Repeat abortion

A reanalysis of the repeat abortion experience of New York City residents during July 1, 1970 to June 30, 1972 is undertaken on the basis of a probability model that generates repeat abortion ratios as a function of assumptions about fecundity, contraceptive efficiency, and exposure lengths. Tested are three hypotheses put forward by Daily et al. in a 1973 analysis: (i) the low repeat abortion ratio of .0245 is attributable in part to underreporting of registered induced abortions as repeat ones; (ii) a major part of the rise in repeat abortion ratios, from virtually zero to six percent over four consecutive six-month intervals, is explainable in terms of the rising volume of exposure time to risk of repeat abortion relative to the stream of initial abortions; and (iii) the higher abortion ratios of women in their twenties compared to those of older or younger women is ascribable to “differences in fecundity and intercourse frequency.” Support is found for the first two hypotheses, and a mixed outcome for the third.     

Hot times,hot places. Youths’ risk perceptions and risk management in Chicago and Rotterdam

Many young people in low-income neighbourhoods are considered to be at risk of poor social outcomes and of becoming victims of violence and crime. This exploratory study focuses on how young people perceive risk and navigate their environment in two low-income, multi-ethnic neighbourhoods, one in Rotterdam and one in Chicago. We conducted in-depth interviews and mental mapping exercises with young people aged 14–19 in both sites. We found that neighbourhoods matter because they expose young people to certain kinds of risks, but also that their responses were shaped by their perceptions and interpretations of these risks. Moreover, we illustrate the dynamic and interactive nature of these processes of risk perception and management by discussing the ways in which different groups occupy and use, or travel through, public space at different times of the day. We argue that risk in disadvantaged neighbourhoods is not a static dimension in young people’s lives but rather emerges from an ongoing and complex interaction between perception, interpretation and response that can be seen as a kind of boundary work.     

Diagnosis of Pregnancy

Abstract

Contraceptive failure is a growing problem, especially on the college campus. Because of this, college health care providers are treating more and more college women not only for pregnancy-related problems, but women that present to the health center with other health complaints and are pregnant as well.

For these reasons, the diagnosis of pregnancy must always be entertained by all health care providers treating young women. Pregnancy must always be excluded before any tests or procedures are done that may be teratogenic. This is not only important for optimal health care, but also for medical-legal reasons.

This paper presents four unusual presentations of pregnancy and reviews the guidelines for diagnosis of pregnancy.     

AP(E)L as a guidance and support mechanism in the Diploma in Social Work

In order to contextualize the multi-interpretative paradigms that characterize the present HE, we propose a model in which the Assessment of Prior and Experiential Learning, AP(E)L, focuses more on assessment and less on accreditation, with a four phase application of the interrelationship between AP(E)L and Learning Development for pre-entry, entry, on-programme and exit of a student's time within a programme of study. In turn, this brings into focus the way experience has now become a contested space that reflects paradigm shifts in the focus of learning and the way learning is to be acknowledged in the new universities. This account details the application of this model within the social work subject area at the University of East London. In many ways, this reflects not only the pre-supposition, central to the AP(E)L policy, that learning should be recognized wherever it takes place, but also the shift from interior intellectual systems to a more open epistemology that has been shaped by the relationship of knowledge producers and knowledge users in specific markets.     

The TUC,foreign labour and the labour government 1945–1951

In the early period of the Labour Government of 1945–1951, the British economy underwent a serious crisis, one dimension of which was a severe labour shortage in sectors identified as essential to national economic recovery. In an attempt to resolve this problem, the Labour Government recruited foreign labour from a number of different European sources, but was also required to gain the consent and co‐operation of the trade union movement for this initiative. This paper documents and explains the evolution of the policy of the Trades Union Congress towards this initiative, and the opposition that this stimulated within the trade union movement.     

Failure to Address African Americans’ Spiritual Needs During Hospitalization: Identifying Predictors of Dissatisfaction Across the Arc of Service Provision

Using a national sample of recently hospitalized older African Americans (N = 2,227), this study identified predictors of dissatisfaction with the manner in which clients’ spiritual needs were addressed during hospitalization. Of 8 major areas of service provision examined, 3 were significant predictors of dissatisfaction: nurses, physicians, and the discharge process. The findings underscore the importance of collaborative efforts to address elderly Black clients’ spiritual needs. Social workers, who frequently oversee the discharge process, can play an important role in addressing African Americans’ spiritual needs by developing discharge plans that incorporate clients’ spiritual strengths and resources into the planning process.     

Perceived leader integrity: Supporting the construct validity and utility of a multi-dimensional measure in two samples

The empirical study of perceived leader integrity has lagged its intuitively appealing role as a fundamental characteristic of effective leaders. Following theoretical examinations of the definition of integrity and previous work arguing that perceived integrity emerges from judgments of leader consistency and leader morality, we developed a multidimensional measure that includes both perceived morality and consistency items. In a first sample of university students, confirmatory factor analyses and results from regression analyses relating the dimensions to direct measures of leader integrity and trust offer partial support for the utility of including dimensions of moral behavior and consistency (represented by behavioral integrity). Further, we replicated these findings in a second sample of working professionals and found support for our hypotheses showing that dimensions assessing behavioral integrity and moral behavior related to leader effectiveness, job satisfaction, work engagement, and intent to quit as mediated by trust in the leader.