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991.
992.
Roland Atzmüller 《?sterreichische Zeitschrift für Soziologie》2018,43(3):283-299
The economic as well as political and ideological crises and transformations of capitalist social formations have created a crisis for Marxist approaches. This affects their assumption about the necessity, desirability and possibility of social transformation, but also about the actors fighting them out and their activities. Thus, a far reaching reformulation of its fundamental epistemological and theoretical assumptions is necessary. This contribution argues that the crisis of Marxism demands a self-reflective engagement with conditions of Marxist theoretical work. The acknowledgement of the fundamental openness and incompleteness of Marxist social critique as well as its contested production is indispensable to avoid authoritarian forms of politics and to be implicated into the legitimation of domination again. The encompassing character of the crisis tendencies of capitalist social formations and the multiplication of fields of conflict demands to overcome a monistic interpretation of social dynamics. To conceptualise capitalist social formations as relation of relations is an indispensable precondition for the analysis of the connections between different social structures and relations of power and dominance. Furthermore, the ability of capitalist social formations to change, which has been shown by the recent crises and transformations, demands a fundamental dynamisation of the Marxist concept of reproduction. The dynamisation of relative surplus production in knowledge based capitalism moves the adaptability of the subjects and their capacity to work centre stage. Only against this background can the plurality of perspectives for emancipation and social struggles come into view for Marxist theoretical work. 相似文献
993.
Kathleen M. Baird Amornrat S. Saito Jennifer Eustace Debra K. Creedy 《Women and birth : journal of the Australian College of Midwives》2018,31(4):285-291
Background
Asking women about experiences of domestic violence in the perinatal period is accepted best practice. However, midwives and nurses may be reluctant to engage with, or effectively respond to disclosures of domestic violence due a lack of knowledge and skills.Aim
To evaluate the impact of training on knowledge and preparedness of midwives and nurses to conduct routine enquiry about domestic violence with women during the perinatal period.Method
A pre-post intervention design was used. Midwives and nurses (n = 154) attended a full day workshop. Of these, 149 completed pre-post workshop measures of knowledge and preparedness. Additional questions at post-training explored participants’ perceptions of organisational barriers to routine enquiry, as well as anticipated impact of training on their practice. Training occurred between July 2015 and October 2016.Findings
Using the Wilcoxon signed-rank test, all post intervention scores were significantly higher than pre intervention scores. Knowledge scores increased from a pre-training mean of 21.5–25.6 (Z = ?9.56, p < 0.001) and level of preparedness increased from 40.8 to 53.2 (Z = ?10.12, p < 0.001). Most participants (93%) reported improved preparedness to undertake routine enquiry after training. Only a quarter (24.9%) felt their workplace allowed adequate time to respond to disclosures of DV.Conclusions
Brief training can improve knowledge, preparedness, and confidence of midwives and nurses to conduct routine enquiry and support women during the perinatal period. Training can assist midwives and nurses to recognise signs of DV, ask women about what would be helpful to them, and address perceived organisational barriers to routine enquiry. Practice guidelines and clear referral pathways following DV disclosure need to be implemented to support gains made through training. 相似文献994.
Rebecca A. Chedid Rowan M. Terrell Karen P. Phillips 《Women and birth : journal of the Australian College of Midwives》2018,31(4):e223-e231
Background
Prenatal health promotion provides information regarding pregnancy risks, protective behaviours and clinical and community resources. Typically, women obtain prenatal health information from health care providers, prenatal classes, peers/family, media and increasingly, Internet sites and mobile apps. Barriers to prenatal health promotion and related services include language, rural/remote location, citizenship and disability. Online public health platforms represent the capacity to reach underserved women and can be customised to address the needs of a heterogeneous population of pregnant women.Aim
Canadian government-hosted websites and online prenatal e-classes were evaluated to determine if accessible, inclusive, comprehensive and evidence-based prenatal health promotion was provided.Methods
Using a multijurisdictional approach, federal, provincial/territorial, municipal and public health region-hosted websites, along with affiliated prenatal e-classes, were evaluated based on four criteria: comprehensiveness, evidence-based information, accessibility and inclusivity.Findings
Online prenatal e-classes, federal, provincial/territorial and public health-hosted websites generally provided comprehensive and evidence-based promotion of essential prenatal topics, in contrast to municipal-hosted websites which provided very limited prenatal health information. Gaps in online prenatal health promotion were identified as lack of French and multilingual content, targeted information and representations of Indigenous peoples, immigrants and women with disabilities.Conclusion
Canadian online prenatal health promotion is broadly comprehensive and evidence-based, but fails to address the needs of non-Anglophones and represent the diverse population of Canadian pregnant women. It is recommended that agencies enhance the organisation of website pregnancy portals/pages and collaborate with other jurisdictions and community groups to ensure linguistically accessible, culturally-competent and inclusive prenatal online resources. 相似文献995.
Adult death rates are a critical indicator of population health and well-being. Wealthy countries have high-quality vital registration systems, but poor countries lack this infrastructure and must rely on estimates that are often problematic. In this article, we introduce the network survival method, a new approach for estimating adult death rates. We derive the precise conditions under which it produces consistent and unbiased estimates. Further, we develop an analytical framework for sensitivity analysis. To assess the performance of the network survival method in a realistic setting, we conducted a nationally representative survey experiment in Rwanda (n = 4,669). Network survival estimates were similar to estimates from other methods, even though the network survival estimates were made with substantially smaller samples and are based entirely on data from Rwanda, with no need for model life tables or pooling of data from other countries. Our analytic results demonstrate that the network survival method has attractive properties, and our empirical results show that this method can be used in countries where reliable estimates of adult death rates are sorely needed. 相似文献
996.
Jason D. P. Bird Michael C. LaSala Marco A. Hidalgo Lisa M. Kuhns Robert Garofalo 《Journal of homosexuality》2017,64(3):321-342
Young, gay, and bisexual men (YGBM) are at increased risk of family rejection, which is related to HIV infection. What remains unknown is how family rejection leads to HIV risk. In this exploratory study, qualitative interviews were conducted with 21 HIV-positive YGBM aged 18 to 24. Most participants reported family rejection, which decreased instrumental and emotional support and resulted in participants using riskier ways to support themselves, such as engaging in survival sex. Conceptualizing the findings using a family systems framework, we present a tentative conceptual model to describe the potential relationships between family rejection and HIV risk for YGBM. 相似文献
997.
Water is considered a major social and political issue. This article stands out by its quantification of the impact of socio-political disturbances on social behavior regarding the consumption of drinking water. It also allows the monitoring of fluctuation of the economic pattern through the main economic sectors during these disturbances by the study of a revolution impact—case of the revolution in Tunisia in January 2011, on the spatial, temporal and sectorial variation of the drinking water consumption. Six water users covering the whole consumption are considered in this study: connected and non connected household users, tourism, industries, collective and various other users. Among the results, in this coastal country, the relation between drinking water consumption by tourism, the touristic activities and the national economy are clearly established. All these components are similarly affected by the socio political disturbances but longer lasting fallouts hit only the most vulnerable regions of the country. Industrial activities that used drinking water seemed to be affected only when the socio political disturbance is at its paroxysm due to strikes, sit-ins of unemployed people, job seekers protests and companies closure. The revolution impacts such as weakening of the State’s authority when facing inappropriate and illegitimate social desires, anarchy, people displacement and refugees are the major causes of non-connected household drinking water waste or over-consumption (up to 89 %) and an alarming increase of the induced breakages (+445 % in 2012 compared to 2010). 相似文献
998.
Given the intersection of racial, religious, and sexual identities for Black queer populations, the current study examines sexuality-related religious rhetoric. Twenty Black cisgender queer men were recruited to participate in a qualitative interview. Using thematic analysis, the research team identified four themes: negative religious rhetoric, personal consequences of negative religious rhetoric, social consequences of negative religious rhetoric, and growth from negative religious rhetoric. Participants explained the pervasiveness of negative religious rhetoric within their churches and family structures. Men also conveyed how negative religious rhetoric frames societal ideologies around same-sex behavior, often condoning violence toward queer populations. Although men had negative experiences, participants articulated the importance of using oppression as a platform for growth. Black cisgender queer men are present within religious institutions; however, such negative religious rhetoric may negatively affect their mental and physical health. Researchers, clinicians, and clergy should consider the ways negative religious rhetoric marginalizes queer populations. 相似文献
999.
1000.
Ruba M. Jaber Suha F. Khalifeh Fida Bunni Mohamed Ali Diriye 《Journal of women & aging》2017,29(5):428-436
We examined 359 women aged 45–65 years who visited Jordan University Hospital between February and November 2014. The menopausal symptoms were assessed using a validated Arabic version of the menopause rating scale. The mean age at menopause was 49.4 years. Women aged 50–55 years more frequently exhibited hot flushes and vaginal dryness. Although premenopausal women were 1.5 times more likely to experience irritability, perimenopausal women were more likely to experience hot flushes, physical and mental irritability, sexual problems, vaginal dryness, and joint and muscular discomfort. Hence, health care providers should focus on women at all stages of life. 相似文献