The effectiveness and safety of ginger for pregnancy-induced nausea and vomiting: A systematic review

BackgroundGinger has been used throughout the world as a therapeutic agent for centuries. The herb is increasingly used in Western society also, with one of the most common indications being pregnancy-induced nausea and vomiting (PNV).ObjectivesTo examine the evidence for the safety and effectiveness of ginger for PNV.MethodsRandomised controlled trials (RCTs) of ginger and PNV were sourced from CINAHL, the Cochrane library, MEDLINE and TRIP. The methodological quality of RCTs was assessed using the Critical Appraisal Skills Programme (CASP) tool.ResultsFour RCTs met the inclusion criteria. All trials found orally administered ginger to be significantly more effective than placebo in reducing the frequency of vomiting and intensity of nausea. Adverse events were generally mild and infrequent.ConclusionThe best available evidence suggests that ginger is a safe and effective treatment for PNV. However, there remains uncertainty regarding the maximum safe dosage of ginger, appropriate duration of treatment, consequences of over-dosage, and potential drug–herb interactions; all of which are important areas for future research.     

The role of attributions in psychological reactions to job relocation

Job relocation refers to the process of simultaneously moving to a new job and house and this can cause considerable stress for the relocator and his/her family. Based upon an attributional analysis, we predicted that negative psychological reactions would be a function of (1) number of relocation problems, and (2) making pessimistic attributions for relocation problems (that is, the tendency to attribute negative events to internal, stable and global causes). Furthermore, these factors should interact, such that individuals with many relocation problems who also make pessimistic attributions will experience the worst psychological reactions. The results from a cross-sectional survey of 93 relocators supported these predictions. As expected, those relocators who had many relocation problems and made pessimistic attributions reported the worst mental health and relocation-specific stress. In addition, a reanalysis of a longitudinal study of relocators by Martin (1996) also supported the above predictions using attributions of perceived control. Furthermore, the relocators predicted to be most at risk (many problems}/low control) reported the worst changes in mental health during the course of the move.     

Applying health determinants and dimensions in social work practice

Dimensions and determinants related to physical health, mental health and well-being can be used as tools in social work practice. These frameworks are useful for assessment, planning and intervention activities in complex client situations, alerting social workers to consider diverse features and processes that influence well-being in people's lives. They can be applied in social work with individuals, families, groups, and communities. In our view health and well-being need to be viewed holistically, broadly and in each unique situation, changing over time over the life course. Literature based on key word searches of concepts we use in our teaching and research and that has informed our conceptualisation of dimensions and determinants in physical health, mental health and well-being, is reviewed. A case illustration is presented to illustrate how the dimensions and determinants are used to inform practice and compare and apply alternative frameworks. Finally, the implications of these and other frameworks for social work, not only in health care settings, but also in other fields of social work practice, are discussed.     

Democracy's Dilemma: Explaining Racial Inequality in Egalitarian Societies

While contemporary criticisms of Gunnar Myrdal's liberal reformism provide an important perspective on racial ideology (G. Myrdal (1944) An American Dilemma: The Negro Problem and Democracy. New York: Harper & Row), most people miss Myrdal's most provocative point. Rather than assuming that egalitarianism could only oppose racial inequality, Myrdal argued that commitment to egalitarianism led Euro-Americans to avoid the dilemma presented by racial inequality in an egalitarian society. Rather than predicting the disappearance of racism, this analysis can be used to predict an increasing demand for racism in the wake of de jure attempts to eliminate racial inequality.     

Roots and the trope of the good slaveholder

Despite objections that the Roots miniseries painted all the blacks as good and the whites as bad, or conversely that the addition of sympathetic white characters undermined its critique of slavery and racism, the series frequently employs the trope of the ‘good slave holder.’ This was a feature of abolitionist literature that served to give sympathetic white readers someone to identify with initially while driving home the message that slavery could never be made good by even the most benevolent master, and that whites were morally obligated to support black freedom.     

Knowledge Building: Developing Employees Through Education

Is it enough for an organization to develop the total individual? Beyond technical expertise and skills necessary to perform jobs, employees who are encouraged to learn are more willing and able to meet the needs, goals, and objectives of the organization. These employees who are will-rounded transition what they have learned into the workings of the organization and for the sake of the growth and development of the organization. Allowing employees to learn, organizations create a workforce capable of applying all the benefits of learning to the growth of the organization. Whether a corporation develops its own university, creates an alliance with traditional educational institutions or creates a virtual university, it gives the employees the opportunity to learn and develop. As Peter Drucker said in a 1994 interview, the growth industry of the future is the education of adults. The education and the development of executives and the workforce are a new commodity and organizations that support education will be placed at a distinct competitive advantage over organizations that do not. Imagine a workplace filled with employees who have realized self-satisfaction, employees who can of gather information, analyze information and make decisions. Imagine a learning organization consisting of employees with greater understanding of corporate politics, employees who are motivated and employees who are persistent in pursuing goals. Is it worth the expense to increase employees' knowledge through education? Is it worth the expense to develop employees to increase productivity and obtain financial goals for the shareholders and stakeholders? I think any organization not willing to invest in an employees' education is an organization that is `running a fever' and an organization that may have difficulties competing globally in the next millennium.     

Perceptual dialectology in northern England: Accent recognition,geographical proximity and cultural prominence

Work in perceptual dialectology has argued that listeners’ successful identification of accent areas is facilitated by their geographical proximity to a particular region. Montgomery ( 2007 , 2012 ) argues that this proximity effect is mediated by a ‘cultural prominence’ effect, where localities of high cultural salience seem less distant. We explore these claims using an online survey in which listeners were asked to identify the regional origin of speakers of five accents from England's ‘linguistic north’ (Liverpool, Manchester, Crewe, Stoke‐on‐Trent and Macclesfield) from audio clips of four different sentences. We show that the proximity and cultural prominence effects are partially supported, and that the proximity effect is driven by listeners’ likely contact with/experience of the dialect in question. We also show that listeners react differently to different sentences in the same accent. While some sentences are identified correctly very often, others, even for culturally prominent locations with distinctive accents (i.e. Liverpool), are hardly ever correctly identified. We connect this to the geographical distribution of the linguistic features in the clips, and we argue that the presence, absence and range of individual linguistic features should be systematically considered in all perceptual dialectology work which uses audio stimuli.     

Dose–Response Modeling: Extrapolating From Experimental Data to Real‐World Populations

Dose–response modeling of biological agents has traditionally focused on describing laboratory‐derived experimental data. Limited consideration has been given to understanding those factors that are controlled in a laboratory, but are likely to occur in real‐world scenarios. In this study, a probabilistic framework is developed that extends Brookmeyer's competing‐risks dose–response model to allow for variation in factors such as dose‐dispersion, dose‐deposition, and other within‐host parameters. With data sets drawn from dose–response experiments of inhalational anthrax, plague, and tularemia, we illustrate how for certain cases, there is the potential for overestimation of infection numbers arising from models that consider only the experimental data in isolation.     

Bringing "Globalization" Down to Earth: Restructuring and Labour in Rural Communities*

Cette étude de cas sur des travailleurs licenciés dans un comté rural de l'Ontario s'inscrit dans le cadre de la controverse au sujet des effete, sur les travailleurs et la société, de la libéralisation du commerce et de la restructuration économique. En nous fondant sur l'expérience des travailleurs licenciés, la durée du chômage, la comparaison entre les anciens et les nouveaux emplois ainsi que sur la baisse des revenus, nous fournissons des données empiriques sur le genre de transformation qui s'opère dans une communauté rurale. Nous affirmons que, pour ce type de communauté du moins, les effets à long terme de la restructuration sont négatifs pour les travailleurs et la communautéà laquelle ils appartiennent, et, en particulier, pour les femmes et les travailleurs plus âgés.
A case study of laid-off workers in a rural Ontario county is placed within the polarized debate over the implications for workers and for society more broadly of trade liberalization and economic restructuring. Examining experiences of layoff, including length of time unemployed, comparisons between old and new jobs, and the degree of income loss, we present empirical data on the transformation taking place in a rural community context. We argue that, for such communities at least, the long-term effects of restructuring are negative for workers and their communities overall, and are particularly disadvantageous for women and older workers.     

Baby boomers,consumption and social change: the bridging generation?

This paper outlines the ways in which the cohort born immediately following the Second World War illustrates changes in consumption patterns within their lives. The paper suggests that this cohort (often known as baby boomers) view themselves to be a ‘bridging’ generation between the ‘old’ ways of their own parents and the radically different views of the next generation. Now nearing or entering retirement and later life, the discussion considers the accounts of boomers themselves having experienced post-war consumer culture and shifting family relations. This paper focuses primarily on qualitative accounts from 150 detailed interviews followed by 30 in-depth interviews, and is framed by analysis of the English Longitudinal Study of Ageing. It explores central emergent themes in the accounts of respondents which demonstrate evidence for a ‘bridging’ identity maintained by baby boomers in relation to their consumption practices.