Pain relief for childbirth: The preferences of pregnant women,midwives and obstetricians

ObjectiveTo compare the personal preferences of pregnant women, midwives and obstetricians regarding a range of physical, psychosocial and pharmacological methods of pain relief for childbirth.MethodSelf-completed questionnaires were posted to a consecutive sample of 400 pregnant women booked-in to a large tertiary referral centre for maternity care in South Australia. A similar questionnaire was distributed to a national sample of 500 obstetricians as well as 425 midwives at: (1) the same hospital as the pregnant women, (2) an outer-metropolitan teaching hospital and (3) a district hospital. Eligible response rates were: pregnant women 31% (n = 123), obstetricians 50% (n = 242) and midwives 49% (n = 210).FindingsOverall, midwives had a greater personal preference for most of the physical pain relief methods and obstetricians a greater personal preference for pharmacological methods than the other groups. Pregnant women's preferences were generally located between the two care provider groups, though somewhat closer to the midwives. All groups had the greatest preference for having a support person for labour with more than 90% of all participants wanting such support. The least preferred method for pregnant women was pethidine/morphine (14%).ConclusionThere are differences in the personal preferences of pregnant women, midwives and obstetricians regarding pain relief for childbirth. It is important that the pain relief methods available in maternity care settings reflect the informed preferences of pregnant women.     

A Holistic Framework for Trust in Online Transactions

This paper systematically reviews previous studies of trust from social, economic and technological perspectives and develops a holistic framework for trust, which can be used to analyse the establishment and maintenance of trust in online transactions, and identify the mechanisms that can be used to increase trust. Trust plays a crucial role in the formation of dependent relationships represented by online transactions, and a holistic treatment of trust is necessary because of the gap that exists between the developments in information systems and our understanding of their social and economic implications, and the impact on the perceived trust of the transacting parties. This review enables us to depict an online transaction through its attributes and context, and systematically map these to identified trust antecedents. The key components and processes of the framework are outlined, and three strands of empirical work are discussed to develop it further. The framework highlights the critical role of institutions in the establishment and maintenance of trust in online transactions, which informs the development of e‐commerce and e‐business platforms and the underpinning information systems, and facilitates the establishment of mechanisms to induce additional institutions to increase trust in online transactions.     

Active parental consent in school-based research: how much is enough and how do we get it?

Active parental consent policies have been blamed for low participation rates and selection bias (i.e., loss of "high-risk" youths) in school-based studies. In this article, the authors describe active consent procedures that produced an overall active consent rate of 79% in a sample of more than 4,500 middle school students attending 29 schools in seven cities across the United States. Consent rates, however, varied considerably both within and between schools. To better understand factors associated with active parental consent rates, the authors examined district-level, school-level, and teacher-specific effects on consent rates.     

Content validity and utility of the Assessment of Work Performance (AWP)

In the area of work rehabilitation, many decisions about future interventions for the client are based on the results of various kinds of assessments. Therefore, it is important that the assessment instruments used are adequate, useful, and reliable. The purpose of this study was to investigate the content validity and utility of the instrument Assessment of Work Performance (AWP) which is used to assess an individual's observable (working) skills during work performance, i.e. how efficient and appropriate a client performs a work activity. A questionnaire was answered by 67 respondents who used the AWP in various work rehabilitation settings in Sweden. The result indicates content validity and utility for the AWP that supports further testing of the instrument.     

After Beslan: childhood, complexity and risk

This paper addresses the events at Beslan as a crisis point at which the postmodern celebration of difference spills into unbearable chaos. However this chaos turns out to show specific, dynamic or complex, self-organizing structures. Such dynamics, instead of obeying 'normal' ranges exhibit widely different scales of magnitude and intensity. Central to these interactions is the formation, however loose or opportunistic, of identities that also produce others: the formation of micro-ethnicities that state how the 'other' or out-group can be treated, mistreated or 'deconstructed'. At Beslan, this reaches a point of crisis which is both localized and universally challenging: it poses the problem of intolerability to a notion of democratic community and an epistemology premised on, and promising, pluralistic tolerance. The outcome is a realignment of sociology and the sociology of childhood along the axes of a model of human ecology.     

The relationship between childhood abuse and suicidality in adult bipolar disorder

This study evaluates the effect of childhood sexual and physical abuse on suicidality in adults with bipolar disorder. We conducted a retrospective chart review of adult outpatients (N= 381) with DSM-IV-TR-defined bipolar disorder seeking evaluation and treatment at an academic specialty research program (i.e., Mood Disorders Pharmacology Unit, University Health Network, University of Toronto) between October 2002 and November 2005. Eighteen percent (n = 68) of adult patients with bipolar disorder had a recorded history of childhood abuse (p = 0.009). Sixty-three percent (n = 43) of bipolar patients with a history of childhood abuse reported lifetime suicidality (chi2 = 6.885, df= 1, p = 0.009). Logistic regression analysis indicated that Childhood abuse was a significant predictor of lifetime suicidality in adult bipolar patients (OR = 2.05, CI = 1.19-3.510). Childhood abuse is associated with suicidal ideation and suicide attempts in adults with bipolar disorder. Anamnestic inquiry regarding childhood maltreatment is salient to risk assessment, illness management planning, preventative strategies, and treatment interventions in bipolar disorder.     

A public good version of the collective household model: an empirical approach with an application to British household data

In this paper we consider an empirical collective household model of time allocation for two-earner households. The novelty of this paper is that we estimate a version of the collective household model, where the internally produced goods and externally purchased goods are assumed to be public. The empirical results suggest that (1) Preferences of men and women differ; (2) Although there are significant individual variations, on average the utility functions of men and women are equally weighted in the household utility function; (3) Differences in the ratio of the partners’ hourly wages are explanatory for how individual utilities are weighted in the household utility function. (4) The female’s preference for household production is influenced by family size, but this does not hold for the male; (5) Both the male and the female have a backward-bending labor supply curve; (6) Labor-supply curves are forward-bending with respect to the partner’s wage rate; (7) Our model rejects the unitary Slutsky symmetry condition.

Child Well-Being in Advanced Economies in the Late 2000s

This paper aimed at comparing the well-being of children across the most economically advanced countries of the world while discussing the methodological issues involved in comparing children’s well-being across countries. A Child Well-being Index was constructed to rank countries according to their performance in advancing child well-being. The Index used 30 indicators combined into 13 components, again summarised in 5 dimensions for 29 rich countries. Data from various sources were combined to capture aspects of child well-being: material well-being, health, education, behaviour and risks, housing and environment. The scores for the countries on all variables and combinations of variables were discussed in detail. The Child Well-being Index revealed that the Netherlands and the Scandinavian countries (excluding Denmark) did relatively better than the other countries while Romania and the United States performed well below the average. Overall, serious differences existed in child well-being across countries suggesting that in many, improvement could be made in the quality of children’s lives.     

Policing Victorian Public Transport: Extending the Police Domain

In Victoria, responsibility for policing the public transport system was recently transferred to the Victoria Police, the official rationale for this development relied on the notion of a crime crisis and the need for a ‘crackdown’ on transport security. However, a more convincing explanation for this transfer can be found in Transport Department mismanagement, bureaucratic bungling, and alleged criminal activities of railway investigation officers. On a broader and more disturbing level, this case is consistent with an increasing capacity of the State to extend formal control into new social sites under the guise of controlling a ‘crime crisis’.     

SOCIAL ENTREPRENEURSHIP — FALSE PREMISES AND DANGEROUS FOREBODINGS

As a reaction against neo‐liberalism, Social Entrepreneurship has been promoted as the solution to welfare problems brought about by social change and persistent unemployment. The Social Entrepreneurship Movement (SEM) proposes the reconstruction of welfare by building social partnerships between the public, social and business sectors. Major aspects of this agenda include non‐profit organisations undertaking entrepreneurial ventures and the pooling of government welfare funding under the control of local communities. In this paper we argue that the SEM literature is based on two false premises: the failure to understand the true causes of mass unemployment, and the assumption that the government faces financial constraints in the provision of welfare services. We also argue that implementation of the SEM proposals would erode the rights‐based eligibility to universal welfare services based on the principle of social justice. We also conclude that the SEM is indistinguishable from neo‐liberalism and as such does not represent a viable solution to unemployment and the welfare needs that accompany it.