Prenatal and delivery care and childhood immunization in guatemala: Do family and community matter?*

In this paper we investigate family choices about pregnancy-related care and the use of childhood immunization. Estimates obtained from a multilevel logistic model indicate that use of formal (or “modern ”) health services differs substantially by ethnicity, by social and economic factors, and by availability of health services. The results also show that family and community membership are very important determinants of the use of health care, even in the presence of controls for a large number of observed characteristics of individuals, families, and communities.     

Marriage selection and mortality patterns: Inferences and fallacies

Researchers have long wondered whether marital-status differences in mortality arise largely from selection mechanisms or from causal processes typically known as marriage protection. Unfortunately, many investigators have relied on aggregate patterns of mortality differentials—such as age schedules of excess mortality in the single population or the relationship between the level of excess mortality and the relative size of the single population—to make inferences about the relative importance of selection and causal processes. In this paper, a simple mathematical simulation model is used to demonstrate that many inferences derived from observed patterns are simply not justified. This finding highlights the importance of prospective data for assessing the relative importance of selection and causal factors in accounting for the excess mortality of the unmarried.     

Dietary Sodium Intakes and Food Sources of Sodium in Canadian-Born and Asian-Born Individuals of Chinese Ethnicity at a Canadian University Campus

Abstract

Objective: To document the sodium intake and food sources of sodium of Canadian-born Chinese (CBC) and Asian-born Chinese (ABC) individuals at a Canadian university campus. Participants: Healthy adults aged 18–58 years originating from Canada, China, Hong Kong, or Taiwan were recruited from the University of Alberta (n = 40 CBC, n = 41 ABC) between May and December 2010. Methods: Two in-person multipass 24-hour dietary recall interviews were administered for 1 weekday and 1 weekend day. Results: The mean sodium intake was 3,623 ± 1,406 mg/day. The major food sources of sodium were commercially prepared and processed foods for both CBC and ABC (59.9% and 54.7% of sodium, respectively). Condiments contributed substantially to dietary sodium intake of CBC and ABC (27.8% and 35.1% of sodium, respectively). Conclusions: Efforts to reduce dietary sodium among students and other adults of Chinese ethnicity should focus on limiting consumption of commercially processed foods and moderation in discretionary use of salt and soy sauce.     

Transition from Home Care to Nursing Home: Unmet Needs in a Home- and Community-Based Program for Older Adults

A major effort is under way nationally to shift long-term care services from institutional to home- and community-based settings. This article employs quantitative and qualitative methods to identify unmet needs of consumers who transition from a statewide home- and community-based service program for older adults to long-term nursing home residence. Administrative data, care manager notes, and focus group discussions identified program service gaps that inadequately accommodated acute health problems, mental health issues, and stressed family caregivers; additional unmet needs highlighted an inadequate workforce, transportation barriers, and limited supportive housing options. National and state-level policy implications are considered.     

A new look at entropy and the life table

The mathematical derivations described in this paper offer a new look at the entropy of the life table, denoted by H. Contrary to previous claims, it is theoretically possible, and has been observed empirically, for life tables to have entropy values greater than unity. A re-expression of H as a weighted average of life expectancy at different ages relative to life expectancy at birth demonstrates clearly the conditions under which reductions in mortality by a fixed amount at all ages can result in even greater gains in life expectancy.     

To Encounter a Child: Maternal Subjectivity and the Aesthetics of Reading

This article offers an outline and preliminary analyses of key aspects of Lisa Baraitser's (2009 Baraitser , L. ( 2009 ). Maternal Encounters: The Ethics of Interruption . London, UK, and New York , NY : Routledge . [Google Scholar]) Maternal Encounters as a situating opening piece in a special feature arising from an intensive seminar on Baraitser's work held in Dublin in September 2010. The first section opens out some of the psychoanalytic implications of Baraitser's theory of maternal subjectivity. The second section considers the importance of temporality and the interruption of the “seamless” thinking subject for the emergence of a maternal subject and considers Baraitser's maternal subject in relation to some key queer and feminist positionings of maternity. The final section assesses the text's contribution to philosophical debates. First, it discusses how Baraitser attends to the everyday in developing an aesthetics of ordinariness. Second, it looks at deconstruction and inhabitation. Finally, it considers cultural phenomenology, objects, and the magic Baraitser locates in things.     

“Here I Am!”—Irreducible Invocation of the Other

The Bonds of Love (Benjamin, 1988 Benjamin , J. ( 1988 ). The Bonds of Love . New York , NY, and Toronto, Ontario , Canada : Random House . [Google Scholar]) continues to inaugurate new horizons for critical reflection on the psychoanalytic theorizing of human relationships in terms of unconscious-conscious dynamics with its inevitable insertion in different sociocultural constructions of power practices. I follow Benjamin philosophically through post-Hegelian critical social/political theorists, particularly Habermas, and psychoanalytically through her respect for Winnicott's analyses of early developmental struggles for individuality in the face of fear of loss and destructiveness. Philosophical/Psychoanalytic inspiration carries her quest. This article excavates questions weaving throughout the book: Is an ideal of recognizing ourselves and others as “free” individual subjects possible? Could a psychoanalytical dialectics help us to live more responsibly with each other's differences not withstanding ineradicable past trauma? Is there possibility of life together, even in our gender differences, beyond the dialectical spell of erotic domination/submission?     

作为普遍人类现象的批判性思维——中国和美国的视角

本文论述了西方批判性思维的起源和发展,分析了批判性思维对教育、经济和民主的重要作用,概述了批判性思维技能和倾向的定义,比较了中国和西方批判性思维的特点,并期待二者的综合,最后指出了进一步研究批判性思维的两条主要途径。在整个美国和许多其他地方,大学教育的基本目标之一就是教会学生批判性思维。     

A Theory of Thinking: A Theory of Desiring

ABSTRACT

This article focuses on aspects of what is broadly known as countertransference in centering on the psychoanalyst Wilfred Bion’s explicit theory of thinking as constituting an implicit theory of desiring. I make a distinction between the discursive terms “thoughts,” “thinking,” “desires,” “desiring,” “wants,” and “craving” and tease out their relationship to one another for clinical practice. I explore how thinking and desiring operate in and around frustration and suggest that the thinking apparatus is not just a mechanism for dealing with thoughts but also is a way of transforming wants into desires. I separate out desires and the desiring apparatus, as Bion does with thoughts and thinking, and argue that thinking is inextricably linked to desiring and thoughts to desires. The interpretative act, moreover, constitutes the analyst’s acting on desire, whereas acts of projective identification are bound up with craving. I demonstrate the potential uses of this theory by discussing it with reference to two published clinical examples.