Advances in the surgical management of prolapse

Prolapse is an extremely common condition, for which 11% of women will have a surgical procedure at some point in their lives. The recurrence rate after most of the traditional surgical procedures is high and upto 29% of women who have had surgery for prolapse will require a further operation. In order to improve the surgical outcome, there is currently much interest in the use of grafts to augment traditional repairs and new procedures have been developed using specifically developed grafts. These have been combined with minimally invasive surgical techniques in an attempt to reduce surgical morbidity. These procedures may improve the outcome of surgery for prolapse. However, there is currently a lack of long-term data from randomized trials to demonstrate their effectiveness and safety.     

Spirit of aging rising: cross-cutting thematic modules to enrich foundation graduate social work courses

To enrich an urban generalist MSW program serving a diverse aging community, an innovative approach was initiated. A team of students, faculty and a field instructor collaborated in creating and evaluating 3 sets of cross-cutting thematic modules. An overview of the thematic modules (addressing elder abuse, family caregiving, and mental health), integrated across multiple curriculum areas (Human Behavior and the Social Environment, Macro/Policy, Practice and Research), is presented along with results of a faculty focus group evaluating the process of coordinating module content for one full week of class per foundation area (one topic per quarter).     

Bridging Cultures Through Unpaid Labor: US Volunteer Teachers’ Experiences in China’s Yunnan Province

VOLUNTAS: International Journal of Voluntary and Nonprofit Organizations - International volunteering has become a complex field in the context of globalization. Within the discourses of...     

Roads to American Empire: U.S. Military Public Works and Capitalist Transitions, 1898–1934.

Between 1898 and 1934, in synchronous and successive U.S. military interventions and occupations in Cuba, Puerto Rico, the Philippines, Haiti, and the Dominican Republic, American soldiers made public works, and especially roads, into a global technology of imperial power. This essay examines infrastructure as a factor in state formation and capitalist transition in these five different imperial spaces as a way to study U.S. empire, and its effects on foreign societies, through a comparative, global, and intra‐imperial approach often precluded by the methodological nationalism of historical and sociological literatures. Despite significant differences between these sites of U.S. war and occupation, both prior to American interventions and during them, U.S. military public works expressed and advanced a common political‐economic logic of state centralization and capital accumulation. Colonial and post‐colonial political institutions and political economies, the strength of central governments, the extent of plantation agriculture and rural proletarianization, world commodity markets, and geography and natural events varied, but determined U.S. imperial infrastructure's outcomes. By the 1930s, the U.S. military had elevated infrastructural improvement to a key repertoire of American imperial power in the world, and one which persisted as the United States turned away from formal colonialism in the era of the Cold War and decolonization.     

Changing land tenure patterns in Scotland: A time for reform?

Land tenure patterns throughout Britain have changed significantly. The popularity of the traditional agricultural tenancy has declined and in response to legislative and policy developments landowners have become reluctant to enter into long-term tenancy arangements with tenants. The result has been a growth in a number of short term leases. In response, legislative reform took place in England and Wales during 1995 and introduced a farm business tenancy. It provides for greater freedom to negotiate individual agreements. However, Scotland has been excluded. This paper illustrates that Scotland has experienced similar changes to those observed elsewhere and that the main short term lease (limited partnership tenancy) currently popular with Scottish landowners is fraught with legal and administrative difficulties. The limited partnership tenancy is not a suitable alternative to the traditional agricultural tenancy and as such there may be a case for the extension of the farm business tenancy to Scotland.     

A Social Network Comparison of Low‐Income Black and White Newlywed Couples

Relative to White families, Black families have been described as relying on extended social networks to compensate for other social and economic disadvantages. The presence or absence of supportive social networks should be especially relevant to young couples entering marriage, but to date there has been little effort to describe the social networks of comparable Black and White newlyweds. The current study addressed this gap by drawing on interviews with 57 first‐married newlyweds from low‐income communities to compare the composition and structure of Black and White couples' duocentric social networks. The results indicated that low‐income Black couples entered marriage at a social disadvantage relative to White couples, with more family relationships but fewer positive relationships and fewer sources of emotional support (for wives), fewer connections to married individuals, and fewer shared relationships between spouses. Black couples' relative social disadvantages persisted even when various economic and demographic variables were controlled.     

Improving Gambling Survey Research Using Dual-Frame Sampling of Landline and Mobile Phone Numbers

Gambling prevalence studies are typically conducted within a single (landline) telephone sampling frame. This practice continues, despite emerging evidence that significant differences exist between landline and mobile (cell) phone only households. This study utilised a dual-frame (landline and mobile) telephone sampling methodology to cast light on the extent of differences across groups of respondents in respect to demographic, health, and gambling characteristics. A total of 2,014 participants from across Australian states and territories ranging in age from 18 to 96 years participated. Interviews were conducted using computer assisted telephone interviewing technology where 1,012 respondents from the landline sampling frame and 1,002 from the mobile phone sampling frame completed a questionnaire about gambling and other health behaviours. Responses across the landline sampling frame, the mobile phone sampling frame, and the subset of the mobile phone sampling frame that possessed a mobile phone only (MPO) were contrasted. The findings revealed that although respondents in the landline sample (62.7 %) did not significantly differ from respondents in the mobile phone sample (59.2 %) in gambling participation in the previous 12 months, they were significantly more likely to have gambled in the previous 12 months than the MPO sample (56.4 %). There were no significant differences in internet gambling participation over the previous 12 months in the landline sample (4.7 %), mobile phone sample (4.7 %) and the MPO sample (5.0 %). However, endorsement of lifetime problem gambling on the NODS-CLiP was significantly higher within the mobile sample (10.7 %) and the MPO sample (14.8 %) than the landline sample (6.6 %). Our research supports previous findings that reliance on a traditional landline telephone sampling approach effectively excludes distinct subgroups of the population from being represented in research findings. Consequently, we suggest that research best practice necessitates the use of a dual-frame sampling methodology. Despite inherent logistical and cost issues, this approach needs to become the norm in gambling survey research.     

Single Parenting in the African American Community: Implications for Public Policy and Practice

The percentage of female-headed African American families has increased significantly since the 1960s. It is now estimated that over half of all African American children will grow up in a female-headed household. This article examines factors related to the formation of these households as well as the challenges associated with these households. Policies and programs that have been implemented to treat these families are examined.