College students with congenital heart disease: A critical time for transition

As medical and surgical advances improve, more young adults with congenital heart disease (CHD) are attending college. This case study illustrates some of the issues that these young adults may face as they attend college and discusses the role that college health practitioners can play in easing that transition. Participants: A case of a male with CHD presenting to the college health clinic with a new onset headache. Methods: The authors discuss some of the unique challenges that college health practitioners may face when caring for students with CHD. In addition, they make recommendations on how best to care for these patients and how best to coordinate care with CHD students other care providers. Results: This student with a history of coarctation of the aorta presented with new onset headaches and was found to have high blood pressure. He was diagnosed with recurrent coarctation, underwent percutaneous treatment with stenting and quickly resumed classes. Conclusions: As more students with CHD enter college, college health providers will need to understand some of the health risks that CHD students face. In addition, understanding some of the optimal ways to coordinate care with CHD providers can ease the transition that CHD students face as they enter college.     

Curved versus straight scissors to avoid 3rd and 4th degree perineal tears: A randomised feasibility study

BackgroundSevere perineal tears sustained during childbirth cause significant distress and morbidity amongst women. The objective of this study was to compare the use of straight scissors for cutting an episiotomy with the use of curved scissors, which are designed to curve away from the anal sphincter.MethodsWe used a single-centre, randomised feasibility trial. The intervention was the use of curved scissors. Women were recruited during a prenatal visit and randomised in the delivery suite, when it became clear that an episiotomy was required. The feasibility outcomes were the proportion of women able to be recruited, randomised and followed up. We also calculated the incidence of obstetric anal sphincter injury when either straight or curved scissors were used to cut an episiotomy. Other outcomes assessed were pain, length of hospital stay, perineal infection and perineal dehiscence.ResultsOf the 155 patients recruited in the prenatal period, only 20 (12.9%) were eventually randomised at birth. The main reasons for the high loss were that women either did not have a vaginal delivery (38, 24.5%), or they did not need an episiotomy (72, 46.5%). Rates of obstetric anal sphincter injury and other outcomes were similar between groups.DiscussionAnal sphincter injury during childbirth remains an important problem. Although the use of curved scissors provides a theoretical solution, we found that the high attrition rate made feasibility of conducting a suitably powered, randomised trial using the current design untenable. Alternative strategies have been suggested to make any future study more viable.     

Cast in a racial mould

Women of Phokeng: Consciousness, Life Strategy, and Migrancy in South Africa 1900 ‐1983 by Belinda Bozzoli, with the assistance of Mmantho Nkotsoe, Johannesburg, Ravan Press, 1991.

Our Precious Metal: African Labour in South Africa's Gold Industry, 1970–1990 by Wilmot G. James, David Philip, James Currey &; Indiana University Press, Cape Town, London &; Bloomington,1992.

Bounds of Possibility ‐ The Legacy of Steve Biko &; Black Consciousness by N.B. Pityana, M. Ramphele, M. Mpumlwana, &; L. Wilson, (eds), Cape Town, David Philip, 1991.

Faces in the revolution: the psychological effects of violence on township youth in South Africa by Gill Straker, with Fathima Moosa, Rise Becker and Madiyoyo Nkwale. Cape Town, David Philip, 1992 and Athens, Ohio, Ohio University Press, 1992.

Lives of Courage: Women for a New South Africa by Diana E.H.Russell. New York, Basic Books, 1989.

Towards Justice? Crime and State Control in South Africa by Desiree Hansson and Dirk van Zyl Smit (eds), Cape Town, Oxford University Press, 1990.

South Africa in the Nineties by DJ van Vuuren, NE Wiehahn, NJ Rhoodie en M Wiechers (eds), HSRC Publishers, 1991.

To Live in Fear: Witchburning and Medicine Murder in Venda by A de V. Minnar, D Offringa and C Payze, HSRC, Pretoria, 1992.

The Anti‐Politics Machine: ‘Development’, Depoliticization and Bureaucratic Power by James Ferguson, Cambridge, Cambridge University Press, 1990.

Zimbabwe's Guerrilla War: Peasant Voices by Norma J. Kriger. Cambridge University Press, African Studies Series, number 70,1992.

A Passage to England ‐ Barbadian Londoners speak of home by John Western. U.C.L. Press, London, 1992.

Breaking the formal frame: Readings in South African education in the eighties by Clive Millar, Sarah‐Anne Raynham and Angela Schaffer (eds). Cape Town: Oxford University Press, 1991.

Negotiation : Theories, Strategies and Skills by Wynand Pienaar and Manie Spoelstra, Kenwyn, Juta, 1991

SUM: Selected Works by Martin Versveld. Cape Town: Carrefour Press 1991.

Projections in the Past Tense, by Kelwyn Sole. Ravan Press, 1992.     

Intergenerational class mobility in contemporary Britain: political concerns and empirical findings

In Britain in recent years social mobility has become a topic of central political concern, primarily as a result of the effort made by New Labour to make equality of opportunity rather than equality of condition a focus of policy. Questions of the level, pattern and trend of mobility thus bear directly on the relevance of New Labour's policy analysis, and in turn are likely be crucial to the evaluation of its performance in government. However, politically motivated discussion of social mobility often reveals an inadequate grasp of both empirical and analytical issues. We provide new evidence relevant to the assessment of social mobility - in particular, intergenerational class mobility - in contemporary Britain through cross-cohort analyses based on the NCDS and BCS datasets which we can relate to earlier cross-sectional analyses based on the GHS. We find that, contrary to what seems now widely supposed, there is no evidence that absolute mobility rates are falling; but, for men, the balance of upward and downward movement is becoming less favourable. This is overwhelmingly the result of class structural change. Relative mobility rates, for both men and women, remain essentially constant, although there are possible indications of a declining propensity for long-range mobility. We conclude that under present day structural conditions there can be no return to the generally rising rates of upward mobility that characterized the middle decades of the twentieth century - unless this is achieved through changing relative rates in the direction of greater equality or, that is, of greater fluidity. But this would then produce rising rates of downward mobility to exactly the same extent - an outcome apparently unappreciated by, and unlikely to be congenial to, politicians preoccupied with winning the electoral 'middle ground'.     

How far merit selection? Social stratification and the labour market1

The question of how societies allocate occupational positions and subsequent rewards has long been of interest to sociologists. According to one influential theory, the needs of modern industrial societies and economies demand that high-level and functionally important occupational positions are allocated according to meritocratic principles. I argue that, ultimately, employers get the final say about which characteristics are rewarded in the labour market. In order to examine which skills and attributes are required by employers for particular occupations I analyse data drawn from a content analysis of c.5000 British newspaper job advertisements. The results show that both merit and non-merit characteristics are requested by employers in job advertisements, even for occupations falling within the higher classes. I also find evidence that employers have similar requirements for similar occupations, cross-cutting class boundaries.     

'Where are the lesbians in Chaucer?' Lack, opportunity and female homoeroticism in Medieval Studies today

This article explores the study of lesbians in the Middle Ages and proposes that the unstable construct of lesbian poses a problem for traditional Medieval Studies that can lead to the development in Medieval Studies of more nuanced and productive theorizing.     

The Three-Item Thinking about Your Partner’s Drinking Scale (TPD-3): Item Response Theory,Reliability, and Validity

Interdependence is a defining feature of close relationships, and alcohol use is one domain where one person’s motivations and behaviors can affect a partner’s well-being. Concern about partner drinking is a gauge that determines whether a partner’s alcohol use has the potential to be problematic to the relationship, and brief and efficient measurement of this construct can be used to serve clinicians, scientists, and practitioners. Across four studies (N = 1,807), we use item response theory analysis to present a 3-item brief screening tool assessing concern about partner drinking: Thinking about your Partner’s Drinking-3 (TPD-3). The TPD-3 revealed strong test–retest reliability and expected patterns of convergent, concurrent, and incremental validity with perceived partner drinking and alcohol-related consequences, behavioral responses to partner drinking, and relationship well-being. We present the TPD-3 as a useful screening tool and for measurement of concern about partner drinking when efficient assessment is desired.     

Responding to Adolescent Violence in the Home – A Community Mental Health Approach

Family violence perpetrated by adults is increasingly understood as a health issue, and we argue that this pertains even more strongly to violence by adolescents. The co-dependence of the parent–child bond, lack of maturity in the adolescent, and often related issues of disability or mental illness make these young people both complex and also vulnerable. This research paper reviews the current literature relating to adolescent violence in the home, identifies known best practice, and evaluates the importance of taking a family-focused, therapeutic approach to adolescent family violence, in place of a punitive one. It describes the use of a co-design workshop to unpack gaps in service provision and develop a potential family focused model of care to address the needs both of young people who use violence, and their families. The findings indicate that an inclusive family approach is a key element in addressing adolescent violence in the home across a spectrum of behaviours and mental health care needs. The use of a coordinated, family-inclusive response through mental health care services is recommended to address the complexity of this issue, as well as to provide support both to adolescents and to their families and carers.     

Let the right one in: A Bourdieusian analysis of gender inequality in universities’ senior management

This article examines the lack of gender diversity in senior management positions in professional staff in universities. These results are analysed via a Bourdieusian analysis of economic, social, cultural and symbolic capital. Through a purposeful sample of senior professional staff working in universities in three countries: Australia, Canada and the UK, six career‐enhancing strategies needed for career success were determined. The article critiques the resource‐based view of career capital and argues that capitals accumulation for career success can be understood by considering the concepts of symbolic violence and habitus as a way of understanding intra‐cohort differences. It proposes that by considering both the subjective and objective cultural constructs via habitus, and by acknowledging the importance of symbolic capital and symbolic violence towards women, this may be one way of increasing female representation in senior management.