Toward an assessment of the social role of rural midwives and its implication for the family planning program: an Iranian case study

An axiom of family planning programming is the importance of culturally-appropriate communicators and motivators. Traditional midwives seem ideal for this task but few studies have been done to verify this assumption by analyzing the midwife's social role as perceived by the community. 325 married women and 81 unmarried girls from a "model village" near Shiraz were interviewed by female undergraduates. 82.5% of the women are of childbearing age; 66% married before 14 years; 33% use contraception, mostly the pill, but most want large families because they expect high child mortality rates. Most of the older women are able to assist in childbirth but none, except the village's one recognized midwife, who is considered to have divine backing, will do so except in an emergency. The midwife's activities cause her to be held in low esteem by the community because 1) she has contact with a woman's sexual parts and this fact is public; 2) she has contact with vaginal excretia which are, in Islam, polluting; and 3) she is paid for her services, which labels her as a woman "without shame". The midwife is, however, widely used since women and their husbands fear the trip to the hospital and treatment by a male doctor much more than a midwife-supervised birth. The midwife in the study village had been there only 2 years and feels that she is not fully trusted. She is not consulted on birth control at all, because women expect the pill to be dispensed by doctors and consider other methods as a matter strictly between husband and wife. The midwife's role seems to complement that of the government health authorities rather than compete. The midwife's low status and circumscribed sphere of activity, the weak respect in which her advice is held and the pattern of having only 1 recognized midwife in a village at a time make the midwife a poor agent for family planning services. Her effectiveness as an agent of social change could be improved by training her in hygienic practices of childbirth and by redefining her role-relationship with the community. Studies should be done to identify the areas where traditional birth attendants are the best family planning communicators and those where that role is best left to others.     

Ergonomic basket design to reduce cumulative trauma disorders in tea leaf plucking operation

Work related musculoskeletal disorders are seen as an indicating parameter of occupational stress among the women workers engaged in tea leaf plucking operation. The hand plucking (no mechanized plucking is practiced in Assam) being a highly repetitive task requires forceful exertions to reach to the distant periphery of the tea bushes and mechanical compression (pressing against hard surfaces). Specifically it aggravates with awkward positions adopted. The current research addresses to minimize the risk factors associated with CTDs and to ascertain the role of ergonomic design development in improving the situation. Women workforce engaged in tea industry in Assam suffer from back, shoulder, arm and finger pains. Workers perform the activity for 440 minutes in the entire shift with one hour lunch break in between in the garden itself. An ergonomic investigation aiming at studying the strain index of plucking operation in tea industry was conducted. While performing the operation workers were found to assume unnatural posture which is static as well as highly dynamic with a load (tea leaf collecting basket up to weight of 30 kg when filled with plucked leaves) at back. With gradual increment of load and pain though the load is released intermittently the strain level found to remain at a high level. The total QEC scores found for plucking activity was 110 out of 138. To improve the situation and to reduce the work related upper limb disorder (WRULD) an ergonomically designed basket was conceived and trial results showed improvements. The newly designed plucking basket fits the back curvature of the workers well, which keeps the basket in place unlike the existing round basket. The new basket is light in weight having more leaf capacity. Significant reduction in energy expenditure and MSDs suffered was observed while using improved basket over existing basket.     

Exact confidence bounds for an exponential parameter under hybrid censoring

Consider a life testing experiment in which n units are put on test, successive failure times are recorded, and the observation is terminated either at a specified number r of failures or a specified time T whichever is reached first. This mixture of type I and type II censoring schemes, called hybrid censoring, is of wide use. Under this censoring scheme and the assumption of an exponential life distribution, the distribution of the maximum likelihood estimator of the mean life 6 is derived. It is then used to construct an exact lower confidence bound for θ.     

Exact confidence bounds for an exponential parameter under hybrid censoring

Consider a life testing experiment in which n units are put on test, successive failure times are recorded, and the observation is terminated either at a specified number r of failures or a specified time T whichever is reached first. This mixture of type I and type II censoring schemes, called hybrid censoring, is of wide use. Under this censoring scheme and the assumption of an exponential life distribution, the distribution of the maximum likelihood estimator of the mean life θ is derived. It is then used to construct an exact lower confidence bound for θ.     

Affective politics and reading/writing poetry from the Northeast of India

ABSTRACT

Theorization of cultural and political issues of Northeast of India often creates a disengagement from the actual cultural performances produced in the region. This unique geo-cultural place is sometimes homogenized. In actuality, it is the home of diverse socio-cultural practices and performances. In the context of globalization, deforestation, Christianization, other internal clashes and external influences, material bodies, here, are continuously being rewritten in socio-cultural sphere. Non-representational theory considers poetry as an effective mode of exhibiting the virtual multiplicity of the nonrepresentational world. This paper will focus on exploring the corpus of Northeast Indian English poetry that focuses on social practices and bodily experiences to interpret the entire cultural flow of everyday life. As Non-representational Theory positions ‘affect’ as a central issue to individual and collective disposition in constituting the affective political discourse, this paper will also indicate some political imperatives by advancing a politics of hope in the realm of socio-political sphere.     

Citing history

ABSTRACT

Although rarely considered within the existing scholarship on social movements, even a cursory analysis of protest activity suggests that movements regularly invoke historical citations (whether consciously or not) while working to clarify aims and mobilize constituencies. In order to make sense of this process, and to account for the variations that arise among the different citation modalities favored by movements on opposite ends of the political spectrum, I draw upon the theoretical contributions of Marxist cultural critic Walter Benjamin and, in particular, on his exploration of ‘wish images’ and ‘dialectical images,’ their attributes, and their interrelationship. According to Benjamin, such images summoned the past either to project visions of future happiness (as with the wish image) or to deposit the witness before a moment of decisive, present-tense reckoning. After outlining the role of historical citation in social movements and in the broader cultural field through which these movements find expression, I analyze two recent protest events – the ‘Unite the Right’ rally in Charlottesville, VA, in which wish images were actively deployed, and the 2017 Women’s Strike in New York City, where a dialectical image arose from the constellated nodes of the march’s route – to consider the relationship between citation modality and protest outcome. Following from this analysis, and in keeping with the unapologetically partisan nature of my investigation, I conclude by advancing some strategic recommendations for movements seeking – as Benjamin once enjoined – to ‘improve our position in the struggle against Fascism.’     

Learning by Objectives for Adaptive Shop-Floor Scheduling*

Effective production scheduling requires consideration of the dynamics and unpredictability of the manufacturing environment. An automated learning scheme, utilizing genetic search, is proposed for adaptive control in typical decentralized factory-floor decision making. A high-level knowledge representation for modeling production environments is developed, with facilities for genetic learning within this scheme. A multiagent framework is used, with individual agents being responsible for the dispatch decision making at different workstations. Learning is with respect to stated objectives, and given the diversity of scheduling goals, the efficacy of the designed learning scheme is judged through its response under different objectives. The behavior of the genetic learning scheme is analyzed and simulation studies help compare how learning under different objectives impacts certain aggregate measures of system performance.     

Street Violence against Women in India: Mapping Prevention Strategies

Street violence against women (SVAW) in India is highly under researched. This article aims to understand the contextual factors responsible for the occurrence of SVAW in five cities of North‐east India: Agartala, Kohima, Imphal, Shillong, and Guwahati. The aftermath of an horrific gang rape and the subsequent death of a 23‐year‐old woman in a moving bus in New Delhi in December 2012 served as a wake‐up call for the Government of India (GOI), augmenting the need to understand the issues of SVAW. On December 23, 2012, the GOI constituted the Justice Verma Committee (JVC) who prepared a 630‐page report, submitted to the Prime Minister of India, which identified “failure of governance” as the central cause of SVAW. Based on some of the recommendations of the JVC report, the GOI passed the Criminal Law Amendment Bill, 2013. Drawing upon semi‐structured interviews from qualitative research in combination with a questionnaire survey, this research aims to understand the factors that allow SVAW to persist. Using recommendations of the JVC report and the Justice Usha Mehra Commission, the Criminal Law Amendment Act, 2013 , as well as research findings, this article is an attempt to inform prevention strategies aimed at escalating the safety of women in public spaces of the study region.     

Progesterone: the forgotten hormone in men?

‘Classical’ genomic progesterone receptors appear relatively late in phylogenesis, i.e. it is only in birds and mammals that they are detectable. In the different species, they mediate manifold effects regarding the differentiation of target organ functions, mainly in the reproductive system. Surprisingly, we know little about the physiology, endocrinology, and pharmacology of progesterone and progestins in male gender or men respectively, despite the fact that, as to progesterone secretion and serum progesterone levels, there are no great quantitative differences between men and women (at least outside the luteal phase). In a prospective cohort study of 1026 men with and without cardiovascular disease, we were not able to demonstrate any age-dependent change in serum progesterone concentrations. Progesterone influences spermiogenesis, sperm capacitation/acrosome reaction and testosterone biosynthesis in the Leydig cells. Other progesterone effects in men include those on the central nervous system (CNS) (mainly mediated by 5α-reduced progesterone metabolites as so-called neurosteroids), including blocking of gonadotropin secretion, sleep improvement, and effects on tumors in the CNS (meningioma, fibroma), as well as effects on the immune system, cardiovascular system, kidney function, adipose tissue, behavior, and respiratory system. A progestin may stimulate weight gain and appetite in men as well as in women. The detection of progesterone receptor isoforms would have a highly diagnostic value in prostate pathology (benign prostatic hypertrophy and prostate cancer). The modulation of progesterone effects on typical male targets is connected with a great pharmacodynamic variability. The reason for this is that, in men, some important effects of progesterone are mediated non-genomically through different molecular biological modes of action. Therefore, the precise therapeutic manipulation of progesterone actions in the male requires completely new endocrine-pharmacological approaches.