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.     

Observed and parent‐reported conscience in childhood: Relations with bullying involvement in early primary school

This exploratory study aimed to examine which components of early childhood conscience predicted bullying involvement around school entry. In the population‐based Generation R Study, teacher reports of bullying involvement and parent reports of conscience were available for 3,244 children (M age = 6.7 years). Higher levels of overall conscience predicted lower bullying perpetration scores, independently of intelligence quotient, temperamental traits and sociodemographic characteristics. Particularly, the subscales guilt, confession, and internalized conduct, and to a lesser extent empathy, predicted bullying perpetration. Conscience was not related to victimization. Similar results were found using observations during so‐called ‘cheating games’ (subsample N = 450 children). Findings suggest that improving children's understanding of moral standards and norms may be a potential target for bullying intervention programs in early primary school.     

Tracing Protest Motives: The Link Between Newspaper Coverage,Movement Messages,and Demonstrators’ Reasons to Protest

Within the social movement literature, it is mostly assumed that the reasons why people join a protest demonstration are in line with the collective action frames of the organizations staging the protest. Some recent studies suggest, however, that protesters’ motives are only partly aligned with the messages that are broadcasted by social movements. This study argues that activists’ motives are for an important part shaped by mass media coverage on the protest issue. It investigates the link between people's reasons to protest, the campaign messages of the protest organizers, and newspaper coverage prior to the demonstration. Data cover 14 anti‐austerity demonstrations in Belgium, the Netherlands, and the United Kingdom. Results show that social movements depend a lot on other political actors to gain media visibility for their messages. Furthermore, the relationship between social movement frames and protest participant motives is mediated by newspaper coverage. Protest organizers’ are able to reach demonstrators via their own communication channels to some extent, but for many of their messages, they also rely on journalists’ reporting about the protest issue.     

Transgender employment and entrepreneurialism in Vietnam

This article shares insights from research into the economic opportunities and obstacles that Vietnamese transgender men and women face in a fast-growing economy mainly composed of small and medium-sized enterprises. The findings demonstrate that gender norms lead to economic inequality between trans men and women. They also show that small businesses and entrepreneurship play an important role in creating legitimate and satisfying employment for transgender people.     

Examining links between cocaine use and street‐based sex work in New South Wales,Australia

We examined potential links between cocaine use and street‐based sex work in New South Wales, Australia, following reports of increased cocaine use among injection drug users (IDU). Police data on prostitution and possession/use of cocaine was analysed using time series analysis. Interviews with key informants and IDU were also conducted, and data on cocaine use from ongoing monitoring systems targeted at IDU were analyzed. There was a clear increase in cocaine use among IDU which occurred in 2001. This occurred at the same time as an increase in prostitution offenses. Qualitative data suggested a greater number of primary heroin users were engaging in street‐based sex work, which was driven in part by the increases in cocaine use among this group. Subsequent reductions in cocaine availability led to decreased cocaine use and possession offenses, along with reductions in prostitution offenses.     

The Corporate University and social work academic roles

Abstract

Universities have undergone significant changes in the last decade. Universities have become ‘corporate’, integrating the values, assumptions and ethics of corporate economic capitalism. Within universities, social work practice expertise is negated as a criterion of valued ‘technological role expertise’ of social work academics. The paper describes and analyses the compounding impact of changes in the role of universities upon the historically problematic relationship between social work practice and social work education, The paper suggests a means to integrate both roles in the roles of practitioner-academic and academic-practitioner A typology is developed which identifies the knowledge and skill basis of social work practitioners and academics. The typology enables an identification of the cross fertilisation of each role on the practice expertise of the other. Through such a typology an alternative valued criterion of ‘technological role expertise’ can be established by the profession itself for utilisation in both academic and practice appointments and promotion assessment.     

Boundary oscillations: Epistemological and genre transformation during the 'method' of thesis writing

In this article I offer an account of some of the 'boundary oscillations' I experienced during the writing of my doctoral thesis, and attempt to illustrate my personal struggle with the presentation of qualitative data. This struggle evolved through my search for an appropriate style to [re]present both voice and experience as a text, resulting in my turning towards genres alternative to those normally adopted in social science research. And it was during that process that I experienced both change and conflict in my epistemological position, as I moved from positivism, through postpositivism and towards postmodernism.