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411.
This article examines the framing of ‘ethnic conflict’ in Northeast India, focusing on militant groups and insurgency in the hill areas of Assam and a form of political violence known locally as ‘ethnic clashes’. The article argues that ‘ethnic clashes’ have become an institutionalized form of armed violence in the region, while ‘ethnic rivalry’ is a key diagnostic frame for conflict. As enactments and imaginaries of institutionalized violence, ‘ethnic clashes’ are a product of actors who hold stakes in representing armed political violence as a result of ‘ethnic conflict’ between rivaling tribal communities. The article looks at the representation of causes of conflict as well as the framing of acts of violence as key sites of contestation, and thus as integral aspects of the conflict. This raises questions about the feasibility of scholarly efforts to make sense of specific cases of conflict via generic categories such as the ‘ethnic conflict’.  相似文献   
412.
As this article shows, cadres involved in the ‘discovery’ of Shangrila in Yunnan were well aware of the fictional origins of the name. In arguments for changing the name of Zhongdian county to Xianggelila, scientific facts were coupled with literary truths about the Shangri-La of the 1930s novel Lost Horizon, grounded in material reality. In their efforts to make Shangrila meaningful locally, cadres associated Shangrila with the hidden land of Shambhala, appealing to a spiritual reality ultimately knowable only to visionaries. We can thus talk about three different logics of truth (scientific, literary and visionary) and two different realities (material and spiritual) of concern to the ‘making up’ of Shangrila.  相似文献   
413.
High dropout rates threaten the validity of longitudinal studies involving participants suffering from substance use disorder (SUD). The objective of this article is to evaluate strategies to improve retention. The data analysis was based on an ongoing study of long-term recovery of neurocognitive and psychosocial functions. We used traditional strategies to enhance the contact rate. Common factors in psychosocial treatments and biweekly Short Message Service (SMS; text messaging) monitoring were added to further increase the contact rate. The participants (n = 146) were recruited from treatment facilities for SUD. Assessments were measured at 3 months, 6 months, 9 months, and 12 months. This study was successful in retaining a cohort of participants who are typically characterized as having a negative prognosis because of their unstable living arrangements and incomes. Compared to those using GHB, addictive medications, and opiates, the retention rate was the lowest among participants with severe alcohol use disorder (42%).  相似文献   
414.
This article presents a systematic review of studies published between November 2010 and November 2014 about the everyday life of adults with intellectual disability as viewed from their own perspective. Everyday life refers to an interdisciplinary concept including approaches attentive to the mundane and to ordinary routines of social relations and practices. Twelve studies met the inclusion criteria. The review was carried out as an interpretive synthesis. Findings from the included studies revealed neglect of participation regarding the wishes, self-determination, choice and control of persons with intellectual disability in their everyday lives. This neglect demonstrates the limitations persons with intellectual disability face as agents and adult citizens in their everyday life, and shows violation of fundamental human rights.  相似文献   
415.

Problem

The ability of health care providers to work together is essential for favourable outcomes in neonatal resuscitation, but perceptions of such teamwork have rarely been studied in low-income settings.

Background

Neonatal resuscitation is a proven intervention for reducing neonatal mortality globally, but the long-term effects of clinical training for this skill need further attention. Having an understanding of barriers to teamwork among nurse midwives can contribute to the sustainability of improved clinical practice.

Aim

To explore nurse midwives’ perceptions of teamwork when caring for newborns in need of resuscitation.

Methods

Nurse midwives from a tertiary-level government hospital in Nepal participated in five focus groups of between 4 and 11 participants each. Qualitative Content Analysis was used for analysis.

Findings

One overarching theme emerged: looking for comprehensive guidelines and shared responsibilities in neonatal resuscitation to avoid personal blame and learn from mistakes. Participants discussed the need for protocols relating to neonatal resuscitation and the importance of shared medical responsibility, and the importance of the presence of a strong and transparent leadership.

Discussion

The call for clear and comprehensive protocols relating to neonatal resuscitation corresponded with previous research from different contexts.

Conclusion

Nurse midwives working at a maternity health care facility in Nepal discussed the benefits and challenges of teamwork in neonatal resuscitation. The findings suggest potential benefits can be made from clarifying guidelines and responsibilities in neonatal resuscitation. Furthermore, a structured process to deal with clinical incidents must be considered. Management must be involved in all processes.  相似文献   
416.
417.
Losses disguised as wins (LDWs) appear to reinforce gambling persistence. However, little research has examined this phenomenon with real gamblers in natural gambling settings. We aimed to examine the relationship between within-session outcome size and subsequent gambling persistence. Account-based gambling data of individuals playing LDW games over a randomly selected day (2,035,339 bets made by 8636 individuals) was examined. We used a logistic mixed effects model to examine the relationship between the outcome of the previous bet (loss, LDW and real wins) and the odds of continuing betting in a game session. The odds of continuing betting in a game session were positively associated with the outcome of the previous bet. Compared to LDWs, losses lowered the odds of continuing a game session. In contrast, real wins implied greater odds of continuing a game session compared to LDWs. It is concluded that LDWs increase the likelihood of continuing betting compared to losses, but decrease the likelihood of continuing to gamble compared to real wins. As LDWs increase the number of bets made within a gambling session, and hence within-session gambling persistence, LDWs may potentially play an etiological role in the development of gambling problems over time.  相似文献   
418.
While breastfeeding is associated with health benefits for both mothers and children, it may also make it difficult for mothers to return to the labor market early. Maternity and parental leave regulations have been developed to mitigate this conflict. In 2007, Germany passed a reform introducing a new parental leave benefit (Elterngeld). In this paper, we address the question of whether the new parental leave benefit impacts breastfeeding initiation and duration in Germany. We use the reform as an exogenous policy variation to obtain causal evidence on breastfeeding behavior, applying a difference-in-differences approach. Mothers in particular benefit from the reform especially if they were employed prior to childbirth or if they have a household income above the income threshold of the previous parental leave scheme (treatment group). The reform did not bring significant changes within the first year of a child’s life for all other mothers (control group). We draw on representative survey data from the Socio-Economic Panel (SOEP) study. Three breastfeeding measures are used for the 2004 to 2009 cohorts: (1) breastfeeding at birth; (2) breastfeeding for at least 4 months; and (3) breastfeeding for at least 6 months. We find no effect of the Elterngeld reform on breastfeeding initiation but do observe an effect on breastfeeding duration. Our results are robust over various sensitivity tests, including placebo regressions, the application of matching approaches, and controlling for regional indicators, among others. Thus, our empirical results provide evidence that the reform’s goal of allowing parents to spend more time with their children during the first year of life also impacted breastfeeding behavior.  相似文献   
419.
Extensive research has found that marriage provides health benefits to individuals, particularly in the U.S. The rise of cohabitation, however, raises questions about whether simply being in an intimate co-residential partnership conveys the same health benefits as marriage. Here, we use OLS regression to compare differences between partnered and unpartnered, and cohabiting and married individuals with respect to self-rated health in mid-life, an understudied part of the lifecourse. We pay particular attention to selection mechanisms arising in childhood and characteristics of the partnership. We compare results in five countries with different social, economic, and policy contexts: the U.S. (NLSY), U.K. (UKHLS), Australia (HILDA), Germany (SOEP), and Norway (GGS). Results show that living with a partner is positively associated with self-rated health in mid-life in all countries, but that controlling for children, prior separation, and current socio-economic status eliminates differences in Germany and Norway. Significant differences between cohabitation and marriage are only evident in the U.S. and the U.K., but controlling for childhood background, union duration, and prior union dissolution eliminates partnership differentials. The findings suggest that cohabitation in the U.S. and U.K., both liberal welfare regimes, seems to be very different than in the other countries. The results challenge the assumption that only marriage is beneficial for health.  相似文献   
420.
Lifetime Data Analysis - Marginal structural models (MSMs) allow for causal analysis of longitudinal data. The standard MSM is based on discrete time models, but the continuous-time MSM is a...  相似文献   
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