Grandchildren's perspectives on grandparents in rural New Zealand

Within studies of ageing, rurality and family relations, the prevalent “point of view” is based on the perspectives of adults, particularly older people themselves. However, taking seriously the reciprocal nature of kinship relations also challenges researchers to find ways to explore younger people's views and experiences of intergenerational ties. The study on which this paper is based addressed this challenge, by considering the dynamics of ageing in rural families through the lens of young people's experience. In the South Island of New Zealand, Area Schools serve families in rural regions specifically defined in terms of a catchment area based on distance from any other state school. This research study selected five (from 16) of these schools, and invited the classes of Year 7 and 8 students to take part in a classroom activity, led by the researcher with support from the class teacher. The activity involved a total of 98 young people (aged 11–13) in written completion of a survey which outlined their relationships and contacts with the people they know as grandparents, along with basic demographics of their own age, gender, family and household situation, and length of attendance at the school. From this survey, information was derived about 380 grandparents (of whom 73 were no longer alive), the nature and frequency of their contacts, and the types of activities they shared with these grandchildren. Around 40 percent of the students have daily or weekly contact with a grandparent, one third “regularly do things together”, and one fifth say they have “a special relationship” with a grandparent. By controlling the age group of the grandchild, and focussing on rural families, this study adds insights and detail to a growing body of research interest in understanding the roles and contributions made by grandparents to New Zealand families, in particular those in rural communities.     

Complex home care: challenges arising from the blurring of boundaries between family and professional care

Over the last 50 years, increasingly complex care (such as tracheostomy management, dialysis or enteral feeding) has shifted from hospital to home, with a concomitant rise in patient self-management and care given by family members. Recognition of the importance of the contribution of family care to the health system is also growing. This article reports the findings of a New Zealand study which explored the experiences of family carers who manage technical health procedures at home. It then draws attention to some broader issues raised by shifting complex care from professional management in hospital settings to family care at home, namely the ways in which complex home care blurs the boundaries between professional and family care (creating the ambiguous position of the expert carer) and questions of safety and responsibility in family care. We also discuss the implications for policy around family caregiving in New Zealand. Given the potential physical and mental health impacts of caring, it is time for renewed consideration of what family carers should be expected or allowed to manage and how the health system can support them in their important role.     

Men,Gender, and Health: Toward an Interdisciplinary Approach

Abstract

The anatomy and physiology of the ears, nose, and sinuses are reviewed. Diseases and injuries typically associated with water sports are discussed, with emphasis on pathophysiology, treatment, and preventative measures.

“Screening for Chlamydial Infections in Women Attending Family Planning Clinics: Evaluation of Presumptive Indicators for Therapy,” JULIUS SCHACHTER, EILEEN STONER, and JEANNE MONCADA. Chlamydia trachomatis was recovered from the cervices of 9.8 percent (268/2,729) of women attending seven family planning clinics. The infection rate varied from 5.5 percent to 22.5 percent in different clinics. Chlamydial infection could be associated with younger age, nulliparity, being black and use of oral contraceptives. Most (70 percent) of the chlamydial infections were inapparent and presumptive indicators for antichlamydial therapy that are useful for symptomatic women will not make a major impact on this reservoir. It is concluded that chlamydial cultures are needed to deal with the high prevalence of these infections. (Western Journal of Medicine 1983 Mar;138:375–379.)     

Call to action: Better care,better health,and greater value in college health

ABSTRACT

It is time for action by leaders across higher education to strengthen quality improvement (QI) in college health, in pursuit of better care, better health, and increased value – goals closely linked to students' learning and success. The size and importance of the college student population; the connections between wellbeing, and therefore QI, and student success; the need for improved standards and greater accountability; and the positive contributions of QI to employee satisfaction and professionalism all warrant a widespread commitment to building greater capacity and capability for QI in college health. This report aims to inspire, motivate, and challenge college health professionals and their colleagues, campus leaders, and national entities to take both immediate and sustainable steps to bring QI to the forefront of college health practice – and, by doing so, to elevate care, health, and value of college health as a key pathway to advancing student success.     

Rebates, inventories, and intertemporal price discrimination

We demonstrate that universally redeemed rebates can increase manufacturer profits by reducing the incentives of downstream retailers to hoard inventories when optimal wholesale prices vary predictably over time. By bypassing retailers and making direct contracts with buyers, the manufacturer can increase the variations in effective prices paid by consumers without concomitantly creating larger incentives for retailers to hold inventories. During profitable, high-demand periods, manufacturer revenues are ordinarily constrained by'competition'from retailer inventories, thus limiting profits. However, by selectively offering rebates to consumers while maintaining high wholesale prices, low-demand periods can be accommodated without inducing retailer hoarding.