental HIV disclosure to children in Burkina Faso. Do parents on antiretroviral therapy disclose their HIV status to their children? What drives them? How do they proceed and how do children respond? We conducted in-depth interviews with 63 parents of children aged seven and above where the parents had been in treatment for more than 3 years in two major cities of Burkina Faso. Interviews addressed parental disclosure and the children's role in their parents' treatment. The rate of parental HIV status disclosure is as high as that of non-disclosure. Factors associated with parental disclosure include female sex, parent's older age, parent's marital history and number of children. After adjustment, it appears that the only factor remaining associated with parental disclosure was the female gender of the parent. In most of the cases, children suspected, and among non-disclosers many believed their children already knew without formal disclosure. Age of the children and history of divorce or widowhood were associated with parental disclosure. Most parents believed children do not have the necessary emotional skills to understand or that they cannot keep a secret. However, parents who disclosed to their children did not experience blame nor was their secret revealed. Rather, children became treatment supporters. Challenges to parental HIV disclosure to children are neither essential nor specific since disclosure to adults is already difficult because of perceived risk of public disclosure and subsequent stigma. However, whether aware or not of their parents' HIV-positive status, children contribute positively to the care of parents living with HIV. Perceptions about children's vulnerability and will to protect them against stigma lead parents to delay disclosure and not to overwhelm them with their experience of living with HIV. Finally, without institutional counselling support, disclosure to children remains a challenge for both parents and children, which suggests a need for rethinking of current counselling practices.

Self-disclosure and marital satisfaction in mid-life and late-life remarriages.

PubMed

Bograd, R; Spilka, B

1996-01-01

Self-disclosure and marital satisfaction were studied among 125 males and females who were in their first remarriage. Essentially equal numbers had remarried in mid-life (ages 30-45) and late-life (ages 60-75). The multidimensional Wheeless self-disclosure scales and Locke-Wallace measure of marital satisfaction were employed. Mid-life versus late-life differences were evident for the amount, and depth of disclosure, but not for intentionality, valence or honesty of disclosure. No gender differences were manifested in self-disclosure. Marital satisfaction was greatest for late-life remarriages, and this was due to the high level of male satisfaction in this age group.

The Role of Internalized Stigma in the Disclosure of Injecting Drug Use Among People Who Inject Drugs and Self-Report as HIV-Positive in Kohtla-Järve, Estonia.

PubMed

Johannson, Annika; Vorobjov, Sigrid; Heimer, Robert; Dovidio, John F; Uusküla, Anneli

2017-04-01

Disclosure of injecting drug use and its associations with stigma have received very little research attention. This cross-sectional study examined the role of internalized HIV and drug stigma (i.e., self-stigmatization) in the disclosure of injecting drug use among people who inject drugs (PWID) self-reporting as HIV-positive (n = 312) in Kohtla-Järve, Estonia. The internalization of both stigmas was relatively high. On average, PWID disclosed to three disclosure targets out of seven. Disclosure was highest to close friends and health care workers and lowest to employers and casual sex partners. Internalized drug stigma was negatively associated with disclosure to other family members (AOR = 0.48; 95% CI 0.30-0.77) and health care workers (AOR = 0.46; 95% CI 0.25-0.87). Internalized HIV stigma was positively associated with disclosure to health care workers (AOR = 2.26; 95% CI 1.27-4.00). No interaction effect of internalized stigmas on disclosures emerged. We concluded that effects of internalized stigmas on disclosures are few and not uniform.

Risk disclosure and the recruitment of oocyte donors: are advertisers telling the full story?

PubMed

Alberta, Hillary B; Berry, Roberta M; Levine, Aaron D

2014-01-01

This study analyzes 435 oocyte donor recruitment advertisements to assess whether entities recruiting donors of oocytes to be used for in vitro fertilization (IVF) procedures include a disclosure of risks associated with the donation process in their advertisements. Such disclosure is required by the self-regulatory guidelines of the American Society for Reproductive Medicine (ASRM) and by law in California for advertisements placed in the state. We find very low rates of risk disclosure across entity types and regulatory regimes, although risk disclosure is more common in advertisements placed by entities subject to ASRM's self-regulatory guidelines. Advertisements placed in California are more likely to include risk disclosure, but disclosure rates are still quite low. California-based entities advertising outside the state are more likely to include risk disclosure than non-California entities, suggesting that California's law may have a modest "halo effect." Our results suggest that there is a significant ethical and policy problem with the status quo in light of the known and unknown risks of oocyte donation and the importance of risk disclosure to informed consent in the context of oocyte donation. © 2014 American Society of Law, Medicine & Ethics, Inc.

Self-disclosure of HIV status, disclosure counseling, and retention in HIV care in Cameroon.

PubMed

Breger, Tiffany L; Newman, Jamie E; Mfangam Molu, Brigitte; Akam, Wilfred; Balimba, Ashu; Atibu, Joseph; Kiumbu, Modeste; Azinyue, Innocent; Hemingway-Foday, Jennifer; Pence, Brian W

2017-07-01

Poor retention in care is common among HIV-positive adults in sub-Saharan Africa settings and remains a key barrier to HIV management. We quantify the associations of disclosure of HIV status and referral to disclosure counseling with successful retention in care using data from three Cameroon clinics participating in the Phase 1 International epidemiologic Databases to Evaluate AIDS Central Africa cohort. Of 1646 patients newly initiating antiretroviral therapy between January 2008 and January 2011, 43% were retained in care following treatment initiation. Self-disclosure of HIV status to at least one person prior to treatment initiation was associated with a minimal increase in the likelihood of being retained in care (risk ratio [RR] = 1.14; 95% confidence interval (CI): 0.94, 1.38). However, referral to disclosure counseling was associated with a moderate increase in retention (RR = 1.37; 95% CI: 1.21, 1.55) and was not significantly modified by prior disclosure status (p = .3). Our results suggest that while self-disclosure may not significantly improve retention among patients receiving care at these Cameroon sites, counseling services may play an important role regardless of prior disclosure status.

The fading affect bias: Effects of social disclosure to an interactive versus non-responsive listener.

PubMed

Muir, Kate; Brown, Charity; Madill, Anna

2015-01-01

The intensity of negative emotions associated with event memories fades to a greater extent over time than positive emotions (fading affect bias or FAB). In this study, we examine how the presence and behaviour of a listener during social disclosure influences the FAB and the linguistic characteristics of event narratives. Participants recalled pleasant and unpleasant events and rated each event for its emotional intensity. Recalled events were then allocated to one of three experimental conditions: no disclosure, private verbal disclosure without a listener or social disclosure to another participant whose behaviour was experimentally manipulated. Participants again rated the emotional intensity of the events immediately after these manipulations and after a one-week delay. Verbal disclosure alone was not sufficient to enhance the FAB. However, social disclosure increased positive emotional intensity, regardless of the behaviour of the listener. Whilst talking to an interactive listener led unpleasant event memories to decrease in emotional intensity, talking to a non-responsive listener increased their negative emotional intensity. Further, listener behaviour influenced the extent of emotional expression in written event narratives. This study provides original evidence that listener behaviour during social disclosure is an important factor in the effects of social disclosure in the FAB.

HIV status disclosure rate and reasons for non-disclosure among infected children and adolescents in Enugu, southeast Nigeria.

PubMed

Ubesie, A C; Iloh, K K; Emodi, I J; Ibeziako, N S; Obumneme-Anyim, I N; Iloh, O N; Ayuk, A C; Anikene, C J; Enemuo, J E

2016-12-01

To determine the rate of HIV status disclosure, caregivers' reasons for non-disclosure, and factors influencing disclosure among a sample of HIV-infected children in Enugu, southeast Nigeria. Data were collected prospectively via a questionnaire on HIV-infected children and their caregivers who visited the pediatric HIV clinic of the University of Nigeria Teaching Hospital between July 1, 2012, and June 30, 2013. The data analysis was performed using Statistical Package for the Social Sciences version 19 software. Caregivers of 107 children (age 5-16 years; mean 10.1 ± 3.2 years) were enrolled in the study. There were 53 (49.5%) boys and 54 (50.5%) girls. HIV status had been disclosed to 31 (29%) of them. The major reason for non-disclosure was the child being considered too young. Age (p < .001), age at HIV diagnosis (p < .001) and baseline CD4 count (p = .008) were seen as significant predictors of HIV disclosure. There is a low rate of HIV disclosure to infected children, and it was found to be lower for younger children. We recommend improving efforts for disclosure counseling to caregivers in pediatric HIV clinics.

12 CFR 25.42 - Data collection, reporting, and disclosure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 1 2010-01-01 2010-01-01 false Data collection, reporting, and disclosure. 25... REINVESTMENT ACT AND INTERSTATE DEPOSIT PRODUCTION REGULATIONS Regulations Records, Reporting, and Disclosure Requirements § 25.42 Data collection, reporting, and disclosure. (a) Loan information required to be collected...

12 CFR 228.42 - Data collection, reporting, and disclosure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 3 2010-01-01 2010-01-01 false Data collection, reporting, and disclosure. 228... FEDERAL RESERVE SYSTEM COMMUNITY REINVESTMENT (REGULATION BB) Records, Reporting, and Disclosure Requirements § 228.42 Data collection, reporting, and disclosure. (a) Loan information required to be collected...

22 CFR 96.39 - Information disclosure and quality control practices.

Code of Federal Regulations, 2011 CFR

2011-04-01

... 22 Foreign Relations 1 2011-04-01 2011-04-01 false Information disclosure and quality control... for Convention Accreditation and Approval Information Disclosure, Fee Practices, and Quality Control Policies and Practices § 96.39 Information disclosure and quality control practices. (a) The agency or...

22 CFR 96.39 - Information disclosure and quality control practices.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 1 2010-04-01 2010-04-01 false Information disclosure and quality control... for Convention Accreditation and Approval Information Disclosure, Fee Practices, and Quality Control Policies and Practices § 96.39 Information disclosure and quality control practices. (a) The agency or...

48 CFR 952.204-72 - Disclosure of information.

Code of Federal Regulations, 2013 CFR

2013-10-01

... classified information or restricted data: Disclosure of Information (APR 1994) (a) It is mutually expected... 48 Federal Acquisition Regulations System 5 2013-10-01 2013-10-01 false Disclosure of information... FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.204-72 Disclosure...

18 CFR 401.118 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2013 CFR

2013-04-01

... and Information § 401.118 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Commission administrative or court proceedings... 18 Conservation of Power and Water Resources 2 2013-04-01 2012-04-01 true Disclosure in...

18 CFR 401.118 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2012 CFR

2012-04-01

... and Information § 401.118 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Commission administrative or court proceedings... 18 Conservation of Power and Water Resources 2 2012-04-01 2012-04-01 false Disclosure in...

48 CFR 952.204-72 - Disclosure of information.

Code of Federal Regulations, 2014 CFR

2014-10-01

... classified information or restricted data: Disclosure of Information (APR 1994) (a) It is mutually expected... 48 Federal Acquisition Regulations System 5 2014-10-01 2014-10-01 false Disclosure of information... FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.204-72 Disclosure...

17 CFR 49.26 - Disclosure requirements of swap data repositories.

Code of Federal Regulations, 2013 CFR

2013-04-01

... TRADING COMMISSION SWAP DATA REPOSITORIES § 49.26 Disclosure requirements of swap data repositories... swap data repository shall furnish to the reporting entity a disclosure document that contains the... 17 Commodity and Securities Exchanges 1 2013-04-01 2013-04-01 false Disclosure requirements of...

48 CFR 952.204-72 - Disclosure of information.

Code of Federal Regulations, 2012 CFR

2012-10-01

... classified information or restricted data: Disclosure of Information (APR 1994) (a) It is mutually expected... 48 Federal Acquisition Regulations System 5 2012-10-01 2012-10-01 false Disclosure of information... FORMS SOLICITATION PROVISIONS AND CONTRACT CLAUSES Text of Provisions and Clauses 952.204-72 Disclosure...

18 CFR 401.118 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2010 CFR

2010-04-01

... and Information § 401.118 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Commission administrative or court proceedings... 18 Conservation of Power and Water Resources 2 2010-04-01 2010-04-01 false Disclosure in...

18 CFR 401.118 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2014 CFR

2014-04-01

... and Information § 401.118 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Commission administrative or court proceedings... 18 Conservation of Power and Water Resources 2 2014-04-01 2014-04-01 false Disclosure in...

17 CFR 49.26 - Disclosure requirements of swap data repositories.

Code of Federal Regulations, 2012 CFR

2012-04-01

... TRADING COMMISSION SWAP DATA REPOSITORIES § 49.26 Disclosure requirements of swap data repositories... swap data repository shall furnish to the reporting entity a disclosure document that contains the... 17 Commodity and Securities Exchanges 1 2012-04-01 2012-04-01 false Disclosure requirements of...

22 CFR 96.39 - Information disclosure and quality control practices.

Code of Federal Regulations, 2014 CFR

2014-04-01

... 22 Foreign Relations 1 2014-04-01 2014-04-01 false Information disclosure and quality control... for Convention Accreditation and Approval Information Disclosure, Fee Practices, and Quality Control Policies and Practices § 96.39 Information disclosure and quality control practices. (a) The agency or...

22 CFR 96.39 - Information disclosure and quality control practices.

Code of Federal Regulations, 2012 CFR

2012-04-01

... 22 Foreign Relations 1 2012-04-01 2012-04-01 false Information disclosure and quality control... for Convention Accreditation and Approval Information Disclosure, Fee Practices, and Quality Control Policies and Practices § 96.39 Information disclosure and quality control practices. (a) The agency or...

22 CFR 96.39 - Information disclosure and quality control practices.

Code of Federal Regulations, 2013 CFR

2013-04-01

... 22 Foreign Relations 1 2013-04-01 2013-04-01 false Information disclosure and quality control... for Convention Accreditation and Approval Information Disclosure, Fee Practices, and Quality Control Policies and Practices § 96.39 Information disclosure and quality control practices. (a) The agency or...

12 CFR 1102.307 - Disclosure of exempt records.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 7 2010-01-01 2010-01-01 false Disclosure of exempt records. 1102.307 Section 1102.307 Banks and Banking FEDERAL FINANCIAL INSTITUTIONS EXAMINATION COUNCIL APPRAISER REGULATION Description of Office, Procedures, Public Information § 1102.307 Disclosure of exempt records. (a) Disclosure...

48 CFR 9903.303 - Effect of filing Disclosure Statement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Disclosure Statement. 9903.303 Section 9903.303 Federal Acquisition Regulations System COST ACCOUNTING... AND COST ACCOUNTING STANDARDS CONTRACT COVERAGE CAS Rules and Regulations 9903.303 Effect of filing Disclosure Statement. (a) A disclosure of a cost accounting practice by a contractor does not determine the...

28 CFR 513.35 - Accounting/nonaccounting of disclosures to third parties.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Accounting/nonaccounting of disclosures... and Procedures § 513.35 Accounting/nonaccounting of disclosures to third parties. Accounting/nonaccounting of disclosures to third parties shall be made in accordance with Department of Justice regulations...

32 CFR 701.110 - Conditions of disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... of Federal and state bodies having authority to issue such process. Note: Disclosure accounting is... considered a single agency. Note: No disclosure accounting required. (b) FOIA. Records must be disclosed if... disclosure accounting required. (c) Routine use. Each DON PA system of records notice identifies what records...

28 CFR 802.3 - Guidelines for disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 28 Judicial Administration 2 2010-07-01 2010-07-01 false Guidelines for disclosure. 802.3 Section 802.3 Judicial Administration COURT SERVICES AND OFFENDER SUPERVISION AGENCY FOR THE DISTRICT OF COLUMBIA DISCLOSURE OF RECORDS Freedom of Information Act § 802.3 Guidelines for disclosure. (a) The...

15 CFR 766.11 - Matter protected against disclosure.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 15 Commerce and Foreign Trade 2 2014-01-01 2014-01-01 false Matter protected against disclosure... ADMINISTRATIVE ENFORCEMENT PROCEEDINGS § 766.11 Matter protected against disclosure. (a) Protective measures. It... concern, and that are to be protected against disclosure. Accordingly, and without limiting the discretion...

Disclosure: what works now and what can work even better.

PubMed

2004-01-01

This three-part series on disclosure of unanticipated outcomes in health care is intended to provide an overview of the current thinking about disclosure and steps the organization can take to develop an approach to disclosure that is comprehensive and supportive of the needs of patients, families and providers. What should be apparent is that disclosure is not simply a requirement--it is a philosophy and part of a comprehensive approach to patient/family communication.

On displacement-based plastic design of parallel chord vierendeel girders

NASA Astrophysics Data System (ADS)

Grigorian, Mark

2014-09-01

The paper introduces the principles of displacement-based plastic design (DBPD) and its applications to the efficient design of parallel chord steel vierendeel girders under normal nodal forces. A simplifying assumption has been made that the mathematical model is composed of imaginary, pin connected modules that fit within the bays of the prototype. The use of this modeling concept in conjunction with the applications of the uniform strength theory leads to the development of an algorithm that is ideally suited for manual, minimum weight design of steel vierendeel girders under any distribution of vertical nodal forces. The resulting solutions are exact and unique and lend themselves well to DBPD and minimum weight treatment. In DBPD which is akin to performance control, member strengths and stiffnesses are assigned rather than tested. Several generic examples have been provided to illustrate the applications of the proposed design procedures. The numerical results of these examples have been verified through long hand and computer methods of analysis. An extensive proof of the proposed method of approach has been provided in the "Appendix".

Adaptive data rate SSMA system for personal and mobile satellite communications

NASA Technical Reports Server (NTRS)

Ikegami, Tetsushi; Takahashi, Takashi; Arakaki, Yoshiya; Wakana, Hiromitsu

1995-01-01

An adaptive data rate SSMA (spread spectrum multiple access) system is proposed for mobile and personal multimedia satellite communications without the aid of system control earth stations. This system has a constant occupied bandwidth and has variable data rates and processing gains to mitigate communication link impairments such as fading, rain attenuation and interference as well as to handle variable data rate on demand. Proof of concept hardware for 6MHz bandwidth transponder is developed, that uses offset-QPSK (quadrature phase shift keying) and MSK (minimum shift keying) for direct sequence spread spectrum modulation and handle data rates of 4k to 64kbps. The RS422 data interface, low rate voice and H.261 video codecs are installed. The receiver is designed with coherent matched filter technique to achieve fast code acquisition, AFC (automatic frequency control) and coherent detection with minimum hardware losses in a single matched filter circuit. This receiver structure facilitates variable data rate on demand during a call. This paper shows the outline of the proposed system and the performance of the prototype equipment.

Disclosure of HIV results among discordant couples in Rakai, -Uganda: A facilitated couple counselling approach

PubMed Central

Kairania, Robert M.; Gray, Ronald H.; Kiwanuka, Noah; Makumbi, Fredrick; Sewankambo, Nelson K.; Serwadda, David; Nalugoda, Fred; Kigozi, Godfrey; Semanda, John; Wawer, Maria J.

2010-01-01

Disclosure of HIV seropositive results among HIV-discordant couples in sub-Saharan Africa is generally low. We describe a facilitated couple counselling approach to enhance disclosure among HIV-discordant couples. Using unique identifiers, 293 HIV-discordant couples were identified through retrospective linkage of married or cohabiting consenting adults individually enrolled into a cohort study and into two randomized trials of male circumcision in Rakai, Uganda. HIV discordant couples and a random sample of HIV-infected concordant and HIV-negative concordant couples (to mask HIV status) were invited to sensitization meetings to discuss the benefits of disclosure and couple counselling. HIV-infected partners were subsequently contacted to encourage HIV disclosure to their HIV uninfected partners. If the index positive partner agreed, the counsellor facilitated the disclosure of HIV results, and provided ongoing support. The proportion of disclosure was determined. 81% of HIV-positive partners in discordant relationships disclosed their status to their HIV-uninfected partners in the presence of the counsellor. The rates of disclosure were 81.3% in male HIV-positive and 80.2% in female HIV-positive discordant couples. Disclosure did not vary by age, education or occupation. In summary, disclosure of HIV-positive results in discordant couples using facilitated couple counselling approach is high, but requires a stepwise process of sensitization and agreement by the infected partner. PMID:20824557

Prevalence of childhood sexual abuse and timing of disclosure in a representative sample of adults from Quebec.

PubMed

Hébert, Martine; Tourigny, Marc; Cyr, Mireille; McDuff, Pierre; Joly, Jacques

2009-09-01

Our study sought to explore patterns of disclosure of child sexual abuse (CSA) in a sample of adult men and women. A telephone survey conducted with a representative sample of adults (n = 804) from Quebec assessed the prevalence of CSA and disclosure patterns. Analyses were carried out to determine whether disclosure groups differed in terms of psychological distress and symptoms of posttraumatic stress, and a logistic regression was used to examine factors associated with prompt disclosure. Prevalence of CSA was 22.1% for women and 9.7% for men. About 1 survivor out of 5 had never disclosed the abuse, with men more likely not to have told anyone, than women. Only 21.2% of adults reported prompt disclosure (within a month of the first abusive event), while 57.5% delayed disclosure (more than 5 years after the first episode). CSA victims who never disclosed the abuse and those who delayed disclosure were more likely to obtain scores of psychological distress and posttraumatic stress achieving clinical levels, compared with adults without a history of CSA. In the multivariate analysis, experiencing CSA involving a perpetrator outside the immediate family and being female were factors independently associated with prompt disclosure. A significant number of adult women and men reported experiencing CSA, and most victims attested to either not disclosing or significantly delaying abuse disclosure.

"Experiences with disclosure of HIV-positive status to the infected child": Perspectives of healthcare providers in Dar es Salaam, Tanzania.

PubMed

Sariah, Adellah; Rugemalila, Joan; Somba, Magreat; Minja, Anna; Makuchilo, Margareth; Tarimo, Edith; Urassa, David; Siril, Helen

2016-10-13

The specific age to which an HIV infected child can be disclosed to is stipulated to begin between ages 4 and 6 years. It has also been documented that before disclosure of HIV positive status to the infected child. Health care providers should consider children's cognitive-developmental ability. However, observation and situation analysis show that, health care providers still feel uncomfortable disclosing the HIV positive status to the infected child. The aim of the study was to explore healthcare providers' experiences in disclosure of HIV-positive status to the infected child. A qualitative study involving 20 health care providers who attend HIV-positive children was conducted in September, 2014 in Dar es Salaam, Tanzania. Participants were selected from ten HIV care and treatment clinics (CTC) by purposive sampling. An interview guide, translated into participants' national language (Kiswahili) was used during in-depth interviews. Sampling followed the principle of data saturation. The interviews focused on perspectives of health-care providers regarding their experience with paediatric HIV disclosure. Data from in-depth interviews were transcribed into text; data analysis followed qualitative content analysis. The results show how complex the process of disclosure to children living with HIV can be to healthcare providers. Confusion was noted among healthcare providers about their role and responsibility in the process of disclosing to the HIV infected child. This was reported to be largely due to unclear guidelines and lack of standardized training in paediatric HIV disclosure. Furthermore, healthcare providers were concerned about parental hesitancy to disclose early to the child due to lack of disclosure skills and fear of stigma. In order to improve the disclosure process in HIV infected children, healthcare providers recommended further standardized training on paediatric HIV disclosure with more emphasis on practical skills and inclusion of disclosure content that is age appropriate for children with HIV. The disclosure process was found to be a complex process. Perspectives regarding disclosure in children infected with HIV varied among healthcare providers in terms of their role in the process, clear national guidelines and appropriate standardized training for paediatric disclosure. Consistent with other studies, healthcare providers reported difficulties during disclosure because parents /guardians largely fear blame, social stigma, child's negative emotional reaction when disclosed to and have concerns about the child being too young and immature to understand the HIV condition. In order to prevent inconsistencies during the disclosure process, it is important to have in place clear guidelines and standardized paediatric HIV disclosure training for healthcare providers. This would help improve their skills in paediatric disclosure, leading to positive health outcomes for children infected with HIV.

77 FR 70105 - Delayed Implementation of Certain New Mortgage Disclosures

Federal Register 2010, 2011, 2012, 2013, 2014

2012-11-23

...The Bureau of Consumer Financial Protection (Bureau) is amending Regulation Z (Truth in Lending) to, in effect, delay implementation of certain new mortgage disclosure requirements in title XIV of the Dodd-Frank Wall Street Reform and Consumer Protection Act that would otherwise take effect on January 21, 2013. Instead, to avoid potential consumer confusion and reduce compliance burden for industry, the Bureau plans to implement these disclosures as part of the integrated mortgage disclosure forms proposed earlier this year, which combine certain disclosures that consumers receive in connection with applying for and closing on a mortgage loan under the Truth in Lending Act and the Real Estate Settlement Procedures Act. Accordingly, this rulemaking exempts persons from complying with these mortgage disclosure requirements and provides that such exemptions are intended to last only until the integrated mortgage disclosure forms take effect.

Ethical issues in therapy: therapist self-disclosure of sexual feelings.

PubMed

Fisher, Craig D

2004-01-01

Although therapist sexual attraction to clients is common, and therapist self-disclosure is an often-used intervention, therapist self-disclosure of sexual feelings to clients is an understudied phenomenon. In this article, I critically review the small base of literature on therapist self-disclosure of sexual feelings, including information on prevalence rates, empirical research, and case studies. By incorporating these findings with information from relevant sections of the American Psychological Association (2002) Ethics Code, my intent is to evaluate different aspects of therapist self-disclosure of sexual feelings and arrive at conclusions regarding therapists' use of these disclosures. It appears that direct, explicit disclosure of sexual feelings can run the risk of harming clients and may therefore be unethical. Therefore, the use of this technique is discouraged. I discuss the issue of using less explicit interventions.

Antecedents of positive self-disclosure online: an empirical study of US college students' Facebook usage.

PubMed

Chen, Hongliang

2017-01-01

This study investigates the factors predicting positive self-disclosure on social networking sites (SNSs). There is a formidable body of empirical research relating to online self-disclosure, but very few studies have assessed the antecedents of positive self-disclosure. To address this literature gap, the current study tests the effects of self-esteem, life satisfaction, social anxiety, privacy concerns, public self-consciousness (SC), and perceived collectivism on positive self-disclosure on SNSs. Data were collected online via Qualtrics in April 2013. Respondents were undergraduate students from the University of Connecticut. Using ordinary least squares regression, the current study found that self-esteem and perceived collectivism increased positive self-disclosure, life satisfaction, and privacy concerns decreased positive self-disclosure, and the effects of social anxiety and public SC were not significant.

Antecedents of positive self-disclosure online: an empirical study of US college students’ Facebook usage

PubMed Central

Chen, Hongliang

2017-01-01

This study investigates the factors predicting positive self-disclosure on social networking sites (SNSs). There is a formidable body of empirical research relating to online self-disclosure, but very few studies have assessed the antecedents of positive self-disclosure. To address this literature gap, the current study tests the effects of self-esteem, life satisfaction, social anxiety, privacy concerns, public self-consciousness (SC), and perceived collectivism on positive self-disclosure on SNSs. Data were collected online via Qualtrics in April 2013. Respondents were undergraduate students from the University of Connecticut. Using ordinary least squares regression, the current study found that self-esteem and perceived collectivism increased positive self-disclosure, life satisfaction, and privacy concerns decreased positive self-disclosure, and the effects of social anxiety and public SC were not significant. PMID:28579840

Research on the content framework of information disclosure mechanism in Shanxi power market

NASA Astrophysics Data System (ADS)

Sun, Yanzhang; Li, Tao; Hou, Zhehui; Cao, Xiaozhong

2018-06-01

With the further development of the power reform, establishing a sound power system with rich content and efficient operation has become an urgent need. Faced with the current circumstance of power market information disclosure in Shanxi province, this paper fully incorporates the actual situation and introduces the index into the power market information disclosure mechanism, and sets up the general information disclosure framework in Shanxi province power market on the basis of which A direct information disclosure mechanism and an indirect information disclosure mechanism were designed. Then we formulate comprehensive power index system, generation index system, transmission and distribution index system, and power utilization index system. In conclusion, the outcomes above will enrich power information disclosure mechanism in Shanxi province and will provide a platform for various market members as a guidance on setting right business decisions.

Does Emotional Disclosure About Stress Improve Health in Rheumatoid Arthritis? Randomized, Controlled Trials of Written and Spoken Disclosure

PubMed Central

Lumley, Mark A.; Leisen, James C.C.; Partridge, R. Ty; Meyer, Tina M.; Radcliffe, Alison M.; Macklem, Debra J.; Naoum, Linda A.; Cohen, Jay L.; Lasichak, Lydia M.; Lubetsky, Michael R.; Mosley-Williams, Angelia D.; Granda, Jose L.

2011-01-01

Studies of the effects of disclosing stressful experiences among patients with rheumatoid arthritis (RA) have yielded inconsistent findings, perhaps due to different disclosure methods—writing or speaking—and various methodological limitations. We randomized adults with RA to a writing (n = 88) or speaking (to a recorder) sample (n = 93), and within each sample, to either disclosure or one of two control groups (positive or neutral events), which conducted 4, 20-minute, at-home sessions. Follow-up evaluations at 1, 3, and 6 months included self-reported, behavioral, physiological, and blinded physician-assessed outcomes. In both writing and speaking samples, the disclosure and control groups were comparably credible, and the linguistic content differed as expected. Covariance analyses at each follow-up point indicated that written disclosure had minimal effects compared to combined controls—only pain was reduced at 1 and 6 months, but no other outcomes improved. Spoken disclosure led to faster walking speed at 3 months, and reduced pain, swollen joints, and physician-rated disease activity at 6 months, but there were no effects on other outcomes. Latent growth curve modeling examined differences in the trajectory of change over follow-ups. Written disclosure improved affective pain and walking speed; spoken disclosure showed only a marginal benefit on sensory pain. In both analyses, disclosure's few benefits occurred relative to both positive and neutral control groups. We conclude that both written and spoken disclosure have modest benefits for patients with RA, particularly at 6 months, but these effects are limited in scope and consistency. PMID:21315515

Prognostic Disclosures to Children: A Historical Perspective.

PubMed

Sisk, Bryan A; Bluebond-Langner, Myra; Wiener, Lori; Mack, Jennifer; Wolfe, Joanne

2016-09-01

Prognostic disclosure to children has perpetually challenged clinicians and parents. In this article, we review the historical literature on prognostic disclosure to children in the United States using cancer as an illness model. Before 1948, there was virtually no literature focused on prognostic disclosure to children. As articles began to be published in the 1950s and 1960s, many clinicians and researchers initially recommended a "protective" approach to disclosure, where children were shielded from the harms of bad news. We identified 4 main arguments in the literature at this time supporting this "protective" approach. By the late 1960s, however, a growing number of clinicians and researchers were recommending a more "open" approach, where children were included in discussions of diagnosis, which at the time was often synonymous with a terminal prognosis. Four different arguments in the literature were used at this time supporting this "open" approach. Then, by the late 1980s, the recommended approach to prognostic disclosure in pediatrics shifted largely from "never tell" to "always tell." In recent years, however, there has been a growing appreciation for the complexity of prognostic disclosure in pediatrics. Current understanding of pediatric disclosure does not lead to simple "black-and-white" recommendations for disclosure practices. As with most difficult questions, we are left to balance competing factors on a case-by-case basis. We highlight 4 categories of current considerations related to prognostic disclosure in pediatrics, and we offer several approaches to prognostic disclosure for clinicians who care for these young patients and their families. Copyright © 2016 by the American Academy of Pediatrics.

Disclosure of Financial Conflicts of Interests in Interventions to Improve Child Psychosocial Health: A Cross-Sectional Study.

PubMed

Eisner, Manuel; Humphreys, David K; Wilson, Philip; Gardner, Frances

2015-01-01

Academic journals increasingly request a full disclosure of financial conflict of interest (CoI). The Committee for Publication Ethics provides editors with guidance about the course of action in the case of suspected non-disclosure. No prior study has examined the extent to which journal articles on psychosocial interventions disclose CoI, and how journal editors process requests to examine suspected undisclosed CoI. Four internationally disseminated psychosocial interventions were examined. 136 articles related to an intervention, co-authored by intervention developers and published in health sciences journals were retrieved as requiring a CoI statement. Two editors refused consent to be included in the study. COI disclosures and editor responses were coded for 134 articles. Overall, 92/134 (71%) of all articles were found to have absent, incomplete or partly misleading CoI disclosures. Disclosure rates for the four programs varied significantly between 11% and 73%. Journal editors were contacted about 92 published articles with no CoI disclosure or a disclosure that was considered problematic. In 65/92 (71%) of all cases the editors published an 'erratum' or 'corrigendum'. In 16 of these cases the journal had mishandled a submitted disclosure. The most frequent reason for non-publication of an erratum was that the journal had no disclosure policy at the time of the publication (16 cases). Consumers of research on psychosocial interventions published in peer-reviewed journals cannot currently assume that CoI disclosures are adequate and complete. More efforts are needed to achieve transparency.

Evaluating the implementation of a national disclosure policy for large-scale adverse events in an integrated health care system: identification of gaps and successes.

PubMed

Maguire, Elizabeth M; Bokhour, Barbara G; Wagner, Todd H; Asch, Steven M; Gifford, Allen L; Gallagher, Thomas H; Durfee, Janet M; Martinello, Richard A; Elwy, A Rani

2016-11-11

Many healthcare organizations have developed disclosure policies for large-scale adverse events, including the Veterans Health Administration (VA). This study evaluated VA's national large-scale disclosure policy and identifies gaps and successes in its implementation. Semi-structured qualitative interviews were conducted with leaders, hospital employees, and patients at nine sites to elicit their perceptions of recent large-scale adverse events notifications and the national disclosure policy. Data were coded using the constructs of the Consolidated Framework for Implementation Research (CFIR). We conducted 97 interviews. Insights included how to handle the communication of large-scale disclosures through multiple levels of a large healthcare organization and manage ongoing communications about the event with employees. Of the 5 CFIR constructs and 26 sub-constructs assessed, seven were prominent in interviews. Leaders and employees specifically mentioned key problem areas involving 1) networks and communications during disclosure, 2) organizational culture, 3) engagement of external change agents during disclosure, and 4) a need for reflecting on and evaluating the policy implementation and disclosure itself. Patients shared 5) preferences for personal outreach by phone in place of the current use of certified letters. All interviewees discussed 6) issues with execution and 7) costs of the disclosure. CFIR analysis reveals key problem areas that need to be addresses during disclosure, including: timely communication patterns throughout the organization, establishing a supportive culture prior to implementation, using patient-approved, effective communications strategies during disclosures; providing follow-up support for employees and patients, and sharing lessons learned.

Disclosure of serostatus to sex partners among HIV-positive men and women in Hawaii.

PubMed

Sullivan, Kathleen M

2009-11-01

The HIV epidemic in the United States is not abating, and sexual activity is the transmission-risk factor most frequently reported among those newly infected. Many HIV-positive persons have difficulty disclosing their serostatus to sex partners (SPs) and may not use condoms consistently. The aims of the research were to explore patterns of disclosure to SPs among HIV-positive men (N = 93) and women (N = 23) living in Hawaii, and to explore factors influencing disclosure and condom use. Using a survey design, participants were asked about their sexual activity during a three-month recall period, including detailed information for up-to-three most recent SPs. A variety of demographic, HIV-illness, self-efficacy, and contextual variables were examined as potential factors influencing disclosure. A total of 278 SPs were reported with rates of disclosure and of condom use near 50% for both genders. Perceived self-efficacy (SE) for disclosure decision-making was associated with disclosure for both men and women. Not discussing a SP's serostatus was associated with nondisclosure for both men and women. Additional factors influencing disclosure for men included cocaine and marijuana use, and years since diagnosis. Being transgendered was associated with less disclosure, but the small sample size for women precludes generalization of findings. There was an association between disclosure and condom use for men but not for women. Nurses must routinely assess for client HIV transmission-risk behaviors, and encourage disclosure of serostatus to SPs. It is also essential to offer clients behavioral strategies that can enhance their intentions to use condoms.

Growing-up just like everyone else: key components of a successful pediatric HIV disclosure intervention in Namibia

PubMed Central

Brandt, Laura; Beima-Sofie, Kristin; Hamunime, Ndapewa; Shepard, Mark; Ferris, Larissa; Ingo, Paulina; John-Stewart, Grace; O’Malley, Gabrielle

2018-01-01

Objectives To facilitate replication and adaptation of pediatric HIV disclosure interventions, we identified key components of a child-friendly cartoon book used to guide Namibian caregivers and healthcare workers (HCWs) through a gradual, structured disclosure process. Design Qualitative interviews were conducted with caregivers and HCWs from four high-volume pediatric HIV clinics in Namibia. Methods Semi-structured in-depth interviews with 35 HCWs and 64 caregivers of HIV+ children aged 7–15 were analyzed using constant comparative and modified grounded theory analysis. Major barriers to disclosure were compared to accounts of intervention success, and themes related to key components were identified. Results The disclosure book overcomes barriers to disclosure by reducing caregiver resistance, increasing HIV and disclosure knowledge, and providing a gradual, structured framework for disclosure. The delayed mention of HIV-specific terminology overcomes caregiver fears associated with HIV stigma, thus encouraging earlier uptake of disclosure initiation. Caregivers value the book’s focus on staying healthy, keeping the body strong, and having a future ‘like other kids’, thus capitalizing on evidence of the positive benefits of resilience and hopefulness rather than the negative consequences of HIV. The book’s concepts and images resonate with children who readily adopt the language of ‘body soldiers’ and ‘bad guys’ in describing how important it is for them to take their medicine. Discussion cues ease communication between HCWs, caregivers, and pediatric patients. Conclusion Given the urgent need for available pediatric HIV disclosure interventions, easily implementable tools like the Namibian disclosure book should be evaluated for utility in similar settings. PMID:26049542

Growing-up just like everyone else: key components of a successful pediatric HIV disclosure intervention in Namibia.

PubMed

Brandt, Laura; Beima-Sofie, Kristin; Hamunime, Ndapewa; Shepard, Mark; Ferris, Larissa; Ingo, Paulina; John-Stewart, Grace; O'Malley, Gabrielle

2015-06-01

To facilitate replication and adaptation of pediatric HIV disclosure interventions, we identified key components of a child-friendly cartoon book used to guide Namibian caregivers and healthcare workers (HCWs) through a gradual, structured disclosure process. Qualitative interviews were conducted with caregivers and HCWs from four high-volume pediatric HIV clinics in Namibia. Semi-structured in-depth interviews with 35 HCWs and 64 caregivers of HIV+ children aged 7-15 were analyzed using constant comparative and modified grounded theory analysis. Major barriers to disclosure were compared to accounts of intervention success, and themes related to key components were identified. The disclosure book overcomes barriers to disclosure by reducing caregiver resistance, increasing HIV and disclosure knowledge, and providing a gradual, structured framework for disclosure. The delayed mention of HIV-specific terminology overcomes caregiver fears associated with HIV stigma, thus encouraging earlier uptake of disclosure initiation. Caregivers value the book's focus on staying healthy, keeping the body strong, and having a future 'like other kids', thus capitalizing on evidence of the positive benefits of resilience and hopefulness rather than the negative consequences of HIV. The book's concepts and images resonate with children who readily adopt the language of 'body soldiers' and 'bad guys' in describing how important it is for them to take their medicine. Discussion cues ease communication between HCWs, caregivers, and pediatric patients. Given the urgent need for available pediatric HIV disclosure interventions, easily implementable tools like the Namibian disclosure book should be evaluated for utility in similar settings.

Microsputterer with integrated ion-drag focusing for additive manufacturing of thin, narrow conductive lines

NASA Astrophysics Data System (ADS)

Kornbluth, Y. S.; Mathews, R. H.; Parameswaran, L.; Racz, L. M.; Velásquez-García, L. F.

2018-04-01

We report the design, modelling, and proof-of-concept demonstration of a continuously fed, atmospheric-pressure microplasma metal sputterer that is capable of printing conductive lines narrower than the width of the target without the need for post-processing or lithographic patterning. Ion drag-induced focusing is harnessed to print narrow lines; the focusing mechanism is modelled via COMSOL Multiphysics simulations and validated with experiments. A microplasma sputter head with gold target is constructed and used to deposit imprints with minimum feature sizes as narrow as 9 µm, roughness as small as 55 nm, and electrical resistivity as low as 1.1 µΩ · m.

Guidance for Efficient Small Animal Imaging Quality Control.

PubMed

Osborne, Dustin R; Kuntner, Claudia; Berr, Stuart; Stout, David

2017-08-01

Routine quality control is a critical aspect of properly maintaining high-performance small animal imaging instrumentation. A robust quality control program helps produce more reliable data both for academic purposes and as proof of system performance for contract imaging work. For preclinical imaging laboratories, the combination of costs and available resources often limits their ability to produce efficient and effective quality control programs. This work presents a series of simplified quality control procedures that are accessible to a wide range of preclinical imaging laboratories. Our intent is to provide minimum guidelines for routine quality control that can assist preclinical imaging specialists in setting up an appropriate quality control program for their facility.

Large space structure damping design

NASA Technical Reports Server (NTRS)

Pilkey, W. D.; Haviland, J. K.

1983-01-01

Several FORTRAN subroutines and programs were developed which compute complex eigenvalues of a damped system using different approaches, and which rescale mode shapes to unit generalized mass and make rigid bodies orthogonal to each other. An analytical proof of a Minimum Constrained Frequency Criterion (MCFC) for a single damper is presented. A method to minimize the effect of control spill-over for large space structures is proposed. The characteristic equation of an undamped system with a generalized control law is derived using reanalysis theory. This equation can be implemented in computer programs for efficient eigenvalue analysis or control quasi synthesis. Methods to control vibrations in large space structure are reviewed and analyzed. The resulting prototype, using electromagnetic actuator, is described.

Practical theories for service life prediction of critical aerospace structural components

NASA Technical Reports Server (NTRS)

Ko, William L.; Monaghan, Richard C.; Jackson, Raymond H.

1992-01-01

A new second-order theory was developed for predicting the service lives of aerospace structural components. The predictions based on this new theory were compared with those based on the Ko first-order theory and the classical theory of service life predictions. The new theory gives very accurate service life predictions. An equivalent constant-amplitude stress cycle method was proposed for representing the random load spectrum for crack growth calculations. This method predicts the most conservative service life. The proposed use of minimum detectable crack size, instead of proof load established crack size as an initial crack size for crack growth calculations, could give a more realistic service life.

45 CFR 1644.4 - Case disclosure requirement.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 4 2010-10-01 2010-10-01 false Case disclosure requirement. 1644.4 Section 1644.4 Public Welfare Regulations Relating to Public Welfare (Continued) LEGAL SERVICES CORPORATION DISCLOSURE OF CASE INFORMATION § 1644.4 Case disclosure requirement. (a) For each case filed in court by its...

31 CFR 50.10 - General disclosure requirements.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false General disclosure requirements. 50.10 Section 50.10 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.10 General disclosure requirements. (a...

34 CFR 601.11 - Private education loan disclosures and self-certification form.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 3 2010-07-01 2010-07-01 false Private education loan disclosures and self...-Affiliated Organizations § 601.11 Private education loan disclosures and self-certification form. (a) A... education loan disclosures to the prospective borrower, regardless of whether the covered institution or...

77 FR 36281 - Solicitation of Information and Recommendations for Revising OIG's Provider Self-Disclosure Protocol

Federal Register 2010, 2011, 2012, 2013, 2014

2012-06-18

...] Solicitation of Information and Recommendations for Revising OIG's Provider Self-Disclosure Protocol AGENCY... Register notice informs the public that OIG: (1) Intends to update the Provider Self-Disclosure Protocol... Provider Self-Disclosure Protocol (the Protocol) to establish a process for health care providers to...

25 CFR 141.48 - Translation of disclosure statements.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 25 Indians 1 2010-04-01 2010-04-01 false Translation of disclosure statements. 141.48 Section 141.48 Indians BUREAU OF INDIAN AFFAIRS, DEPARTMENT OF THE INTERIOR FINANCIAL ACTIVITIES BUSINESS... Translation of disclosure statements. Disclosure required by §§ 141.46 and 141.47 shall be made in writing...

31 CFR 50.10 - General disclosure requirements.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance: Treasury 1 2013-07-01 2013-07-01 false General disclosure requirements. 50.10 Section 50.10 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.10 General disclosure requirements. (a...

31 CFR 50.10 - General disclosure requirements.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance: Treasury 1 2014-07-01 2014-07-01 false General disclosure requirements. 50.10 Section 50.10 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.10 General disclosure requirements. (a...

31 CFR 50.10 - General disclosure requirements.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance: Treasury 1 2012-07-01 2012-07-01 false General disclosure requirements. 50.10 Section 50.10 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.10 General disclosure requirements. (a...

31 CFR 50.10 - General disclosure requirements.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance: Treasury 1 2011-07-01 2011-07-01 false General disclosure requirements. 50.10 Section 50.10 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.10 General disclosure requirements. (a...

6 CFR 9.3 - Certification and disclosure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Certification and disclosure. 9.3 Section 9.3 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY RESTRICTIONS UPON LOBBYING General § 9.3 Certification and disclosure. (a) Each person shall file a certification, and a disclosure...

12 CFR 226.39 - Mortgage transfer disclosures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... involves multiple covered persons who jointly acquire the loan, a single disclosure must be provided on... single disclosure is provided on behalf of more than one covered person, the information required by this... single disclosure is provided on behalf of more than one covered person and one of them has been...

12 CFR 400.101 - Cross-reference to employee financial disclosure and ethical conduct standards regulations.

Code of Federal Regulations, 2011 CFR

2011-01-01

... disclosure and ethical conduct standards regulations. 400.101 Section 400.101 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES EMPLOYEE FINANCIAL DISCLOSURE AND ETHICAL CONDUCT STANDARDS REGULATIONS § 400.101 Cross-reference to employee financial disclosure and ethical conduct standards regulations...

16 CFR 307.8 - Requirements for disclosure in audiovisual and audio advertising.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 1 2010-01-01 2010-01-01 false Requirements for disclosure in audiovisual and audio advertising. 307.8 Section 307.8 Commercial Practices FEDERAL TRADE COMMISSION REGULATIONS... ACT OF 1986 Advertising Disclosures § 307.8 Requirements for disclosure in audiovisual and audio...

42 CFR 480.140 - Disclosure of quality review study information.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 42 Public Health 4 2012-10-01 2012-10-01 false Disclosure of quality review study information. 480... Organizations (QIOs) Disclosure of Confidential Information § 480.140 Disclosure of quality review study information. (a) A QIO must disclose quality review study information with identifiers of patients...

42 CFR 480.140 - Disclosure of quality review study information.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 42 Public Health 4 2011-10-01 2011-10-01 false Disclosure of quality review study information. 480... Organizations (QIOs) Disclosure of Confidential Information § 480.140 Disclosure of quality review study information. (a) A QIO must disclose quality review study information with identifiers of patients...

42 CFR 480.140 - Disclosure of quality review study information.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 42 Public Health 4 2014-10-01 2014-10-01 false Disclosure of quality review study information. 480... Organizations (QIOs) Disclosure of Confidential Information § 480.140 Disclosure of quality review study information. (a) A QIO must disclose quality review study information with identifiers of patients...

42 CFR 480.140 - Disclosure of quality review study information.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Disclosure of quality review study information. 480... Organizations (QIOs) Disclosure of Confidential Information § 480.140 Disclosure of quality review study information. (a) A QIO must disclose, onsite, quality review study information with identifiers of patients...

42 CFR 480.140 - Disclosure of quality review study information.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 42 Public Health 4 2013-10-01 2013-10-01 false Disclosure of quality review study information. 480... Organizations (QIOs) Disclosure of Confidential Information § 480.140 Disclosure of quality review study information. (a) A QIO must disclose quality review study information with identifiers of patients...

21 CFR 20.90 - Disclosure to contractors.

Code of Federal Regulations, 2012 CFR

2012-04-01

... INFORMATION Limitations on Exemptions § 20.90 Disclosure to contractors. (a) Data and information otherwise... employees; (4) Limitations on reproduction, transmission, and disclosure of the data and information; (5) A... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Disclosure to contractors. 20.90 Section 20.90...

5 CFR 2606.207 - Accounting of disclosures.

Code of Federal Regulations, 2013 CFR

2013-01-01

... disclosures in cases where records about the data subject are disclosed from OGE's system of records except..., the accounting of disclosures will be made available to the data subject upon request in accordance... 5 Administrative Personnel 3 2013-01-01 2013-01-01 false Accounting of disclosures. 2606.207...

16 CFR 1115.15 - Confidentiality and disclosure of data.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 16 Commercial Practices 2 2011-01-01 2011-01-01 false Confidentiality and disclosure of data. 1115... and disclosure of data. (a) General. The Commission does not routinely make reports available to the... information is entitled to exemption from public disclosure under the provisions of the Freedom of Information...

21 CFR 20.86 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2010 CFR

2010-04-01

... SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.86 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Food and Drug... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Disclosure in administrative or court proceedings...

12 CFR Appendix A to Part 630 - Supplemental Information Disclosure Guidelines

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 7 2013-01-01 2013-01-01 false Supplemental Information Disclosure Guidelines A Appendix A to Part 630 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE..., App. A Appendix A to Part 630—Supplemental Information Disclosure Guidelines Supplemental information...

32 CFR 635.14 - Accounting for military police record disclosure.

Code of Federal Regulations, 2014 CFR

2014-07-01

... Emergency Services will develop local procedures to ensure that disclosure data requirements by AR 340-21... 32 National Defense 4 2014-07-01 2013-07-01 true Accounting for military police record disclosure... § 635.14 Accounting for military police record disclosure. (a) AR 340-21 prescribes accounting policies...

16 CFR 1115.15 - Confidentiality and disclosure of data.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 16 Commercial Practices 2 2014-01-01 2014-01-01 false Confidentiality and disclosure of data. 1115... and disclosure of data. (a) General. The Commission does not routinely make reports available to the... information is entitled to exemption from public disclosure under the provisions of the Freedom of Information...

10 CFR 2.704 - Discovery-required disclosures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 10 Energy 1 2014-01-01 2014-01-01 false Discovery-required disclosures. 2.704 Section 2.704 Energy....704 Discovery-required disclosures. (a) Initial disclosures. Except to the extent otherwise stipulated...; and (2) A copy of, or a description by category and location of, all documents, data compilations, and...

32 CFR 635.14 - Accounting for military police record disclosure.

Code of Federal Regulations, 2013 CFR

2013-07-01

... Emergency Services will develop local procedures to ensure that disclosure data requirements by AR 340-21... 32 National Defense 4 2013-07-01 2013-07-01 false Accounting for military police record disclosure... § 635.14 Accounting for military police record disclosure. (a) AR 340-21 prescribes accounting policies...

21 CFR 20.86 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2013 CFR

2013-04-01

... SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.86 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Food and Drug... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Disclosure in administrative or court proceedings...

12 CFR Appendix A to Part 630 - Supplemental Information Disclosure Guidelines

Code of Federal Regulations, 2011 CFR

2011-01-01

... 12 Banks and Banking 6 2011-01-01 2011-01-01 false Supplemental Information Disclosure Guidelines A Appendix A to Part 630 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE..., App. A Appendix A to Part 630—Supplemental Information Disclosure Guidelines Supplemental information...

32 CFR 635.14 - Accounting for military police record disclosure.

Code of Federal Regulations, 2011 CFR

2011-07-01

... Emergency Services will develop local procedures to ensure that disclosure data requirements by AR 340-21... 32 National Defense 4 2011-07-01 2011-07-01 false Accounting for military police record disclosure... § 635.14 Accounting for military police record disclosure. (a) AR 340-21 prescribes accounting policies...

5 CFR 2606.207 - Accounting of disclosures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... disclosures in cases where records about the data subject are disclosed from OGE's system of records except..., the accounting of disclosures will be made available to the data subject upon request in accordance... 5 Administrative Personnel 3 2012-01-01 2012-01-01 false Accounting of disclosures. 2606.207...

21 CFR 20.86 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2011 CFR

2011-04-01

... SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.86 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Food and Drug... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Disclosure in administrative or court proceedings...

21 CFR 20.86 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2012 CFR

2012-04-01

... SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.86 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Food and Drug... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Disclosure in administrative or court proceedings...

21 CFR 20.90 - Disclosure to contractors.

Code of Federal Regulations, 2014 CFR

2014-04-01

... INFORMATION Limitations on Exemptions § 20.90 Disclosure to contractors. (a) Data and information otherwise... employees; (4) Limitations on reproduction, transmission, and disclosure of the data and information; (5) A... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Disclosure to contractors. 20.90 Section 20.90...

5 CFR 2606.207 - Accounting of disclosures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... disclosures in cases where records about the data subject are disclosed from OGE's system of records except..., the accounting of disclosures will be made available to the data subject upon request in accordance... 5 Administrative Personnel 3 2014-01-01 2014-01-01 false Accounting of disclosures. 2606.207...

12 CFR Appendix A to Part 630 - Supplemental Information Disclosure Guidelines

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 7 2014-01-01 2014-01-01 false Supplemental Information Disclosure Guidelines A Appendix A to Part 630 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE..., App. A Appendix A to Part 630—Supplemental Information Disclosure Guidelines Supplemental information...

16 CFR 1115.15 - Confidentiality and disclosure of data.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 16 Commercial Practices 2 2012-01-01 2012-01-01 false Confidentiality and disclosure of data. 1115... and disclosure of data. (a) General. The Commission does not routinely make reports available to the... information is entitled to exemption from public disclosure under the provisions of the Freedom of Information...

12 CFR Appendix A to Part 630 - Supplemental Information Disclosure Guidelines

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 7 2012-01-01 2012-01-01 false Supplemental Information Disclosure Guidelines A Appendix A to Part 630 Banks and Banking FARM CREDIT ADMINISTRATION FARM CREDIT SYSTEM DISCLOSURE..., App. A Appendix A to Part 630—Supplemental Information Disclosure Guidelines Supplemental information...

16 CFR 1115.15 - Confidentiality and disclosure of data.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 16 Commercial Practices 2 2010-01-01 2010-01-01 false Confidentiality and disclosure of data. 1115... and disclosure of data. (a) General. The Commission does not routinely make reports available to the... information is entitled to exemption from public disclosure under the provisions of the Freedom of Information...

32 CFR 635.14 - Accounting for military police record disclosure.

Code of Federal Regulations, 2012 CFR

2012-07-01

... Emergency Services will develop local procedures to ensure that disclosure data requirements by AR 340-21... 32 National Defense 4 2012-07-01 2011-07-01 true Accounting for military police record disclosure... § 635.14 Accounting for military police record disclosure. (a) AR 340-21 prescribes accounting policies...

36 CFR 902.53 - Records exempted from disclosure by statute.

Code of Federal Regulations, 2011 CFR

2011-07-01

... disclosure by statute. 902.53 Section 902.53 Parks, Forests, and Public Property PENNSYLVANIA AVENUE....53 Records exempted from disclosure by statute. (a) Records relating to matters that are specifically exempted by statute from disclosure may not be made available for public inspection. For example: section...

16 CFR § 1115.15 - Confidentiality and disclosure of data.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 16 Commercial Practices 2 2013-01-01 2013-01-01 false Confidentiality and disclosure of data. Â... Confidentiality and disclosure of data. (a) General. The Commission does not routinely make reports available to... information is entitled to exemption from public disclosure under the provisions of the Freedom of Information...

21 CFR 20.86 - Disclosure in administrative or court proceedings.

Code of Federal Regulations, 2014 CFR

2014-04-01

... SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.86 Disclosure in administrative or court proceedings. Data and information otherwise exempt from public disclosure may be revealed in Food and Drug... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Disclosure in administrative or court proceedings...

42 CFR 480.132 - Disclosure of information about patients.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 42 Public Health 4 2010-10-01 2010-10-01 false Disclosure of information about patients. 480.132 Section 480.132 Public Health CENTERS FOR MEDICARE & MEDICAID SERVICES, DEPARTMENT OF HEALTH AND HUMAN... (QIOs) Disclosure of Confidential Information § 480.132 Disclosure of information about patients. (a...

34 CFR 82.110 - Certification and disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 34 Education 1 2010-07-01 2010-07-01 false Certification and disclosure. 82.110 Section 82.110 Education Office of the Secretary, Department of Education NEW RESTRICTIONS ON LOBBYING General § 82.110 Certification and disclosure. (a) Each person shall file a certification, and a disclosure form, if required...

College Student Perceptions of the (In)Appropriateness and Functions of Teacher Disclosure

ERIC Educational Resources Information Center

Hosek, Angela M.; Presley, Rachel

2018-01-01

This study investigated college student perceptions of the (in)appropriateness of instructor disclosures and perceived functions of instructor disclosures. An interpretive analysis of 35 college students identified that family relationships, life experiences and background, and everyday talk and activities were forms of appropriate disclosures;…

12 CFR 3.173 - Disclosures by certain advanced approaches national banks or Federal savings associations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... funds or total capital within the group. Quantitative disclosures (d) The aggregate amount of surplus... and conditions of the main features of all regulatory capital instruments. Quantitative disclosures (b... capital to support current and future activities. Quantitative disclosures (b) Risk-weighted assets for...

12 CFR 217.173 - Disclosures by certain advanced approaches Board-regulated institutions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... total capital within the group. Quantitative disclosures (d) The aggregate amount of surplus capital of... conditions of the main features of all regulatory capital instruments. Quantitative disclosures (b) The... current and future activities. Quantitative disclosures (b) Risk-weighted assets for credit risk from: (1...

12 CFR 324.173 - Disclosures by certain advanced approaches FDIC-supervised institutions.

Code of Federal Regulations, 2014 CFR

2014-01-01

... total capital within the group. Quantitative disclosures (d) The aggregate amount of surplus capital of... conditions of the main features of all regulatory capital instruments. Quantitative disclosures (b) The... current and future activities. Quantitative disclosures (b) Risk-weighted assets for credit risk from:(1...

12 CFR 707.11 - Additional disclosure requirements for overdraft services.

Code of Federal Regulations, 2010 CFR

2010-01-01

... Sample Form B-10 in appendix B. (b) Advertising disclosures for overdraft services—(1) Disclosures... overdrafts not subject to additional advertising disclosures. Paragraph (b)(1) of this section does not apply... advertisement made through broadcast or electronic media, such as television or radio; (iv) An advertisement...

12 CFR 411.110 - Certification and disclosure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 12 Banks and Banking 4 2010-01-01 2010-01-01 false Certification and disclosure. 411.110 Section 411.110 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES NEW RESTRICTIONS ON LOBBYING General § 411.110 Certification and disclosure. (a) Each person shall file a certification, and a disclosure...

75 FR 35030 - Home Mortgage Disclosure Act; Notice of Hearings

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-21

... FEDERAL RESERVE SYSTEM [Docket No. OP-1388] RIN 7100-AD51 Home Mortgage Disclosure Act; Notice of... revisions to the Board's Regulation C, which implements the Home Mortgage Disclosure Act (HMDA). HMDA.... SUPPLEMENTARY INFORMATION: I. Background A. HMDA and Regulation C The Home Mortgage Disclosure Act (HMDA), 12 U...

12 CFR 400.101 - Cross-reference to employee financial disclosure and ethical conduct standards regulations.

Code of Federal Regulations, 2010 CFR

2010-01-01

... disclosure and ethical conduct standards regulations. 400.101 Section 400.101 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES EMPLOYEE FINANCIAL DISCLOSURE AND ETHICAL CONDUCT STANDARDS REGULATIONS § 400.101 Cross-reference to employee financial disclosure and ethical conduct standards regulations...

32 CFR 635.14 - Accounting for military police record disclosure.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 32 National Defense 4 2010-07-01 2010-07-01 true Accounting for military police record disclosure... § 635.14 Accounting for military police record disclosure. (a) AR 340-21 prescribes accounting policies and procedures concerning the disclosure of military police records. (b) Provost Marshals/Directors of...

76 FR 60387 - Privacy Act of 1974: Implementation of Exemptions; Department of Homeland Security Federal...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-29

...)(3) (Accounting for Disclosures) because release of the accounting of disclosures could alert the... recipient agency. Disclosure of the accounting would therefore present a serious impediment to law enforcement efforts and/or efforts to preserve national security. Disclosure of the accounting would also...

45 CFR 164.528 - Accounting of disclosures of protected health information.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 45 Public Welfare 1 2010-10-01 2010-10-01 false Accounting of disclosures of protected health... Health Information § 164.528 Accounting of disclosures of protected health information. (a) Standard: Right to an accounting of disclosures of protected health information. (1) An individual has a right to...

36 CFR 1121.11 - Accounting of disclosures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Accounting of disclosures... COMPLIANCE BOARD PRIVACY ACT IMPLEMENTATION § 1121.11 Accounting of disclosures. (a) The Board shall, except... an accurate accounting of— (1) The date, nature and purpose of each disclosure of a record to any...

22 CFR 1101.10 - Accounting for disclosures.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 22 Foreign Relations 2 2010-04-01 2010-04-01 true Accounting for disclosures. 1101.10 Section 1101... STATES SECTION PRIVACY ACT OF 1974 § 1101.10 Accounting for disclosures. (a) Each system manager shall establish a system of accounting for all disclosures of records, either orally or in writing made outside...

36 CFR 1008.10 - Accounting for disclosures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 36 Parks, Forests, and Public Property 3 2010-07-01 2010-07-01 false Accounting for disclosures... ACT § 1008.10 Accounting for disclosures. (a) Maintenance of an accounting. (1) Where a record is... person or agency to whom the disclosure was made. (3) Accountings prepared under this section shall be...

78 FR 11575 - Privacy Act of 1974; Implementation

Federal Register 2010, 2011, 2012, 2013, 2014

2013-02-19

... available to a record subject the accounting of disclosures from records concerning the subject individual...) The routine use disclosures to the news media and public; (2) the routine use disclosures to health... the scope and lack of specificity of two new routine uses, namely routine use (r) for disclosures to...

76 FR 60385 - Privacy Act of 1974: Implementation of Exemptions; Department of Homeland Security U.S...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-09-29

... for Disclosures) because release of the accounting of disclosures could alert the subject of an... efforts to preserve national security. Disclosure of the accounting would also permit the individual who... ongoing law enforcement, national security or fraud investigation; to avoid disclosure of investigative...

12 CFR 133.6 - Disclosure of covered agreements.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 12 Banks and Banking 1 2012-01-01 2012-01-01 false Disclosure of covered agreements. 133.6 Section 133.6 Banks and Banking COMPTROLLER OF THE CURRENCY, DEPARTMENT OF THE TREASURY DISCLOSURE AND REPORTING OF CRA-RELATED AGREEMENTS § 133.6 Disclosure of covered agreements. (a) Applicability date. This...

44 CFR 6.21 - Procedures for disclosure.

Code of Federal Regulations, 2010 CFR

2010-10-01

... Procedures for disclosure. (a) Upon receipt of a request for disclosure, the system manager shall verify the... other requirements of this part, the system manager shall make the requested records available. (b) If the system manager determines that the disclosure is not permitted under the provisions of § 6.20 or...

12 CFR 252.148 - Disclosure of stress test results.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 12 Banks and Banking 4 2014-01-01 2014-01-01 false Disclosure of stress test results. 252.148... RESERVE SYSTEM (CONTINUED) ENHANCED PRUDENTIAL STANDARDS (REGULATION YY) Company-Run Stress Test Requirements for Covered Companies § 252.148 Disclosure of stress test results. (a) Public disclosure of...

46 CFR 503.62 - Accounting of disclosures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 46 Shipping 9 2010-10-01 2010-10-01 false Accounting of disclosures. 503.62 Section 503.62... Record of Identifiable Personal Information § 503.62 Accounting of disclosures. (a) The Secretary shall make an accounting of each disclosure of any record contained in a system of records in accordance with...

5 CFR 293.406 - Disclosure of records.

Code of Federal Regulations, 2011 CFR

2011-01-01

... RECORDS Employee Performance File System Records § 293.406 Disclosure of records. Disclosure as used here... of official duties. Disclosure of information from this file system shall be made only as permitted..., only under a routine use published by the Office for the system of records covering these records...

5 CFR 293.406 - Disclosure of records.

Code of Federal Regulations, 2012 CFR

2012-01-01

... RECORDS Employee Performance File System Records § 293.406 Disclosure of records. Disclosure as used here... of official duties. Disclosure of information from this file system shall be made only as permitted..., only under a routine use published by the Office for the system of records covering these records...

5 CFR 293.406 - Disclosure of records.

Code of Federal Regulations, 2010 CFR

2010-01-01

... RECORDS Employee Performance File System Records § 293.406 Disclosure of records. Disclosure as used here... of official duties. Disclosure of information from this file system shall be made only as permitted..., only under a routine use published by the Office for the system of records covering these records...

5 CFR 293.406 - Disclosure of records.

Code of Federal Regulations, 2013 CFR

2013-01-01

... RECORDS Employee Performance File System Records § 293.406 Disclosure of records. Disclosure as used here... of official duties. Disclosure of information from this file system shall be made only as permitted..., only under a routine use published by the Office for the system of records covering these records...

5 CFR 293.406 - Disclosure of records.

Code of Federal Regulations, 2014 CFR

2014-01-01

... RECORDS Employee Performance File System Records § 293.406 Disclosure of records. Disclosure as used here... of official duties. Disclosure of information from this file system shall be made only as permitted..., only under a routine use published by the Office for the system of records covering these records...

Supervisee Art-Based Disclosure in "El Duende" Process Painting

ERIC Educational Resources Information Center

Robb, Megan; Miller, Abbe

2017-01-01

Although art-based supervision often leads to supervisee disclosure, little is known about the experience, process, or contributions of such disclosure. We investigated the phenomenon of supervisee disclosure during "El Duende" Process Painting art-based group supervision using a qualitative study. JoHari's Window was used as a grounding…

12 CFR 400.101 - Cross-reference to employee financial disclosure and ethical conduct standards regulations.

Code of Federal Regulations, 2013 CFR

2013-01-01

... disclosure and ethical conduct standards regulations. 400.101 Section 400.101 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES EMPLOYEE FINANCIAL DISCLOSURE AND ETHICAL CONDUCT STANDARDS REGULATIONS § 400.101 Cross-reference to employee financial disclosure and ethical conduct standards regulations...

12 CFR 400.101 - Cross-reference to employee financial disclosure and ethical conduct standards regulations.

Code of Federal Regulations, 2012 CFR

2012-01-01

... disclosure and ethical conduct standards regulations. 400.101 Section 400.101 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES EMPLOYEE FINANCIAL DISCLOSURE AND ETHICAL CONDUCT STANDARDS REGULATIONS § 400.101 Cross-reference to employee financial disclosure and ethical conduct standards regulations...

12 CFR 400.101 - Cross-reference to employee financial disclosure and ethical conduct standards regulations.

Code of Federal Regulations, 2014 CFR

2014-01-01

... disclosure and ethical conduct standards regulations. 400.101 Section 400.101 Banks and Banking EXPORT-IMPORT BANK OF THE UNITED STATES EMPLOYEE FINANCIAL DISCLOSURE AND ETHICAL CONDUCT STANDARDS REGULATIONS § 400.101 Cross-reference to employee financial disclosure and ethical conduct standards regulations...

45 CFR 704.4 - Restrictions on disclosure of information.

Code of Federal Regulations, 2011 CFR

2011-10-01

... 45 Public Welfare 3 2011-10-01 2011-10-01 false Restrictions on disclosure of information. 704.4 Section 704.4 Public Welfare Regulations Relating to Public Welfare (Continued) COMMISSION ON CIVIL RIGHTS INFORMATION DISCLOSURE AND COMMUNICATIONS § 704.4 Restrictions on disclosure of information. (a) By the...

45 CFR 704.4 - Restrictions on disclosure of information.

Code of Federal Regulations, 2014 CFR

2014-10-01

... 45 Public Welfare 3 2014-10-01 2014-10-01 false Restrictions on disclosure of information. 704.4 Section 704.4 Public Welfare Regulations Relating to Public Welfare (Continued) COMMISSION ON CIVIL RIGHTS INFORMATION DISCLOSURE AND COMMUNICATIONS § 704.4 Restrictions on disclosure of information. (a) By the...

45 CFR 704.4 - Restrictions on disclosure of information.

Code of Federal Regulations, 2013 CFR

2013-10-01

... 45 Public Welfare 3 2013-10-01 2013-10-01 false Restrictions on disclosure of information. 704.4 Section 704.4 Public Welfare Regulations Relating to Public Welfare (Continued) COMMISSION ON CIVIL RIGHTS INFORMATION DISCLOSURE AND COMMUNICATIONS § 704.4 Restrictions on disclosure of information. (a) By the...

45 CFR 704.4 - Restrictions on disclosure of information.

Code of Federal Regulations, 2012 CFR

2012-10-01

... 45 Public Welfare 3 2012-10-01 2012-10-01 false Restrictions on disclosure of information. 704.4 Section 704.4 Public Welfare Regulations Relating to Public Welfare (Continued) COMMISSION ON CIVIL RIGHTS INFORMATION DISCLOSURE AND COMMUNICATIONS § 704.4 Restrictions on disclosure of information. (a) By the...

49 CFR 604.40 - Public disclosure of evidence.

Code of Federal Regulations, 2011 CFR

2011-10-01

... disclosure of information in the record by filing a written motion to withhold specific information with the PO. The person shall state specific grounds for nondisclosure in the motion. (c) The PO shall grant the motion to withhold information from public disclosure if the PO determines that disclosure would...

49 CFR 604.40 - Public disclosure of evidence.

Code of Federal Regulations, 2013 CFR

2013-10-01

... disclosure of information in the record by filing a written motion to withhold specific information with the PO. The person shall state specific grounds for nondisclosure in the motion. (c) The PO shall grant the motion to withhold information from public disclosure if the PO determines that disclosure would...

21 CFR 20.90 - Disclosure to contractors.

Code of Federal Regulations, 2010 CFR

2010-04-01

... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Disclosure to contractors. 20.90 Section 20.90... INFORMATION Limitations on Exemptions § 20.90 Disclosure to contractors. (a) Data and information otherwise exempt from public disclosure may be disclosed to contractors with the Food and Drug Administration and...

49 CFR 10.23 - Accounting of disclosures.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 1 2010-10-01 2010-10-01 false Accounting of disclosures. 10.23 Section 10.23... INDIVIDUALS Maintenance of Records § 10.23 Accounting of disclosures. Each operating administration, the... accurate accounting of: (1) The date, nature, and purpose of each disclosure of a record to any person or...

31 CFR 1.25 - Accounting of disclosures.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 31 Money and Finance: Treasury 1 2010-07-01 2010-07-01 false Accounting of disclosures. 1.25... Privacy Act § 1.25 Accounting of disclosures. (a) Accounting of certain disclosures. Each component, with respect to each system of records under its control, shall: (1) Keep an accurate accounting of: (i) The...

Role Played Self-Disclosure as a Function of Liking and Knowing

ERIC Educational Resources Information Center

Critelli, Joseph W.; And Others

1976-01-01

Examines the effects of liking and knowing on self-disclosure using both self-report and observational measures, obtains separate measures of personal and impersonal self-disclosure, and assesses the utility of the role-playing paradigm for revealing orderly relationships among self-disclosure variables. (Author/RK)

10 CFR 2.704 - Discovery-required disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... at the NRC Web site, http://www.nrc.gov, and/or the NRC Public Document Room, a sufficient disclosure... based on the information then reasonably available to it. A party is not excused from making its... disclosures when required under paragraph (e) of this section. (c) Pretrial disclosures. (1) In addition to...

Maximum and minimum entropy states yielding local continuity bounds

NASA Astrophysics Data System (ADS)

Hanson, Eric P.; Datta, Nilanjana

2018-04-01

Given an arbitrary quantum state (σ), we obtain an explicit construction of a state ρɛ * ( σ ) [respectively, ρ * , ɛ ( σ ) ] which has the maximum (respectively, minimum) entropy among all states which lie in a specified neighborhood (ɛ-ball) of σ. Computing the entropy of these states leads to a local strengthening of the continuity bound of the von Neumann entropy, i.e., the Audenaert-Fannes inequality. Our bound is local in the sense that it depends on the spectrum of σ. The states ρɛ * ( σ ) and ρ * , ɛ (σ) depend only on the geometry of the ɛ-ball and are in fact optimizers for a larger class of entropies. These include the Rényi entropy and the minimum- and maximum-entropies, providing explicit formulas for certain smoothed quantities. This allows us to obtain local continuity bounds for these quantities as well. In obtaining this bound, we first derive a more general result which may be of independent interest, namely, a necessary and sufficient condition under which a state maximizes a concave and Gâteaux-differentiable function in an ɛ-ball around a given state σ. Examples of such a function include the von Neumann entropy and the conditional entropy of bipartite states. Our proofs employ tools from the theory of convex optimization under non-differentiable constraints, in particular Fermat's rule, and majorization theory.

Department of Labor

MedlinePlus

... DFVCP Penalty Calculator Reporting Compliance Enforcement Manual Employee Benefit Plan Audit Report ERISA Programs And Initiatives Public Disclosure Public Disclosure Back to Public Disclosure Freedom ...

The relationship between negative responses to HIV status disclosure and psychosocial outcomes among people living with HIV.

PubMed

Cama, Elena; Brener, Loren; Slavin, Sean; de Wit, John

2017-07-01

This report examines rates of HIV status disclosure and negative responses to disclosure among people living with HIV in Australia. Among 697 people living with HIV, most (>90%) had disclosed their status to friends, sexual partners and health providers. Almost a third had not disclosed to family, and half had not told any work colleagues. Negative responses to disclosure (e.g. blame, rejection) by all groups were associated with increased HIV-related stigma, psychological distress and diminished social support and health satisfaction. These results shed light on rates of disclosure among people living with HIV in Australia and the adverse health impacts of negative responses to disclosure.

Self-disclosure and occupational stress in Chinese professionals.

PubMed

Hamid, P N

2000-12-01

The relationship of self-disclosure with occupational stress and symptoms of stress was examined among 243 Hong Kong Chinese adult professionals. Self-disclosure was negatively correlated with both occupational stress and psychological symptoms of stress for disclosures of personal feelings and social relationships when disclosing to a Best Friend, indicating a stress-buffering effect. There was a positive correlation between occupational stress and psychological symptoms of stress for disclosure of personal feelings and information about social relationships when disclosing to Mother. While both sexes reported similar occupational stress, the total self-disclosure of women was higher than for men, and this was especially true for intimate topics. The implications of the results were discussed.

Some Thoughts on Self-Disclosure.

PubMed

Richards, Arnold

2018-04-01

This paper explores the pros and cons of self-disclosure and self revelation in the analyst. It takes as its starting point a paper by Jeffrey Stern that shows a mixed but generally positive outcome of an incident of self-disclosure. The trend in more recent times has been toward somewhat more self-disclosure, with modern analysts' views on a continuum. The author discusses an example from his own practice, in which he delayed self-disclosure for some time, but did reveal facts about himself, and how this had a mostly positive outcome. He concludes by distinguishing self-disclosure that entails stating facts about self from self-revelation, when the analyst tells his feelings about some specifics from his own life or in the patient's disclosure. Such revelation is not likely to be beneficial to the therapeutic alliance in its early stages, but may be of value as the analytic relationship and trust develop over longer time.

Disclosures of Conflicts of Interest in Psychiatric Review Articles

PubMed Central

Kopelman, Andrew M.; Gorelick, David A.; Appelbaum, Paul S.

2013-01-01

To characterize disclosures of conflicts of interest in review articles in psychiatry, we identified 285 reviews from ten high-impact journals in psychiatry and two in general medicine. Disclosures were reliably coded as biotech/pharmaceutical/other material interests, nonprofit/government, communication companies, or other. Authors in both types of journals frequently reported industry ties. However, reviews in psychiatric journals were significantly less likely to include industry-related disclosures (32% of reviews; 18% of authors) compared with general medical journals (64% of articles; 40% of authors). The most common types of industry-related disclosures were for consulting, research support, and speaking fees. Disclosures appeared to be of limited utility in helping readers assess possible biases, because the nature and extent of the relationship being disclosed was often unclear. Efforts to screen out authors with significant financial relationships pertaining to the topic under review may be more effective than disclosure in protecting the integrity of the medical literature. PMID:23364114

Suicide Disclosure in Suicide Attempt Survivors: Does Family Reaction Moderate or Mediate Disclosure's Effect on Depression?

PubMed

Frey, Laura M; Hans, Jason D; Cerel, Julie

2016-02-01

Existing literature has found a link between disclosure of a stigmatized identity and improved mental health; however, research on the impact of suicide disclosure to family members is scarce. Suicide attempt survivors (n = 74) in the United States were examined to assess whether family reaction moderates or mediates the relationship between suicide disclosure and subsequent depression symptoms. Family reaction did not moderate but did mediate the relationship between disclosure and depression symptoms while controlling for time since most recent attempt. Higher rates of disclosure predicted more positive family reactions, which in turn predicted less severe depression symptoms. Findings indicate that family members can play an essential role in the recovery process after an attempt occurs, which has important implications for both researchers and clinicians who seek to decrease stigma for attempt survivors while simultaneously decreasing the likelihood of future attempts. © 2015 The American Association of Suicidology.

Comparing online and offline self-disclosure: a systematic review.

PubMed

Nguyen, Melanie; Bin, Yu Sun; Campbell, Andrew

2012-02-01

Disclosure of personal information is believed to be more frequent in online compared to offline communication. However, this assumption is both theoretically and empirically contested. This systematic review examined existing research comparing online and offline self-disclosure to ascertain the evidence for current theories of online communication. Studies that compared online and offline disclosures in dyadic interactions were included for review. Contrary to expectations, disclosure was not consistently found to be greater in online contexts. Factors such as the relationship between the communicators, the specific mode of communication, and the context of the interaction appear to moderate the degree of disclosure. In relation to the theories of online communication, there is support for each theory. It is argued that the overlapping predictions of each theory and the current state of empirical research highlights a need for an overarching theory of communication that can account for disclosure in both online and offline interactions.

10 CFR 9.17 - Agency records exempt from public disclosure.

Code of Federal Regulations, 2010 CFR

2010-01-01

... investigations or prosecutions, if the disclosure could reasonably be expected to risk circumvention of the law... 10 Energy 1 2010-01-01 2010-01-01 false Agency records exempt from public disclosure. 9.17 Section....17 Agency records exempt from public disclosure. (a) The following types of agency records are exempt...

17 CFR 30.6 - Disclosure.

Code of Federal Regulations, 2010 CFR

2010-04-01

... in accordance with § 1.55 of this chapter: Provided, however, that the risk disclosure statement may... each prospective qualified eligible person with the Risk Disclosure Statement set forth in § 4.24(b)(2... person with the Risk Disclosure Statement set forth in § 4.34(b)(2) of this chapter and the statement in...

Chinese Pre-Service Teachers' Perceptions of Effects of Teacher Self-Disclosure

ERIC Educational Resources Information Center

Zhang, Shaoan; Shi, Qingmin; Luo, Xiao; Ma, Xueyu

2008-01-01

Background: As an instructional tool, teacher self-disclosure is used widely by teachers. While researchers abroad have conducted a number of studies, scarce literature on teacher self-disclosure has been found. Aims: This study aims to explore the Chinese pre-service teachers' perceived effects of teacher self-disclosure on student learning,…

28 CFR 802.23 - Use and disclosure of social security numbers.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 28 Judicial Administration 2 2011-07-01 2011-07-01 false Use and disclosure of social security... THE DISTRICT OF COLUMBIA DISCLOSURE OF RECORDS Privacy Act § 802.23 Use and disclosure of social... provided by law because of such individual's refusal to disclose his or her social security number. (b...

31 CFR 50.15 - Cap disclosure.

Code of Federal Regulations, 2013 CFR

2013-07-01

... 31 Money and Finance: Treasury 1 2013-07-01 2013-07-01 false Cap disclosure. 50.15 Section 50.15 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.15 Cap disclosure. (a) General. Under section 103(e)(2) of...

31 CFR 50.15 - Cap disclosure.

Code of Federal Regulations, 2014 CFR

2014-07-01

... 31 Money and Finance: Treasury 1 2014-07-01 2014-07-01 false Cap disclosure. 50.15 Section 50.15 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.15 Cap disclosure. (a) General. Under section 103(e)(2) of...

31 CFR 50.15 - Cap disclosure.

Code of Federal Regulations, 2012 CFR

2012-07-01

... 31 Money and Finance: Treasury 1 2012-07-01 2012-07-01 false Cap disclosure. 50.15 Section 50.15 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.15 Cap disclosure. (a) General. Under section 103(e)(2) of...

31 CFR 50.15 - Cap disclosure.

Code of Federal Regulations, 2011 CFR

2011-07-01

... 31 Money and Finance: Treasury 1 2011-07-01 2011-07-01 false Cap disclosure. 50.15 Section 50.15 Money and Finance: Treasury Office of the Secretary of the Treasury TERRORISM RISK INSURANCE PROGRAM Disclosures as Conditions for Federal Payment § 50.15 Cap disclosure. (a) General. Under section 103(e)(2) of...

6 CFR 5.30 - Notice of court-ordered and emergency disclosures.

Code of Federal Regulations, 2010 CFR

2010-01-01

... 6 Domestic Security 1 2010-01-01 2010-01-01 false Notice of court-ordered and emergency disclosures. 5.30 Section 5.30 Domestic Security DEPARTMENT OF HOMELAND SECURITY, OFFICE OF THE SECRETARY DISCLOSURE OF RECORDS AND INFORMATION Privacy Act § 5.30 Notice of court-ordered and emergency disclosures...

Interviewing Children versus Tossing Coins: Accurately Assessing the Diagnosticity of Children's Disclosures of Abuse

ERIC Educational Resources Information Center

Lyon, Thomas D.; Ahern, Elizabeth C.; Scurich, Nicholas

2012-01-01

We describe a Bayesian approach to evaluating children's abuse disclosures and review research demonstrating that children's disclosure of genital touch can be highly probative of sexual abuse, with the probative value depending on disclosure spontaneity and children's age. We discuss how some commentators understate the probative value of…

Deciding Whom to Tell: Expectations and Outcomes of Rape Survivors' First Disclosures

ERIC Educational Resources Information Center

Ahrens, Courtney E.; Campbell, Rebecca; Ternier-Thames, N. Karen; Wasco, Sharon M.; Sefl, Tracy

2007-01-01

In this study, 102 female rape survivors were interviewed regarding their first post-assault disclosure. Qualitative analysis revealed that nearly 75% of first disclosures were to informal support providers and over one third of the disclosures were not initiated by the survivors themselves. Over half of the survivors received positive reactions…

49 CFR 580.13 - Disclosure of odometer information by power of attorney.

Code of Federal Regulations, 2010 CFR

2010-10-01

... 49 Transportation 7 2010-10-01 2010-10-01 false Disclosure of odometer information by power of... DISCLOSURE REQUIREMENTS § 580.13 Disclosure of odometer information by power of attorney. (a) If the..., and if otherwise permitted by State law, the transferor may give a power of attorney to his transferee...

36 CFR 400.1 - Cross-references to employees' ethical conduct standards, financial disclosure regulations and...

Code of Federal Regulations, 2011 CFR

2011-07-01

...' ethical conduct standards, financial disclosure regulations and other conduct rules. 400.1 Section 400.1... CONDUCT § 400.1 Cross-references to employees' ethical conduct standards, financial disclosure regulations... executive branch-wide standards of ethical conduct and financial disclosure regulations at 5 CFR parts 2634...

21 CFR 20.84 - Disclosure to consultants, advisory committees, State and local government officials commissioned...

Code of Federal Regulations, 2014 CFR

2014-04-01

... the same restrictions with respect to the disclosure of such data and information as any other Food... 21 Food and Drugs 1 2014-04-01 2014-04-01 false Disclosure to consultants, advisory committees... AND HUMAN SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.84 Disclosure to...

21 CFR 20.84 - Disclosure to consultants, advisory committees, State and local government officials commissioned...

Code of Federal Regulations, 2012 CFR

2012-04-01

... the same restrictions with respect to the disclosure of such data and information as any other Food... 21 Food and Drugs 1 2012-04-01 2012-04-01 false Disclosure to consultants, advisory committees... AND HUMAN SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.84 Disclosure to...

21 CFR 20.84 - Disclosure to consultants, advisory committees, State and local government officials commissioned...

Code of Federal Regulations, 2010 CFR

2010-04-01

... the same restrictions with respect to the disclosure of such data and information as any other Food... 21 Food and Drugs 1 2010-04-01 2010-04-01 false Disclosure to consultants, advisory committees... AND HUMAN SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.84 Disclosure to...

30 CFR 580.70 - What data and information will be protected from public disclosure?

Code of Federal Regulations, 2013 CFR

2013-07-01

... public disclosure? In making data and information available to the public, the Regional Director will...) If the RD determines that any data or information is exempt from disclosure under the Freedom of... disclosure. (2) We will keep confidential the identity of third-party recipients of data and information...

21 CFR 20.84 - Disclosure to consultants, advisory committees, State and local government officials commissioned...

Code of Federal Regulations, 2011 CFR

2011-04-01

... the same restrictions with respect to the disclosure of such data and information as any other Food... 21 Food and Drugs 1 2011-04-01 2011-04-01 false Disclosure to consultants, advisory committees... AND HUMAN SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.84 Disclosure to...

48 CFR 1352.209-75 - Title 13 and non-disclosure requirements.

Code of Federal Regulations, 2014 CFR

2014-10-01

....209-75 Title 13 and non-disclosure requirements. As prescribed in 48 CFR 1309.507-2(e), insert the following clause: Title 13 and Non-Disclosure Requirements (APR 2010) The Census Bureau's data are protected...-disclosure requirements. 1352.209-75 Section 1352.209-75 Federal Acquisition Regulations System DEPARTMENT OF...

30 CFR 580.70 - What data and information will be protected from public disclosure?

Code of Federal Regulations, 2014 CFR

2014-07-01

... public disclosure? In making data and information available to the public, the Regional Director will...) If the RD determines that any data or information is exempt from disclosure under the Freedom of... disclosure. (2) We will keep confidential the identity of third-party recipients of data and information...

30 CFR 580.70 - What data and information will be protected from public disclosure?

Code of Federal Regulations, 2012 CFR

2012-07-01

... public disclosure? In making data and information available to the public, the Regional Director will...) If the RD determines that any data or information is exempt from disclosure under the Freedom of... disclosure. (2) We will keep confidential the identity of third-party recipients of data and information...

21 CFR 20.84 - Disclosure to consultants, advisory committees, State and local government officials commissioned...

Code of Federal Regulations, 2013 CFR

2013-04-01

... the same restrictions with respect to the disclosure of such data and information as any other Food... 21 Food and Drugs 1 2013-04-01 2013-04-01 false Disclosure to consultants, advisory committees... AND HUMAN SERVICES GENERAL PUBLIC INFORMATION Limitations on Exemptions § 20.84 Disclosure to...

29 CFR 4901.5 - Disclosure of other information.

Code of Federal Regulations, 2010 CFR

2010-07-01

... 29 Labor 9 2010-07-01 2010-07-01 false Disclosure of other information. 4901.5 Section 4901.5... General § 4901.5 Disclosure of other information. (a) In general. Upon the request of any person submitted in accordance with subpart B of this part, the disclosure officer shall make any document (or portion...

12 CFR 252.148 - Disclosure of stress test results.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 12 Banks and Banking 4 2013-01-01 2013-01-01 false Disclosure of stress test results. 252.148... Requirements for Covered Companies § 252.148 Disclosure of stress test results. (a) Public disclosure of results—(1) In general. (i) A covered company must disclose a summary of the results of the stress test...

17 CFR 4.31 - Required delivery of Disclosure Document to prospective clients.

Code of Federal Regulations, 2010 CFR

2010-04-01

... Disclosure Document to prospective clients. 4.31 Section 4.31 Commodity and Securities Exchanges COMMODITY... Advisors § 4.31 Required delivery of Disclosure Document to prospective clients. (a) Each commodity trading... prospective client a Disclosure Document containing the information set forth in §§ 4.34 and 4.35 for the...

10 CFR 1304.111 - Maintaining records of disclosures.

Code of Federal Regulations, 2012 CFR

2012-01-01

... 10 Energy 4 2012-01-01 2012-01-01 false Maintaining records of disclosures. 1304.111 Section 1304.111 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.111 Maintaining records of disclosures. (a) The Board shall maintain a log containing the date, nature, and purpose of each disclosure of...

10 CFR 1304.111 - Maintaining records of disclosures.

Code of Federal Regulations, 2014 CFR

2014-01-01

... 10 Energy 4 2014-01-01 2014-01-01 false Maintaining records of disclosures. 1304.111 Section 1304.111 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.111 Maintaining records of disclosures. (a) The Board shall maintain a log containing the date, nature, and purpose of each disclosure of...

10 CFR 1304.111 - Maintaining records of disclosures.

Code of Federal Regulations, 2013 CFR

2013-01-01

... 10 Energy 4 2013-01-01 2013-01-01 false Maintaining records of disclosures. 1304.111 Section 1304.111 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.111 Maintaining records of disclosures. (a) The Board shall maintain a log containing the date, nature, and purpose of each disclosure of...

10 CFR 1304.111 - Maintaining records of disclosures.

Code of Federal Regulations, 2011 CFR

2011-01-01

... 10 Energy 4 2011-01-01 2011-01-01 false Maintaining records of disclosures. 1304.111 Section 1304.111 Energy NUCLEAR WASTE TECHNICAL REVIEW BOARD PRIVACY ACT OF 1974 § 1304.111 Maintaining records of disclosures. (a) The Board shall maintain a log containing the date, nature, and purpose of each disclosure of...

76 FR 31425 - HIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic...

Federal Register 2010, 2011, 2012, 2013, 2014

2011-05-31

... 164 HIPAA Privacy Rule Accounting of Disclosures Under the Health Information Technology for Economic... accounting of disclosures of protected health information. The purpose of these modifications is, in part, to...) provides that an accounting must include all disclosures of protected health information, except for...

36 CFR 400.1 - Cross-references to employees' ethical conduct standards, financial disclosure regulations and...

Code of Federal Regulations, 2010 CFR

2010-07-01

...' ethical conduct standards, financial disclosure regulations and other conduct rules. 400.1 Section 400.1... CONDUCT § 400.1 Cross-references to employees' ethical conduct standards, financial disclosure regulations... executive branch-wide standards of ethical conduct and financial disclosure regulations at 5 CFR parts 2634...

78 FR 15889 - Privacy Act of 1974: Implementation of Exemptions; Department of Homeland Security U.S. Customs...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-03-13

... individual. However, the Privacy Act requires DHS to maintain an accounting of the disclosures made pursuant...)(3) and (4) (Accounting for Disclosures) because release of the accounting of disclosures could alert... the recipient agency. Disclosure of the accounting would therefore present a serious impediment to law...

75 FR 34283 - Federal Acquisition Regulation; FAR Case 2009-025, Disclosure and Consistency of Cost Accounting...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-06-16

... Regulation (FAR) to align the FAR with the revised Cost Accounting Standards (CAS) Board clause, Disclosure....230-4 is replaced in its entirety and re-titled ``Disclosure and Consistency of Cost Accounting...) Disclosure and Consistency of Cost Accounting Practices-- Foreign Concerns. (1) The contracting officer shall...

75 FR 9085 - Privacy Act of 1974: Implementation of Exemptions; Department of Homeland Security Immigration...

Federal Register 2010, 2011, 2012, 2013, 2014

2010-03-01

... subsection (c)(3) and (4) (Accounting for Disclosures) because release of the accounting of disclosures could... information. Disclosure of the accounting would therefore present a serious impediment to ICE's Visa Security... individuals under certain circumstances, such as where the access or disclosure of such information would...

78 FR 58254 - Privacy Act of 1974: Implementation of Exemptions; Department of Homeland Security/U.S. Customs...

Federal Register 2010, 2011, 2012, 2013, 2014

2013-09-23

...)(3) and (4) (Accounting for Disclosures) because release of the accounting of disclosures could alert... the recipient agency. Disclosure of the accounting would therefore present a serious impediment to law enforcement efforts and/or efforts to preserve national security. Disclosure of the accounting would also...