Why does the need for medication become a barrier to breastfeeding? A narrative review

Problem

The need for medication during lactation can contribute to the early cessation of breastfeeding.

Child Marriage and Intimate Partner Violence in Rural Bangladesh: A Longitudinal Multilevel Analysis

Child marriage (before age 18) is a risk factor for intimate partner violence (IPV) against women. Worldwide, Bangladesh has the highest prevalence of IPV and very early child marriage (before age 15). How the community prevalence of very early child marriage influences a woman’s risk of IPV is unknown. Using panel data (2013–2014) from 3,355 women first married 4–12 years prior in 77 Bangladeshi villages, we tested the protective effect of a woman’s later first marriage (at age 18 or older), the adverse effect of a higher village prevalence of very early child marriage, and whether any protective effect of a woman’s later first marriage was diminished or reversed in villages where very early child marriage was more prevalent. Almost one-half (44.5 %) of women reported incident physical IPV, and 78.9 % had married before age 18. The village-level incidence of physical IPV ranged from 11.4 % to 75.0 %; the mean age at first marriage ranged from 14.8 to 18.0 years. The mean village-level prevalence of very early child marriage ranged from 3.9 % to 51.9 %. In main-effects models, marrying at 18 or later protected against physical IPV, and more prevalent very early child marriage before age 15 was a risk factor. The interaction of individual later marriage and the village prevalence of very early child marriage was positive; thus, the likely protective effect of marrying later was negated in villages where very early child marriage was prevalent. Collectively reducing very early child marriage may be needed to protect women from IPV.     

Conceptualising Child and Family Support: The Contribution of Honneth's Critical Theory of Recognition

The role of social support in child welfare policy and practice continues to engender widespread debate. Yet the moral and philosophical underpinnings of this topical area have received less attention in the literature. This is of concern, not least because academic debates on the ‘politics of identity’ have a significant contribution to make to our understanding of self‐development and social justice. In this article the authors show how Axel Honneth's account of the ‘struggle for recognition’ can be adapted to invigorate theories of social support. The result is a conceptual framework for reflective practice that can illuminate, and interrogate, the moral and operational dimensions of preventative work with children and families.     

Community reintegration for people with psychiatric disabilities: challenging systemic barriers to service provision and public policy through participatory action research

People with psychiatric disabilities represent a growing group within the population of nursing home residents in the USA. Despite a preference for living in community‐based settings, the availability of supportive services for community living is hindered by barriers at both the service provision and public policy levels. Therefore, understanding and responding to the community living and participation needs of people with psychiatric disabilities is a highly relevant area for action research. This paper discusses a participatory action research endeavor carried out in collaboration with key personnel at Centers for Independent Living who work to provide community reintegration services for individuals with psychiatric disabilities. The events of this 15 month partnership are extensively described, analyzed and discussed. Findings reflect the critical need for communication, dialogue and action to support people with psychiatric disabilities in the community.     

On the distribution of linear combinations of the components of a Dirichlet random vector

On making use of a result of Imhof, an integral representation of the distribution function of linear combinations of the components of a Dirichlet random vector is obtained. In fact, the distributions of several statistics such as Moran and Geary's indices, the Cliff‐Ord statistic for spatial correlation, the sample coefficient of determination, F‐ratios and the sample autocorrelation coefficient can be similarly determined. Linear combinations of the components of Dirichlet random vectors also turn out to be a key component in a decomposition of quadratic forms in spherically symmetric random vectors. An application involving the sample spectrum associated with series generated by ARMA processes is discussed.     

Expert witness evaluation of posttraumatic stress disorder (PTSD) and return to work

This author was hired by a defendant's attorney as an expert witness in the evaluation of a plaintiff who filed a lawsuit for the loss of her job and concomitant income due to posttraumatic stress disorder (PTSD) symptoms acquired after sustaining a traumatic injury. This writer evaluated her symptoms, level of function, roles, and interests using a variety of assessments. This case study is a report of the evaluation. The results indicated that the plaintiff developed adequate coping mechanisms to manage her symptoms of PTSD in order to function in her diverse and chosen roles of worker, mother, care giver, wife, family member, volunteer, home maintainer, and religious participant even though she did not return to her prior place of employment. Because of these results, the case was settled out of court in the favor of the defendant.     

Trends and transitions from secondary school: insights from a boarding school for disadvantaged New Zealand youth

Engagement in further education, employment or training following the completion of compulsory schooling is an important predictor of adult life adjustment. As a key microsystemic context, supportive school environments can facilitate positive transitions, especially for disadvantaged youth who are at higher risk of underachievement and not engaging in further education, employment or training (NEET) in emerging adulthood. The present research consists of quantitative and qualitative analyses of secondary data of three student cohorts from a New Zealand boarding secondary school for males from disadvantaged backgrounds to investigate positive transition outcomes and experiences. The quantitative study (N = 178) compared participants’ educational attainment and NEET status across cohorts and with national statistics. Results showed that participants’ achievement and transition outcomes were consistently superior to the national comparison. The qualitative study (N = 38) examined the subjective experiences of a subsample of participants who transitioned to tertiary study and apprenticeship courses. These findings highlight the importance of cultivating students’ holistic development during the secondary school years. Implications for secondary schools are discussed.     

Nursing home administrators' views of volunteers' work in an ombudsman program

This research investigated nursing home administrators' (NHAs) perceptions of visits of volunteers in an ombudsman program in relation to effectiveness and satisfaction. Unlike placements of other volunteers made at the behest of organizations, visits of volunteer advocates, which may be mandated and include evaluative assessments of care, usually do not occur at the invitation of NHAs. Yet, outcomes for administrators are not often studied. Despite research showing stress attributed to interaction with state agencies, questionnaire data from 196 NHAs indicated that more contact between volunteers and NHAs was associated with perceptions of greater effectiveness and satisfaction. Those who found visits infrequent and with little impact rated the work of volunteers as less effective and were less satisfied. Qualitative data describe unexpected benefits of visits that were internal and external to the facilities.