Financial Behaviour Under Economic Strain in Different Age Groups: Predictors and Change Across 20 Years

The present study examined the multiple micro- and macro-level factors that affect individuals' financial behaviour under economic strain. The following sociodemographic and economic factors that predict financial behaviour were analysed: age group, year of data gathering, and attitudes towards consumption (economical, deprived, and hedonistic). Subjective financial situations and demographic characteristics were controlled for. Finnish time series data that consisted of five cross-sectional nationally representative surveys were used (n = 10 043). The analyses revealed four types of financial behaviour: cutting expenses, borrowing, increasing income, and gambling. Young adults aged 18-25 reported the lowest frequency of borrowing and gambling and the highest frequency of increasing income (together with young adults aged 26-35). Participants aged 66-75 scored the lowest in cutting expenses and increasing income in comparison to all other age groups. Financial behaviour under economic strain in 2019 can be characterized by lower instances of borrowing than in 2004 and 2009 and higher frequencies in increasing income in comparison to all other years of data gathering. Finally, strong attitudes towards saving were related to lower frequency of borrowing and gambling, whereas stronger hedonistic attitudes were related to lower frequency of cutting expenses and more frequent borrowing. The research results provide tools for consumer policy, consumer education, and consumer regulation.

Conditional secondary transfer effect: The moderating role of moral credentials and prejudice

This survey experiment examined the role of prejudice and moral licensing as two moderators of the secondary transfer effect (STE) of positive and negative intergroup contact. We collected a quota-randomized sample of 299 majority Finns (52.6% female; experimental condition: n = 118, control condition: n = 181) in order to test whether moral credentials prevent attitude generalization (from primary towards secondary outgroup), particularly among prejudiced individuals. The results showed that STEs of both positive and negative contact were prevented among more prejudiced majority group members who had the possibility to obtain moral credentials in the moral licensing task. These results point at the unstable nature of attitude generalization in STE among prejudiced individuals and at the potential of a normative moral act to intervene into the generalization of intergroup attitudes following intergroup contact. We discuss these findings in relation to the literature on moral licensing and moral reinforcement, framing them in the context of an integration of contact research and research on morality in general.

Factors that inform the career choice of medical students: implications for otolaryngology

Knowledge of the factors that inform the career choice of medical students may help plan the workforce for medical specialties. To determine which factors inform the career choice of medical students we carried out a survey of medical students at the start of their educational block in Otolaryngology. Of 202 questionnaires handed out 169 were returned (84 per cent). Students were asked to rank factors according to their importance in their career choice. The single most important factor was career progression. Other factors include on-call commitment, teachers as role models, and the interest for a particular subject. At the present time progression from senior house officer grade to specialist registrar grade in Otolaryngology is delayed. If this issue is not addressed the influx of applicants into Otolaryngology training programmes will be reduced, limiting the pool from which candidates can be chosen for a career in Otolaryngology.

A paediatric otolaryngology pre-admission assessment clinic audited

Pre-admission clinics are becoming increasingly popular for surgical specialties with a quick turnover as they aid waiting list management and reduce non-attender rates for surgery. As paediatric patients have a high rate of non-attendance, we performed a retrospective audit of otolaryngology paediatric pre-admission assessment clinic notes for June to October 1998 (n = 363). The attendance rate for the clinic was 97 per cent. Of the children who attended the clinic, 90 per cent had their operation as planned, complications occurred in 2.9 per cent. The operation date was delayed in 20 patients, in 11 patients no cause for the delay was given in the case notes. As a result of this audit, the Senior House Officer sees the patient on the day of admission rather than in the pre-admission clinic, which is staffed by nurses.

Surgical management of septal perforation: an alternative to closure of perforation

The surgical closure of septal perforations remains a distinctive challenge to the otorhinolaryngologist. This is demonstrated by the modest success in most techniques. An alternative method, involving surgical enlargement of the perforation with posterior edge repair, is described and the outcome is investigated. Thirteen patients with perforations of up to 50 mm in size underwent this technique. A questionnaire interview was conducted and symptom scores were obtained. The length of hospitalization, follow-up period and post-operative complications were evaluated as were measures of morbidity. The results showed a significant improvement in the symptom scores for nasal crusting, epistaxis and overall discomfort. This technique is straightforward and is especially suitable for larger perforations. The successful improvement in symptoms and an associated low morbidity makes it a complement to alternative surgical closure techniques.

Tracheal ring herniation following percutaneous dilatational tracheostomy and its resection under endoscopic control

A 76-year-old patient had an elective percutaneous dilatational tracheostomy (PDT) under endoscopic control in the intensive care unit. Twelve days later when her general condition improved, two attempts at decannulation failed due to upper airway obstruction above the tracheostomy site. Bronchoscopy showed herniation of the anterior tracheal wall above the tracheostomy tube occluding 80 per cent of the lumen. The herniated anterior segment was elevated and partially resected under endoscopic guidance. The patient made a full recovery and was decannulated on the first post-operative day. Pitfalls and possible complications of PDT are discussed.