“The loss was traumatic… some healthcare providers added to that”: Women’s experiences of miscarriage

Background

Miscarriage is a common event in Australia and is estimated to occur in up to one in four confirmed pregnancies. Prior research has demonstrated that miscarriage is associated with significant distress, grief and loss, and in some cases clinically significant levels of depression, anxiety, and Post Traumatic Stress Disorder. Despite these consequences for women’s emotional and mental health, studies have commonly found that women feel that healthcare providers often lack empathy, support, and acknowledgement of their loss.

A Case Study Evaluating the Risk of Infection from Middle Eastern Respiratory Syndrome Coronavirus (MERS‐CoV) in a Hospital Setting Through Bioaerosols

Middle Eastern respiratory syndrome, an emerging viral infection with a global case fatality rate of 35.5%, caused major outbreaks first in 2012 and 2015, though new cases are continuously reported around the world. Transmission is believed to mainly occur in healthcare settings through aerosolized particles. This study uses Quantitative Microbial Risk Assessment to develop a generalizable model that can assist with interpreting reported outbreak data or predict risk of infection with or without the recommended strategies. The exposure scenario includes a single index patient emitting virus‐containing aerosols into the air by coughing, leading to short‐ and long‐range airborne exposures for other patients in the same room, nurses, healthcare workers, and family visitors. Aerosol transport modeling was coupled with Monte Carlo simulation to evaluate the risk of MERS illness for the exposed population. Results from a typical scenario show the daily mean risk of infection to be the highest for the nurses and healthcare workers (8.49 × 10^?4 and 7.91 × 10^?4, respectively), and the lowest for family visitors and patients staying in the same room (3.12 × 10^?4 and 1.29 × 10^?4, respectively). Sensitivity analysis indicates that more than 90% of the uncertainty in the risk characterization is due to the viral concentration in saliva. Assessment of risk interventions showed that respiratory masks were found to have a greater effect in reducing the risks for all the groups evaluated (>90% risk reduction), while increasing the air exchange was effective for the other patients in the same room only (up to 58% risk reduction).     

Freezing time? The sociology of egg freezing

In the past decade, social scientists and bioethicists have produced a significant body of work tracking the technical, legal, ethical, and sociocultural development and implications of human egg freezing. What began as a treatment to “preserve” the fertility of cancer patients has transformed into a technology enabling delayed childbearing. We provide an overview of four research areas that have received the most attention in the sociological and anthropological literature of egg freezing: medicalization, gender, temporality and risk, and markets. What emerges from much of the research is the sense that egg freezing has become entangled with cultural imperatives to take future-oriented responsibility for one's own health, financial, social, and reproductive needs through self-management, risk reduction, calculation, and optimization. Throughout, we consider the implications of this novel reproductive technology within national and transnational “reproflows” that stratify reproduction along raced and classed lines.     

Social work,poverty, and child welfare interventions

The relationship between children's material circumstances and child abuse and neglect raises a series of questions for policy, practice, and practitioners. Children and families in poverty are significantly more likely to be the subject of state intervention. This article, based on a unique mixed‐methods study of social work interventions and the influence of poverty, highlights a narrative from practitioners that argues that, as many poor families do not harm their children, it is stigmatizing to discuss a link between poverty and child abuse and neglect. The data reveal that poverty has become invisible in practice, in part justified by avoiding stigma but also because of a lack of up‐to‐date research knowledge and investment by some social workers in an “underclass” discourse. We argue, in light of the evidence that poverty is a contributory factor in the risk of harm, that it is vital that social work engages with the evidence and in critical reflection about intervening in the context of poverty. We identify the need for fresh approaches to the harms children and families face in order to support practices that engage confidently with the consequences of poverty and deprivation.     

Gender Differences in STEM Disciplines: From the Aspects of Informal Professional Networking and Faculty Career Development

This study examines informal professional networks (IPNs) and their role in the underrepresentation of women faculty in traditionally male-dominated science, technology, engineering, and mathematics (STEM) disciplines. A mixed-methods design was taken in which interviews were conducted during the qualitative phase to gather information of faculty networking experiences and the importance of IPNs in their career development. An online survey was developed based on the findings from the interviews and used to gather data during the quantitative phase to further probe the patterns and functions of IPNs. Major findings are reported, including the meaningful impact of IPNs on the career development of faculty in STEM disciplines and some significant gender differences in networking patterns.     

Efficiency of t-Test and Hotelling's T 2-Test After Box-Cox Transformation

Early investigations of the effects of non-normality indicated that skewness has a greater effect on the distribution of t-statistic than does kurtosis. When the distribution is skewed, the actual p-values can be larger than the values calculated from the t-tables. Transformation of data to normality has shown good results in the case of univariate t-test. In order to reduce the effect of skewness of the distribution on normal-based t-test, one can transform the data and perform the t-test on the transformed scale. This method is not only a remedy for satisfying the distributional assumption, but it also turns out that one can achieve greater efficiency of the test. We investigate the efficiency of tests after a Box-Cox transformation. In particular, we consider the one sample test of location and study the gains in efficiency for one-sample t-test following a Box-Cox transformation. Under some conditions, we prove that the asymptotic relative efficiency of transformed t-test and Hotelling's T ²-test of multivariate location with respect to the same statistic based on untransformed data is at least one.     

Expanding the Reflexive Space: Resilient Young Adults,Institutional Cultures,and Cognitive Schemas

For many U.S. young adults, being resilient to stressful events hinges on making meaning of such events and thereby minimizing their negative emotional impact. Yet why are some better able to do this than others? In this study, which uses an innovative outlier sampling strategy and linked survey and interview data, we argue that one important factor is connection to institutional cultures associated with higher education, religion/spirituality, and the military. Such cultures provide material for the development of cognitive schemas that can be adopted and applied to their stressful experiences, which include narratives of social progress, divine providence, and self‐discipline. Using a metaphor adapted from the pragmatist philosopher Charles Sanders Peirce, we argue the resulting schemas have the effect of “expanding the space” of reflexive thought, providing new cognitive material for interpreting stress and supporting resilience. Finally, we argue this framing improves in several ways on the concept of meaning making often used in stress process research.     

(Re)visualizing women who use drugs

This article explores a collaborative, community-based project that fuses both arts-based feminist and visual sociological perspectives through a collaboration with five women in leadership roles in a drug user union, Vancouver Area Network of Drug Users (VANDU). VANDU is situated in the Downtown Eastside of Vancouver, British Columbia, in Canada’s poorest urban neighbourhood. Through writing, photography and collage-making, participants in this study resisted dominant representations of women who use criminalised drugs by focusing on activism, family, friends and the spaces they live and work in. This paper contributes to a growing body of critical and feminist scholarship interested in using creative and visual methodologies and collaborative community artworks as tools for developing alternate perspectives about the lives of marginalised women.     

Outcomes focused user involvement in social work education: applying knowledge to practice

Abstract

This paper discusses an innovative approach connecting service user and carer involvement (SUCI) in social work education to social work practice. The research team, comprised service users, carers, social work students and module leader, worked collaboratively democratising the research process. At the University of Dundee, a core social work module facilitates students to spend 15 h with a service user and/or carer (host) gaining a unique insight into their everyday lives. During this time, hosts and students discuss two policy practice questions, responses to these questions are generating annual qualitative data, with study findings being disseminated at local and national level. The experiential learning students acquire from spending time with their host becomes the site of knowledge creation through involvement that is applied to practice. This paper reports on the narratives emerging from the longitudinal data (2012–2015, n = 90) on the changing landscape of social care in Scotland and the dissemination of project findings. We explore the intersection where the voices of service users and carers, student learning and social work practice coalesce. A model of outcomes focused SUCI is introduced as a template for meaningful, sustainable and outcomes-focused SUCI in social work education.     

“You Bring Great Masculinity and Truth”: Sexuality,whiteness, and the regulation of the male body in motion

This study contributes to analyses of how heterosexuality and whiteness work together in the embodied social practice of dance and the representational realm of television. It does so by attempting to destabilize theories of sexual difference dependent upon the concept of a stable, “natural,” and unitary body by highlighting the representational work that underpins heteronormative (white) masculinity within the first season of the syndicated reality dance television series So You Think You Can Dance Canada. The paper argues that though the presence of male dancers in the (often feminized) representational realm has the potential to challenge simple heteronormative dichotomies of masculine/feminine, reality dance television in this case plays with, yet ultimately reaffirms, heteronormative masculinity and does so relationally, through the juxtaposition of racialized male and female dance contestants over the span of a series. While it is not surprising that a reality show depends heavily upon heteronormative stereotypes, these discursive mechanisms are rendered invisible, in this case, when couched in a discourse of authenticity, technical ability, and dance aesthetics, resonating beyond the context of television, into the ways we think about dance practice.