Research encounters,reflexivity and supervision

Reflexivity in qualitative and ethnographic social science research can provide a rich source of data, especially regarding the affective, performative and relational aspects of interviews with research subjects. This paper explores by means of three case examples different ways of accessing and using such reflexivity. The examples are drawn from an empirical psycho-social study into the identity transitions of first-time mothers in an inner-city multicultural environment. Fieldnotes and supervision were used to engage with researcher subjectivity, to enhance the productive use of reflexivity and to address the emotional work of research. The methodology of the supervision was psychoanalytic, in its use of a boundaried frame and of psychoanalytic forms of noticing oneself, of staying engaged emotionally as well as creating a reflective distance. The examples illustrate how this can enhance the knowledge gained about the research subjects.     

Foucault,Politics and Organizations: (Re)‐Constructing Sexual Harassment

This article reviews the body of knowledge around workplace sexual harassment. In deploying a Foucauldian analysis, it attempts to argue that this knowledge, as part of the wider discourse on sex, may (re)produce consequences counter to those which its proponents espouse. In particular, the discussion seeks to problematize the status of harassment knowledge as truth; the depiction within this knowledge of ‘good’ and ‘bad’ sex; the roles this knowledge identifies for men and women within the phenomenon of harassment; and the theme within harassment knowledge that sex is central to our existence. The conclusion aims to suggest the ways in which this kind of analysis is useful by addressing the criticisms usually levelled at Foucault's work.     

福州地区部分产妇“坐月子”传统习俗的调查

采用定性研究方法对福州市城区和福清农村两地12户正在“坐月子”的家庭进行调查,并召开专题小组讨论会,组织19名卫生工作者参加讨论与分析。结果表明,“坐月子”是一个很重要的惯例,其强调摄入大量的高蛋白食物、提供家庭照顾、多休息并专注于体能的恢复、注意会阴部卫生和悉心照顾孩子等有利于产妇恢复健康;而对产妇采取限制洗澡、谢绝会客、限制活动、不适宜的辅助母乳喂养、给新生儿喂中药汤和不重视牙齿卫生等可能无益,甚至有害。建议提倡有利于产妇恢复健康的习俗与措施,努力克服和避免不利于产妇健康的因素。     

Who Experiences Leisure Deficits? Mothers' Marital Status and Leisure Time

The authors used the 2003 to 2012 American Time Use Survey to examine marital status variation in mothers' leisure time. They found that never‐married mothers have more total leisure but less high‐quality leisure when compared with married mothers. Never‐married mothers' leisure is concentrated in passive and socially isolated activities that offer fewer social and health benefits. Black single mothers have the highest amount of socially isolated leisure, particularly watching television alone. Results suggest that differences in the context and type of leisure are salient dimensions of the divergent and stratified life conditions of married, divorced, and single mothers.     

A Risk Assessment for Consumers of Mourning Doves

Recreational and subsistence hunters and anglers consume a wide range of species, including birds, mammals, fish and shellfish, some of which represent significant exposure pathways for environmental toxic agents. This study focuses on the Department of Energy's (DOE'S) Savannah River Site (SRS), a former nuclear weapons production facility in South Carolina. The potential risk of contaminant intake from consuming mourning doves ( Zenaida macroura ), the most popular United States game bird, was examined under various risk scenarios. For all of these scenarios we used the mean tissue concentration of six metals (lead, mercury, cadmium, selenium, chromium, manganese) and radiocesium, in doves collected on and near SRS. We also estimated risk to a child consuming doves that had the maximum contaminant level. We used the cancer slope factor for radiocesium, the Environmental Protection Agencies UptakeBiokinetic model for lead, and published reference doses for the other metals. As a result of our risk assessments we recommend management of water levels in contaminated reservoirs so that lake bed sediments are not exposed to use by gamebirds and other terrestrial wildlife. Particularly, measures should be taken to insure that the hunting public does not have access to such a site. Our data also indicate that doves on popular hunting areas are exposed to excess lead, suggesting that banning lead shot for doves, as has been done for waterfowl, is desirable.     

Ethnic Differences in Risk from Mercury among Savannah River Fishermen

Fishing plays an important role in people's lives and contaminant levels in fish are a public health concern. Many states have issued consumption advisories; South Carolina and Georgia have issued them for the Savannah River based on mercury and radionuclide levels. This study examined ethnic differences in risk from mercury exposure among people consuming fish from the Savannah River, based on site-specific consumption patterns and analysis of mercury in fish. Among fish, there were significant interspecies differences in mercury levels, and there were ethnic differences in consumption patterns. Two methods of examining risk are presented: (1) Hazard Index (HI), and (2) estimates of how much and how often people of different body mass can consume different species of fish. Blacks consumed more fish and had higher HIs than Whites. Even at the median consumption, the HI for Blacks exceeded 1.0 for bass and bowfin, and, at the 75th percentile of consumption, the HI exceeded 1.0 for almost all species. At the White male median consumption, noHI exceeded 1, but for the 95th percentile consumer, the HI exceeded 1.0 almost regardless of which species were eaten. Although females consumed about two thirds the quantity of males, HIs exceeded 1 for most Black females and for White females at or above the 75th percentile of consumption. Thus, close to half of the Black fishermen were eating enough Savannah River fish to exceed HI = 1. Caution must be used in evaluating an HI because the RfDs were developed to protect the most vulnerable individuals. The percentage of each fish species tested that exceeded the maximum permitted limits of mercury in fish was also examined. Over 80% of bowfin, 38% of bass, and 21% of pickerel sampled exceeded 0.5 ppm. The risk methodology is applicable anywhere that comparable data can be obtained. The risk estimates are representative for fishermen along the Savannah River, and are not necessarily for the general populations.     

纳米比亚的土地和生物管理模式

飞机一进入非洲南部国家纳米比亚的首都温德和克，就像进入了一个自然保护区。由于温德和克位于中央高原上，并且以阿瓦斯山脉为天然屏障，游客一进入该市就能问或看见捻角羚和其他羚羊，这不是什么稀罕事。     

Reliability of work-related assessments

Insufficient evidence of the reliability of work-related assessments is a major concern in this area of practice. Despite this concern there has been ongoing development of new assessments, while existing assessments have been revised, modified and updated and others are no longer used or available. OBJECTIVES: The purpose of this study was to determine the extent and quality of evidence for the reliability of work-related assessments. STUDY DESIGN: This study examined available literature and sources in order to review the extent which reliability has been established for 28 work-related assessments. RESULTS: The levels of evidence and reliability are presented for each assessment. This indicates that a number of commercially available work-related assessments have insufficient evidence of reliability. For the limited number of work-related assessments with an adequate level of evidence on which to judge their reliability, most demonstrate a moderate to good level. Few assessments, however, have demonstrated levels of reliability sufficient for clinical (and legal) purposes. CONCLUSION: With this study clinicians will be able to examine their options with regard to the reliability of the assessments they choose to use. Interpretation of changes in test results can be considered in the light of the evidence for the reliability of the instrument used.     

Five-Hundred Life-Saving Interventions and Their Cost-Effectiveness

We gathered information on the cost-effectiveness of life-saving interventions in the United States from publicly available economic analyses. "Life-saving interventions" were defined as any behavioral and/or technological strategy that reduces the probability of premature death among a specified target population. We defined cost-effectiveness as the net resource costs of an intervention per year of life saved. To improve the comparability of cost-effectiveness ratios arrived at with diverse methods, we established fixed definitional goals and revised published estimates, when necessary and feasible, to meet these goals. The 587 interventions identified ranged from those that save more resources than they cost, to those costing more than 10 billion dollars per year of life saved. Overall, the median intervention costs $42,000 per life-year saved. The median medical intervention costs $19,000/life-year; injury reduction $48,000/life-year; and toxin control $2,800,000/life-year. Cost/life-year ratios and bibliographic references for more than 500 life-saving interventions are provided.