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This article presents a profile of the living conditions of the Kondh ethnic group, with particular attention to women's conditions. The Kondhs are the largest tribal community in Orissa state, India. Kondh tribes are concentrated in Phulbani, Koraput, and Kalahandi districts. The Kondh consist of three subgroups. In Phulbani district the Kondh are one of several tribal populations and together with scheduled castes and tribes are the dominant populations. Phulbani district has limited educational resources and low levels of literacy, particularly among women. Female literacy in 1991 was only 16.59%. Girl's educational institutions are few in number and poor in quality. Female literacy is low due to parental ignorance of the importance of female education, the need to use girl children as domestic helpers, the cultural practice of facial tattooing that causes injury and shame among parents and children, the inadequacy of district schools, and the reputation of better private boarding as "cages." Economic life is based on a sexual division of labor, and women and men work according to their capacity. Agricultural tasks are shared, but men perform ploughing and clearing of jungle. Women perform all domestic tasks in addition collection of daily firewood and additional forest products that are sold jointed with husbands in local markets. During the slack agricultural periods, men relax and women work. Both men and women work if construction work is available nearby. Although tubewells were installed in villages, women prefer distant pond or stream water for drinking. The loss of tribal land for women places them in more vulnerable sexual and economic positions. Many voluntary groups promote land ownership for women as a means of security and social status. Phulbani district has little urbanization and no major industries. Bride-price was replaced by dowry, which downgrades Kondh women's status. The Kondh suffer from malnutrition, malaria, and anemia. Health services are insufficient, and Kondh cultural practices interfere with acceptance of modern medicine and healthy lifestyles.  相似文献   
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Abstract

Objective: To describe basic nonsuicidal self-injury (NSSI) characteristics and to explore sex differences. Methods: A random sample from 8 universities were invited to participate in a Web-based survey in 2006–2007; 38.9% (n = 14,372) participated. Analysis assessed sex differences in NSSI prevalence, practices, severity, perceived dependency, and help-seeking; adjusted odds ratios for NSSI characteristics were calculated by sex status. Results: Lifetime NSSI prevalence rates averaged 15.3%. Females were more likely than males to self-injure because they were upset (adjusted odds ratio [AOR] = 1.6; 95% confidence interval [CI] = 1.3–2.1) or in hopes that someone would notice them (AOR = 1.6, 95% CI = 1.1–2.7). Males were 1.6 times (95% CI = 1.2–2.2) more likely to report anger and 4.0 times (95% CI = 2.3–6.8) more likely to report intoxication as an initiating factor. Sexual orientation predicted NSSI, particularly for women (Wald F = 8.81, p ≤ .000). Only 8.9% of the NSSI sample reported disclosing NSSI to a mental health professional. Conclusions: NSSI is common in college populations but varies significantly by sex and sexual orientation. NSSI disclosure is low among both sexes.  相似文献   
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Problem

The ability of health care providers to work together is essential for favourable outcomes in neonatal resuscitation, but perceptions of such teamwork have rarely been studied in low-income settings.

Background

Neonatal resuscitation is a proven intervention for reducing neonatal mortality globally, but the long-term effects of clinical training for this skill need further attention. Having an understanding of barriers to teamwork among nurse midwives can contribute to the sustainability of improved clinical practice.

Aim

To explore nurse midwives’ perceptions of teamwork when caring for newborns in need of resuscitation.

Methods

Nurse midwives from a tertiary-level government hospital in Nepal participated in five focus groups of between 4 and 11 participants each. Qualitative Content Analysis was used for analysis.

Findings

One overarching theme emerged: looking for comprehensive guidelines and shared responsibilities in neonatal resuscitation to avoid personal blame and learn from mistakes. Participants discussed the need for protocols relating to neonatal resuscitation and the importance of shared medical responsibility, and the importance of the presence of a strong and transparent leadership.

Discussion

The call for clear and comprehensive protocols relating to neonatal resuscitation corresponded with previous research from different contexts.

Conclusion

Nurse midwives working at a maternity health care facility in Nepal discussed the benefits and challenges of teamwork in neonatal resuscitation. The findings suggest potential benefits can be made from clarifying guidelines and responsibilities in neonatal resuscitation. Furthermore, a structured process to deal with clinical incidents must be considered. Management must be involved in all processes.  相似文献   
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