Anabolic-androgenic steroid effects on early morbid symptoms after open prostatectomy: A pilot study

Objectives.?Anabolic-androgenic steroids such as Nandrolone phenpropionate (NP) dramatically improve the tolerance to acute stress conditions, strength, and subsequently the quality of life in elderly men. We hypothesize that preoperative pulse-dose supraphysiological NP administration might improve the early morbid symptoms in older patients undergoing open prostatectomy.

Methods.?From 2005 to 2006, 54 patients with a mean age of 70 years, diagnosed as benign prostatic hyperplasia and hospitalized for open prostatectomy were enrolled in the study. They were randomly selected to receive preoperative supraphysiological NP (100 mg, intramuscularly, pulse-dose) or sesame oil placebo, prospectively. Early postoperative morbid symptoms including subjective urinary symptoms (dysuria, bladder retention sensation), incision site pain and general satisfaction of their current urinary condition were assessed by a 6-point scale, self-administrated questionnaire at 24 and 48 h, postoperatively. The sex hormone binding globulin and the testosterone levels were also measured.

Results.?The 24-h postoperative symptoms were significantly reduced in the NP group compared to the placebo (6.18 ± 2.81 versus 9.77 ± 2.15; P < 0.001). The postoperative symptoms were reported to have a decline in the 48 h following operation, though was calculated to be statistically insignificant (4.48 ± 2.32 versus 5.55 ± 1.84; P = 0.06). There was no complication attributed to NP therapy.

Conclusions.?The data supported the hypothesis that the preoperative anabolic steroid supplements (such as NP) could result in a better postoperative endurance in elderly men undergoing open prostatectomy. Further studies, longer and repeated pulse injections in a larger number of older men are mandatory to prove the claim.     

Poverty Reduction and Growth Interactions: What Can Be Learned from the Syrian Experience?

The aim of this article is to analyse in depth the interactions of growth and poverty in Syria, which undertook reforms to reduce the government's involvement in the economy. During the 1996–2004 period, growth was pro‐poor in ‘weak absolute’ terms but not in either relative or ‘strong absolute’ terms, owing to the increase in inequality. This can be explained partly by tax policies, but also by an unequal distribution of investment at the regional level. There was also a widening of the gap between urban and rural areas, mainly owing to a pattern of growth in which oil played an increasing role and agriculture a decreasing one. Agricultural and land‐policy reforms could have had a negative impact on poverty, despite their positive effect on productivity.     

Gender as Symbolic Capital and Violence: The Case of Corporate Elites in Turkey

Based on a Bourdieusian approach, drawing on qualitative analyses of 63 life interviews, our study demonstrates that gender is performed as both symbolic capital and violence by corporate elites within the dominant ideologies of patriarchy and family in Turkey. Our analysis reveals that, in the male‐dominated context of Turkey, female elites appear to favour male alliances as a tactical move in order to acquire and maintain status in their organizations, whereas male elites appear to remain blind to the privileges and constraints of their own gendered experience of symbolic capital and violence. Our study also illustrates that gender order is still preserved, despite beliefs to the contrary that equality in education, skills, experience and job performance may liberate women and men from gender‐based outcomes at work.     

Thirty years of the Three Worlds of Welfare Capitalism: A review of reviews

In the 30 or so years since the publication of Gosta Esping-Andersenapos;s Three Worlds of Welfare Capitalism a number of rival welfare state typologies have emerged. This article has two broad aims. First, we review the reviews of welfare state typologies, pointing to issues of often unclear case selection and a wide range of concepts, variables, and methods, resulting in a variety of worlds of welfare and their constituent nations. We show that there is a great variety in the welfare modelling business at two different levels. Reviews vary significantly in terms of the number and composition of included studies, which has made it difficult to sum up the “state of the art.” Individual studies included in the reviews also vary significantly in terms of issues such as aims, concepts, variables, and methods. Second, we produce a new review, which adds value as it is based on a clearer search strategy, and includes more recent material that was not available in earlier reviews. This finds that there is a great variety in terms of process (concepts, variables, methods, and number of countries) and findings (the number and composition of “worlds”). We argue that the country classification seems to show less consensus that previous reviews, with fewer “pure” nations (i.e., agreement between studies). We suggest that in order to provide a clear point of engagement, future reviews need to pay more attention to a clear and explicit search strategy, including issues such as inclusion criteria.     

An Investigation of Socially Advantaged and Disadvantaged Turkish Mothers’ Views About Training on Preventing Children From Sexual Abuse

ABSTRACT

This study aims to investigate the views of socially advantaged (N = 8) and disadvantaged mothers (N = 8) whose children are aged between 48 and 66 months old about the issue of sexual abuse before and after the training provided to them. The views of mothers in both groups were investigated before and after the 5-week experience-based training about my body belongs to me, knowing and expressing feelings, good and bad touch, good and bad secrets, knowing how to say no, and help resources. The data were analyzed using content analysis methods. The study showed that the mothers have inaccurate or insufficient information and approaches about preventing sexual abuse. However, short-term training provided to the mothers changed their views, and the mothers in the disadvantaged group gained more awareness. The mothers in both groups stated that sexual abuse prevention trainings should be disseminated in preschool institutions.     

Spatial Syntagma and Identity of a Place: Sensing,Relating to,and Knowing a Place

Place is a complex and multi-dimensional system capable of embracing different uses, interpretations, and even various definitions. As a notion, place is composed of a series of narratives, characteristics, relations, and socio-spatial values that altogether can be regarded as the spatial syntagma of a place. The livelihood of a place is much dependent on its interrelated socio-spatiality, whereby people are not only part of a place but are mutually related to it; to shaping its happenings and forming its identities. In this study, the major focus is toward understanding place and people's environmental knowledge of place. Through this theoretical approach, this article aims to explore the concept of spatial syntagma on the basis of three major aspects of “sensing a place,” “relating to place,” and “knowing a place.” Moreover, this study aims to emphasize the notion of a place as a socio-behavioral network (or system) and verify characteristics, qualities, and the spirituality of a place.     

Asymmetric impact of inflation and unemployment on poverty in Pakistan: new evidence from asymmetric ARDL cointegration

The current study is intended to examine the asymmetric impact of inflation and unemployment on the poverty of Pakistan over the period of 1970 to 2016 by applying asymmetric Autoregressive Distributed Lag (ARDL) cointegration approach. The results revealed the presence of long-run asymmetries among inflation, unemployment and poverty. These findings also confirmed the atypical reaction of poverty to negative and positive shocks in unemployment and inflation. Furthermore, findings also confirmed negative and significant association among health expenditures (HE), population growth and poverty. The findings of the study have relevant implications for policymakers interested in the asymmetric relationship among inflation, unemployment and poverty in Pakistan.