Managing unforeseen events in anesthesia: collective trade-off between "understanding" and "doing"

This study aims to describe how anesthesia teams handle unforeseen events that may affect the patients' health. More precisely, it investigates the mechanisms of decisions made by anesthesia teams to manage unthought-of situations, i.e. situations that have not been foreseen as "possible" ones before their occurrence. An empirical study, based on the analysis of simulated situations, was conducted in a pediatric anesthesia service of a university hospital in France. The results highlighted three ways of managing unthought-of situations (determined management, cautious management and overwhelmed management). They support the hypothesis of a collective cognitive trade-off, whereby teams would behave as virtual operators, with their own collective trade-off between "understanding" and "doing". The discussion of the results questions the assessment criteria, the safety perspectives we adopt and the possible ways to improve the management of unforeseen situations.     

Virtual reality based therapy for post operative rehabilitation of children with cerebral palsy

Virtual reality is the use of interactive replication created with computer hardware and software to impart users with opportunities to engage in environments that appear to feel similar to real world objects and events. The commonest rehabilitation program of cerebral palsy children involves stretching, strengthening, mobilization and various other activities, whereas the use of virtual reality based training (VRBT) for rehabilitation of cerebral palsy is not common. To understand the effect of VRBT a study was formulated. Twenty nine subjects participated (study group--14 and control group--15). Outcome measures were MACS, PBS, level of participation, motivation, cooperation and satisfaction of the child. Results revealed that balance and manual ability were significantly improved in both the groups (Balance: study: t-2.28, p<0.05; control: t-3.5, p<0.01; Manual ability: study: t-5.58, p<0.001; control: t-7.06, p<0.001). PBS had significantly greater improvement in the study group (t-t-2.02, p<0.05). Level of participation, motivation, cooperation and satisfaction of the child were also reported to be significantly higher among the study group as compared with control group. To the author's best knowledge, this is the first study on using the VR-based therapy for the postoperative rehabilitation of children with CP which need further elaboration with larger sample size.     

Governing the transnational organic cotton network from Benin

In this article, we attempt to conceptualize the historical development and the governance structure of the transnational organic cotton network from Benin. We aim to discover how the organic cotton production‐consumption network is governed locally and internationally. Existing bodies of literature on international agricultural production networks, in particular the Global Value Chains (GVC) perspective, focus on economic dimensions, but find it difficult to incorporate the sustainability dimension. We favour widening the concept of GVCs beyond economics by acknowledging and including environmental rationalities and the representatives of their interests, not as external elements, but rather as co‐governing or co‐structuring factors (or actors) of sustainable value chains. Our findings reveal that beyond the traditional producer versus buyer dualism, intermediate stakeholders, namely transnational and local environmental NGO networks, are instrumental in the construction, maintenance and transformation of the organic cotton network. It is also apparent that farmers' leaders play an important role in mediating and (re)building trust among organic farmers, though they exert insufficient vertical power in the organic cotton network to control it.     

Marketing as an Investment in Shareholder Value

We present resource‐based and capability‐based arguments of marketing investment intensity to offer a strategic view of marketing as an investment in shareholder value. We find that marketing investment intensity has a U‐shaped quadratic effect on shareholder value creation (Tobin's q) that calls for marketing investment to be protected and increased, not surrendered. We show how marketing investments interact with investments in R&D, human capital and operations to reveal how strategic co‐investments can alter the shareholder value of marketing. Finally, we show how competitive intensity and failings in the firm's investment productivity (its ability to convert investment expenditure into sales) point to malaise in the firm's own strategic architecture as a fault for perceived poor returns from marketing investments. Our findings suggest that marketing investment should not be scapegoated when its contributions to shareholder value are not as expected. When invested in strategically and in combination with other investments, marketing can unlock exciting improvements in shareholder value.     

Risk factors for child maltreatment in South Korea: An investigation of a nationally representative sample

This study investigated the risk factors associated with the occurrence of child physical and psychological abuse in South Korea based on the ecological theory of child maltreatment. A subsample of 3‐ to 18‐year‐old children from “A Study on the Current State of Child Abuse and Neglect,” a nationally representative study on child abuse and neglect, was utilized for secondary data analysis. The sample was divided into two age groups (third graders in elementary school and below and fourth graders and above). We utilized hierarchical logistic regression for each age group separately to analyze the data. The variables at each level of the system (i.e., ontogenic development, microsystem, and exosystem) were entered into the model in sequential order. The results showed the common risk factors for both age groups are the caregiver's experience of abuse in childhood, the child's problem behavior, exposure to domestic violence, community size, and informal social control. The child's age was also significant in both groups but in the opposite direction. Social support was a significant predictor for the younger age group only, while the caregiver's level of education was significant for the older age group only. Implications for future research and practice are discussed based on the study results.     

African American Adolescents’ Psychological Well-Being: The Impact of Parents’ Religious Socialization on Adolescents’ Religiosity

The dearth of research literature on the religious beliefs and practices of African American adolescents has led to increased empirical inquiry, yet a lack of research considers African American adolescents’ religious beliefs and practices as an important developmental milestone. This study explored how African American parents’ religious socialization affected youth religious experiences and served as a culturally specific strength-based asset that promotes psychological well-being. Our sample included a socioeconomically diverse sample of 154 African American families. Accounting for demographics, adolescents’ relationship and communication with God were found to be associated with a healthier psychological well-being. Additionally, parents’ religious socialization impacted the relationship between youths religious beliefs and practice and psychological well-being. Overall, results suggest that parents’ and adolescents’ religious beliefs can promote psychological well-being.     

Education and Employment among Muslims in Indian Jammu and Kashmir

Muslims constitute about 14% population of India and are the largest religious minority community spread over the length and breadth of the country. The minority community in question has been relegated to the lowest socio-economic stratum in Indian society especially after the partition and independence of the country. However, in the state of Jammu and Kashmir, Muslims are in majority constituting about 67% population of the state. In the current study, the Concentration Index of Muslim population, variation in literacy rate and work participation, occupational structure across region and religion, as well as the interrelationship between concentration of Muslim population, literacy rate and work participation in Jammu and Kashmir has been explored and explained. The present study is based upon secondary information obtained from Census 2001 and is also supplemented with government reports, published work wherever necessary. As far as share of Muslims in the sphere of education and employment in the state of Jammu and Kashmir is concerned, they have reported lower share among the population of literates, category of other workers and higher share in the occupational category of cultivators, agricultural labourers, household industry workers and non-workers in comparison to all religious groups. This means that despite being in majority, their situation is similar to their co-religionists at the all India level.