The impact of seating and positioning on the development of repetitive strain injuries of the upper extremity in wheelchair athletes

The population of people who use wheelchairs has been increasing due to technological advances. With this increase, there has also been an increase in participation in wheelchair sports. The incidence of upper extremity injury in wheelchair users has been reported to be between 31 and 73% [2,13,23,26,29]. Wheelchair athletes may be at an increased risk for upper extremity injury due to increased upper extremity use with sport. The purpose of this paper is to ascertain whether proper seating and positioning have an impact on the prevention of repetitive strain injuries (RSI) of the soft tissues, including peripheral nerve entrapments and muscle injury, of the upper extremity in wheelchair athletes. A review of current research on wheelchair propulsion and RSI revealed several hazards for wheelchair athletes to develop RSI's. These include duration of impairment, muscle imbalance, awkward positioning, inadequate rest breaks, repetition of muscle use in daily activities and in sport participation, the degree of force needed for propulsion, and fatigue. Current research does not provide conclusive information on optimal seating. Suggestions of preventative measures are given including suggestions with regard to positioning in the wheelchair.     

Developing the DSM-IV-DSM-IV Criteria to Identify Adolescent Problem Gambling in Non-Clinical Populations

This paper presents a revised version of DSM-IV-J criteria for youth, the DSM-IV-MR-J, together with psychometric data stemming from its use in a major prevalence study of adolescent gambling and problem gambling. The case is made for further development and testing of current and emerging instruments to screen for problem gambling in youth, with the aim of establishing one internationally accepted gold standard measure.     

Measuring the Prevalence of Sector-Specific Problem Gambling: A Study of Casino Patrons

This study is the first attempt to measure the prevalence of problem gambling attributable to a specific sector of the gambling industry. One thousand, one hundred and five casino patrons in 40 casinos in the UK were interviewed, face-to-face. Respondents were screened for problem gambling using a multiple response version of DSM-IV (DSM-IV-MR). The study found support for Eadington's (1988) hypothesis, that UK casinos could be largely sustained by regular players, among whom the prevalence of problem gambling is high. The study also found support for the hypothesis that, to the extent different gambling sectors are patronised by demographically different client groups, so the problem gamblers associated with them will reflect these client groups. The problem gamblers among the regular casino patrons were demographically distinct from the problem gamblers in the sample who showed a preference for other gambling forms. Other key findings support those found in other jurisdictions. Sector-specific prevalence studies may be the next step forward in epidemiological research on problem gambling. They have the major advantage of netting significantly more problem gamblers from much smaller samples than similar studies in the general population. They also have the potential to reveal the proportion of problem gamblers attributable to each sector, along with their demographic characteristics. Such information would result in more specific information being available for regulators seeking to minimise the social impact of problem gambling and those involved in the development of prevention and treatment strategies.     

"Queering" development: exploring the links between same-sex sexualities,gender, and development

This article argues that enhancement of gender and development policy and practice requires embracing of the challenges to conventional definitions of sex and gender. Information presented here was based on the insights from cultural studies and experiences of lesbian and gay activists from China. Focusing on same-sex sexuality in relation to gender and development requires the analysis of the link between the sexual behavior and economic and political freedom. Likewise, stereotyping of those opposing the gender norms exists as well as the degradation of human rights among these individuals due to the increasing threat of HIV/AIDS infection. Furthermore, reluctance to address questions of sexuality could be attributed to the following: the right to intervene in the local culture; the notion that homosexuality originated in the West; and the reluctance to bring a ?developmental machine? into their intimate lives. A new approach to sexuality, ?queer theory,? was found beneficial in changing the attitude of the society. Carrying out this approach would require targeting homosexual groups for support; adapting perceptions of the community, household, and family; integrating homosexuality into health, education, and youth work; and institutionalizing homosexuality. The author emphasizes that the adaptation of the ?queer theory? could provide a solution for activists to engage in a process of mutual support and learning and taking on the common obstacles posed by the oppressive gender norms.     

Conditioning factors for fertility decline in Bengal: history, language identity, and openness to innovations

This article argues that looking solely for the immediate causes of reproductive change may distort our understanding of policy options by failing to take into account the historical and cultural factors that affect not only the impact of policies and programs but their very nature and existence. The article examines the historical origins and spread of “modern” ideas in Bangladesh and the state of West Bengal in India. It concludes that a colonial history in which education and modernization processes took hold very early among the elites in the larger Bengal region was paradoxically accompanied by a strong allegiance to the Bengali language. This strong sense of language identity has facilitated and reinforced the diffusion of modern ideas both within and between the two Bengali‐speaking regions. Thus, to understand the fertility decline in Bangladesh, for example, one needs to look also at cultural boundaries. In this case, the cultural commonality through language facilitates the spread of new ideas across the two Bengals. In turn, the strong sense of language identity has facilitated mass mobilization more easily and intensely within the two Bengals. Shaped by these processes, Bangladesh and West Bengal today are more amenable to social change than many other parts of South Asia and the Middle East.     

Does land ownership make a difference? Women's roles in agriculture in Kerala,India

Drawing on a 12-month study, this paper explores the role of women in agriculture in Kerala, India. Despite claims that women enjoy high status in Kerala, economic, social, and cultural factors interplay to reinforce gender differences in ownership, control over, and access to critical agricultural resources, including land. Although women may gain access to land through inheritance, marriage, or informal networks, none of this guarantee effective control over it. The traditional rights of women to land have not been adequately recognized: the gender gap in the ownership and control of property is the only most significant contributor to the gender gap in the economic well-being, social status, and empowerment of women. The existing socioeconomic changes and crisis which render agricultural land as a main source of livelihood, is leading nair women's share of land being sold, with gains going to men, thus decreasing women?s ownership of land to the status of male-controlled dowry. The case of the Christian succession laws in Kerala illustrate that legal provisions alone can have a limited impact on changing gendered power structures. The role of women in agriculture needs to be recognized, and institutional support must be increased in order for women to gain access to agricultural inputs and technology, which in turn, leads to better agricultural practices and a higher income from farming in the country. Most importantly, there should be a concerted effort to enable women to function as independent farmers who control their own land.     

Enhancing parental power and flexibility in the transition from welfare to work

Recent welfare reforms in the United States shifted the emphasis from income maintenance to preparation for employment. Many families receiving welfare benefits have members with disabilities, which can complicate the process of transition into the workforce. Rehabilitation professionals have a unique set of skills, expertise and experiences which could enhance work transition outcomes for welfare recipients. This purpose of this article is to (a) familiarize rehabilitation professionals with welfare reform changes in the United States, (b) summarize the experiences of families affected by those changes who participated in a recent study, and (c) present a service delivery model to enhance parental power and flexibility based on rehabilitation principles.