The Origins of Prognostic Differences: A Topography of Experience and Expectation in a Neonatal Intensive Care Unit

This article is devoted to the phenomenon of prognostic difference on a Neonatal Intensive Care Unit (NICU) and it argues that circumstantial elements, the NICUs local history, and individual knowledge and experience of those involved must be taken into account. By capitalizing on prognostic markers as an analytical category, it becomes possible to study the difference between professionals and parents and how they use similar reasoning to reach substantively different conclusions. Potentially relevant factors in the construction of prognoses are the role of other children, medical technology and the use of the NICU space in the production of prognostic knowledge. My argument underscores that only a multi-layered analysis of these processes accounts for actors divergent prognoses.     

Normal Queers: Straight Parents Respond to Their Children's “Coming Out”

This article explores how normative understandings of gender, family, and sexuality provide the foundation for stigma, an avenue out of deviance, and the means by which stigma is perpetuated. Using participant‐observation and interview data from a support group for families of lesbian women and gay men, I examine the destigmatizing identity work with which straight parents responded to their children's lesbian and gay identities. The parents' reliance on conventional understandings of gender, sexuality, and parenting invoked and affirmed heteronormative conceptions of normalcy. This redrawing—and not fundamentally challenging—of the lines defining sexual normalcy left intact systemic logics supporting heterosexist sexual hierarchies.     

Evaluating the impact of conditional cash transfer programs on fertility: the case of the Red de Protección Social in Nicaragua

Evaluating the impact of poverty-reduction programs on fertility is complicated given that changes in incentives to have children take time to be incorporated into decision making and evaluation periods are usually quite brief. We explore the use of birth spacing as a short-run indicator of the impact of poverty-reduction programs on fertility. The data come from a Nicaraguan conditional cash transfer program that offers incentives for poor households to invest in children’s health, nutrition, and education. We estimate a stratified Cox proportional hazard model and find that the program decreased the hazard of a birth, indicating an increase in birth spacing.     

The Natsal-SF Measure of Sexual Function: Comparison of Three Scoring Methods

The Natsal-SF is a psychometrically validated measure of sexual function for use in community health surveys, derived from 17 questions reflecting three components of sexual function. Scoring requires knowledge of complex statistical modeling and, given the methodological complexities, we assessed the validity of two simplified scoring methods calculated using the factor loadings produced when originally modeling the Natsal-SF items. Method 1 uses these factor loadings to three decimal places, while method 2 assigns whole numbers to each item based on the factor loadings. Scores from these simplified methods are compared to the original score using correlation coefficients, by comparing the distributions and the scores of each method in a linear regression model with key variables. We found scores from the simplified methods both correlate highly with the original score, and the distributions of scores closely match. The simplified methods result in different regression coefficients for gender and relationship context but estimate the coefficients of all other variables similarly to the original method. While the Natsal-SF should ideally be scored using latent variable modeling, the simplified methods perform well so can be used in similar contexts, increasing the utility of the Natsal-SF and enabling future studies to measure sexual function more comprehensively.     

Lead factory operationalisation and challenges

Abstract

This paper deepens the understanding of the lead factory concept by examining how the lead factory role is operationalised and what challenges are associated with it. The research is based on an explorative case study of eight Swedish lead factories in the manufacturing industry. The empirical findings suggest that the understanding of the lead factory concept should be extended as it is not restricted to one type of set-up. The findings show a spectrum ranging from an entire manufacturing plant, parts of a plant, to a virtual plant considered to be the lead factory. The research also shows a broad range of challenges experienced by lead factories. Several of these are related to and originate from unclear role, responsibility and mandate of the lead factory. The lack of dedicated resources for lead factory activities, specifically long-term development and difficulties in measuring the benefits of the role, were other challenges faced.