Integrated Motherhood: Beyond Hegemonic Ideologies of Motherhood

Existing research assumes that hegemonic mothering ideologies influence U.S. mothers' work and family decisions. These ideologies assume that childrearing is a mother's duty, that mothering occurs within a self‐sufficient nuclear family, and that paid employment conflicts with motherhood. Even when mothers do not conform to these ideologies, scholars find that they continue to influence mothers, as exhibited by mothers' efforts to reframe, redefine, or actively reject the ideal. This study expands on research that challenges the dominant influence of these ideologies on all mothers. Through analyzing the accounts of 24 middle‐ and upper‐middle‐class African American mothers employed in professional careers, three different cultural expectations about motherhood emerged. Participants assumed that they should work outside of the home, be financially self‐reliant, and use kin and community members as child caregivers. Together, these cultural expectations form the basis of an alternative ideology of mothering that the author terms integrated mothering.     

Rethinking Social Work's Interpretation of ‘Environmental Justice’: From Local to Global

This article challenges social workers to expand their understanding of the ‘person-in-environment’ perspective and become more active in addressing current environmental crises. Although social work scholars have begun to explore the relationship between social work and the natural and built environment and professional organizations mandate the integration of this content into practice and education, these goals remain unrealized, particularly in the USA. To address these issues more effectively, social work educators will need to distinguish between understanding persons in their environment and environmentalism, and between environmentalism and environmental justice. This article analyzes the emergence of the environmental justice movement in the USA and other nations and its relationship to environmental racism. It presents a case study of a local environmental justice effort to demonstrate how social workers can use their knowledge and skills to make important contributions to environmental justice and sustainability. It also discusses the potential of ‘green social work’ and transformative learning theory as tools to help social work educators better equip students to make strategic alliances across professions, disciplines, and systems to address contemporary environmental crises.     

Social gerontology as public sociology in action

Burawoy (2005) argues that sociology needs to re-establish a public sociology oriented toward society’s problems and the practice of its unique knowledge if it is to again be taken seriously by the public, policymakers, and others. Yet, it is unclear how best to achieve these goals. We argue that the relatively young field of social gerontology provides a useful model of successful public sociology in action. As a multidisciplinary field engaged in basic and applied research and practice, social gerontology’s major aim is to improve the lives of older people and to ameliorate problems associated with age and aging. Thus social gerontology has routinely reached beyond the academy to engage with its publics. We review the field’s historical and theoretical development and present four examples of public sociology in action. Several factors have contributed to social gerontology's success in achieving the goals of public sociology: (1) Working in multidisciplinary teams which promote collaboration and respect for diverse perspectives. (2) Its ability to advocate “professionally” for its publics without favoring one group at the expense of another. (3) The unique affinity of its theories and practices with its disciplinary values. (4) The constructive effects of its ongoing questioning of values and ethics. Working in a multidisciplinary field with multiple publics, social gerontologists have been able to blend professional, critical, policy, and public sociologies to a considerable degree while contributing toward improvements in well-being.     

Differences in Audiotaped Versus Videotaped Physician-Patient Interactions

Most medical interaction studies have been conducted on audiotaped recordings of physician-patient encounters. Empirical studies have not previously demonstrated whether coders' scores differ on audio-only versus videotaped data. Data from a convenience sample of forty-seven physician-patient interactions were analyzed using the same coding systems to judge audio-only versus video-based data formats. All coding conditions demonstrated acceptable reliability, using intraclass correlation coefficients. However, MANOVA analyses show that ratings of audiotaped physician-patient interactions are not equivalent to ratings of videotaped encounters. Exploratory factor analyses show differences in the underlying structures of the data derived from the audio-only versus the video information. The differences in the video-based factor solutions account for more total variance and are more consistent with theoretical expectations.     

Competition, Race, and the Measurement of Female Labor Activity

Not all groups compete equally in the labor market. Here, we focus on women's competition with men for jobs. This competition assumes that women's employment is affected by men's, and vice versa. We use two statistics—female labor force participation and share—to uncover this competition. 1990 U.S. census data on 281 metropolitan statistical areas were analyzed using weighted least squares regression. Supply-side explanations of female labor activity (education, children, household headship, and government assistance) receive more support than demand-side explanations (poverty, industrial mix, and region). Evidence of competition along gender and race lines is found. Men's employment is buttressed in metropolitan areas by higher wages, less poverty, and more women with children. Welfare benefits (AFDC) and deindustrialization lower black women's employment, while only white women benefit from advanced education and a "feminized" occupational structure. Implications for future research and policy are discussed.     

Meta‐analysis of QTc interval – pooling data from heterogeneous trials

A diverse range of non‐cardiovascular drugs are associated with QT interval prolongation, which may be associated with a potentially fatal ventricular arrhythmia known as torsade de pointes. QT interval has been assessed for two recent submissions at GlaxoSmithKline. Meta‐analyses of ECG data from several clinical pharmacology studies were conducted for the two submissions. A general fixed effects meta‐analysis approach using summaries of the individual studies was used to calculate a pooled estimate and 90% confidence interval for the difference between each active dose and placebo following both single and repeat dosing separately. The meta‐analysis approach described provided a pragmatic solution to pooling complex and varied studies, and is a good way of addressing regulatory questions on QTc prolongation. Copyright © 2002 John Wiley & Sons, Ltd.     

Rapid Response to a Conjunctivitis Outbreak: The Use of Technology to Leverage Information

Abstract

When an outbreak of conjunctivitis was identified at a rural New England college early in 2002, the college health center medical staff used various information management and communication systems to alert the community to the situation. They called upon the state Department of Human Services and the Centers for Disease Control and Prevention to help them understand and manage the outbreak. Technological systems already in place at the college allowed for rapid collection of data by means of a survey delivered over the Internet and a carriage study facilitated by a Web-based appointment and communication system. Within days, the data were collected and analyzed and an immediate response to contain the outbreak was launched.     

灾难受害者的心理与社会支持

灾害对人的影响是多方面的 ,除了可能导致的死亡和身体损伤外 ,对灾害的幸存者亦可能造成心理创伤 ,心理创伤超过一定的程度即出现创伤后应急障碍 ,简称PTSD。本文对PTSD的定义、诊断标准、发生率、发生时间、影响因素及预防等作了简要介绍     

Mental Health Problems Among Single Mothers: Implications for Work and Welfare Reform

Welfare reform's emphasis on work and self-sufficiency assumes that poor single mothers are similar in their status and functioning to the rest of the population. However, we find that their status is quite distinct. Logistic regression results reveal that the likelihood of working is 25% lower for those with a psychiatric disorder. Mental health problems may prevent women from undertaking the tasks necessary to find employment, or women with these problems may lack the self-confidence needed to take on new challenges. Our findings suggest that mental health problems among single mothers deserve greater attention as a barrier to self-sufficiency and highlight the need for more effective intervention and treatment efforts to improve economic and social outcomes.