The Nuns of Lepers: Compassion,Discipline and Surrogate Parenthood in a Former Leper Colony of Vietnam

This paper focuses on a Christian model of leprosy care overseen by Catholic nuns in Quy Hòa, a leprosarium in South Central Vietnam, from 1929—when the leper colony was established—until 1975, when the American-backed Southern regime collapsed and all of Quy Hòa’s foreign nuns were forced to leave. Drawing on recollections of elderly residents of the former leprosy colony, it describes the close and loving attention that the nuns offered to inmates, an attentiveness that was informed by the nuns’ ethic of Christian sacrifice. The nuns at Quy Hòa successfully built a quasi parent–child relationship with leprosy-afflicted inmates. Their striking devotion to the ‘lepers’ resembles substitute motherhood. However, these recollections of that era also shed critical light on an approach to leprosy care that was premised on hierarchy, strictly enforced segregation from the wider community and pronounced paternalism towards all those who came under the nuns’ rule of care.     

Is There a Link Between Poverty and Food Security?

The study examines cointegration and causal relationship between FDI, terrorism and economic growth in Pakistan using quarterly frequencies for the period 1988–2010. For empirical analysis data is divided into two sub-periods i.e. pre 9/11 (1988–2001) and post 9/11 (2002–2010) periods. The results show that long run cointegration holds between FDI, terrorism and economic growth. Granger causality results indicate that there is bidirectional short and long run causality between economic growth and FDI for both sub-samples. These findings are supported by variance decomposition and impulse response analysis. The findings suggest applicability of modernization theory to explain FDI and economic growth relationship. The results also reveal that terrorism has a deteriorating impact on FDI.     

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.     

A Hybrid Geometric Phase II/III Clinical Trial Design based on Treatment Failure Time and Toxicity

The problem of comparing several experimental treatments to a standard arises frequently in medical research. Various multi-stage randomized phase II/III designs have been proposed that select one or more promising experimental treatments and compare them to the standard while controlling overall Type I and Type II error rates. This paper addresses phase II/III settings where the joint goals are to increase the average time to treatment failure and control the probability of toxicity while accounting for patient heterogeneity. We are motivated by the desire to construct a feasible design for a trial of four chemotherapy combinations for treating a family of rare pediatric brain tumors. We present a hybrid two-stage design based on two-dimensional treatment effect parameters. A targeted parameter set is constructed from elicited parameter pairs considered to be equally desirable. Bayesian regression models for failure time and the probability of toxicity as functions of treatment and prognostic covariates are used to define two-dimensional covariate-adjusted treatment effect parameter sets. Decisions at each stage of the trial are based on the ratio of posterior probabilities of the alternative and null covariate-adjusted parameter sets. Design parameters are chosen to minimize expected sample size subject to frequentist error constraints. The design is illustrated by application to the brain tumor trial.     

‘I Thought We Came for Therapy!’: Autobiography Sessions in Couple Work

Each family builds up its own culture which is partially invisible to each of its members, and so I invite my couple clients to write their own autobiography as part of a move towards self‐differentiation. By emphasising difference in this way, I hope to allow my clients to feel OK about their discomfort, if any, with my ethnicity. I include vignettes to illustrate the process and client response.     

Techniques of Death: Buddhist Practice,Femininity and Self-Cultivation at the Last Stage of Life in Vietnam

This article explores how death is conceptualised by elderly lay Buddhist women in H? Chí Minh City (Vietnam). It explores the traits of a ‘good death’ which elderly laywomen wish to experience, and their dedicated practice of Buddhism to prepare themselves for a peaceful end stage of life. This article contends that, in fact, women’s perceptions of death speak to their desires to live a life with dignity and retain their full personhood and nurturing femininity which they have embodied throughout their adult lives even until their last moments. They pursue devotional practices to train their body and mind in order to prepare themselves for the critical moment of dying, believing that these self-cultivating practices will enable them to transcend physical suffering and mental confusion, and immediately move on to the next, better life.     

DO TERRORIST ATTACKS IMPACT EXCHANGE RATE BEHAVIOR? NEW INTERNATIONAL EVIDENCE

This study examines whether terrorist attacks affect bilateral exchange rates. Using historical 10‐minute exchange rate data for 21 countries' currency vis‐à‐vis the U.S. dollar, we show that exchange rate returns of all countries are statistically significantly affected by terrorist attacks. Some exchange rates appreciate and some depreciate following a terrorist attack, some currencies experience exchange rate reversals while others experience a persistent effect. Generally, the effect declines but persists as terrorist attacks become stale information. (JEL F31, F37)     

Growth,inequality and poverty in Vietnam: How did trade liberalisation help the poor, 2002–2008

Using the Vietnamese Living Standards Surveys for 2002, 2004, 2006 and 2008, we explore how provinces with differential access to trade liberalisation reforms differ in their pro-poor growth performance in Vietnam. Using both non-parametric and parametric estimation, we find strong, robust evidence of pro-poor growth in provinces with greater exposure to trade liberalisation. Using censored and uncensored regressions, the study also shows that increased wages play a critical role in this outcome. Our analysis enables identification of the core mechanisms through which the poor materialise their gains from trade-driven growth in a transition economy.     

Measuring Attitudes About Intimate Partner Violence Against Women: The ATT-IPV Scale

In lower-income settings, women more often than men justify intimate partner violence (IPV). Yet, the role of measurement invariance across gender is unstudied. We developed the ATT-IPV scale to measure attitudes about physical violence against wives in 1,055 married men and women ages 18–50 in My Hao district, Vietnam. Across 10 items about transgressions of the wife, women more often than men agreed that a man had good reason to hit his wife (3 % to 92 %; 0 % to 67 %). In random split-half samples, one-factor exploratory factor analysis (EFA) (N ₁ = 527) and confirmatory factor analysis (CFA) (N ₂ = 528) models for nine items with sufficient variability had significant loadings (0.575–0.883; 0.502–0.897) and good fit (RMSEA = 0.068, 0.048; CFI = 0.951, 0.978, TLI = 0.935, 0.970). Three items had significant uniform differential item functioning (DIF) by gender, and adjustment for DIF revealed that measurement noninvariance was partially masking men’s lower propensity than women to justify IPV. A CFA model for the six items without DIF had excellent fit (RMSEA = 0.019, CFI = 0.994, TLI = 0.991) and an attitudinal gender gap similar to the DIF-adjusted nine-item model, suggesting that the six-item scale reliably measures attitudes about IPV across gender. Researchers should validate the scale in urban Vietnam and elsewhere and decompose DIF-adjusted gender attitudinal gaps.     

The commonalities and differences in health professionals’ views on home birth in Tasmania,Australia: A qualitative study

ObjectivesHome birth has attracted great controversy in the current context. There is a need for the public and health professionals to understand why maternity care providers have such different views on home birth, why they debate, what divides them into two opposite sides and if they have anything in common.MethodA qualitative study involving twenty maternity health providers in Tasmania was conducted. It used semi-structured interview which included closed and open-ended questions to provide opportunities for exploring emerging insights from the voices of the participants.FindingsHealth practitioners who support home birth do so for three reasons. Firstly, women have the right to choose the place of birth. Secondly, home birth may be more cost effective compared to hospital birth. Thirdly, if home birth is not supported, some women might choose to have a free birth. Those who opposed home birth argue that complications could occur at childbirth and the transfer time is critical for women's and babies’ safety. These differences in opinions can be due to the differences in the training and philosophy of the maternity care providers. Despite the differing views on home births, health professionals share a common goal to protect the women and the newborns from unexpected situations during childbirth.ConclusionThis article provides some significant insights derived from the study of home birth from the maternity health professionals’ perspectives and could contribute to the enhancement of mutual understanding and collaboration of health professionals in their services to expectant mothers.