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61.
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Background

Ice-pack is widely used for alleviating postpartum perineal pain sustained after birth related perineal trauma. However, it lacks robust evidence on timing and frequency of applications, to ensure the effective and safe use of this therapy.

Aims

To evaluate if a 10 min ice-pack application relieved postpartum perineal pain and if the analgesic effect was maintained for up to 2 h.

Methods

A randomised controlled trial conducted from December 2012 to February 2013 with 69 primiparous women ≥18 years old, 6–24 h postpartum, with perineal pain ≥3, who had not received anti-inflammatory medication or analgesics after childbirth, who were randomised to a single ice-pack application on the perineum for 10 min or standard care. The primary and secondary outcomes were a reduction ≥30% in perineal pain intensity, immediately after the application and the maintenance of the analgesic effect for up to 2 h, respectively.

Findings

Immediately post-intervention, the proportion of women whose perineal pain decreased ≥30% was significantly higher in the experimental group. Within 2 h, there was no significant difference in the pain levels in both groups. Within 2 h, for 61.9% and 89.3% of women in the experimental and control group, respectively, the perineal pain levels remained unchanged. For the remaining participants, perineal pain was increasing after an average time of 1 h 45 min and 1 h 56 min for the experimental and control groups, respectively.

Conclusion

By applying an ice-pack for 10 min to the perineum, effective pain relief is achieved, that is maintained for between 1 h 45 min and 2 h.  相似文献   
64.
There is increasing interest among researchers in the effects of social capital on the health of older adults. One of the key policy question for an ageing population concerns how do we identify the factors that influence health. Very recently, an increasing interest on social capital as a key determinant for health has developed and, surprisingly, not much is known for the European population. This paper analyzes the association between social capital and self-perceived health among older adults in Europe using a mixed effects logistic model. Social capital is considered in its two components—bonding and bridging—in order to understand if the relations inside or outside an individual inner circle have a different association with health. Our results give empirical support to the role of individual social capital in preventing a poor self-perceived health. This means that social capital, especially the bridging component of it, can be one of the key factors of ageing in good health and should be fostered by policy makers in order to give an answer to one of the most compelling challenge of our century: population ageing.  相似文献   
65.
Based on the theoretical foundation of well-being measurement, the study explores differences in living standards by analysing the distribution of tourism expenditure. A mixture of regression models is used to explore the heterogeneity in tourism consumption by identifying groups of families with similar tourism consumption behaviour as a function of certain socio-demographic and economic factors. The empirical analysis, performed on Italian expenditure data, suggests that there are three different patterns of consumption behaviour conditional to the socio-demographic and economic covariates in the tourism market and that differences in tourism consumption between groups of households mirror inequalities in living standards.  相似文献   
66.
In New Zealand a simple pop-up message feature that provides gambling session information and forces a break in play is mandatory on all electronic gaming machines in all venues (EGMs). Previous research has demonstrated small effects of more sophisticated pop-up messages tested predominantly in laboratory environments. The present research examined gambler engagement with and views on the New Zealand pop-up messages and on the relationship between pop-up messages and EGM expenditure. A sample of gamblers was recruited at casino and non-casino (pub) EGM venues. Most participants were aware of pop-up messages (57 %) and many saw them often (38 %). Among gamblers who reported seeing pop-up messages, half read the message content, and a quarter believed that pop-up messages helped them control the amount of money they spend on gambling. Participants who reported being likely to stop gambling in response to pop-up messages spent significantly less money on gambling when variables that were independently associated with EGM expenditure were controlled for. A modest harm minimisation effect of the pop-up message feature that has been operating in New Zealand for 5 years was evident. Suggestions for improvement of the harm minimisation potential of the current pop-up message feature are discussed.  相似文献   
67.
Women’s groups have worked diligently to place gender and women’s vulnerability on the transnational security agenda. This article departs from the idea that negotiating and codifying gender and women’s vulnerability in terms of security represent a challenge to mainstream security contexts. By contrasting the UN Security Council resolutions on women, peace and security with feminist theory, this article aims to analyze what is considered to be threatened when women’s vulnerability is negotiated. The article identifies two approaches to the gender/security nexus: gendering security, which involves introducing ideas regarding gender-sensitive policies and equal representation, and securitizing gender, which proceeds by locating rape and sexual violence in the context of war regulations. We demonstrate that, although these measures are encouraged with reference to women’s vulnerability, they serve to legitimize war and the male soldier and both approaches depoliticize gender relations.  相似文献   
68.
Subaltern classes' internationalism has a long history. The 1990s and first decade of the twenty-first century saw the rise of a new internationalism because of the emergence of the antiglobalisation movement. It was a short-lived movement, but that gave birth to a new set of strong internationalist activity. In 2011, there emerged a new international wave of protest by both the Indignados and the Occupy movements. These new movements, however, have developed relatively low levels of cross-border activity compared to the antiglobalisation movement, although it has brought a new internationalist drive.  相似文献   
69.
The authors examined whether nonresident fathers provide informal support to their children and whether support stops if their ex‐partner goes on to have a child with a new man. A logistic regression analysis of longitudinal survey and administrative data for 434 women who received welfare in Wisconsin showed that fathers are less likely to provide informal support when their ex‐partner has a child with a new partner. Alternative models that control for unobserved characteristics suggest somewhat different results, providing stronger evidence of declines in support that can be shared across family members than in support that can be directed to a particular child.  相似文献   
70.
This study is about the multifaceted nature of language use in immigrant families. Following earlier explorations of language in the segmented assimilation framework and using adolescent and parental data from the 1995 wave of the Children of Immigrants Longitudinal Study, this article examines how adolescents’ use of English with their parents relates to their proficiency in English and ethnic languages, and their personal language preferences, as well as their parents’ language proficiency and use. The findings suggested that adolescent language choice in child–parent interactions reflected the family’s ways to negotiate the distinct linguistic repertoires of immigrant parents and their children. The adolescent use of English was not necessarily associated with social and emotional estrangement between generations. Even when adolescents generally preferred English, they were less likely to use English in child–parent interactions if their parents, particularly their mothers, were less proficient in English. On the other hand, adolescents were more likely to speak English to their parents if their mothers were proficient in English, regardless of what language parents used with the children. Parents who spoke to their children in English likely responded to their children’s doubts about their ethnic language proficiency and were linguistically and emotionally ready to make that transition.  相似文献   
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