Life with and without disease: women experience more of both

This paper examines gender differences in life with and without six major diseases, including both mortal and morbid conditions. Disease prevalence and health behavior data are from the 1993-1995 National Health Interview Surveys for the United States. Vital registration data are the source of mortality rates used in computing life expectancy. The Sullivan method is used to estimate life lived with and without disease and risky behavior for men and women at various ages. Women live more years with each of the diseases examined, and, for arthritis, the extended years with disease are greatest. Women also live more years than men free of each of these diseases with the exception of arthritis. Gender differences in life without two health-risk behaviors are also discussed. Men spend more years of their lives overweight and have fewer years during which they see a doctor.     

Figuring out whether they can be trusted: older widows' intentions relative to hired non-professional home-care helpers

The purpose of this phenomenological study was to describe the experience of older women relative to trusting hired non-professional home-care helpers. Open-ended interviews were done about the home-care experience with 25 women over three years, and 14 women (age 80-93) shared data about hiring and trusting helpers. The women perceived risks to personal safety that adversely influenced willingness to seek new helpers. After hiring a helper, the women were still trying to discern whether the helper could be trusted. Primary-care providers should enable older women to recognize and reduce the risk of having helpers and to monitor helpers' behavior, as well as assessing the psychosocial status of women who have such helpers.     

Accommodation or rejection? Teenagers’ experiences of tensions between traditional and new speakers of Irish

This article analyses narratives presented by teenage Irish‐speakers about encounters between new speakers of Irish and locals in Gaeltacht (traditionally Irish‐speaking) areas. It demonstrates how two conflicting ideologies of legitimate language promoted by the state in the establishment and maintenance of Irish as ‘the national language’ alienate young new speakers of Irish and young Gaeltacht‐based Irish‐speakers from each other and from the language by construing the Gaeltacht as a resource for the nation, generating unrealistic expectations from new speakers and corresponding resentment from their Gaeltacht peers. The analysis of this case contributes to wider debates about the impact of language revitalisation policies on young people, and explores the tension that may arise between the aim of increasing the number of a language's speakers and the desire to retain its traditional functions in the communities where it has been best maintained.     

How to Do Things With Texts: A Functional Account of Reading Comprehension

We offer an account of reading comprehension that we believe will help clarify some common conceptual confusions in the relevant literature, as well as contribute to existing functional accounts. We argue that defining texts qua texts as stimulus classes, on the one hand, and equating “comprehension” with behavior (covert or otherwise), on the other, are not useful conceptual moves, especially when behavioral settings go beyond basic literacy skills acquisition. We then analyze the structure of the contingencies that usually evoke talk of “comprehension” using techniques from analytic philosophy. We show how keeping the results of this analysis in mind can help avoid the conceptual bafflement that often arises, even among behavior analysts, when defining or assessing behavioral phenomena related to reading comprehension. Using two contrasting cases (legal texts and stories), we argue that what counts as comprehension depends, not peripherally but crucially, on the shared social practices of which texts are a part. Finally, we propose a new framework for classifying reader–text contingencies by combining two dimensions: openness of setting and embeddedness of reinforcement.     

Using social support for LGBTQ clients with mental illness to be out of the closet,in treatment,and in the community

ABSTRACT

Lesbian, gay, bisexual, transgender, and queer/questioning (LGBTQ) individuals are often faced with societal challenges that can lead to mental health or substance abuse issues. They may be misunderstood or mistreated when seeking services because of a lack of training in offering culturally sensitive treatment by service providers. A program, the Rainbow Heights Club, was developed to support LGBTQ individuals with a mental health diagnosis. All of the members are in treatment for their mental health and/or substance abuse problems, but prior to the development of the program did not have a place to feel accepted, supported, or have a sense of community. Members were surveyed determine if Rainbow Heights was helpful in maintaining themselves in the community. Results indicated that 75% of members are more consistent in following prescribed treatments, keeping them free from inpatient hospitalization, and 79% reported being clean and sober since coming to the Club.     

Deliberative polling for multistakeholder internet governance: considered judgments on access for the next billion

Multistakeholder Internet governance aspires to fulfill democratic values in a process of dialogue producing results that can be considered for possible action. How can these goals be accomplished when the participants in these processes come from entities as varied as corporations, governments, civil society and academia drawn from countries all over the world? How can such a multistakeholder process embody democratic values? How can it be based on dialogue? What kinds of results can it produce? This article applies Deliberative Polling as a possible solution to this problem by using a stratified random sample of netizens, citizens of the Internet, drawn from all the relevant stakeholders of the Internet Governance Forum, engaged together in dialogue and with opinions collected in confidential questionnaires before and after deliberation. This pilot application focused on the topic of Internet access ? policy proposals to increase access for the next billion users. We believe it demonstrates the possibility that deliberators drawn from all these sectors can participate in substantive dialogue weighing the merits of issues and coming to specific conclusions. The pilot was limited in its duration and scale but produced, nevertheless, results that strongly support the conclusion that this approach to multistakeholder Internet governance is promising.     

Sterile water injections for childbirth pain: An evidenced based guide to practice

Background

About 30% of women in labour suffer from lower back pain. Studies of sterile water injections for management of low back pain have consistently shown this approach to be effective. The objective of this evidence-based guide is to facilitate the clinical use of sterile water injections to relieve lower back pain in labouring women.