Women with HIV are particularly at risk for poor mental health outcomes and for a number of traumatic experiences, including sexual abuse. Benefit-finding is the ability to generate positive outcomes resulting from trauma and is important for women with HIV, since it is motivated by distress and has demonstrated health benefits among individuals with trauma and/or medical conditions. Qualitative narrative measures, especially those that reflect life stories, are most likely to assess benefit-finding. Narrative coherence, which reflects how well a life story is told, may be associated with benefit-finding and with better mental health outcomes. The current study hypothesized that greater psychological distress (depressive symptoms [CESD] and quality of life [QOL]) HIV disease progression (HIV viral load [VL] and CD4 count), and sexual abuse, and lower levels of substance use, assessed with self-report measures at multiple visits over an average of 10 years (M = 10.05 years, SD = 3.47 years), would predict benefit-finding and coherence, coded from autobiographical narratives of 99 women with HIV (91% African American, mean age = 44.78 years, SD = 8.85 years) who were participants in the Women's Interagency HIV Study, Chicago site. Greater benefit-finding and coherence were also hypothesized to predict higher resilience coded in narratives cross-sectionally and higher CD4 count, QOL, and antiretroviral medication (HAART) adherence, and lower VL and CESD 6 months following narrative administration (M = 5.64 months, SD = 1.49 months). Partial correlations and multiple hierarchical linear and logistic regressions controlling for demographics and other relevant covariates indicated that hypotheses were partially supported. History of sexual abuse predicted greater benefit-finding only. There were no significant longitudinal predictors of narrative coherence. Benefit-finding was positively related to narrative coherence and resilience (cross-sectionally) and positively predictive of HAART adherence, greater likelihood of CD4 >= 350 and undetectable VL, and fewer depressive symptoms 6 months later. Coherence was not significantly related to post-narrative outcomes. Results suggest that benefit-finding has numerous health benefits among women with HIV and that interventions for this population should draw on and enhance benefit-finding, a potential strength in facing adverse circumstances.

No description available.

Proponents of resource development often cite wage employment as a key benefit that Indigenous communities receive from resource development. This is based on the assumption that there is a sufficient supply of desirable employment and that job quality is high. Accordingly, provisions in Impact Benefit Agreements often focus on hiring and promotion and neglect job quality even when the latter arguably affects the desirability of mining employment. At the same time, labour unions, pivotal to improving work conditions, wages and benefits in mining, have been losing ground as global firms expand their use of subcontractors and shift to smaller, more skilled and mobile workforces. In this paper we investigate the complexity of the shifting industrial relations in Northern Canada, drawing on case studies of two mines with Impact Benefit Agreements in Nunavik: Raglan mine owned by Glencore, and Nunavik Nickel mine owned by Canadian Royalties. Drawing on document analysis and interviews with representatives from mining companies, unions and Inuit governments and organizations, this paper highlights how the complex relations among unions, companies and Inuit governments, as mediated by Impact Benefit Agreements, influence employment and job quality for Inuit workers. We propose that greater alliances between unions and Inuit governments are critical to Indigenous employment initiatives. / Thesis / Master of Arts (MA)

Each year approximately 7,500 low-income Virginia families are enrolled in the Expanded Food and Nutrition Education Program (EFNEP), administered through the Virginia Cooperative Extension (VCE). Chronic disease and health conditions cost society an estimated $250 billion each year in medical charges and lost productivity. It has been assumed that the numerous diet and food-related changes made by EFNEP participants will lead to a reduction in the risk of chronic disease among homemakers, and perhaps, other family members. Thus, the improved diets and behaviors resulting from EFNEP participation may result in substantial future savings in healthcare costs among participants. This study explores the possibility of potential economic benefits for the Virginia EFNEP participants. In 1996, the Virginia Cooperative Extension was awarded a grant from the Cooperative State, Research, Education, and Extension Service, United States Department of Agriculture (CSREES, USDA) to conduct a cost-benefit study of EFNEP in Virginia. Though computation of the cost-benefit ratio for the Virginia adult EFNEP includes both direct and indirect benefits, this study addressed only the assessment of the direct tangible benefits based on the savings from economic costs of avoided diseases. Existing EFNEP data for the 1996 fiscal year was used to identify optimal nutritional behaviors that can delay or prevent the onset of certain chronic diseases and health conditions. The economic costs of diseases were identified from scientific literature and translated as potential benefits. The administration costs of EFNEP were also compiled. The total direct tangible benefit for the diseases and conditions identified was estimated to be $17,770,722. Along with the indirect tangible benefits ($321,462), the total tangible benefits for the Virginia EFNEP was calculated to be $18,092,184. The direct tangible costs associated with the Virginia EFNEP in 1996 was $1,922,204. The benefit-cost ratio for the Virginia EFNEP for the 1996 fiscal year for the subset of the population practicing the optimal nutritional behaviors is calculated at $9.41/$1.00 (a $9.41 return for every $1 invested in EFNEP in Virginia). Also, a benefit of $2.45 to $1.00 was calculated when only 25% of those participants practicing optimal nutritional behaviors were assumed retain these behaviors through life. For a program of the magnitude of EFNEP, these results are very gratifying. / Ph. D.

Reducing inefficiencies without compromising quality is a major challenge facing college and university leaders. Measuring efficiency and quality is often addressed through various statistical analyses (Archibald & Feldman, 2008; Flegg, Allen, & Thurlow, 2004). Researchers have also applied cost benefit analysis to measure efficiency. Collaboration is one mechanism used by university personnel to enhance efficiency and quality (Wiley, 2008). The literature on collaboration includes collaboration in research (Rigby & Elder, 2005), teaching (Kezar, 2005; Letterman & Dugan, 2004), and cross-divisional collaboration, learning communities (O’Connor & Associates, 2003). Residential colleges (where faculty live and work in residence halls) are another form of collaboration emerging across college campuses. A thorough review of the literature reveals no studies exploring the costs and benefits of residential colleges. The purpose of this study was to understand and describe the costs and benefits of residential colleges. The theoretical framework for this study was based on Nas’ (1996) cost benefit analysis framework. Data were collected through 60-90 minute telephone interviews with live-in faculty leaders of residential colleges and chief housing officers on campuses that offer residential colleges. Participants came from 11 different campus and included 12 chief housing officers and 11 faculty members. There are substantial institutional and individual costs associated with starting and maintaining a residential college. Institutional costs include departmental financial implications for facility renovations, staffing, and faculty incentives. Faculty principals and students bear individual costs. Impact on research, intensive time requirements for the position, and lack of recognition are costs affecting faculty. Residential college (RC) students incur additional fees and non-RC students are impacted by a diminished residential experience (as compared to their RC peers). Conversely, there are significant benefits resulting from residential colleges that may mitigate these costs. Institutions benefit from improved faculty pedagogy, expanded learning opportunities for students, and increased faculty connection to the institution. Individual benefits include positive faculty and student relationships (for faculty and students), increased understanding of students (for faculty), and faculty housing and other related incentives. / Ph. D.

Reducing inefficiencies without compromising quality is a major challenge facing college and university leaders. Measuring efficiency and quality is often addressed through various statistical analyses (Archibald and Feldman, 2008; Flegg, Allen, and Thurlow, 2004). Researchers have also applied cost benefit analysis to measure efficiency. Collaboration is one mechanism used by university personnel to enhance efficiency and quality (Wiley, 2008). The literature on collaboration includes collaboration in research (Rigby and Elder, 2005), teaching (Kezar, 2005; Letterman and Dugan, 2004), and cross-divisional collaboration, learning communities (O'Connor and Associates, 2003). Residential colleges (where faculty live and work in residence halls) are another form of collaboration emerging across college campuses. A thorough review of the literature reveals no studies exploring the costs and benefits of residential colleges. The purpose of this study was to understand and describe the costs and benefits of residential colleges. The theoretical framework for this study was based on Nas' (1996) cost benefit analysis framework. Data were collected through 60-90 minute telephone interviews with live-in faculty leaders of residential colleges and chief housing officers on campuses that offer residential colleges. Participants came from 11 different campus and included 12 chief housing officers and 11 faculty members. There are substantial institutional and individual costs associated with starting and maintaining a residential college. Institutional costs include departmental financial implications for facility renovations, staffing, and faculty incentives. Faculty principals and students bear individual costs. Impact on research, intensive time requirements for the position, and lack of recognition are costs affecting faculty. Residential college (RC) students incur additional fees and non-RC students are impacted by a diminished residential experience (as compared to their RC peers). Conversely, there are significant benefits resulting from residential colleges that may mitigate these costs. Institutions benefit from improved faculty pedagogy, expanded learning opportunities for students, and increased faculty connection to the institution. Individual benefits include positive faculty and student relationships (for faculty and students), increased understanding of students (for faculty), and faculty housing and other related incentives. / Ph. D.

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Yes / Purpose – The purpose of this paper is to help in providing a better understanding of the application of blockchain technology in the context of the banking and finance sectors. The aim is to outline blockchain’s benefits, opportunities, costs, risks as well as challenges of the technology in the context of banking and finance services Design/methodology/approach – Careful examination of the extant literature, including utilising relevant academic-based research databases has been carried out. It covered reviewing various research contributions published in peer-reviewed journals, academic reports, as well as technical reports to help in identifying related benefits, opportunities, costs, and risks. Findings – The findings reveal that there are limited contributions in utilising blockchain in the banking and finance sectors when compared with other sectors. As such, the study highlighted the relevant perspective of benefits, opportunities, costs, and risks within such sectors. Practical implications – This study helps in offering a focal point to banking and financial sector managers and decision-makers for realising the benefits of blockchain technology as well as developing strategies and programmes to overcome the identified challenges. Originality/value – This study highlights the need for a holistic understanding of the various aspects of cost, benefits, risk and opportunities to create blockchain applications that work for banking and finance sectors / NPRP grant # [11S-0117–180325] from the Qatar National Research Fund (a member of Qatar Foundation).

Yes / There is a growing evidence base that identifying positive experiences in providing care can have a beneficial influence on carer wellbeing. However, there is a need to better understand what carers identify as the positive aspects of care-giving. The aim of this study is to explore the satisfying aspects of providing care to people with dementia. This study utilised Time 1 data from 1,277 carers of people in the mild-to-moderate stages of dementia taking part in the IDEAL (Improving the experience of Dementia and Enhancing Active Life) cohort study. Responses from 900 carers who answered the open-ended question ‘What is your greatest satisfaction in caring for your relative/friend?’ were analysed using thematic analysis. From the responses, 839 carers detailed satisfactions. Eight themes were identified, pertaining to three groups of beneficiaries: carers, people with dementia and the dyad. Perceived benefits for carers included identifying aspects of personal growth, seeing glimpses of the person, feeling they were making a difference and doing their duty. For the person with dementia, these included retaining independence, receiving good quality care and being happy. Dyadic benefits concerned the continuation of the relationship between carer and person with dementia. The findings highlight the need to take a dyadic approach when conceptualising positive experiences in providing care. Further research is needed to understand the role these positive experiences play and to develop interventions. Professionals working with carers should identify and validate these experiences. / ‘Improving the experience of Dementia and Enhancing Active Life: living well with dementia. The IDEAL study’ was funded jointly by the Economic and Social Research Council (ESRC) and the National Institute for Health and Care Research (NIHR) (grant number ES/L001853/2); ‘Improving the experience of Dementia and Enhancing Active Life: a longitudinal perspective on living well with dementia. The IDEAL-2 study’ is funded by the Alzheimer's Society (grant number 348, AS-PR2-16-001)

Approved for public release, distribution is unlimited / The defined benefit (DB) pension system that provides retirement security to 44.5 million Americans faces significant challenges. At the end of 2003, the system was underfunded by $350 billion, there were 82,696 fewer plans then during the system peak (in 1985), and the Pension Benefit Guaranty Corporation (PBGC) responsible for ensuring retirees receive their retirement benefits even after a plan terminates, reported a deficit of $11.49 billion. This thesis examines the challenges facing the DB pension plan system, beginning with an overview of the DB plan system, a review of the different plan types, the benefits received, and funding rules. Next, examining the PBGC, its purpose, its organization, and the role that it plays in the DB pension system. Followed by an identification of the challenges facing the pension plan system, and corporate America's frustrations with the system. Finally, the thesis presents some recent reform proposals, and provides corporate America's response to them. A changing workforce demanding leaner retirement options, plans that allow multiple career changes, provide beneficiaries with lump sum benefits, provide early vesting characteristics, and are easily understood, is challenging the future of the DB plan system. To survive the DB plan system must continue to change. / Lieutenant, United States Navy