Ice pack induced perineal analgesia after spontaneous vaginal birth: Randomized controlled trial

Background

Ice-pack is widely used for alleviating postpartum perineal pain sustained after birth related perineal trauma. However, it lacks robust evidence on timing and frequency of applications, to ensure the effective and safe use of this therapy.

Social Capital and Self Perceived Health Among European Older Adults

There is increasing interest among researchers in the effects of social capital on the health of older adults. One of the key policy question for an ageing population concerns how do we identify the factors that influence health. Very recently, an increasing interest on social capital as a key determinant for health has developed and, surprisingly, not much is known for the European population. This paper analyzes the association between social capital and self-perceived health among older adults in Europe using a mixed effects logistic model. Social capital is considered in its two components—bonding and bridging—in order to understand if the relations inside or outside an individual inner circle have a different association with health. Our results give empirical support to the role of individual social capital in preventing a poor self-perceived health. This means that social capital, especially the bridging component of it, can be one of the key factors of ageing in good health and should be fostered by policy makers in order to give an answer to one of the most compelling challenge of our century: population ageing.     

Does Tourism Consumption Behaviour Mirror Differences in Living Standards?

Based on the theoretical foundation of well-being measurement, the study explores differences in living standards by analysing the distribution of tourism expenditure. A mixture of regression models is used to explore the heterogeneity in tourism consumption by identifying groups of families with similar tourism consumption behaviour as a function of certain socio-demographic and economic factors. The empirical analysis, performed on Italian expenditure data, suggests that there are three different patterns of consumption behaviour conditional to the socio-demographic and economic covariates in the tourism market and that differences in tourism consumption between groups of households mirror inequalities in living standards.     

Reciprocal relationships between psychosocial work characteristics and sleep problems: A two-wave study

Sleep problems are common and impair the health and productivity of employees. Work characteristics constitute one possible cause of sleep problems, and sleeping poorly might influence wellbeing and performance at work. This study examines the reciprocal associations between sleep problems and psychosocial work characteristics. The participants were 1744 full-time employed individuals (56% women; mean age 38 years in 2007) from the Young Finns study who responded to questionnaires on work characteristics (conceptualised by the demand–control model and effort–reward imbalance model) and sleep problems (Jenkins Sleep Scale) in 2007 and 2012. Cross-lagged structural equation models are used to examine the associations. The results show that low control and low rewards at baseline predicted sleep problems. Baseline sleep problems predicted higher effort, higher effort–reward imbalance, and lower reward. Sleep problems also predicted lower odds for belonging to the low (rather than high) job strain group and active jobs group. The association between work characteristics and sleep problems appears to be reciprocal, with a stressful work environment increasing sleep problems, and sleep problems influencing future work characteristics. The results emphasise the importance of interventions aimed at both enhancing sleep quality and reducing psychosocial risks at work.     

The Effects of Pop-up Harm Minimisation Messages on Electronic Gaming Machine Gambling Behaviour in New Zealand

In New Zealand a simple pop-up message feature that provides gambling session information and forces a break in play is mandatory on all electronic gaming machines in all venues (EGMs). Previous research has demonstrated small effects of more sophisticated pop-up messages tested predominantly in laboratory environments. The present research examined gambler engagement with and views on the New Zealand pop-up messages and on the relationship between pop-up messages and EGM expenditure. A sample of gamblers was recruited at casino and non-casino (pub) EGM venues. Most participants were aware of pop-up messages (57 %) and many saw them often (38 %). Among gamblers who reported seeing pop-up messages, half read the message content, and a quarter believed that pop-up messages helped them control the amount of money they spend on gambling. Participants who reported being likely to stop gambling in response to pop-up messages spent significantly less money on gambling when variables that were independently associated with EGM expenditure were controlled for. A modest harm minimisation effect of the pop-up message feature that has been operating in New Zealand for 5 years was evident. Suggestions for improvement of the harm minimisation potential of the current pop-up message feature are discussed.     

Resources reduction and welfare changes: tensions between social workers and organisations. The Italian case in child protection services

Within the field of studies on professionalism, this paper explores the changes in roles of social workers and the new tensions emerging in the relationship with their organisational contexts, due to the reduction of resources and the introduction of neoliberal and managerial policies in the welfare system. The paper is based on qualitative research carried out through 32 in-depth interviews with frontline social workers engaged in child and family services in Italy. The paper investigates how spending cuts have affected the relationship with the organisation arguing that the ways the cuts are implemented, as well as the room for professional recognition set by the organisation, are relevant. A four-character social worker typology is outlined, drawn from the intersection of two meaningful dimensions: sense of belonging and critical thinking. It is argued that a ‘critically engaged’ type points to a new form of professionalism that may emerge from the current crisis of the relationship between the organisation and social workers.     

The politics of gender in the UN Security Council resolutions on women,peace and security

Women’s groups have worked diligently to place gender and women’s vulnerability on the transnational security agenda. This article departs from the idea that negotiating and codifying gender and women’s vulnerability in terms of security represent a challenge to mainstream security contexts. By contrasting the UN Security Council resolutions on women, peace and security with feminist theory, this article aims to analyze what is considered to be threatened when women’s vulnerability is negotiated. The article identifies two approaches to the gender/security nexus: gendering security, which involves introducing ideas regarding gender-sensitive policies and equal representation, and securitizing gender, which proceeds by locating rape and sexual violence in the context of war regulations. We demonstrate that, although these measures are encouraged with reference to women’s vulnerability, they serve to legitimize war and the male soldier and both approaches depoliticize gender relations.     

Internationalist Challenges: Antiglobalisation,Occupy, and Indignados

Subaltern classes' internationalism has a long history. The 1990s and first decade of the twenty-first century saw the rise of a new internationalism because of the emergence of the antiglobalisation movement. It was a short-lived movement, but that gave birth to a new set of strong internationalist activity. In 2011, there emerged a new international wave of protest by both the Indignados and the Occupy movements. These new movements, however, have developed relatively low levels of cross-border activity compared to the antiglobalisation movement, although it has brought a new internationalist drive.