WorldWideScience

Sample records for safer motherhood project

  1. Motherhood as a choice.

    Science.gov (United States)

    Mcfadden, P

    1994-06-01

    The choice of motherhood for women and women's rights have been forbidden in law by men, in religious doctrines by men, and within the medical system by men. Women in poverty have little say in determining whether to have children or not. When choice is exercised for abortion, poor women have unsafe and illegal abortions, which can be life-threatening. Rich women have safer options. Women historically have allowed their rights to be eroded by gender inequality and patriarchal manipulation. The religious right and the Roman Catholic church have been allowed to speak and decide for women. Abortion rights are not about western influences, but about maternal mortality. The right to make choices about one's life is the fundamental premise of the universal rights of all human beings. African governments have signed the UN Convention on elimination of all forms of discrimination against women, but the practice of human rights has not been implemented at the local and family level. Motherhood needs to be demystified. Motherhood is linked with the absence of personhood and bodily integrity. The rhetoric of moral obligations and the rights of the unborn child take precedence over the rights of women. The right of an African woman not to have children is not recognized in most Africa societies. The issue of AIDS creates an even more difficult milieu for women. The interests of the family and the interests of men overwhelm the interests of women to protect themselves. Motherhood is essential to validating one's heterosexuality and gaining stature, and females without a child are marginalized and unrecognized. Women whose babies do not survive are marginalized further than barren women. Men derive power from women's birthing. The terminology of male power is replete with expressions such as "pregnant with promise" and "miscarriage of justice's", no one says "uterus envy." Male psychologists only recognize "penis envy." Men need children for purposes of property, lineage, and

  2. Safe motherhood at risk?

    Science.gov (United States)

    Thompson, A

    1996-12-01

    Health professionals' negative attitudes toward clients often exacerbate the problems women face in terms of health status and access to health care. Thus, the health professionals can themselves be obstacles to women seeking the health care they need. A key challenge to midwives, in addition to providing technically competent services, is gaining insight into the people for whom they are responsible so that childbirth traditions are treated with respect and women are offered dignity. Safe motherhood requires intersectoral collaboration. Many innovative approaches to safe motherhood are based on the community's participation in planning services that meet the needs of women. Other approaches are based on decentralization of services. For example, a large university teaching hospital in Lusaka, Zambia, set up birthing centers around the city to take the pressure off the hospital. Midwives head up these centers, which are close to the women's homes. Decentralization of delivery services has improved the physical and emotional outcomes for mothers and newborns. Midwives must be prepared to articulate concerns about inequalities and deficiencies in the health care system in order to persuade the government to change. Women, including midwives, need to form multidisciplinary alliances to work together to effect change. The front-line workers in maternity care are midwives. They should adopt the following strategies to become even more effective in their efforts to make motherhood safer. They should listen to what women say about their needs. They should scale services to a manageable, human scale. They should learn the skills to become politically active advocates. They should work with other midwives, women, leaders, and other professional groups. Motherhood can be safe when women have more control over their own decision making, the education to liberate themselves to make their own decisions, and access to skilled care.

  3. The SAFER Latinos Project: Addressing a Community Ecology Underlying Latino Youth Violence

    Science.gov (United States)

    Edberg, Mark; Cleary, Sean D.; Collins, Elizabeth; Klevens, Joanne; Leiva, Rodrigo; Bazurto, Martha; Rivera, Ivonne; del Cid, Alex Taylor; Montero, Luisa; Calderon, Melba

    2010-01-01

    This paper describes the intervention model, early implementation experience, and challenges for the "Seguridad, Apoyo, Familia, Educacion, y Recursos" (SAFER) Latinos project. The SAFER Latinos project is an attempt to build the evidence for a multilevel participatory youth violence prevention model tailored to the specific circumstances of…

  4. Support to the Safe Motherhood Programme in Nepal: an integrated approach.

    Science.gov (United States)

    Barker, Carol E; Bird, Cherry E; Pradhan, Ajit; Shakya, Ganga

    2007-11-01

    Evidence gathered from 1997 to 2006 indicates progress in reducing maternal mortality in Nepal, but public health services are still constrained by resource and staff shortages, especially in rural areas. The five-year Support to the Safe Motherhood Programme builds on the experience of the Nepal Safer Motherhood Project (1997-2004). It is working with the Government of Nepal to build capacity to institute a minimum package of essential maternity services, linking evidence-based policy development with health system strengthening. It has supported long-term planning, working towards skilled attendance at every birth, safe blood supplies, staff training, building management capacity, improving monitoring systems and use of process indicators, promoting dialogue between women and providers on quality of care, and increasing equity and access at district level. An incentives scheme finances transport costs to a health facility for all pregnant women and incentives to health workers attending deliveries, with free services and subsidies to facilities in the poorest 25 districts. Despite bureaucracy, frequent transfer of key government staff and political instability, there has been progress in policy development, and public health sector expenditure has increased. For the future, a human resources strategy with career paths that encourage skilled staff to stay in the government service is key.

  5. The Motherhood Inventory: A Questionnaire for Studying Attitudes Toward Motherhood.

    Science.gov (United States)

    Hare-Mustin, Rachel T.; Broderick, Patricia C.

    The Motherhood Inventory (MI) is a 40-item questionnaire developed to study attitudes toward motherhood and the motherhood myth. It includes items related to the control of reproduction, abortion, adoption, single motherhood, male-female relationships, and idealized and punitive attitudes toward mothers. The MI was investigated using 301 subjects…

  6. Making motherhood work

    Directory of Open Access Journals (Sweden)

    Rachel Thomson

    2011-07-01

    Full Text Available Motherhood can be a critical moment in the making of gendered biographies, and in the negotiation of a gendered division of labour within a household. This paper draws on the 'Making of Modern Motherhoods' study, which combined interviews with a diverse group of expectant first time mothers and family case studies in order to build an intergenerational and longitudinal perspective on contemporary mothering situations within the UK. In this paper, the category 'work' is used as a lens through which to encounter new motherhood. After contextualising working motherhood in relation to a sociological literature the paper draws on interviews undertaken with women towards the end of their pregnancy with their first child to reveal something of the emergent collision of working and maternal identities, women's experiences of being pregnant at work including the anticipation and managing of maternity leave. The second part presents a case study, which animates the personal drama involved in reconciling working and maternal commitments, tracing how a woman's feelings about work change over time in negotiation with partner, family and the market. As Sue Sharpe observed in her 1984 book on working mothers, 'full-time mothering has never been accessible to all women in the same way at the same time' (1984: 22. Social class, locality and migration shape a range of cultures of mothering within which work features very differently. Divisions exist between women who share a generational location as well as between women of different generations. This complexity is revealed through a juxtaposition of the voices of mothers and grandmothers, which show how work may both, divide and unite women in the project of motherhood.

  7. The Myth of Motherhood: A Study of Attitudes toward Motherhood.

    Science.gov (United States)

    Hare-Mustin, Rachel T.; Broderick, Patricia C.

    1979-01-01

    The Motherhood Inventory (MI), a 40-item questionnaire developed to study attitudes toward motherhood and the motherhood myth, revealed that education produced the most pronounced effect, with more liberal attitudes held by college graduates. Presented at the meeting of the American Psychological Association, Toronto, August 1978. (Author)

  8. Motherhood transition through an existential lens

    DEFF Research Database (Denmark)

    Prinds, Christina Lange

    2015-01-01

    Motherhood transition is a significant life event. Research from various disciplines outlines pregnancy, birth and the initial period of motherhood as a period of life in which a woman might experience disruption and gain new perspectives in a bodily, psychological, social and existential way....... This may be even more relevant for women giving birth preterm, since research suggests that mothers of premature babies undergo an experience of loss, crisis and unpredictability. This PhD project aimed to identify whether motherhood transition actualises considerations on how to make meaning of life...... existentially among Danish first-time mothers, and whether they differ among mothers of full-term children (FT) and mothers of preterm children (PT). The thesis consists of three individual, still interrelated papers, first a scoping review among mothers having given birth at full term, identifying existing...

  9. An impact evaluation of the safe motherhood promotion project in Bangladesh: evidence from Japanese aid-funded technical cooperation.

    Science.gov (United States)

    Kamiya, Yusuke; Yoshimura, Yukie; Islam, Mohammad Tajul

    2013-04-01

    This paper reports the findings from a quasi-experimental impact evaluation of the Safe Motherhood Promotion Project (SMPP) conducted in the Narsingdi district of Bangladesh. SMPP is a Japanese aid-funded technical cooperation project aimed at developing local capacities to tackle maternal and newborn health problems in rural areas. We assessed whether the project interventions, in particular, community-based activities under the Model Union approach, had a favorable impact on women's access to and knowledge of maternal health care during pregnancy and childbirth. The project comprises a package of interlinked interventions to facilitate safe motherhood practices at primary and secondary care levels. The primary-level activities focused on community mobilization through participatory approaches. The secondary-level activities aimed at strengthening organizational and personnel capacities for delivering emergency obstetric care (EmOC) at district and sub-district level hospitals. The project impact was estimated by difference-in-differences logistic regressions using two rounds of cross-sectional household survey data. The results showed that the project successfully increased the utilization of antenatal visits and postpartum EmOC services and also enhanced women's knowledge of danger signs during pregnancy and delivery. The project also reduced income inequalities in access to antenatal care. In contrast, we found no significant increase in the use of skilled birth attendants (SBA) in the project site. Nonetheless, community mobilization activities and the government's voucher scheme played a complementary role in promoting the use of SBA. Copyright © 2013 Elsevier Ltd. All rights reserved.

  10. Motherhood as Performance: (ReNegotiations of Motherhood in Contemporary German Literature

    Directory of Open Access Journals (Sweden)

    Alexandra Merley Hill

    2011-01-01

    Full Text Available While the birth rate in Europe remains low, the role of motherhood is hotly debated in Germany—particularly in conjunction with the revival of feminism in that country. In the context of these debates, this article analyzes the representation of mothers in three contemporary novels by German authors: Himmelskörper (2003 by Tanja Dückers, Die Gunnar-Lennefsen-Expedition (1998 by Kathrin Schmidt, and Die Mittagsfrau (2007 by Julia Franck. All three books are informed by a feminist perspective, but only Die Mittagsfrau offers a new way of thinking about motherhood; while Dückers and Schmidt ultimately do not depart from the connection between motherhood and the female body, Franck represents motherhood as a performative identity, in the sense of Judith Butler’s theory of performative gender. “Maternal drag,” as articulated in this article, theorizes the identity mother as a performative one, illuminating expectations of that role and thereby opening it up to possible reconfiguration.

  11. Representation of Motherhood and Age Characteristics of Infants in Girls in their Late Teens

    Directory of Open Access Journals (Sweden)

    Krys’ko A.A.,

    2014-08-01

    Full Text Available We describe and analyze data on changes in the representations of motherhood and age characteristics of infants under the influence of pregnancy and motherhood experiences with girls in their late teens (we studied three groups: having no children, pregnant women and young mothers. We used questionnaire “Representations of characteristics of children in each period of their development” (designed by M.E. Lantsburg, A.A. Krys’ko, pictorial projective test, “Me and my child”, projective technique “Mothers TAT”, with 5 reproductions of paintings “Motherhood” by S. Krasauskas representing parenting, motherhood and childbirth, selected as stimulus material. The results of analysis were used to identify the main trends for each of the three groups of subjects.

  12. Psychiatry, Sex, and Science: The Making of "Adolescent" Motherhood in Southern Brazil.

    Science.gov (United States)

    Béhague, Dominique P

    2018-01-01

    Research linking teen motherhood to psychoneurodevelopmental causes and pathologies has proliferated in the past two decades. In Brazil, a psychodevelopmental project of teen motherhood has gained traction despite many experts' long-standing commitment to psychodynamic psychiatry and social epidemiology, generating epistemic tension rather than substitution. Drawing on historical ethnography conducted in Southern Brazil, I explore how this project materialized through the co-production of epistemic struggles, remedial interventions, and ontological politics. In showing how this co-production became interwoven with incremental changes in young women's emotions, sexualities, relationships, and bodies, I describe how one particular "kind" of teen motherhood emerged and became entangled with both psychiatric knowledge-production and the angst of working-class political agency. In giving women a contested psychiatric language with which to rework their social-moral worlds, I argue that science did more than conceptualize teen childbearing in pathological terms; it contributed to its troubled transformation.

  13. (MOthering: Feminist Motherhood, Neoliberal Discourses and the Other’

    Directory of Open Access Journals (Sweden)

    Marianna Leite

    2013-07-01

    Full Text Available Feminist theory often gravitates around the rejection and recuperation of motherhood. The recuperation of feminist motherhood demonstrates the importance of understanding the duality between feminist motherhood and the patriarchal concept of motherhood. Here, I will argue that in recuperating motherhood, feminists and non-feminists alike should also acknowledge the coexisting realities that reject it. I am specifically thinking of feminist non-motherhood but also of feminist notions of pregnancy that reject motherhood. The mother without the maternal bond or even the 'falling out of motherhood after motherhood'. These, I think, as opposed to submissive realities and resistance strategies, represent a move away from patriarchal values and create a social reality that uses something else as a parameter. In order support my argument, I will rely on a case study analysing maternal health policies and strategies, in particular feminist activists' discourses related to maternal mortality in Brazil. The data collected during this fieldwork demonstrates the importance of acknowledging non-motherhood as crucial to radical constructions of feminist motherhood. The article concludes that, sadly, there is not such thing as a post-feminist society in Brazil. The Brazilian case study demonstrates that, in fact, public policies, and the discourses built around them, are still oriented towards a neoliberal re-packaging of patriarchy that partially co-opts feminist motherhood. That is, neoliberalism partially accepts feminist motherhood as a way to reject all other feminist claims. In this sense, it its crucial for feminists and non-feminists alike to acknowledge and accept all concepts of motherhood, positive and negative. That is, it is absolutely necessary to recognise '''the 'other' ' in order not to contribute to further marginalisation of non-motherhood attitudes as promoted by neoliberal policies and discourses.

  14. Psychiatry, Sex, and Science: The Making of “Adolescent” Motherhood in Southern Brazil

    Science.gov (United States)

    Béhague, Dominique P.

    2018-01-01

    ABSTRACT Research linking teen motherhood to psychoneurodevelopmental causes and pathologies has proliferated in the past two decades. In Brazil, a psychodevelopmental project of teen motherhood has gained traction despite many experts’ long-standing commitment to psychodynamic psychiatry and social epidemiology, generating epistemic tension rather than substitution. Drawing on historical ethnography conducted in Southern Brazil, I explore how this project materialized through the co-production of epistemic struggles, remedial interventions, and ontological politics. In showing how this co-production became interwoven with incremental changes in young women’s emotions, sexualities, relationships, and bodies, I describe how one particular “kind” of teen motherhood emerged and became entangled with both psychiatric knowledge-production and the angst of working-class political agency. In giving women a contested psychiatric language with which to rework their social–moral worlds, I argue that science did more than conceptualize teen childbearing in pathological terms; it contributed to its troubled transformation. PMID:28453300

  15. Silenced, Silence, Silent: Motherhood in the Margins

    Science.gov (United States)

    Carpenter, Lorelei; Austin, Helena

    2007-01-01

    This project explores the experiences of women who mother children with ADHD. The authors use the metaphor of the text and the margin. The text is the "motherhood myth" that describes a particular sort of "good" mothering. The margin is the space beyond that text. This marginal space is inhabited by some or all of the mothers they spoke with, some…

  16. Adolescent motherhood in Bangladesh: Trends and determinants.

    Science.gov (United States)

    Islam, Mohammad Mainul; Islam, Md Kamrul; Hasan, Mohammad Sazzad; Hossain, Mohammad Bellal

    2017-01-01

    While studies on fertility and contraceptives issues are available, until recently adolescent motherhood has not received enough attention among policy makers in understanding adolescent motherhood in Bangladesh. We aimed to examine the trends and determinants of adolescent motherhood among women aged 15-49 years. For trend analysis we used all the 7 waves of Bangladesh Demographic and Health Survey (BDHS, 1993-2014) data but for multivariate analysis 4 waves of BDHS (2004-2014). Two separate analyses were carried out on ever married women aged 15-49: (1) teenage girls aged 15-19 and (2) adult women aged 20 and above. The prevalence of adolescent motherhood had declined to a slower pace from 1993 to2014 (from 33.0% to 30.8%). Lower spousal age gap and higher education were found to be associated with lower likelihood of adolescent motherhood both among teenage girls [OR 0.447 (0.374-0.533)] and adult women [OR 0.451 (0.420-0.484)]. Teenage girls in the poorest wealth quintile [OR 1.712 [1.350-2.173] were more likely to experience adolescent motherhood than the richest wealth quintile. Teenage girls who had no education were found to have 2.76 times higher odds of adolescent motherhood than their counterparts who had higher than secondary education. Concerning the time effect, the odds of adolescent motherhood among adult women was found to decline overtime. Despite substantial decrease in total fertility rate in Bangladesh adolescent motherhood is still highly prevalent though declining from 1993 to 2014. Social policies including those addressing poverty, ensuring greater emphasis on education for women; and adolescent mothers in rural areas are needed.

  17. Teaching about Motherhood: Revisioning Family

    Science.gov (United States)

    Hoffnung, Michele

    2011-01-01

    Motherhood is both an important topic and a challenge to teach. Pregnancy, childbirth, and the transition to motherhood are significant life experiences for most women, important choices for all women, and major events in the lives of most men. At the same time, they are topics about which everyone thinks they know a good deal. The complexity of…

  18. New evidence on the motherhood wage gap

    OpenAIRE

    Amuedo-Dorantes, Catalina; Kimmel, Jean

    2008-01-01

    Using data from the 1979 National Longitudinal Survey of Youth, we assess the role of employment-based health insurance offers in explaining the motherhood wage gap. Researchers have been aware of the existence of a motherhood gap for many years; yet, the literature has failed to address the role of non-wage compensation in explaining the motherhood wage gap despite the increasing importance of non-wage benefits in total compensation packages. As hedonic wage theory suggests, mothers might vi...

  19. Gulf Arab women's transition to motherhood.

    Science.gov (United States)

    Missal, Bernita

    2013-01-01

    This paper is a report of the findings of a study of Gulf Arab women's perspectives of the transition to motherhood. Transition to motherhood is a universal phenomenon in which every culture has its own expectations and varying supports for women moving through this transition. International studies have provided models or categories of maternal responses related to cultural aspects of transition to motherhood. However, no known research has focused on transition to motherhood among Gulf Arab women. In the initial cohort seventeen first time Gulf Arab mothers in the United Arab Emirates were interviewed during the following three times: before childbirth, two-four weeks after childbirth, and forty-days after childbirth. A second cohort of seventeen first time new mothers was interviewed after childbirth in Sultanate of Oman. Four patterns were identified as indicators of change as women transitioned into motherhood: 1) Women's personal transition: women changed from feeling of freedom to feeling of dependency to self-confidence. 2) Mother/baby relationships: women changed from fear, anxiety, and uncertainty to feelings of care and confidence. 3) Family influences: women experienced family support to being integrated and feeling respected by family. 4) Cultural/religious beliefs and practices: women felt they were initially observers of culture, to experiencing cultural/religious beliefs and practices. This was followed by accomplishment in childbearing and childrearing practices. As Gulf Arab new mothers made the transition to motherhood, four implications for international nursing practice emerged: 1) patient teaching to help relieve anxiety, fears, and uncertainty, 2) facilitation of mother/baby relationships, 3) family-centered care, and 4) the importance of cultural/religious beliefs and practices to new mothers.

  20. A real-life example of choosing an inherently safer process option

    International Nuclear Information System (INIS)

    Study, Karen

    2007-01-01

    While choosing an inherently safer alternative may seem straightforward, sometimes what seems to be the most obvious alternative may not provide the best risk reduction. The process designer must maintain a broad perspective to be able to recognize all potential hazards when evaluating design options. All aspects of operation such as start-up, shut-down, utility failure, as well as normal operation should be considered. Choosing the inherently safer option is best accomplished early in the option selection phase of a project; however, recycle back to the option selection phase may be needed if an option is not thoroughly evaluated early in the process. In this paper, a project to supply ammonia to a catalytic reactor will be reviewed. During the course of the project, an 'inherently safer' alternative was selected and later discarded due to issues uncovered during the detail design phase. The final option chosen will be compared to (1) the original design and (2) the initial 'inherently safer' alternative. The final option was inherently safer than both the original design and the initial 'inherently safer' alternative even though the design team initially believed that it would not be

  1. The Importance of Motherhood among Women in the Contemporary United States

    Science.gov (United States)

    McQuillan, Julia; Greil, Arthur L.; Scheffler, Karina M.; Tichenor, Veronica

    2010-01-01

    We contribute to feminist and gender scholarship on cultural notions of motherhood by analyzing the importance of motherhood among mothers and non-mothers. Using a national probability sample (N = 2,519) of U.S. women ages 25–45, we find a continuous distribution of scores measuring perceptions of the importance of motherhood among both groups. Employing OLS multiple regression, we examine why some women place more importance on motherhood, focusing on interests that could compete with valuing motherhood (e.g., education, work success, leisure), and controlling for characteristics associated with becoming a mother. Contrary to cultural schemas that view mother and worker identities as competing, we find that education level is not associated with the importance of motherhood for either group and that valuing work success is positively associated with valuing motherhood among mothers. Consistent with feminist explanations for delayed fertility, valuing leisure is negatively associated with valuing motherhood for non-mothers. PMID:20407592

  2. Motherhood Surrogacy: Progress or Exploitation?

    OpenAIRE

    Hemion Braho

    2015-01-01

    Motherhood surrogacy is almost considered as a new way to born next to natural born, adoption and IVF treatments. If the other practices are accepted by the social and scientific community, the motherhood surrogacy brings some problems, especially on a social point of view. This happens because of the big sufferance of the women involved in this practice and because of the social distortion of this practice transforming the traditional family structures and bringing social, legal and healthy ...

  3. The life stories of motherhood among divorced women in Taiwan.

    Science.gov (United States)

    Yang, Li-Ling

    2008-09-01

    The purpose of this study is to delineate life stories of motherhood among divorced women, and to answer the following research questions: (1) How does their motherhood develop? (2) How does divorce impact on motherhood? (3) How do mothers cope with divorce? (4) What does motherhood mean for these mothers? Through in-depth interviews, inter-subjective interaction and story writing, a total of six women's stories were collected. The following titles were found for stories of motherhood among these divorced women: (1) Walking in balanced steps. (2) Becoming a single mom is not a surprise. (3) Seeking reunion for the sake of the kids. (4) Grieving for the loss of an integrated family. (5) I found myself. (6) A diamond becomes a stone. Motherhood was found not to be a set of stable role expectations, but to be transforming and shaping through reflective thoughts on motherhood, which were impacted by interactions between the mothers and their children, and by the social contexts they encountered. The impact of divorce on motherhood was found to be both positive and negative. Some families even enjoyed life more after discontinuing their chaotic marriage. Still, motherhood of divorced women was full of challenges and disadvantages due to a concrete double burden and invisible social persecution. Invisible social persecution of divorce was performed through the mechanism of stigma. Stigma was transmitted through the value myths of motherhood, which are passed from generation to generation through parent-child interactions. Stigmatized divorce made these mothers feel more guilt and powerlessness. Divorced motherhood was therefore found to be intertwined with processes of caring and grieving. In this research, however, community resources were found to be very helpful in supporting these families, and were able to empower them to overcome the myths. Life story research was found to be an effective support, inspiring deeper reflection, and empowering the storyteller. The

  4. Teen motherhood and long-term health consequences.

    Science.gov (United States)

    Patel, Payal H; Sen, Bisakha

    2012-07-01

    The objective of this article is to examine the association of teen motherhood and long-term physical and mental health outcomes. The physical and mental health components (PCS and MCS) of the SF-12 Healthy Survey in the NLSY79 health module were used to assess long-term health outcomes of women who experienced teenage motherhood. Various familial, demographic, and environmental characteristics were indentified and controlled for that may have predicted teen motherhood and long-term health outcomes. The two comparison groups for teen mothers were women who experienced teen-pregnancy only and women who were engaged in unprotected sexual activity as a teenage but did not experience pregnancy. Multivariate ordinary least squares regression was used for analysis. The average PCS and MCS for teen mothers was 49.91 and 50.89, respectively. Teen mothers exhibited poorer physical health later in life compared to all women as well as the comparison groups. When controlling for age, teen mothers had significantly lower PCS and MCS scores compared to all other women. Furthermore, when controlling for familial, demographic, and environmental characteristics, teen mothers exhibited significantly lower PCS and MCS scores. When comparing teen mothers to the two comparison groups, PCS was not statistically different although MCS was significantly lower in the teen-pregnancy group. Teen motherhood does lead to poorer physical health outcomes later in life. On the other hand, poorer mental health outcomes in later life may be attributed to the unmeasured factors leading to a teen pregnancy and not teen motherhood itself. Additional research needs to be conducted on the long-term consequences of teen motherhood.

  5. Myths of motherhood. The role of culture in the development of postpartum depression.

    Science.gov (United States)

    Ambrosini, Alessandra; Stanghellini, Giovanni

    2012-01-01

    This paper intends to offer a theoretical insight into the myths of motherhood and how these myths can bear on the pathogenesis of postpartum depression. From a man's view motherhood is conceptualized as a necessary stage in the progress towards the attainment of femininity. This view is impersonal and external to the experience of motherhood. From a female perspective, motherhood presents itself as a conflicting situation. We will then focus on the necessity to construct a discourse on motherhood by using a code which belongs to women rather than men. The analysis of a blog and a comedy show will provide evidence concerning the evolution of the female discourse on motherhood thus contributing to the debunking of the myths of motherhood. The final section discusses ways in which myths of motherhood can bear on the pathogenesis of postpartum. Among "melancholic type" women, who tend to abide by social norms, play established social roles and hide their inner conflicts, myths of motherhood contribute to suppress the contradiction which is intrinsic to motherhood itself making this contradiction uncontrollable and potentially devastating.

  6. Motherhood, Choice and the British Media: A Time to Reflect

    Science.gov (United States)

    Hadfield, L.; Rudoe, N.; Sanderson-Mann, J.

    2007-01-01

    In this paper we ask: How is motherhood being represented in the British media, especially in relation to choice, age and fertility? Do media discourses reflect a redefinition or transformation of "motherhood" in the twenty-first century, and what implications do they have for feminist research into maternal identity and motherhood? As…

  7. Myths of motherhood. The role of culture in the development of postpartum depression

    Directory of Open Access Journals (Sweden)

    Alessandra Ambrosini

    2012-01-01

    Full Text Available OBJECTIVES: This paper intends to offer a theoretical insight into the myths of motherhood and how these myths can bear on the pathogenesis of postpartum depression. METHODS: From a man's view motherhood is conceptualized as a necessary stage in the progress towards the attainment of femininity. This view is impersonal and external to the experience of motherhood. From a female perspective, motherhood presents itself as a conflicting situation. We will then focus on the necessity to construct a discourse on motherhood by using a code which belongs to women rather than men. The analysis of a blog and a comedy show will provide evidence concerning the evolution of the female discourse on motherhood thus contributing to the debunking of the myths of motherhood. The final section discusses ways in which myths of motherhood can bear on the pathogenesis of postpartum. CONCLUSIONS: Among "melancholic type" women, who tend to abide by social norms, play established social roles and hide their inner conflicts, myths of motherhood contribute to suppress the contradiction which is intrinsic to motherhood itself making this contradiction uncontrollable and potentially devastating.

  8. Mobilizing motherhood: case study of two women's organizations advocating HIV prevention programs in Indonesia

    NARCIS (Netherlands)

    Imelda, J.D.

    2011-01-01

    This PhD project examines the strategy of mobilizing motherhood through two Indonesian women’s organizations - the Pembinaan Kesejahteraan Keluarga (Family Welfare Movement, or PKK) and Tim ODHA Perempuan (Seropositive Women’s Team, or TOP Support) - in the attempt to make prevention of

  9. Motherhood in women with serious mental illness.

    Science.gov (United States)

    Benders-Hadi, Nikole; Barber, Mary; Alexander, Mary Jane

    2013-03-01

    This study aimed to determine the prevalence of motherhood among inpatient females at a large state psychiatric hospital in suburban New York, as well as develop an understanding of the characteristics and needs of this unique population. Data on motherhood status was gathered from October 2010 through April 2011 via medical records. Data on custody status, frequency of contacts with children, and effect of mental illness on parenting was assessed through patient surveys and focus groups. 38.5 % of female inpatients were found to be mothers, almost half of whom reported at least weekly contact with children despite their inpatient status. The majority of identified mothers reported having maintained custody of their minor children and expressed great pride at being primary caretakers for their children, yet also emphasized the challenging effects of stigma associated with mental illness and parenting. A significant proportion of women at this psychiatric hospital were found to be mothers. Although acknowledged by some clinicians at the individual level, motherhood appears to remain a forgotten role systemically. Determining motherhood status and recognizing the varied roles our patients have is one more way mental health providers can model and promote recovery-oriented care.

  10. Surrogate motherhood

    OpenAIRE

    Arteta-Acosta Cindy

    2011-01-01

    Surrogate motherhood, also known as surrogacy, has recently become achance to exercise the right of paternity by some people. Surrogacy itself did notinvolve a disadvantaged idea, but when this is coupled with scientific experimentsand economic and personal interests, requires intervention of the State tolegislate about consequences arising from the unlimited execution of this practice. Since 70’s,developed countries have been creating laws, decrees and regulations to regulateassisted reprodu...

  11. Maternal Silences: Motherhood and Voluntary Childlessness in Contemporary Christianity

    Directory of Open Access Journals (Sweden)

    Dawn Llewellyn

    2016-06-01

    Full Text Available In Christianity, there is an ideology of motherhood that pervades scripture, ritual, and doctrine, yet there is an academic silence that means relatively little space has been given to motherhood and mothering, and even less to voluntary childlessness, from a faith perspective. By drawing on qualitative in-depth interviews with Christian women living in Britain, narrating their experiences of motherhood and voluntary childlessness, I suggest there are also lived maternal silences encountered by women in contemporary Christianity. There is a maternal expectation produced through church teaching, liturgy and culture that constructs women as ‘maternal bodies’ (Gatrell 2008; this silences and marginalises women from articulating their complex relationship with religion, motherhood, and childlessness in ways that challenge their spiritual development. However, this article also introduces the everyday and intentional tactics women employ to disrupt the maternal expectation, and hereby interrupt the maternal silence.

  12. Single Motherhood, Alcohol Dependence, and Smoking During Pregnancy: A Propensity Score Analysis.

    Science.gov (United States)

    Waldron, Mary; Bucholz, Kathleen K; Lian, Min; Lessov-Schlaggar, Christina N; Miller, Ruth Huang; Lynskey, Michael T; Knopik, Valerie S; Madden, Pamela A F; Heath, Andrew C

    2017-09-01

    Few studies linking single motherhood and maternal smoking during pregnancy consider correlated risk from problem substance use beyond history of smoking and concurrent use of alcohol. In the present study, we used propensity score methods to examine whether the risk of smoking during pregnancy associated with single motherhood is the result of potential confounders, including alcohol dependence. Data were drawn from mothers participating in a birth cohort study of their female like-sex twin offspring (n = 257 African ancestry; n = 1,711 European or other ancestry). We conducted standard logistic regression models predicting smoking during pregnancy from single motherhood at twins' birth, followed by propensity score analyses comparing single-mother and two-parent families stratified by predicted probability of single motherhood. In standard models, single motherhood predicted increased risk of smoking during pregnancy in European ancestry but not African ancestry families. In propensity score analyses, rates of smoking during pregnancy were elevated in single-mother relative to two-parent European ancestry families across much of the spectrum a priori risk of single motherhood. Among African ancestry families, within-strata comparisons of smoking during pregnancy by single-mother status were nonsignificant. These findings highlight single motherhood as a unique risk factor for smoking during pregnancy in European ancestry mothers, over and above alcohol dependence. Additional research is needed to identify risks, beyond single motherhood, associated with smoking during pregnancy in African ancestry mothers.

  13. Analysing the Experience of Motherhood Among Adolescents Living With HIV

    Directory of Open Access Journals (Sweden)

    Gabriela Cássia Ritt

    2017-05-01

    Full Text Available AimAdolescent motherhood is considered a condition of vulnerability that can be further complicated by the presence of HIV infection, but little is known about how adolescent mothers experience this process. The aim of this study was to analyse the experience of motherhood among adolescents living with HIV.MethodSeven mothers (15-21 years recruited in specialized services in Porto Alegre/Brazil, whose babies’ ages ranged from four to six months, were interviewed. Interviews were tape-recorded and transcribed verbatim.ResultsThe qualitative content analysis of the interviews revealed a positive vision of motherhood, related to satisfaction with the maternal role and personal fulfilment. Pregnancy and motherhood served to these adolescents as an encouragement for self-care. The mothers’ difficulties were related to HIV and to the repercussions of this clinical condition, especially feelings of frustration and incompleteness of motherhood on the impossibility of breastfeeding, as well as fear facing the risk of MTCT.ConclusionFuture research of longitudinal design and with larger samples will be important to extend the knowledge of the specificities of this experience over time for young people of different ages and social backgrounds.

  14. Myths of motherhood. The role of culture in the development of postpartum depression

    OpenAIRE

    Alessandra Ambrosini; Giovanni Stanghellini

    2012-01-01

    OBJECTIVES: This paper intends to offer a theoretical insight into the myths of motherhood and how these myths can bear on the pathogenesis of postpartum depression. METHODS: From a man's view motherhood is conceptualized as a necessary stage in the progress towards the attainment of femininity. This view is impersonal and external to the experience of motherhood. From a female perspective, motherhood presents itself as a conflicting situation. We will then focus on the necessity to construct...

  15. Relationship of motivation for motherhood with some sociodemographic variables and gender identity

    Directory of Open Access Journals (Sweden)

    Vuletić Georgije M.

    2016-01-01

    Full Text Available Main goal of the research was to explore the relationship between motivation for motherhood and some of the sociodemographic variables which have been noticed as significant in the similar researches of other authors, as well as relation to the gender roles and gender identity, according to the model proposed by Sandra Bem. The study was conducted on the sample consisting of 571 female students in Belgrade. Statistically significant correlations are confirmed between motivation for motherhood and number of siblings, age of subject's mother and age of subject's mother at first birth. The highest correlation is found between motivation for motherhood and femininity. It is also proposed a preliminary questioner, as the first step of constructing an adequate instrument for measuring motivation for motherhood. The questioner is used for estimation of motivation for motherhood in this research.

  16. Surrogate motherhood in illness that does not cause infertility

    African Journals Online (AJOL)

    Surrogate motherhood in South Africa (SA) is regulated by the. Children's Act,[1] the National Health Act[2] and its regulations,[3] and court cases.[4-6] The Children's Act formulates the legal requirement for a commissioning parent or parents to legally access surrogacy:[1]. 'A court may not confirm a surrogate motherhood ...

  17. Understanding of motherhood and parenthood over time – Preliminary study

    Directory of Open Access Journals (Sweden)

    Anita Jug Došler

    2012-12-01

    Full Text Available The paper presents a theoretical overview and analysis of the current understanding of the concept of motherhood and related facts. Besides, it presents the results of a research obtained through a questionnaire designed and administered for this purpose. A theoretical overview of the perception and experience of femininity and motherhood in history is given in the introduction. Further, the role of motherhood and parenting is defined and an attempt is made to under- stand in what direction motherhood will develop in the future. The empirical part shows the ideas of young people (students on motherhood, their opinion on the current situation and the role of women and mothers in relation to the maternal myth. The survey, conducted in 2012, included 100 full-time students (N = 100, 50 male (50% and 50 female (50%, from four faculties of the University of Ljubljana. Statistically significant differences have been found in their views on the future of maternity. Most male students (60.0% believe that in the future mothers will be more focused on their careers and less on their families, whereas fewer female students share this view (38.0%. The survey made it evident that yo- ung people are aware of the changes occurring over time, although the traditional view of the role of motherhood and the family is still predominant. The results also show that the respondents are aware of the need for gender equality and equal division of family roles between men and women. Our research revealed that women are more aware of this than men.

  18. [The paradox of motherhood].

    Science.gov (United States)

    Ouaidou, N G

    1990-08-01

    All Sahelian countries are working to define their population policies. A population policy document avoids dispersion and duplication. It opens the path to efficiency. It makes it easier to achieve governmental socioeconomic objectives. Various recent population-related meetings have at least two points in common: they aim to overstep and improve a given situation and are at the same time some examples of implementing the Ndjamena action program, adopted in January 1989. All these population-centered actions return to the problem of adolescent fertility--a poignant problem. Adolescent pregnancy is a major source of family and social break-ups. This paradox of motherhood makes a violent storm burst in the skies ordinarily serene with joy and hope. It is an enemy perverse to economic development and social progress. Adolescent motherhood is a phenomenon which complicates and aggravates population problems and is taboo to the point it is still imperceptible, unknown. It is a problem of premier importance in the Sahel. Pregnancy strikes a woman so very unprepared for motherhood and its demands. It risks the life of a being which is preparing itself to enter the world. Adolescent pregnancy has equally tragic health effects: poorly performed underground abortions and maternal and infant deaths. Adolescent fertility is a burning problem regardless of the perspective (demographic, economic, social, or health). In Sahelian countries, one is beginning to be interested in and to speak about it. It will be necessary to search for solutions. Schools must be a top target for all activities aiming to check adolescent fertility. The emphasis must be on information, education, and responsibility of girls, boys, teachers, and parents. Education and training are of capital importance for socioeconomic development of the Sahel. All activities implemented in the education sector should include a large place for family life education in pregnancy prevention.

  19. Dating, mating, and motherhood: identity construction among Mexican maquila workers.

    Science.gov (United States)

    Tiano, S; Ladino, C

    1999-02-01

    The authors explore the gender identities among women factory workers in Ciudad Juarez, Mexico. Using data from 3 generations of women, they show that women's participation in the maquila work force is exposing them to new ideologies which challenge traditional images embodied in the marianismo ideal of Mexican womanhood. By focusing upon women's changing experiences of courtship and motherhood, the authors suggest that conventional discourses stressing parentally supervised mate selection and full-time motherhood are being challenged by alternative ones which allow young women to socialize freely with prospective mates in unsupervised contexts, and expand the meaning of responsible motherhood to encompass full-time employment. Women workers' identities are fluid processes in permanent negotiation. ¿

  20. [Biomedical Perspective of the Surrogate Motherhood].

    Science.gov (United States)

    Jouve de la Barreda, Nicolás

    2017-01-01

    The subrogated motherhood takes place when an embryo created by in vitro fertilization (IVF) technology is implanted in a surrogate, sometimes called a gestational mother, by means a contract with her. It can imply to natural families (woman and man) with or without infertility problems, or to monoparental or biparental families of the same sex. Concerning the origin of the gametes used in the IVF emerges different implications on the genetic relationship of the resulting child with the surrogate and the future parents. The subrogated motherhood was initially considered an option to solve infertility problems. Nevertheless this practice has become a possible and attractive option as a source of economic resources for poor women. The cases of benefit of a pregnancy without mediating a contract are exceptional and they are not properly cases of ″subrogated maternity″ but of ″altruistic maternity″ and must be considered as heterologous in vitro fertilization. In this article are analyzed the medical, genetic and bioethics aspects of this new derivation of the fertilization in vitro. As points of special attention are considered the following questions: Is it the surrogate motherhood used preferably to solve infertility problems? Is not this actually a new form of exploitation of the woman? Does not suppose an attack to the natural family? Does not suppose in addition an attack to the dignity of the human being?

  1. MOTHERHOOD EXPERIENCE: ADOPTIVE AND BIOLOGICAL MOTHERS

    Directory of Open Access Journals (Sweden)

    Yulia F. Lakhvich

    2014-12-01

    Full Text Available To become a mother … To be a mother … What does it mean for a woman? And what else changes her life so irreversibly, allows to see the world in a different way and discovers new, earlier unknown features? Probably, nothing does. However, there is also a question how a woman bearing a child and carrying out motherhood responsibilities and a woman who has not given life to a child, but carrying out the same responsibilities, goes through the process of motherhood. It is one of the questions that was studied in a comparative research of the adaptation process in the Belarusian adoptive and biological families in case of a child appearing in the family. The study involved 64 adoptive and 62 biological mothers.

  2. Experiencing and the realization of motherhood by teenage mothers

    Directory of Open Access Journals (Sweden)

    Ewa Rzechowska

    2015-04-01

    Full Text Available Background Early motherhood constitutes a difficult challenge for girls, and the level of their performance in that role is varied. In this article, teenage motherhood as a process is considered. The objective of the research was to determine the paths by which teenage girls enter the mother role. Particular attention was paid to the nature of individual differences in the ways of experiencing and the realization of the successive steps of teenage motherhood: how the girls reacted to the fact of being a mother, what they experienced and how they behaved during pregnancy and performed child care. Participants and procedure In the research, 166 mothers who had given birth to their children between the 15th and 19th year of life were included (at the moment of giving birth to the child, the age of the mother was M = 17.22. A follower interview was used. It was directed towards recreating the course of their lives from the period preceding becoming pregnant to the period of pregnancy and looking after the child, taking into consideration the complex situations connected with life and development of the female teenagers. Results In the research, we applied the Reconstruction Strategy of the Process Transformation, setting the direction of qualitative analyses: (1 the level of single cases (case study, and (2 the level of the collection of cases (extracting groups of girls with common characteristics using the artificial intelligence algorithm C4.5. The analysis revealed the diversity and the internal structure of paths of the experience and realization of early motherhood: from negating oneself as a responsible mother to accepting the role of mother. Conclusions The final result is constituted by the model revealing the transformation of teenage motherhood and mechanisms underlying it.

  3. Surrogate motherhood as a medical treatment procedure for women's infertility.

    Science.gov (United States)

    Jovic, Olga S

    2011-03-01

    The content of this work is conceived on the research of the consequences of surrogate motherhood as a process of assisted procreation, which represent a way of parenthood in cases when it is not possible to realize parenthood through a natural way. Surrogate motherhood is a process in which a woman (surrogate mother) agrees to carry a pregnancy with the intent to give the child to the couple with whom she has made a contract on surrogate maternity after the birth. This process of conception and birth makes the determination of the child's origin on its mother's side hard to determine, because of the distinction of the genetic and gestation phases of the two women. The concept of surrogate motherhood is to appear in two forms, depending on the existence or the non-existence of the genetic link between the surrogate mother and the child she gives birth to. There are gestation (full) and genetic (partial) surrogates each with different modalities and legal and ethical implications. In Serbia, Infertility Treatment and the Bio-medically Assisted Procreation Act from 2009 explicitly forbids surrogate motherhood, despite the fact that an infertile couple decides to use it, as a rule, after having tried all other treatment procedures, in cases when there is a diagnosis but the conventional treatment applied has not produced the desired results. Given the fact that no one has the right to ignore the sufferings of people who cannot procreate naturally, the medical practice and legal science in our country plead for a formulation of a legal framework in which to apply surrogate motherhood as an infertility treatment, under particular conditions.

  4. Surrogate Motherhood II: Reflections after "Baby M."

    Science.gov (United States)

    Schwartz, Lita Linzer

    1988-01-01

    Discusses the "Baby M" surrogate motherhood case which has produced heated debate in popular media, legal publications, and other professional journals. Summarizes arguments offered and reasoning behind actions of judiciary. (Author/ABL)

  5. Thinking Intergenerationally about Motherhood

    Directory of Open Access Journals (Sweden)

    Rachel Thomson

    2009-01-01

    Full Text Available This paper draws on The Making of Modern Motherhoods study, which explores how a contemporary generation of women are creating motherhood, and how intergenerational dynamics of mother daughter relationships can provide insight into the interplay of historical, biographical and generational processes. The study combines an intergeneration and longtitudinal research design, building 12 case studies from an initial interview sample of 62 expectant first time mothers. The paper begins with a review of the conceptual tools employed within the study in order to make sense of rich empirical data, including memory, generation, co-existence and configuration. These themes are then realised through a detailed case history of the Calder family – tracing the impact of the arrival of a new generation. This thick description enables us to see beyond the individual towards the historically contingent configuration that is a ‘family’. By counter posing the horizontal dimensions of the generation against the vertical dimension of historical process and intergenerational change it is possible to capture a sense of how people live, creating change in order to establish continuity. The paper concludes by exploring the contingency of formations of mothering and their connectedness over time, through reflections on the interplay of historical, generational and biographical temporalities.

  6. Making existential meaning in transition to motherhood

    DEFF Research Database (Denmark)

    Prinds, Christina Lange; Mogensen, Ole; Hvidt, Niels Christian

    2013-01-01

    living, and to some women also being interpreted as a spiritual experience. However, in present maternity services there is a predominant focus on biomedical issues, which sets the arena for motherhood transition, and the issues related to potentially existentially changing experiences......) outcome measures, and (g) results. Measurements: The studies were synthesised in a thematisation on the basis of the existential psychotherapist and philosopher Emmy van Deurzen's concepts of four interwoven life dimensions, through which we experience, interpret, and act in the world: Umwelt, Mitwelt......, Eigenwelt, and Überwelt. Key conclusions: The findings in this review suggest that transition to motherhood is considered a pivotal and paradoxical life event. Through the lens of existential psychology it can be interpreted as an existentially changing event, reorganising values and what makes life worth...

  7. Motherhood, Gender Education Reforms, Empowerment, MDGS ...

    African Journals Online (AJOL)

    reforms/innovations in motherhood/gender education in enhancing attainment of the Millennium Development Goals in Africa for sustainable development. In doing this, responses of 1,672 working mothers, randomly selected from North, South, East, and West Africa were analyzed which identified top among ten others as ...

  8. Early Motherhood and Subsequent Life Outcomes

    Science.gov (United States)

    Boden, Joseph M.; Fergusson, David M.; Horwood, L. John

    2008-01-01

    Background: Early motherhood has been linked with a number of adverse outcomes, including mental health difficulties and barriers to completing educational qualifications and workforce participation. The present study examined the extent to which these linkages could be explained by the influence of social, family, and background factors that were…

  9. Making existential meaning in transition to motherhood-A scoping review

    DEFF Research Database (Denmark)

    Prinds, Christina; Hvidt, Niels Christian; Mogensen, Ole

    2014-01-01

    the approach of a scoping review. Systematic searches in the electronic databases PubMed, CINAHL and PsycINFO were combined with manual and electronic searches for related references. Studies published between 1990 and 2010 examining dimensions of existential meaning-making in transition to motherhood were......, and to some women also being interpreted as a spiritual experience. However, in present maternity services there is a predominant focus on biomedical issues, which sets the arena for motherhood transition, and the issues related to potentially existentially changing experiences, are not considered important...

  10. Adolescent motherhood in Bangladesh: Evidence from 2007 BDHS data

    Directory of Open Access Journals (Sweden)

    S.M. Mostafa Kamal

    2012-01-01

    Full Text Available This paper examines the factors affecting adolescent motherhood in Bangladesh using the 2007 Bangladesh Demographic and Health Survey data. Overall, 69.3 per cent of the married adolescents began childbearing. Among them 56.4 per cent were already mothers and 12.9per cent were pregnant for the first time. Of the adult married women age 20–49, 62.1 per cent initiated childbearing before age 19. The multiple logistic regression analyses revealed that women’s education, husband’s education, place of residence, ever use of contraceptive method, religion, wealth and region are important determinants of adolescent motherhood in Bangladesh.

  11. Strangers in a Strange Land: Envisioning the darker side of motherhood

    OpenAIRE

    Xeros-Constantinides, Sophia Strugnell

    2017-01-01

    Maternity is often idealized within society, where motherhood ‘myths’ paint unachievable pictures of maternal perfection and blissful union with baby. This thesis and studio-based artwork look behind the mask of maternal perfection, at what real women have said and shown of their actual experiences of maternity. The research examines the darker side of motherhood, and how this has been depicted. Through picture-making, I find new visual forms for maternity, based on the meta...

  12. Juggling identities of rheumatoid arthritis, motherhood and paid work - a grounded theory study.

    Science.gov (United States)

    Feddersen, Helle; Mechlenborg Kristiansen, Tine; Tanggaard Andersen, Pernille; Hørslev-Petersen, Kim; Primdahl, Jette

    2018-02-01

    To explore how women with rheumatoid arthritis manage their illness, motherhood, and work life. A constructivist, grounded theory approach based on individual interviews and participant observations with 20 women with rheumatoid arthritis who participated in work life and had children living at home or were pregnant. After initial and focused coding Goffman's concepts of social identity were applied. A core category: "Juggling meaningful identities" and three conceptual categories were developed: (1) Work life as the strongest identity marker; (2) Motherhood: a two-sided act; (3) Living with rheumatoid arthritis as an identity? Paid work, motherhood, and illness are linked to the women's social identities. The women construct and change their identities in interactions with children, partners, other parents, colleagues, and employers. The women attribute the highest priority to their professional identity, spending the majority of their time and energy in an effort to appear as "good stable workers". The disease is seen as a hindrance in this regard, and the illness identity is almost completely rejected. In motherhood, the women prioritize close interaction with their children, and deprioritize external activities. Extended outbreaks of the disease and issues regarding the children force the women to deprioritize working life. Implications for rehabilitation Juggling meaningful identities of rheumatoid arthritis, motherhood, and paid work challenge women in managing their everyday lives. Therefore, rehabilitation professionals should support individuals to develop new strategies to manage the challenges they experience regarding juggling motherhood and work ability. Work is a dominant identity marker for women with rheumatoid arthritis therefore, rehabilitation professionals have an important role to play in investigating possible ways for the individual to maintain employment or return to work. Living with rheumatoid arthritis and being a paid worker challenge

  13. Legal regulation of surrogate motherhood in Israel.

    Science.gov (United States)

    Frenkel, D A

    2001-01-01

    The Israeli Law on surrogate motherhood demands a preconception agreement to include payments to be made to the surrogate mother. Surrogacy arrangements with family members are forbidden. Commercial surrogacy is allowed and encouraged. The Law causes many problems. Validity of consent given by surrogate mothers is doubtful. Possible future psychological harm are ignored. There is a danger of "commodification" of children. Abusing women of low socio-economic status as breeding machines may be another outcome. No clear responsibility is imposed on the "intended parents" for an impaired child. The law ignores possibility of divorce or death of the "intended parents" before the child's birth. Splitting motherhood is another social problem that has to be dealt with. So far the sperm of the husband from the "intended parents" has to be used, but further steps may follow. It is not certain that a policy of "positive eugenics" will not develop.

  14. Between Office and Motherhood: Municipal Authorities in Oaxaca

    Directory of Open Access Journals (Sweden)

    Verónica Vázquez García

    2012-01-01

    Full Text Available In México, women's participation in municipal politics faces, among other difficulties, that of reconciling domestic and public responsibilities. Drawing on research conducted with eighteen female mayors of Oaxaca, this paper analyzes the ways in which women perceive the relationship between motherhood, double burden (child raising and domestic work and their presidential position. All the women who have ruled a Custom and Practice municipality in Oaxaca since 1996 were interviewed. Two main conclusions are drawn from the analysis. First, the relationship between motherhood and presidential position varies according to women's marital status; the age of their children; and their chances of hiring domestic help. Second, even if women assume a public position of prestige and responsibility, they continue to perform domestic duties; household chores do not get redistributed among its members.

  15. Lessons from Semmelweis:A Social Epidemiologic Update On Safe Motherhood

    Directory of Open Access Journals (Sweden)

    Julie Cwikel

    2008-01-01

    Full Text Available In this historical review, Ignaz Semmelweis's study of handwashing to prevent puerperal fever is described and used as a benchmark from which to identify salient issues that are informative to today's women’s health activists working for Safe Motherhood. The epidemiology of contemporary excess maternal mortality is reviewed. Using the conceptual framework of social epidemiology, the paper addresses four issues that were problematic in Semmelweis’ era. New tools in public health are presented that can help to solve critical, still challenging problems to reduce excess maternal mortality, nosocomial infections, and puerperal fever at childbirth: 1 progress in behavioral methods to promote health behavior change, 2 the introduction of participatory action research, 3 the diffusion of evidence-based public health practice and 4 understanding how politics and health interact and present challenges when trying to meet public health goals. Social exclusion and marginality are still key issues in determining who has access to safe motherhood and who risks her life in maternity. Applied social epidemiology allows practitioners to make effective use of the already accumulated evidence and translate it into effective public health practice to promote safe motherhood around the world.

  16. Juggling identities of rheumatoid arthritis, motherhood and paid work

    DEFF Research Database (Denmark)

    Feddersen, Helle; Mechlenborg Kristiansen, Tine; Andersen, Pernille Tanggaard

    2018-01-01

    professionals have an important role to play in investigating possible ways for the individual to maintain employment or return to work. Living with rheumatoid arthritis and being a paid worker challenge women's role performance and thereby their identification as mothers. Therefore, rehabilitation......PURPOSE: To explore how women with rheumatoid arthritis manage their illness, motherhood, and work life. METHODS: A constructivist, grounded theory approach based on individual interviews and participant observations with 20 women with rheumatoid arthritis who participated in work life and had......-sided act; (3) Living with rheumatoid arthritis as an identity? Paid work, motherhood, and illness are linked to the women's social identities. The women construct and change their identities in interactions with children, partners, other parents, colleagues, and employers. CONCLUSION: The women attribute...

  17. The influence of motherhood on neural systems for reward processing in low income, minority, young women.

    Science.gov (United States)

    Moses-Kolko, Eydie L; Forbes, Erika E; Stepp, Stephanie; Fraser, David; Keenan, Kate E; Guyer, Amanda E; Chase, Henry W; Phillips, Mary L; Zevallos, Carlos R; Guo, Chaohui; Hipwell, Alison E

    2016-04-01

    Given the association between maternal caregiving behavior and heightened neural reward activity in experimental animal studies, the present study examined whether motherhood in humans positively modulates reward-processing neural circuits, even among mothers exposed to various life stressors and depression. Subjects were 77 first-time mothers and 126 nulliparous young women from the Pittsburgh Girls Study, a longitudinal study beginning in childhood. Subjects underwent a monetary reward task during functional magnetic resonance imaging in addition to assessment of current depressive symptoms. Life stress was measured by averaging data collected between ages 8-15 years. Using a region-of-interest approach, we conducted hierarchical regression to examine the relationship of psychosocial factors (life stress and current depression) and motherhood with extracted ventral striatal (VST) response to reward anticipation. Whole-brain regression analyses were performed post-hoc to explore non-striatal regions associated with reward anticipation in mothers vs nulliparous women. Anticipation of monetary reward was associated with increased neural activity in expected regions including caudate, orbitofrontal, occipital, superior and middle frontal cortices. There was no main effect of motherhood nor motherhood-by-psychosocial factor interaction effect on VST response during reward anticipation. Depressive symptoms were associated with increased VST activity across the entire sample. In exploratory whole brain analysis, motherhood was associated with increased somatosensory cortex activity to reward (FWE cluster forming threshold preward anticipation-related VST activity nor does motherhood modulate the impact of depression or life stress on VST activity. Future studies are needed to evaluate whether earlier postpartum assessment of reward function, inclusion of mothers with more severe depressive symptoms, and use of reward tasks specific for social reward might reveal an

  18. Psychosocial issues of women with type 1 diabetes transitioning to motherhood: a structured literature review.

    Science.gov (United States)

    Rasmussen, Bodil; Hendrieckx, Christel; Clarke, Brydie; Botti, Mari; Dunning, Trisha; Jenkins, Alicia; Speight, Jane

    2013-11-23

    Life transitions often involve complex decisions, challenges and changes that affect diabetes management. Transition to motherhood is a major life event accompanied by increased risk that the pregnancy will lead to or accelerate existing diabetes-related complications, as well as risk of adverse pregnancy outcomes, all of which inevitably increase anxiety. The frequency of hyperglycaemia and hypoglycaemia often increases during pregnancy, which causes concern for the health and physical well-being of the mother and unborn child. This review aimed to examine the experiences of women with T1DM focusing on the pregnancy and postnatal phases of their transition to motherhood. The structured literature review comprised a comprehensive search strategy identifying primary studies published in English between 1990-2012. Standard literature databases were searched along with the contents of diabetes-specific journals. Reference lists of included studies were checked. Search terms included: 'diabetes', 'type 1', 'pregnancy', 'motherhood', 'transition', 'social support', 'quality of life' and 'psychological well-being'. Of 112 abstracts returned, 62 articles were reviewed in full-text, and 16 met the inclusion criteria. There was a high level of diversity among these studies but three common key themes were identified. They related to physical (maternal and fetal) well-being, psychological well-being and social environment. The results were synthesized narratively. Women with type 1 diabetes experience a variety of psychosocial issues in their transition to motherhood: increased levels of anxiety, diabetes-related distress, guilt, a sense of disconnectedness from health professionals, and a focus on medicalisation of pregnancy rather than the positive transition to motherhood. A trusting relationship with health professionals, sharing experiences with other women with diabetes, active social support, shared decision and responsibilities for diabetes management assisted the

  19. Being in charge - new mothers' perceptions of reflective leadership and motherhood.

    Science.gov (United States)

    Akerjordet, Kristin; Severinsson, Elisabeth

    2010-05-01

    To explore new mothers' perceptions of reflective leadership in relation to motherhood. Mindfulness, discovery of a deep personal self, sense of life purpose and authenticity appear to be the essence of self-reflective leadership. In this regard, women may be unprepared for the level of distress associated with the transition to motherhood. This study comprised interviews with ten new mothers on day 2-3 after giving birth conducted between March and May 2005. The interviews were audio-taped, transcribed verbatim and interpreted by a method grounded in hermeneutics. The content of the text was interpreted as one overall theme; the nature of responsibility in motherhood, encompassing the following four sub-themes: 'Being a good mother by reflecting and developing self-identity', 'managing fear, demands and commitments as a mother', 'having the necessary resources to act and lead as a mother' and 'believing and trusting in others and self as a leader'. In the new mother's transformation and growth of self, true strength has to overcome the vulnerability of life by means of caring and courage mediated by reflective leadership anchored in love.

  20. Krótka historia macierzyństwa w ujęciu feministycznym (Brief History of Motherhood in Feminist Point of View

    Directory of Open Access Journals (Sweden)

    Justyna Wodzik

    2011-12-01

    Full Text Available Feminist thought of motherhood begins with First Wave, when thinkers were convinced of naturalistic point of view according to which women are predestined to be a mother (M. Wollstonecraft, J.S. Mill, H. Taylor. Women’s liberation was put down for a while by given them vote rights. The next wave of women’s liberation came back after II World War. Denaturalization of motherhood starts with Simone de Beauvoir’s Second Sex where she presents an analysis of mother stereotypes and social processes of promoting specific motherhood-mode, which works for the patriarchal culture. She does not treat motherhood and child rearing as something natural for every woman. Beauvoir’s critics set up a debate about the possibility ofnon-patriarchal motherhood where being a mother is independent from patriarchal order, as ground for woman’s identity. S. Macintyre postulates division off motherhood and marriage, which is opposite to traditional sociology paradigm. A. Rich creates a definition of motherhood institution so different from intimate experience ofmother, she gives mothers voice to speak about motherhood. N. Chodorow suggests non-patriarchal rule of „double parenting”, which is to reduce differences between sexes. E. Badinter proves that maternal instinct does not exist (in biological way, but it is the social construct exploited by patriarchal system. Works of Beauvoir,Macintyre, Rich, Firestone, Chodorow, Badinter exemplify the slow process of denaturalization of motherhood in feminist thought.

  1. The concept of motherhood among three generations of African American women.

    Science.gov (United States)

    Fouquier, Katherine Ferrell

    2011-06-01

    To provide an understanding of the experiences of three generations of African American women in the transition to motherhood. Hermeneutic phenomenology from an Afrocentric feminist perspective is the methodological approach used in this study. Using the snowball technique, a purposive sample of 18 African American women from three generations who were mostly middle class, partnered, and educated was recruited. Individual open-ended interviews were used to identify information-rich cases that would provide an in-depth understanding of the phenomenon. Generation 1 included seven women, between the ages of 65 and 83 years, who became mothers between 1950 and 1970, prior to the Civil Rights Movement. Generation 2 included five women, between the ages of 51 and 58 years, who became mothers between 1971 and 1990, after the Civil Rights Movement. There were six women in Generation 3, between the ages of 30 and 41 years, who became mothers between 1991 and 2003. Three constitutive patterns and their associated themes were identified. The first pattern, It Took Me a Minute, had three themes: Finding Out, Realizing What Mothers Do, and Way Tricked! The second pattern, Preserving Our Home, had four themes: Mothering Within the isms: Racism, Classism, and Sexism, I Did the Best I Could, Mothers and Others, and Spiritual Mothers. Eat the Meat, Throw Away the Bone, the third pattern, had two themes: The Ways in Which We Learn and Someone Who Looks Like Me. The results of this study reveal some consistency with current descriptions of maternal identity and becoming a mother and add to our understanding of the complexities that racism, classism, and sexism play in the lives of African American mothers and their families. The data from this study also suggest that future development of theoretical frameworks and analytical tools, used to assess the effects of stress and other psychosocial factors on health, need to be grounded in a historic understanding of the African American

  2. Construction of meaningful identities in the context of rheumatoid arthritis, motherhood and paid work

    DEFF Research Database (Denmark)

    Feddersen, Helle; Kristiansen, Tine Mechlenborg; Andersen, Pernille Tanggaard

    2017-01-01

    AIMS AND OBJECTIVES: To derive new conceptual understanding about how women with rheumatoid arthritis manage their illness, motherhood and paid work, based on a comprehensive overview of existing knowledge, gained from qualitative studies. BACKGROUND: Rheumatoid arthritis affects several social...... aspects of life; however, little is known about how women with rheumatoid arthritis simultaneously manage their illness, motherhood and paid work. DESIGN: Qualitative metasynthesis. METHODS: A qualitative metasynthesis informed by Noblit and Hare's meta-ethnography was carried out, based on studies...... identified by a systematic search in nine databases. RESULTS: Six studies were included. Social interactions in the performance of three interdependent sub-identities emerged as an overarching category, with three sub-categories: Sub-identities associated with (1) Paid work (2) Motherhood and (3) Rheumatoid...

  3. Setting priorities for safe motherhood interventions in resource-scarce settings.

    Science.gov (United States)

    Prata, Ndola; Sreenivas, Amita; Greig, Fiona; Walsh, Julia; Potts, Malcolm

    2010-01-01

    Guide policy-makers in prioritizing safe motherhood interventions. Three models (LOW, MED, HIGH) were constructed based on 34 sub-Saharan African countries to assess the relative cost-effectiveness of available safe motherhood interventions. Cost and effectiveness data were compiled and inserted into the WHO Mother Baby Package Costing Spreadsheet. For each model we assessed the percentage in maternal mortality reduction after implementing all interventions, and optimal combinations of interventions given restricted budgets of US$ 0.50, US$ 1.00, US$ 1.50 per capital maternal health expenditures respectively for LOW, MED, and HIGH models. The most cost-effective interventions were family planning and safe abortion (fpsa), antenatal care including misoprostol distribution for postpartum hemorrhage prevention at home deliveries (anc-miso), followed by sepsis treatment (sepsis) and facility-based postpartum hemorrhage management (pph). The combination of interventions that avert the greatest number of maternal deaths should be prioritized and expanded to cover the greatest number of women at risk. Those which save the most number of lives in each model are 'fpsa, anc-miso' and 'fpsa, sepsis, safe delivery' for LOW; 'fpsa, anc-miso' and 'fpsa, sepsis, safe delivery' for MED; and 'fpsa, anc-miso, sepsis, eclampsia treatment, safe delivery' for HIGH settings. Safe motherhood interventions save a significant number of newborn lives.

  4. Motherhood: From rights to choices

    Directory of Open Access Journals (Sweden)

    Renata Salecl

    2010-01-01

    Full Text Available Motherhood has been perceived as choice in the developed world after the liberalisation of abortion. However, this choice can be extremely anxiety provoking for women, especially in times when the ideology of choice dominates our lives in all possible ways. The paper shows how psychotherapy and psychoanalysis look at this anxiety, it reflects on how family relations are often the traumatic kernel behind this choice, and how the changes that women experience in today's times contribute to the increase of anxiety related to reproduction.

  5. Advantages of later motherhood.

    Science.gov (United States)

    Myrskylä, M; Barclay, K; Goisis, A

    2017-01-01

    In high-income countries childbearing has been increasingly postponed since the 1970s and it is crucial to understand the consequences of this demographic shift. The literature has tended to characterize later motherhood as a significant health threat for children and parents. We contribute to this debate by reviewing recent evidence suggesting that an older maternal age can also have positive effects. Literature linking the age at parenthood with the sociodemographic characteristics of the parents, with macrolevel interactions, and with subjective well-being. Comprehensive review of the existing literature. Recent studies show that there can also be advantages associated with later motherhood. First, whilst in past older mothers had low levels of education and large families, currently older mothers tend to have higher education and smaller families than their younger peers. Consequently, children born to older mothers in the past tended to have worse outcomes than children born to younger mothers, whilst the opposite is true in recent cohorts. Second, postponement of childbearing means that the child is born at a later date and in a later birth cohort, and may benefit from secular changes in the macroenvironment. Evidence shows that when the positive trends in the macroenvironment are strong they overweigh the negative effects of reproductive ageing. Third, existing studies show that happiness increases around and after childbirth among older mothers, whereas for younger mothers the effect does not exist or is short-lived. There are important sociodemographic pathways associated with postponement of childbearing which might compensate or even more than compensate for the biological disadvantages associated with reproductive ageing.

  6. Young Adult Women and the Pilgrimage of Motherhood

    Science.gov (United States)

    Lipperini, Patricia T.

    2016-01-01

    Motherhood is a complex experience that can be transformative, offering women opportunities for personal enrichment and spiritual development. Because the largest incidence of births occurs to women in the Millennial or late Generation X generations, this complex, potentially transformative experience occurs at a critical time in young adult…

  7. [Surrogate Motherhood and Woman Dignity].

    Science.gov (United States)

    Aparisi Miralles, Ángela

    2017-01-01

    Motherhood by subrogation is an issue that directly affects human rights and, ultimately, human dignity. Therefore, if we want to give an adequate response to this issue, it is essential to reflect on how this practice affects the dignity and rights of the people involved in it and, more specifically, the pregnant mother. This study tries to show how in relation to the latter, maternity by subrogation directly contradicts some basic requirements of human dignity, since it reifies, instrumentalizes, convert into an object of commerce, and disregards the personal uniqueness of pregnant women.

  8. Manipulations with human life and surrogate motherhood: ethical aspects and moral guidelines.

    Science.gov (United States)

    Boyko, Fr Ihor

    2011-06-01

    Surrogate motherhood necessarily leads to the question of who is really the mother and what is motherhood. In the judgment of the author, it is necessary to develop a new culture that will bring back to every person the sense of limit and will help humanity develop a more accurate understanding of the duality of scientific and technological progress. Communication between a mother and her unborn child is clearly very close from the biological point of view, but at the same time there exists a mental and spiritual connection. The motherly desire creates the link between a mother and her future child, while the relationship with the child is established at the moment of conception. There is a good alternative to the surrogate motherhood, which most appropriately corresponds to a married couple or family, namely, adoption, which is one of the forms of the valuable service of life. The moral duty of everyone is to protect human race from radical attacks and various forms of manipulation and pass it over intact and preserved for future generations to come.

  9. Safer Systems: A NextGen Aviation Safety Strategic Goal

    Science.gov (United States)

    Darr, Stephen T.; Ricks, Wendell R.; Lemos, Katherine A.

    2008-01-01

    The Joint Planning and Development Office (JPDO), is charged by Congress with developing the concepts and plans for the Next Generation Air Transportation System (NextGen). The National Aviation Safety Strategic Plan (NASSP), developed by the Safety Working Group of the JPDO, focuses on establishing the goals, objectives, and strategies needed to realize the safety objectives of the NextGen Integrated Plan. The three goal areas of the NASSP are Safer Practices, Safer Systems, and Safer Worldwide. Safer Practices emphasizes an integrated, systematic approach to safety risk management through implementation of formalized Safety Management Systems (SMS) that incorporate safety data analysis processes, and the enhancement of methods for ensuring safety is an inherent characteristic of NextGen. Safer Systems emphasizes implementation of safety-enhancing technologies, which will improve safety for human-centered interfaces and enhance the safety of airborne and ground-based systems. Safer Worldwide encourages coordinating the adoption of the safer practices and safer systems technologies, policies and procedures worldwide, such that the maximum level of safety is achieved across air transportation system boundaries. This paper introduces the NASSP and its development, and focuses on the Safer Systems elements of the NASSP, which incorporates three objectives for NextGen systems: 1) provide risk reducing system interfaces, 2) provide safety enhancements for airborne systems, and 3) provide safety enhancements for ground-based systems. The goal of this paper is to expose avionics and air traffic management system developers to NASSP objectives and Safer Systems strategies.

  10. Vexing Motherhoods in Ireland and Abroad in Nuala Ní Chonchúir’s Mother America

    Directory of Open Access Journals (Sweden)

    Aitor Ibarrola-Armendariz

    2018-03-01

    Full Text Available This article explores the difficulties of representing motherhood from a contemporary – and, allegedly, feminist – perspective in the collection of short stories Mother America (2012 by Irish author Nuala Ní Chonchúir. The stories in the volume include a whole typology of mothers: surrogate mothers, exiled mothers, mothers who see their child abducted and others who tattoo them for protection, all of whom need to deal with particular crises which usually change them in profound ways. Although the writer proves very brave in challenging and revising some of the myths and dominant discourses about motherhood in earlier historical periods, she also sometimes resorts to a number of clichés concerning mothers and children that may somehow endanger their qualification as conventional feminist texts. Like some of the literature on the subject, Ní Chonchúir seems rather hesitant and ambivalent about whether motherhood should be primarily conceived as a social construct – or institution – or rather as something natural and innate to the female condition. In any case, Mother America offers penetrating insights into the dilemmas that frequently accompany motherhood and very rarely passes moral judgments on the (rather habitual failures and the (much less common triumphs of the characters.

  11. Stress, Pregnancy, and Motherhood: Implications for Birth Weights in the Borderlands of Texas.

    Science.gov (United States)

    Fleuriet, K Jill; Sunil, T S

    2017-03-01

    We argue that changes over time in how ideas of stress are incorporated into understandings of pregnancy and motherhood among Mexican immigrant women living in the United States may affect the documented increase of low birth weight infants born to those women. Stress has consistently been linked to low birth weight, and pregnant Mexican American and Mexican immigrant women differ in levels of perceived social stress. What is lacking is an explanation for these differences. We utilize a subset of 36 ethnographic interviews with pregnant immigrant women from northern Mexico and Mexican Americans living in south Texas to demonstrate how meanings of pregnancy and motherhood increasingly integrate notions of stress the longer immigrant Mexican women live in the United States. We situate our results within anthropological and sociological research on motherhood in the United States and Mexico, anthropological research in the U.S.-Mexico borderlands, and interdisciplinary research on Hispanic rates of low birth weight. © 2016 by the American Anthropological Association.

  12. SaferProducts API

    Data.gov (United States)

    US Consumer Product Safety Commission — On March 11, 2011, the U.S. Consumer Product Safety Commission launched SaferProducts.gov. This site hosts the agency's new Publicly Available Consumer Product...

  13. SAFER vehicle inspection: a multimodal robotic sensing platform

    Science.gov (United States)

    Page, David L.; Fougerolle, Yohan; Koschan, Andreas F.; Gribok, Andrei; Abidi, Mongi A.; Gorsich, David J.; Gerhart, Grant R.

    2004-09-01

    The current threats to U.S. security both military and civilian have led to an increased interest in the development of technologies to safeguard national facilities such as military bases, federal buildings, nuclear power plants, and national laboratories. As a result, the Imaging, Robotics, and Intelligent Systems (IRIS) Laboratory at The University of Tennessee (UT) has established a research consortium, known as SAFER (Security Automation and Future Electromotive Robotics), to develop, test, and deploy sensing and imaging systems for unmanned ground vehicles (UGV). The targeted missions for these UGV systems include -- but are not limited to --under vehicle threat assessment, stand-off check-point inspections, scout surveillance, intruder detection, obstacle-breach situations, and render-safe scenarios. This paper presents a general overview of the SAFER project. Beyond this general overview, we further focus on a specific problem where we collect 3D range scans of under vehicle carriages. These scans require appropriate segmentation and representation algorithms to facilitate the vehicle inspection process. We discuss the theory for these algorithms and present results from applying them to actual vehicle scans.

  14. Strategies for safe motherhood.

    Science.gov (United States)

    Chatterjee, A

    1995-02-01

    The Safe Motherhood Initiative was launched in 1988 as a global effort to halve maternal mortality and morbidity by the year 2000. The program uses a combination of health and nonhealth strategies to emphasize the need for maternal health services, extend family planning services, and improve the status of women. The maternal mortality rate (per 100,000 live births) is 390 for the world, 20-30 for developed countries, 450 for developing countries, and 420 for Asia. This translates into 308,000 maternal deaths in Asia, of which 100,000 occur in India. The direct causes of maternal mortality include sepsis, hemorrhage, eclampsia, and ruptured uterus. Indirect causes occur when associated medical conditions, such as anemia and jaundice, are exacerbated by pregnancy. Underlying causes are ineffective health services, inadequate obstetric care, unregulated fertility, infections, illiteracy, early marriage, poverty, malnutrition, and ignorance. India's Child Survival and Safe Motherhood Program seeks to achieve immediate improvements by improving health care. Longterm improvements will occur as nutrition, income, education, and the status of women improve. Improvements in health care will occur in through the provision of 1) essential obstetric care for all women (which will be essentially designed for low-risk women), 2) early detection of complications during pregnancy and labor, and 3) emergency services. Services will be provided to pregnant women at their door by field staff, at a first referral hospital, perhaps at maternity villages where high risk cases can be housed in the latter part of their pregnancies, and through the continual accessibility of government vehicles. In addition, family planning services will be improved so that fertility regulation can have its expected beneficial effect on the maternal mortality rate. The professional health organizations in India will also play a vital role in the success of this effort to reduce maternal mortality.

  15. Towards Safer Nanomaterials

    DEFF Research Database (Denmark)

    Hjorth, Rune; Baun, Anders

    2014-01-01

    As nanomaterials become more widespread in everything from industrial processes to consumer products, concerns about human and environmental safety are being taken increasingly more seriously. In our research we are working with minimizing the impact and risks of engineered nanomaterials by looking...... or the exposure and optimally both. Examples include the 5 SAFER principles (Morose, 2010) or screenings of early warning signs (Hansen et al., 2013). Taking the full life cycle of nanomaterials into account, the principles of Green chemistry and Green engineering could also prove useful to reduce...... the environmental impact of nanomaterials (Eckelman et al., 2008). Our research interests include the feasibility of “safer-­‐by-­‐design” approaches, the production of greener nanomaterials and operationalization, adaption and creation of frameworks to facilitate safety engineering. Research and insight...

  16. Teenage motherhood: its relationship to undetected learning problems.

    Science.gov (United States)

    Rauch-Elnekave, H

    1994-01-01

    This study describes characteristics of a group of 64 adolescent mothers and their infants who participated in a program for teenage mothers run by a local health department. A majority of the girls for whom California Achievement Test (CAT) scores were available scored one or more years below grade level in reading and in language skills. Relative delays in infant development (language and social domains) were also documented. High levels of self-esteem as well as general social acceptance (by adults and peers) of early out-of-wedlock parenting suggest that early motherhood may represent an alternative avenue to experiencing success for girls who are having academic difficulties. These findings, which suggest the likelihood of a high incidence of undetected learning problems in this population, indicate that these difficulties may have a significant relationship to the high rate of school dropout associated with adolescent motherhood. The findings bring into question the notion of "unintended pregnancies" and the wisdom of current federal policies for preventing adolescent parenthood that rely on the promotion of abstinence.

  17. Ethical Problems Related to Surrogate Motherhood

    OpenAIRE

    Erdem Aydin

    2006-01-01

    Being unable to have children is an important problem for married couples. At present, new reproduction techniques help these couples while those who can not find any solution try new approaches. One of these is the phenomenon of surrogate motherhood, which is based upon an agreement between the infertile couple and surrogate mother. Surrogate mother may conceive with the sperm of the male of the involved couple as well as by the transfer of the embryo formed by invitro fertilization. Couples...

  18. From motherhood penalties to husband premia: the new challenge for gender equality and family policy, lessons from Norway.

    Science.gov (United States)

    Petersen, Trond; Penner, Andrew M; Høgsnes, Geir

    2014-03-01

    Given the key role that processes occurring in the family play in creating gender inequality, the family is a central focus of policies aimed at creating greater gender equality. We examine how family status affects the gender wage gap using longitudinal matched employer-employee data from Norway, 1979-96, a period with extensive expansion of family policies. The motherhood penalty dropped dramatically from 1979 to 1996. Among men the premia for marriage and fatherhood remained constant. In 1979, the gender wage gap was primarily due to the motherhood penalty, but by 1996 husband premia were more important than motherhood penalties.

  19. Transition to motherhood and the self: measurement, stability, and change.

    Science.gov (United States)

    Ruble, D N; Brooks-Gunn, J; Fleming, A S; Fitzmaurice, G; Stangor, C; Deutsch, F

    1990-03-01

    Different ways of conceptualizing and measuring change in attitudes during transition to motherhood are examined. A series of analyses was performed on data from a cross-sectional sample (N = 667) and a smaller longitudinal sample (n = 48) to demonstrate sound psychometric properties for 2 new scales and to show construct comparability across different phases of childbearing. For Childbearing Attitudes Questionnaire, results demonstrated equality of covariance for 16 scales and comparability of structure and meaning of 4 higher order factors--identification with motherhood, social orientation, self-confidence, and negative aspects of giving birth. For Mothering Self-Definition Questionnaire, results demonstrated equality of covariance of 5 scales and comparability of structure and meaning of a single higher order factor, interpreted as reflecting positive feelings about one's mothering characteristics. Analyses of correlations and mean differences identified areas of change and stability.

  20. Living alone: exploring variations in single motherhood and child ...

    African Journals Online (AJOL)

    Two specifications were fitted to analyze the effect of single mother characteristics on child health using binomial logistic regression. The result of unadjusted and adjusted models indicates that never married, cohabiting, are important correlates of child health. When adjusted for covariates, the effect of single motherhood on ...

  1. 'Keeping healthy in the backseat': How motherhood interrupted HIV ...

    African Journals Online (AJOL)

    This study explores how motherhood in newly delivered HIV-infected mothers in Kenya interrupted their antiretroviral treatment (ART). Qualitative interviews were performed with 26 mothers on ART in a rural or urban area. The data were organised and interpreted using content analysis. The study found that adherence to ...

  2. Antenatal education in the transition to motherhood

    OpenAIRE

    Burley, Suzanne Elizabeth

    2003-01-01

    This thesis explores the relationship between antenatal education and the transition to motherhood, focusing on the pre-natal expectations and postnatal experiences of a small sample of first-time mothers in Plymouth. The aims of the study were 1) to investigate the style and content of statutory and voluntary sector antenatal classes in the Plymouth area. 2) To investigate factors affecting non-attendance, including non-attenders' perceptions of them. 3) To examine the role of...

  3. Surrogate motherhood in illness that does not cause infertility ...

    African Journals Online (AJOL)

    The threshold requirement for surrogate motherhood requires that a commissioning parent or parents are permanently unable to give birth to a child. The question has arisen of a commissioning mother who suffers from a permanent illness that does not cause infertility but that renders pregnancy a significant health risk to ...

  4. Perceptions of teen motherhood in Australian adolescent females: life-line or lifederailment.

    Science.gov (United States)

    Smith, Jennifer L; Skinner, S Rachel; Fenwick, Jennifer

    2012-12-01

    The findings presented in this paper describe the beliefs and attitudes of three different groups of adolescent females about teen motherhood. These were elicited from a larger analysis that explored and theorized contraceptive pathways in a sample of young Australian women. A purposive sample of females aged 14 to 19 years was recruited from three distinct populations in the city of Perth, Western Australia: (1) never-pregnant; (2) pregnant-terminated; and (3) pregnant-continued. Grounded theory principles were used to analyze data generated from 69 semi-structured interviews conducted over a 21 month period (2006-2008). Two categories that described teenagers' attitudes to pregnancy and motherhood were elicited from the analysis. These explained the level of priority that teenagers placed on using contraception and postponing the transition to parenthood. The category labeled 'life derailment' represented how those who had never had a pregnancy or had terminated a pregnancy constructed teen motherhood as potentially restricting their personal, career and social transition to adulthood. The alternative category, 'life-line', reflected how those who continued with their pregnancy perceived teen motherhood as a positive and transformative experience that fostered personal growth. The findings from this study contribute further insight into the complex nature of adolescent contraceptive use and pregnancy risk. The analysis has strengthened evidence of the critical role of self-perceptions of pregnancy and childbearing on teenagers' fertility outcomes. It has also emphasized the broader life circumstances that shape these attitudes, intentions and related behavior. Strategies directed toward academic support and vocational skill development may broaden teenage girls' perceived future options and achievement capacity, thus influencing key reproductive health outcomes. Copyright © 2011 Australian College of Midwives. Published by Elsevier Ltd. All rights reserved.

  5. How Motherhood Triumphs Over Trauma Among Mothers With Children From Genocidal Rape in Rwanda

    Directory of Open Access Journals (Sweden)

    Odeth Kantengwa

    2014-08-01

    Full Text Available Rape is a common occurrence during genocide and the presence of children born as a result of rape poses a challenge to post-genocide recovery processes. This paper treats mothers of children born as a result of genocidal rape during the 1994 Genocide against the Tutsi as a separate category of survivors and explores the contribution of a positive embrace of motherhood in their recovery. It is based upon a study that included fourteen women from Kigali city, Karongi District in the Western Province and Huye District in the Southern Province. Qualitative analysis of individual interviews and focus groups provided a means to explore in-depth the perceptions of mothers and the value of motherhood. It was found that mothers of children of rape experienced challenges raising their children, especially in the early stages of parenting. Social stigma related to rape and children born of rape created challenges, as did the lack of psychosocial resources for the women, particularly when faced with disclosing paternity to the children. However, despite these and other difficulties, motherhood played a positive role for many women, often providing a reason to live again after the genocide. These findings show that positive experiences of motherhood can be key to the recovery of survivors of genocidal rape in Rwanda and points to future directions for research and health promotion among populations affected by conflict-related sexual violence.

  6. The effect of the mindfulness-based transition to motherhood program in pregnant women with preterm premature rupture of membranes.

    Science.gov (United States)

    Korukcu, Oznur; Kukulu, Kamile

    2017-07-01

    The purpose of the researchers is to determine the effect of a mindfulness program on readiness for motherhood, the level of maternal attachment, and on postpartum self-evaluation. We used a quasiexperimental design. Researchers applied the mindfulness-based Transition to Motherhood program to the treatment group for 7 days. Data were collected between December 2012 and June 2014 in Turkey. At the end of the study, the treatment group showed improvement in measures of acceptance of pregnancy, level of readiness to give birth, level of maternal attachment, and level of competence in the role of motherhood.

  7. Area-Level and Individual-Level Factors for Teenage Motherhood: A Multilevel Analysis in Japan.

    Science.gov (United States)

    Baba, Sachiko; Iso, Hiroyasu; Fujiwara, Takeo

    2016-01-01

    Teenage motherhood is strongly associated with a range of disadvantages for both the mother and the child. No epidemiological studies have examined related factors for teenage motherhood at both area and individual levels among Japanese women. Therefore, we performed a multilevel analysis of nationwide data in Japan to explore the association of area- and individual-level factors with teenage motherhood. The study population comprised 21,177 mothers living in 47 prefectures who had their first, singleton baby between 10 and 17 January or between 10 and 17 July, 2001. Information on the prefecture in which the mothers resided was linked to prefecture-level variables. Primary outcomes were area-level characteristics (single-mother households, three-generation households, college enrollment, abortions, juvenile crime, and per capita income) and individual-level characteristics, and divided into tertiles or quintiles based on their variable distributions. Multilevel logistic regression analysis was then performed. There were 440 teenage mothers (2.1%) in this study. In addition to individual low level of education [adjusted odds ratio (OR), 7.40; 95% confidence interval (CI), 5.59-9.78], low income [4.23 (2.95-6.08)], and smoking [1.65 (1.31-2.07)], high proportions of single-mother households [1.72 (1.05-2.80)] and three-generation household [1.81 (1.17-2.78)], and per capita income [2.19 (1.06-3.81)] at an area level were positively associated, and high level of college enrollment [0.46 (0.25-0.83)] and lower crime rate [0.62 (0.40-0.98)] at area level were inversely associated with teenage motherhood compared with the corresponding women living in prefectures with the lowest levels of these variables. Our findings suggest that encouraging the completion of higher education and reducing the number of single-mother household at an area level may be important public health strategies to reduce teenage motherhood.

  8. Construction of meaningful identities in the context of rheumatoid arthritis, motherhood and paid work: A meta-ethnography.

    Science.gov (United States)

    Feddersen, Helle; Kristiansen, Tine Mechlenborg; Andersen, Pernille Tanggaard; Hørslev-Petersen, Kim; Primdahl, Jette

    2017-12-01

    To derive new conceptual understanding about how women with rheumatoid arthritis manage their illness, motherhood and paid work, based on a comprehensive overview of existing knowledge, gained from qualitative studies. Rheumatoid arthritis affects several social aspects of life; however, little is known about how women with rheumatoid arthritis simultaneously manage their illness, motherhood and paid work. Qualitative metasynthesis. A qualitative metasynthesis informed by Noblit and Hare's meta-ethnography was carried out, based on studies identified by a systematic search in nine databases. Six studies were included. Social interactions in the performance of three interdependent subidentities emerged as an overarching category, with three subcategories: subidentities associated with (1) paid work, (2) motherhood and (3) rheumatoid arthritis. Pressure in managing one of the subidentities could restrict the fulfilment of the others. The subidentities were interpreted as being flexible, situational, contextual and competing. The women strove to construct meaningful subidentities by taking into account feedback obtained in social interactions. The subidentities associated with paid work and motherhood are competing subidentities. Paid work is given the highest priority, followed by motherhood and illness is the least attractive subidentity. Because of the fluctuating nature of the illness, the women constantly reconstruct the three interdependent subidentities. When healthcare professionals meet a woman with rheumatoid arthritis, they should consider that she might not accept the subidentity as an ill person. Health professionals should not expect that women will prioritise their illness in their everyday life. This could be included in clinical conversation with the women. © 2017 John Wiley & Sons Ltd.

  9. Maternidade desnaturada: uma análise da barriga de aluguel e da doação de óvulos "Denatured" motherhood: an analysis of surrogate gestational motherhood and egg donation

    Directory of Open Access Journals (Sweden)

    Naara Luna

    2002-01-01

    Full Text Available O artigo discute representações sociais de duas práticas decorrentes das novas tecnologias reprodutivas ou reprodução assistida. Na fertilização in vitro, o procedimento de transferência do óvulo fertilizado de uma mulher para outra separa a maternidade genética da gestacional. Isto se traduz em duas práticas sociais: a doação de óvulos, em que a gestante é designada à mãe, e a maternidade gestacional substituta ("barriga de aluguel", em que a mãe é a fornecedora do óvulo ou idealizadora da gravidez. O foco é a análise dessas representações no discurso jurídico e em matérias da grande imprensa brasileira, além do exame de etnografias sobre doação de óvulo e maternidade substituta. A oposição entre Natureza e Cultura é uma chave para compreender a recepção distinta dessas práticas.This article discusses social representations of two practices related to the new reproductive technologies or assisted reproduction techniques. During in vitro fertilization, the transfer procedure of a woman's fertilized egg to another woman separates genetic motherhood from gestational motherhood. Two practices relate to that: in egg donation the pregnant woman is considered the mother, while in surrogate gestational motherhood the mother is the egg donor or the woman who planned the gestation. The focus is in the analysis of the representations of egg donation and surrogate motherhood in juridical discourse and in texts from the Brazilian press, considering also ethnographic articles. The opposition between Nature and Culture is a key for understanding the different reception of these practices.

  10. Early Marriage and Motherhood in Sub-Saharan Africa | Locoh ...

    African Journals Online (AJOL)

    Early Marriage and Motherhood in Sub-Saharan Africa. Thérèse Locoh. Abstract. (African Environment: 3-4 (39-40): 31-42). Full Text: EMAIL FULL TEXT EMAIL FULL TEXT · DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT · AJOL African Journals Online. HOW TO USE AJOL... for Researchers · for Librarians · for Authors ...

  11. Interpretations, perspectives and intentions in surrogate motherhood

    OpenAIRE

    van Zyl, L.; van Niekerk, A.

    2000-01-01

    In this paper we examine the questions "What does it mean to be a surrogate mother?" and "What would be an appropriate perspective for a surrogate mother to have on her pregnancy?" In response to the objection that such contracts are alienating or dehumanising since they require women to suppress their evolving perspective on their pregnancies, liberal supporters of surrogate motherhood argue that the freedom to contract includes the freedom to enter a contract to bear a child for an infertil...

  12. Motherhood challenges and well-being along with the studentship role among Iranian women: A qualitative study.

    Science.gov (United States)

    Behboodi Moghadam, Zahra; Ordibeheshti Khiaban, Maryam; Esmaeili, Maryam; Salsali, Mahvash

    2017-12-01

    This study purposed to explore and describe the experiences of Iranian female students with the role of motherhood. This 2015 qualitative study used purposeful sampling to select 20 student mothers aged 24-50 who were studying at a state or non-state university in an urban area in northwest Iran. Data was collected through individual semi-structured interviews and analysed using a qualitative content analysis approach. Three main themes were developed during data analysis: "simultaneous management", "facilities", and "barriers". The management of maternal and family affairs by female students in universities where motherhood is not supported is a challenge. The significance of mother-student roles must be emphasized and support and education provided for women to gain skills useful in playing these roles. Policy makers should devise strategies for bringing change to the traditional perspective that motherhood and educational responsibilities cannot be met at the same time by one person.

  13. Politics, doctors, assisted reproductive technologies & religion: Transgenerational understandings and experiences of single motherhood in Spain.

    Science.gov (United States)

    Bravo-Moreno, Ana

    2017-10-01

    The aim is to achieve a transgenerational view of single motherhood in Spain, to look at which contexts it arises in, how it changes with the introduction of assisted reproduction, and how the role of religion in Spanish society permeates medical practice and affects the lives of women patients. I examine single motherhood and investigate two interconnected themes: (a) being a mother and being mothered are both permeated with sociocultural, political, religious, economic and psychological significance; (b) Spain led Europe in multiple births due to assisted reproduction, thus ethical conflicts and patient rights are analyzed.

  14. [Myths and taboos of motherhood: focusing on the health-disease process].

    Science.gov (United States)

    Luz, Anna Maria Hecker; Berni, Neiva Iolanda de Oliveira; Selli, Lucilda

    2007-01-01

    To learn about myths and taboos related with motherhood and their implications in the health/disease process. Study carried out using a qualitative approach, in a natural setting, with women of poor classes who experienced motherhood. The selection of subjects was performed intentionally, and data collection was made by means of semi-structured interviews and participant observation at the moment those women were given healthcare attention. Data analysis followed the content analysis. The topic under study permeates, as an ideology, the women's lives. The myths and taboos are related to health/disease: postpartum hygiene; protection of the newborn's integrity; menses; alternatives for a solution of health problems; and gender issues, the conducts the women follow to avoid becoming "saucy" being evidenced. In the research, it was possible to capture elements that translate the cultural values of the women's daily lives and the need for associating scientific knowledge with popular practices.

  15. Benevolent Sexism, Attitudes Toward Motherhood, and Reproductive Rights: A Multi-Study Longitudinal Examination of Abortion Attitudes.

    Science.gov (United States)

    Huang, Yanshu; Davies, Paul G; Sibley, Chris G; Osborne, Danny

    2016-07-01

    Although Benevolent Sexism (BS)-an ideology that highly reveres women who conform to traditional gender roles-is cloaked in a superficially positive tone, being placed upon a pedestal is inherently restrictive. Accordingly, because the paternalistic beliefs associated with BS are based on the idealization of traditional gender roles (which include motherhood), BS should predict people's attitudes toward women's reproductive rights. Using data from a nationwide longitudinal panel study (N = 12,299), Study 1 showed that BS (but not Hostile Sexism) had cross-lagged effects on opposition to both elective and traumatic abortion. Study 2 (N = 309) extended these findings by showing that the relationship between BS and support for abortion was fully mediated by attitudes toward motherhood. These results highlight the pernicious nature of BS by demonstrating that the idealization of women-and motherhood, in particular-comes at a substantial cost (namely, the restriction of women's reproductive rights). © 2016 by the Society for Personality and Social Psychology, Inc.

  16. Project chariot remediation - the use of DOE's observational approach for environmental restoration with elements of the new DOE safer approach

    International Nuclear Information System (INIS)

    Hopkins, A.; Stewart, C.; Cabble, K.

    1994-01-01

    The primary purpose of Project Chariot was to investigate the technical problems and assess the effect of the proposed harbor excavation using nuclear explosives in Alaska. However, no nuclear devices were brought to the Project Chariot site. Between 1959 and 1961 various environmental tests were conducted. During the course of these environmental studies, the U.S. Geological Survey (USGS) granted the use of up to 5 curies of radioactive material at the Chariot site in Cape Thompson, Alaska; however only 26 millicuries were ever actually used. The tests were conducted in 12 test plots which were later gathered together and were mixed with in situ-soils generating approximately 1,600 cubic feet of soil. This area was then covered with four feet of clean soil, creating a mound. In 1962, the site was abandoned. A researcher at the University of Alaska at Fairbanks obtained in formation regarding the tests conducted and the materials left at the Project Chariot site. In response to concerns raised through the publication of this information, it was decided by the Department of Energy (DOE) that total remediation of the mound be completed within the year. During the summer of 1993, IT Corporation carried out the assessment and remediation of the Project Chariot site using a streamlined approach to waste site decision making called the Observational Approach (OA), and added elements of the new DOE Streamlined Approach for Environmental Restoration (SAFER). This remediation and remediation approach is described

  17. Understanding Motherhood as Maturation: Maternity Scripts in Lois Lowry's "Son"

    Science.gov (United States)

    Deszcz-Tryhubczak, Justyna; Marecki, Mateusz

    2015-01-01

    When put together with the other parts of The Giver Quartet, "Son" (2012), Lowry's recently published concluding book, emerges as an odd exception to the focus on young adult protagonists since it foregrounds the mother's perspective and addresses the issue of motherhood. It presents the reader with at least three conceptual models of…

  18. Beyond altruistic and commercial contract motherhood: the professional model.

    Science.gov (United States)

    Van Zyl, Liezl; Walker, Ruth

    2013-09-01

    It has become common to distinguish between altruistic and commercial contract motherhood (or 'surrogacy'). Altruistic arrangements are based on the 'gift relationship': a woman is motivated by altruism to have a baby for an infertile couple, who are free to reciprocate as they see fit. By contrast, in commercial arrangements both parties are motivated by personal gain to enter a legally enforceable agreement, which stipulates that the contract mother or 'surrogate' is to bear a child for the intending parents in exchange for a fee. She is required to undergo medical examinations and to refrain from behaviour that could harm the foetus. The intending parents are the child's legal parents from the outset. The parties to the contract can, but are not expected to, maintain contact after the transaction is completed. We argue that contract motherhood should not be organized according to the norms of the gift relationship, and that contract mothers should be compensated for their labour. However, we accept that there are good reasons for rejecting the commercial model as a suitable framework for contract pregnancy, and argue, instead, in favour of viewing it as a profession. © 2012 John Wiley & Sons Ltd.

  19. Quality of life outcomes' in early motherhood in Austria : The impact of internal and external resources

    OpenAIRE

    Mautner, Eva

    2014-01-01

    The aim of this paper is to provide results of two studies, which were conducted in Austria to examine the impact of internal and external factors on quality of life and depressive symptoms in early motherhood. In general early motherhood may be a critical life event for a woman and their partner and can lead to decreased well-being. Emotional aspects such as depression affects not only the quality of life of the mothers but also her new-born child, her other children, partner and relati...

  20. Higher Stakes: Generational Differences in Mother and Daughters’ Feelings about Combining Motherhood with a Career

    Directory of Open Access Journals (Sweden)

    Jill Armstrong

    2017-08-01

    Full Text Available The purpose of this article is to illuminate differences in feelings and attitudes about managing motherhood and work between career women and their adult daughters. Intergenerational narrative interviews with 30 mother and daughter pairs are used to explore the relative influences of contemporary motherhood culture and the experience of being mothered by a woman who also worked full-time or close to full-time in a professional or managerial career. Almost all the daughters felt well-mothered and planned or had embarked upon a high-status career path. Despite this, a clear majority did not want to emulate their mothers and instead embraced a dominant idea that part-time work offers ‘the best of both worlds’. The daughters are strongly influenced by the contemporary culture of motherhood with its growing emphasis on ‘balance’ (measured by time, individualisation and parental determinism. It appears that the stakes have been raised to make it feel too risky to one’s child’s well-being and progress to emulate the more pragmatic attitude to combining work and motherhood demonstrated by many of their own mothers. Much research demonstrates that part-time work presents strong barriers both to career satisfaction and progress. This reinforces the need for organisations to offer more genuinely flexible ways of working in senior roles and for policy initiatives to facilitate the greater involvement of fathers in caring for their children. For individuals, I advocate challenging the idea of measuring good mothering by ‘balanced’ hours spent at work and at home.

  1. SOCIAL CONSTRUCTION OF MEANINGS ABOUT PREGNANCY-MOTHERHOOD AMONG ADOLESCENTS

    OpenAIRE

    Araujo, Nayara Bueno de; Mandú, Edir Nei Teixeira

    2015-01-01

    ABSTRACT This study aimed to comprehend the social construction of meanings about pregnancy-motherhood among pregnant adolescents. An explicative study, conducted in 2014, with 12 adolescents, using individual and group interview, local context observation, consultation of documents and precepts of Fairclough's Critical Discourse Analysis. The meaning of compatibility between pregnancy and adolescence was found, and the contraposition to the dominant discourse of adolescent pregnancy as a pro...

  2. The Within-Job Motherhood Wage Penalty in Norway, 1979-1996

    Science.gov (United States)

    Petersen, Trond; Penner, Andrew M.; Hogsnes, Geir

    2010-01-01

    The motherhood wage penalty is a substantial obstacle to progress in gender equality at work. Using matched employer-employee data from Norway (1979-1996, N = 236,857 individuals, N = 1,027,462 individual-years), a country with public policies that promote combining family and career, we investigate (a) whether the penalty arises from differential…

  3. The image of mother and the motherhood in historical and educational records [Obraz matki i macierzyństwa w przekazach źródłowych z historii wychowania

    Directory of Open Access Journals (Sweden)

    Edyta BARTKOWIAK

    2017-11-01

    Full Text Available Motherhood is one of the most important social roles of women. Similar to the role of father and child it is determined by the needs and values that dominate in the society. As we know, up to the XIXth century, the model of the patriarchal family was prevailing in Europe with the domination of husband–father power. The mother first of all should have give care, sacrifice, devotion and at the same time also love. Motherhood was seen differently in the theoretical perspective. Analysis of old source materials that are shows that the role of the mother in the process of breeding was differently understood throughout history and as a consequence the views over the sense of motherhood have changed. Considering different views of motherhood in pedagogical literature over the course of time we can describe it as a gradual evolution of the idea of motherhood: from looking at motherhood more biologically and emotionally to a more and more consciously systematic treating of the motherhood ideology. The image of mother and motherhood in this scientific description was considered normatively including pedagogical theory that found its connections in works of the education and breeding classics collected in history of breeding sources – pre-war and later. It is worth adding that maternal behaviours were sometimes disturbed what was analyzed in pathological categories of exceptions.

  4. Implications of the legalization of non-commercial surrogacy for local kinship and motherhood in Vietnamese society.

    Science.gov (United States)

    Hibino, Yuri

    2015-02-01

    Until recently, surrogacy was banned in Vietnam for all cases. The government, however, has altered its position on reproductive technology and will soon legalize non-commercial surrogacy among relatives. Motherhood is highly venerated in Vietnamese society and, under this local kinship conception, gestational process is of paramount importance in establishing a connection between the fetus and the woman. The implications of this new government decision for local kinship, motherhood and the individuals concerned will be discussed. Copyright © 2014 Reproductive Healthcare Ltd. Published by Elsevier Ltd. All rights reserved.

  5. Shared Secrets: Motherhood and Male Homosexuality in Doppelgänger Narratives

    DEFF Research Database (Denmark)

    Sencindiver, Susan Yi

    2011-01-01

    narratives. Enlisting Joseph Conrad’s short story, “The Secret Sharer,” among others, as both a paradigmatic yet self-conscious example, I examine the intersecting hotbed of these two strange bedfellows, motherhood and homosexuality, as well as the significance of gender in the male doppelgänger imaginary....

  6. Single Motherhood and Child Mortality in Sub-Saharan Africa: A Life Course Perspective

    Czech Academy of Sciences Publication Activity Database

    Clark, S.; Hamplová, Dana

    2013-01-01

    Roč. 50, č. 5 (2013), s. 1521-1549 ISSN 0070-3370 Institutional support: RVO:68378025 Keywords : Child mortality * single motherhood * Africa Subject RIV: AO - Sociology, Demography Impact factor: 2.631, year: 2013

  7. Perinatal Risks in "Late Motherhood" Defined Based On Parity and Preterm Birth Rate - an Analysis of the German Perinatal Survey (20th Communication).

    Science.gov (United States)

    Schure, V; Voigt, M; Schild, R L; Hesse, V; Carstensen, M; Schneider, K T M; Straube, S

    2012-01-01

    Aim: "Late motherhood" is associated with greater perinatal risks but the term lacks precise definition. We present an approach to determine what "late motherhood" associated with "high risk" is, based on parity and preterm birth rate. Materials and Methods: Using data from the German Perinatal Survey of 1998-2000 we analysed preterm birth rates in women with zero, one, or two previous live births. We compared groups of "late" mothers (with high preterm birth rates) with "control" groups of younger women (with relatively low preterm birth rates). Data of 208 342 women were analysed. For women with zero (one; two) previous live births, the "control" group included women aged 22-26 (27-31; 29-33) years. Women in the "late motherhood" group were aged > 33 (> 35; > 38) years. Results: The "late motherhood" groups defined in this way were also at higher risk of adverse perinatal events other than preterm birth. For women with zero (one; two) previous live births, normal cephalic presentation occurred in 89 % (92.7 %; 93.3 %) in the "control" group, but only in 84.5 % (90 %; 90.4 %) in the "late motherhood" group. The mode of delivery was spontaneous or at most requiring manual help in 71.3 % (83.4 %; 85.8 %) in the "control" group, but only in 51.4 % (72.2 %; 76.4 %) in the "late motherhood" group. Five-minute APGAR scores were likewise worse for neonates of "late" mothers and the proportion with a birth weight ≤ 2499 g was greater. Conclusion: "Late motherhood" that is associated with greater perinatal risks can be defined based on parity and preterm birth rate.

  8. Motherhood during residency training: challenges and strategies.

    Science.gov (United States)

    Walsh, Allyn; Gold, Michelle; Jensen, Phyllis; Jedrzkiewicz, Michelle

    2005-07-01

    To determine what factors enable or impede women in a Canadian family medicine residency program from combining motherhood with residency training. To determine how policies can support these women, given that in recent decades the number of female family medicine residents has increased. Qualitative study using in-person interviews. McMaster University Family Medicine Residency Program. Twenty-one of 27 family medicine residents taking maternity leave between 1994 and 1999. Semistructured interviews. The research team reviewed transcripts of audiotaped interviews for emerging themes; consensus was reached on content and meaning. NVIVO software was used for data analysis. Long hours, unpredictable work demands, guilt because absences from work increase workload for colleagues, and residents' high expectations of themselves cause pregnant residents severe stress. This stress continues upon return to work; finding adequate child care is an added stress. Residents report receiving less support from colleagues and supervisors upon return to work; they associate this with no longer being visibly pregnant. Physically demanding training rotations put additional strain on pregnant residents and those newly returned to work. Flexibility in scheduling rotations can help accommodate needs at home. Providing breaks, privacy, and refrigerators at work can help maintain breastfeeding. Allowing residents to remain involved in academic and clinical work during maternity leave helps maintain clinical skills, build new knowledge, and promote peer support. Pregnancy during residency training is common and becoming more common. Training programs can successfully enhance the experience of motherhood during residency by providing flexibility at work to facilitate a healthy balance among the competing demands of family, work, and student life.

  9. [Towards safe motherhood. World Health Day].

    Science.gov (United States)

    Plata, M I

    1998-06-01

    The objective of the 'safe motherhood' initiative is to reduce maternal mortality by 50% by the year 2000. A strong policy is needed to permit development of national and international programs. The lifetime risk of death from causes related to complications of pregnancy is estimated at 1/16 in Africa, 1/65 in Asia, 1/130 in Latin America and the Caribbean, 1/1400 in Europe, and 1/3700 in North America. A minimum of 585,000 women die of maternal causes each year, with nearly 90% of the deaths occurring in Asia and Africa. Approximately 50 million women suffer from illnesses related to childbearing. A principal cause of maternal mortality is lack of medical care during labor, delivery, and the postpartum period. Motherhood will become safe if governments, multilateral and bilateral funding agencies, and nongovernmental organizations give it the high priority it requires. Women also die because they lack rights. Their reduced decision-making power and inequitable access to family and social resources prevents them from overcoming barriers to health care. Women die when they begin childbearing at a very young age, yet an estimated 11% of births throughout the world each year are to adolescents. Adolescents have very limited access to family planning, either through legal restrictions or obstacles created by family planning workers. Maternal deaths would be avoided if all births were attended by trained health workers; an estimated 60 million births annually are not. Prevention of unwanted pregnancy and, thus, of the 50 million abortions estimated to take place each year would avoid over 200 maternal deaths each day. Unsafe abortions account for 13% of maternal deaths. The evidence demonstrates that rates of unsafe abortion and abortion mortality are higher where laws are more restrictive.

  10. Scales for Measuring College Student Views of Traditional Motherhood and Fatherhood

    Science.gov (United States)

    Whatley, Mark; Knox, David

    2005-01-01

    College students rank "raising a family" as one of their primary values (American Council on Education and University of California, 2003). Yet, little is known about their understanding of the respective roles of motherhood and fatherhood. Feminism, dual career marriages, and more egalitarian role models may have altered adherence to…

  11. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 415: Project 57 No. 1 Plutonium Dispersion (NTTR), Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick; Burmeister, Mark

    2014-04-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions needed to achieve closure for Corrective Action Unit (CAU) 415, Project 57 No. 1 Plutonium Dispersion (NTTR). CAU 415 is located on Range 4808A of the Nevada Test and Training Range (NTTR) and consists of one corrective action site: NAFR-23-02, Pu Contaminated Soil. The CAU 415 site consists of the atmospheric release of radiological contaminants to surface soil from the Project 57 safety experiment conducted in 1957. The safety experiment released plutonium (Pu), uranium (U), and americium (Am) to the surface soil over an area of approximately 1.9 square miles. This area is currently fenced and posted as a radiological contamination area. Vehicles and debris contaminated by the experiment were subsequently buried in a disposal trench within the surface-contaminated, fenced area and are assumed to have released radiological contamination to subsurface soils. Potential source materials in the form of pole-mounted electrical transformers were also identified at the site and will be removed as part of closure activities.

  12. Operative vaginal deliveries in Zaria, Nigeria

    African Journals Online (AJOL)

    2009-10-05

    Oct 5, 2009 ... were analyzed with respect to mode of delivery, indication for ... Making these procedures safer will improve safe motherhood in settings where there are performed. ..... training should not use vacuum extraction in real patients ...

  13. Educational Pairings, Motherhood, and Women's Relative Earnings in Europe.

    Science.gov (United States)

    Van Bavel, Jan; Klesment, Martin

    2017-12-01

    As a consequence of the reversal of the gender gap in education, the female partner in a couple now typically has as much as or more education compared with the male partner in most Western countries. This study addresses the implications for the earnings of women relative to their male partners in 16 European countries. Using the 2007 and 2011 rounds of the European Union Statistics on Income and Living Conditions (N = 58,292), we investigate the extent to which international differences in women's relative earnings can be explained by educational pairings and their interaction with the motherhood penalty on women's earnings, by international differences in male unemployment, or by cultural gender norms. We find that the newly emerged pattern of hypogamy is associated with higher relative earnings for women in all countries and that the motherhood penalty on relative earnings is considerably lower in hypogamous couples, but neither of these findings can explain away international country differences. Similarly, male unemployment is associated with higher relative earnings for women but cannot explain away the country differences. Against expectations, we find that the hypogamy bonus on women's relative earnings, if anything, tends to be stronger rather than weaker in countries that exhibit more conservative gender norms.

  14. Commercial agencies and surrogate motherhood: a transaction cost approach.

    Science.gov (United States)

    Galbraith, Mhairi; McLachlan, Hugh V; Swales, J Kim

    2005-03-01

    In this paper we investigate the legal arrangements involved in UK surrogate motherhood from a transaction-cost perspective. We outline the specific forms the transaction costs take and critically comment on the way in which the UK institutional and organisational arrangements at present adversely influence transaction costs. We then focus specifically on the potential role of surrogacy agencies and look at UK and US evidence on commercial and voluntary agencies. Policy implications follow.

  15. Single Motherhood, Employment, or Social Assistance: Why are U.S. Women Poorer than Women in Other Affluent Nations?

    OpenAIRE

    Christopher, Karen

    2001-01-01

    U.S. women have higher poverty rates than women in other affluent nations. In this paper I attempt to explain this disparity by examining the effect of single motherhood, employment, and social assistance on women's poverty. With cross-national comparisons of quantitative data, I find that the relatively high rate of single motherhood among U.S. women is not a main cause of their high poverty rates. Compared to their counterparts in other Western nations, U.S. women, mothers and single mother...

  16. The business case for transitioning to safer chemicals.

    Science.gov (United States)

    McFadden, Roger D

    2011-01-01

    Emerging domestic and international chemical regulations and a heightened consumer awareness of chemicals of concern in products is challenging American businesses to reevaluate and reconsider their approaches to supply chain management and product design. Some of these companies recognize business opportunities and are responding proactively with innovative strategies and tactics. This article describes steps that Staples Inc., the world's largest office products provider, is taking to meet demand for products that are safer and more sustainable. In trying to meet the demand for safer products, Staples faces significant barriers, including the complexity of supply chains, data gaps, and confidential business information. New collaborations between companies, government, and advocates, and improved tools and criteria for defining safer products enhance the ability of businesses, like Staples, to meet new consumer demands.

  17. The influence of motherhood on income: do partner characteristics and parity matter?

    NARCIS (Netherlands)

    S. De Hoon (Sean); R. Keizer (Renske); P.A. Dykstra (Pearl)

    2017-01-01

    textabstractAlthough the economic independence of women has been greatly advanced in recent decades, it continues to lag far behind men’s in the Netherlands and elsewhere. The negative consequences of motherhood are an important driving force behind women’s abiding lower income. Although mother’s

  18. The influence of motherhood on income: do partner characteristics and parity matter?

    NARCIS (Netherlands)

    de Hoon, S.; Keizer, R.; Dijkstra, P.

    2017-01-01

    Although the economic independence of women has been greatly advanced in recent decades, it continues to lag far behind men’s in the Netherlands and elsewhere. The negative consequences of motherhood are an important driving force behind women’s abiding lower income. Although mother’s lower earnings

  19. SAFERE: Southern African Feminist Review

    African Journals Online (AJOL)

    Feminism and Masculinity in an African Capitalist Context: · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Mwenda G. Ntarangwi, 19-32. http://dx.doi.org/10.4314/safere.v3i1.23948 ...

  20. Shopping for a safer car

    Science.gov (United States)

    2010-01-01

    This brochure provides some helpful tips on what to look for when shopping for a safer car. Automakers are increasingly advertising the safety features of their cars. The problem is sorting out their claims and zeroing in on the safety features that ...

  1. Psychological Implications of Motherhood and Fatherhood in Midlife: Evidence from Sibling Models

    Science.gov (United States)

    Pudrovska, Tetyana

    2008-01-01

    Using data from 4,744 full, twin, half-, adopted, and stepsiblings in the Wisconsin Longitudinal Study, I examine psychological consequences of motherhood and fatherhood in midlife. My analysis includes between-family models that compare individuals across families and within-family models comparing siblings from the same family to account for…

  2. Anger as a moderator of safer sex motivation among low-income urban women.

    Science.gov (United States)

    Schroder, Kerstin E E; Carey, Michael P

    2005-10-01

    Theoretical models suggest that both HIV knowledge and HIV risk perception inform rational decision making and, thus, predict safer sex motivation and behavior. However, the amount of variance explained by knowledge and risk perception is typically small. In this cross-sectional study, we investigated whether the predictive power of HIV knowledge and HIV risk perception on safer sex motivation is affected by trait anger. We hypothesized that anger may disrupt rational decision making, distorting the effects of both HIV knowledge and risk perception on safer sex intentions. Data from 232 low-income, urban women at risk for HIV infection were used to test a path model with past sexual risk behavior, HIV knowledge, and HIV risk perception as predictors of safer sex intentions. Moderator effects of anger on safer sex intentions were tested by simultaneous group comparisons between high-anger and low-anger women (median split). The theoretically expected "rational pattern" was found among low-anger women only, including (a) a positive effect of knowledge on safer sex intentions, and (b) buffer (inhibitor) effects of HIV knowledge and HIV risk perception on the negative path leading from past risk behavior to safer sex intentions. Among high-anger women, an "irrational pattern" emerged, with no effects of HIV knowledge and negative effects of both past risk behavior and HIV risk perception on safer sex intentions. In sum, the results suggest that rational knowledge- and risk-based decisions regarding safer sex may be limited to low-anger women.

  3. Safer v. Estate of Pack.

    Science.gov (United States)

    1996-07-11

    The Superior Court of New Jersey, Appellate Division, recognized "a physician's duty to warn those known to be at risk of avoidable harm from a genetically transmissible condition." During the 1950s, Dr. George Pack treated Donna Shafer's father for a cancerous blockage of the colon and multiple polyposis. In 1990, Safer was diagnosed with the same condition, which she claims is inherited, and, if not diagnosed and treated, invariably will lead to metastic colorectal cancer. Safer alleged that Dr. Pack knew the hereditary nature of the disease, yet failed to warn the immediate family, thus breaching his professional duty to warn. The court did not follow the analysis of the trial court, that a physician has no legal duty to warn the child of a patient of the genetic risk of disease because no physician and patient relationship exists between the doctor and the child.

  4. Safer-drinking strategies used by chronically homeless individuals with alcohol dependence.

    Science.gov (United States)

    Grazioli, Véronique S; Hicks, Jennifer; Kaese, Greta; Lenert, James; Collins, Susan E

    2015-07-01

    Chronically homeless individuals with alcohol dependence experience severe alcohol-related consequences. It is therefore important to identify factors that might be associated with reduced alcohol-related harm, such as the use of safer-drinking strategies. Whereas effectiveness of safer-drinking strategies has been well-documented among young adults, no studies have explored this topic among more severely affected populations, such as chronically homeless individuals with alcohol dependence. The aims of this study were thus to qualitatively and quantitatively document safer-drinking strategies used in this population. Participants (N=31) were currently or formerly chronically homeless individuals with alcohol dependence participating in a pilot study of extended-release naltrexone and harm-reduction counseling. At weeks 0 and 8, research staff provided a list of safer-drinking strategies for participants to endorse. Implementation of endorsed safer-drinking strategies was recorded at the next appointment. At both time points, strategies to buffer the effects of alcohol on the body (e.g., eating prior to and during drinking) were most highly endorsed, followed by changing the manner in which one drinks (e.g., spacing drinks), and reducing alcohol consumption. Quantitative analyses indicated that all participants endorsed safer-drinking strategies, and nearly all strategies were implemented (80-90% at weeks 0 and 8, respectively). These preliminary findings indicate that chronically homeless people with alcohol dependence use strategies to reduce harm associated with their drinking. Larger randomized controlled trials are needed to test whether interventions that teach safer-drinking strategies may reduce overall alcohol-related harm in this population. Copyright © 2015 Elsevier Inc. All rights reserved.

  5. An historical overview of the first two decades of striving towards Safe Motherhood.

    Science.gov (United States)

    Maclean, Gaynor D

    2010-02-01

    The paper examines some of the progress and problems encountered during the first two decades of the Safe Motherhood Initiative. Sufficient statistics are cited to identify the immensity of the persisting problems associated with maternal death and morbidity before the study focuses on some of the endeavours designed to enable women to survive their natural function of giving birth. Varying attitudes and approaches that have characterised the initiatives launched in the past 20 years are reviewed and their changing emphases noted. The stress on treating the medical causes of maternal death in the early years have been complemented by increasing attention to social and political issues as time has elapsed. The advent of the Millennium Development Goals (MDGs) has impelled efforts to provide skilled attendance for all women during childbirth; the poor, socially disadvantaged and vulnerable being those most at risk. MDG 5, concerning maternal health, is perceived as pivotal in the context of global development. Maternal death when viewed from the human rights perspective is perceived as a social injustice rather than a health disadvantage and Safe Motherhood is currently considered increasingly as a basic human right. The study offers a synthesis of concepts and actions that are contributing to building Safe Motherhood across the globe in the 21st century. In considering the factors that inhibit the degree of safety associated with giving birth, global efforts that are tackling a persisting buffer zone are identified and continuous action urged in order to strive towards the targets set for 2015. Copyright © 2009 Elsevier B.V. All rights reserved.

  6. Safe motherhood -- from advocacy to action.

    Science.gov (United States)

    Tinker, A

    1991-12-01

    Every minute a woman dies from complications related to pregnancy or childbirth. That translates to 500,000 annually, of which, 99% live in developing countries. A woman in Africa has a 1:18 lifetime chance of dying from pregnancy-related causes, compared with a northern European woman who has a 1:10,000 chance. Thus, in 1987 international and regional agencies and national governments started a global program titled the Safe Motherhood Initiative. Its goal is to reduce maternal morbidity and mortality 50% by 2000. The death of a woman during pregnancy or child birth means that her surviving children are much more likely to die. In a bangladesh study it was found that the death of the mother was associated with a 200% increase in mortality for her sons and 350% for her daughters for children up to 10. Family planning is the key, since it is the single best tool of preventing these deaths, by reducing the number of times a woman gets pregnant. Family planning also reduces the number of abortions which are estimated to kill 200,000 women annually in developing countries. Trained midwives who can provide obstetrical emergency assistance will also make a large impact. Risk assessment was once considered very important, but studies have shown that the majority of pregnancy complications develop without being detected. Further, the number of women with risk factors that develop complications is much lower than the number of women who develop complications during pregnancy. So monitoring women with risk factors misses most complications. Regular monitoring and medical examinations are much more effective for preventing complications. Safe motherhood can only be achieved if each program is tailored to the needs of the community. Donor nations are necessary for this program to succeed, but ultimate success rests in the hands of each country. National priorities must be set, resources must be allocated, and programs must be designed to be effective.

  7. Stereotypes of Black American Women Related to Sexuality and Motherhood

    Science.gov (United States)

    Rosenthal, Lisa; Lobel, Marci

    2016-01-01

    Intersectionality theorists and researchers suggest the importance of examining unique stereotypes associated with intersecting group identities. We focus on the unique stereotypes of Black women in the United States related to sexuality and motherhood. In an online experimental study, 435 undergraduates from a Northeastern U.S. university were randomly assigned to one of the four conditions in which they viewed a photograph and read a description of a target young woman. The target’s race (Black vs. White) and pregnancy status (pregnant vs. no pregnancy information) were varied. A Black female target (pregnant or not) was perceived more negatively on items related to historically rooted societal stereotypes about sexual activity, sexual risk, motherhood status, and socioeconomic status than was a White female target, but there were no differences on items unrelated to societal stereotypes. A Black target described as pregnant was also perceived as more likely to be a single mother and to need public assistance than was a White target described as pregnant. Current findings, along with evidence that societal stereotypes have damaging effects, underscore the importance of diversifying images of Black women and increasing awareness of how stereotypes affect perceptions of Black women. Findings also highlight the value of research employing intersectionality to understand stereotypes. PMID:27821904

  8. Stereotypes of Black American Women Related to Sexuality and Motherhood.

    Science.gov (United States)

    Rosenthal, Lisa; Lobel, Marci

    2016-09-01

    Intersectionality theorists and researchers suggest the importance of examining unique stereotypes associated with intersecting group identities. We focus on the unique stereotypes of Black women in the United States related to sexuality and motherhood. In an online experimental study, 435 undergraduates from a Northeastern U.S. university were randomly assigned to one of the four conditions in which they viewed a photograph and read a description of a target young woman. The target's race (Black vs. White) and pregnancy status (pregnant vs. no pregnancy information) were varied. A Black female target (pregnant or not) was perceived more negatively on items related to historically rooted societal stereotypes about sexual activity, sexual risk, motherhood status, and socioeconomic status than was a White female target, but there were no differences on items unrelated to societal stereotypes. A Black target described as pregnant was also perceived as more likely to be a single mother and to need public assistance than was a White target described as pregnant. Current findings, along with evidence that societal stereotypes have damaging effects, underscore the importance of diversifying images of Black women and increasing awareness of how stereotypes affect perceptions of Black women. Findings also highlight the value of research employing intersectionality to understand stereotypes.

  9. The C-Word: Motherhood, Activism, Art, and Childcare

    Directory of Open Access Journals (Sweden)

    Kim Dhillon

    2016-12-01

    Full Text Available The ideals of second wave feminism questioned the family and attempted to reconstruct an understanding of motherhood as a social category. These questions have been overshadowed by a neoliberal discourse of childcare that is constructed around participation in the workplace for middle class women. The result is a clash of ideals and politics specific to the question of childcare: its labour, its distribution, and its reward. In this paper, we document our research-based artistic practice as it has evolved from activist campaigns for childcare in art schools to gallery-commissioned collaborations with publicly funded nurseries. We position our work against a context of other creative works (ranging from documentaries, films, art collectives, and animations that explore experiences of motherhood in relation to the issue of childcare. These examples present counter-narratives, collective solutions, or art practice that attempt to challenge the dominant, neoliberal model of the mother and childcare. Some of these examples succeed in part; others pose questions; and most fail, though failure in this context provides gateways to expanded conversations and long-term future possibilities. We examine the intersection of art and activism, and explore how childcare is often considered a dirty word in art. With its inherent subjectivities of parent and child, the ‘c-word’ is often contained within the education department if engaged with as an issue at all in arts institutions. Childcare often lacks visibility if required by a practioner in order to carry on their work. Yet for us, childcare forms the subject for an artistic practice.

  10. Viral Transmissions: Safer Sex Videos, Disability, and Queer Politics

    Directory of Open Access Journals (Sweden)

    Karisa Butler-Wall

    2016-12-01

    Full Text Available Bringing disability studies into conversation with queer histories of AIDS activism, this article examines the relationship between disability and queer politics in safer sex videos created by AIDS activists in the 1980s. As a form of what the author terms "guerrilla biopolitics," safer sex videos insisted on the viability of queer life and sexual expression at a historical moment of intense homophobia and sex negativity. At the same time, the vision of sexual health and identity they offered risked reproducing racialized and classed ideologies of ableism. Seeking to "crip" our understandings of safer sex discourses and practices, this study explores how risk reduction techniques have been historically linked to imperatives of compulsory able-bodiedness, precluding alternative expressions of queer/crip life.

  11. Motherhood: A Site of Repression or Liberation? Kristeva and Butler on the Maternal Body

    Directory of Open Access Journals (Sweden)

    Fanny Söderbäck

    2010-01-01

    Full Text Available In her reading of Julia Kristeva in 'Gender Trouble', Judith Butler speaks of a ‘compulsory obligation on women’s bodies to reproduce.’ She raises what I see as two major concerns: first, she is skeptical of the subversive potential and emancipatory status of the semiotic as articulated by Kristeva; and second, she worries that Kristeva’s alleged attempts to delimit “maternity as an essentially precultural reality” will lead to a reification of motherhood that precludes “an analysis of its cultural construction and variability.” While I think Butler’s worries are important ones, I argue that she misses the target due to some fundamental misconceptions of Kristeva’s thoughts that run through her analysis. This paper argues that Kristeva – who has been criticised by feminists for her consistent emphasis on the maternal – by no means reduces woman to the biological function of motherhood but that, rather, she returns to the maternal body partially to free women from this very reduction. The maternal body to which Kristeva urges us to return must, I argue, be understood' ''qua temporalisation': that to which we return is temporal, moving, displacing, renewing. The return, as I see it, is neither nostalgic nor aimed at preserving some essential notion of motherhood – it is one that makes possible new beginnings, allowing for a future pregnant with change and transformation.

  12. Anger as a Moderator of Safer Sex Motivation among Low Income Urban Women

    Science.gov (United States)

    Carey, Michael P.

    2005-01-01

    Theoretical models suggest that both HIV knowledge and HIV risk perception inform rational decision-making and, thus, predict safer sex motivation and behavior. However, the amount of variance explained by knowledge and risk perception is typically small. In this cross-sectional study, we investigated whether the predictive power of HIV knowledge and HIV risk perception on safer sex motivation is affected by trait anger. We hypothesized that anger may disrupt rational-decision making, distorting the effects of both HIV knowledge and risk perception on safer sex intentions. Data from 232 low-income, urban women at risk for HIV infection were used to test a path model with past sexual risk behavior, HIV knowledge, and HIV risk perception as predictors of safer sex intentions. Moderator effects of anger on safer sex intentions were tested by simultaneous group comparisons between high-anger and low-anger women (median-split). The theoretically expected “rational pattern” was found among low-anger women only, including (a) a positive effect of knowledge on safer sex intentions, and (b) buffer (inhibitor) effects of HIV knowledge and HIV risk perception on the negative path leading from past risk behavior to safer sex intentions. Among high-anger women, an “irrational pattern” emerged, with no effects of HIV knowledge and negative effects of both past risk behavior and HIV risk perception on safer sex intentions. In sum, the results suggest that rational knowledge and risk-based decisions regarding safer sex may be limited to low-anger women. PMID:16247592

  13. Attitudes toward surrogate motherhood in Canada.

    Science.gov (United States)

    Krishnan, V

    1994-01-01

    The issue of surrogate motherhood captured worldwide attention with the Baby M case in the United States. Some medical practitioners now claim that the surrogate arrangement may be the answer for certain women who are unable to conceive children naturally. Feminist activists are highly critical about the issue. In her landmark book The Mother Machine, Corea (1985) called surrogates "breeders," women whose bodies are being used by men. Lawyers and ethicists debate whether surrogacy is baby selling or not, and religious fundamentalists have condemned any form of procreation outside the "normal" or "natural" form of sexual relations within a marriage. But what do Canadian women think about commercial surrogacy? Findings pertaining to this issue from the latest national fertility survey of 5,315 women in the reproductive ages of 18-49 are reported.

  14. Lessons from Semmelweis:A Social Epidemiologic Update On Safe Motherhood

    OpenAIRE

    Julie Cwikel

    2008-01-01

    In this historical review, Ignaz Semmelweis's study of handwashing to prevent puerperal fever is described and used as a benchmark from which to identify salient issues that are informative to today's women’s health activists working for Safe Motherhood. The epidemiology of contemporary excess maternal mortality is reviewed. Using the conceptual framework of social epidemiology, the paper addresses four issues that were problematic in Semmelweis’ era. New tools in public health are presented ...

  15. The wage penalty for motherhood: Evidence on discrimination from panel data and a survey experiment for Switzerland

    Directory of Open Access Journals (Sweden)

    Daniel Oesch

    2017-12-01

    Full Text Available Background: Survey-based research finds a sizeable unexplained wage gap between mothers and nonmothers in affluent countries. The source of this wage gap is unclear: It can stem either from the unobserved effects of motherhood on productivity or from employer discrimination against mothers. Objective: This paper opens the black box of the motherhood wage gap by directly measuring discrimination in Switzerland based on two complementary methods. Methods: We first use two longitudinal population surveys to establish the size of the wage residual for motherhood. We then run a factorial survey experiment among HR managers (N=714 whom we asked to assign a starting wage to the résumés of fictitious job candidates. Results: The population surveys show an unexplained wage penalty per child of 4Š to 8Š. The factorial survey experiment shows that recruiters assign wages to mothers that are 2Š to 3Š below those of nonmothers. The wage penalty is larger for younger mothers, 6Š for ages 40 and less, but disappears for older mothers or mothers in a blue-collar occupation. Conclusions: The motherhood wage gap found in panel studies cannot be reduced to unobserved dimensions of work productivity. The experimental evidence shows that recruiters discriminate against mothers. Contribution: Our paper's novelty is to uncover wage discrimination against mothers by combining two different methods. Our national panel surveys mirror the supply side of the labor market and provide us with strong external validity. The factorial survey experiment on recruiters informs on the demand side of the labor market and shows a causal effect.

  16. Iran's experience with surrogate motherhood: an Islamic view and ethical concerns.

    Science.gov (United States)

    Aramesh, K

    2009-05-01

    Gestational surrogacy as a treatment for infertility is being practised in some well-known medical institutions in Tehran and some other cities in Iran. While the majority of Muslims in the world are Sunni, the majority of Iranians are Shiite. Most Sunni scholars do not permit surrogate motherhood, since it involves introducing the sperm of a man into the uterus of a woman to whom he is not married. Most Shiite scholars, however, have issued jurisprudential decrees (fatwas) that allow surrogate motherhood as a treatment for infertility, albeit only for legal couples. They regard this practice as transferring an embryo or fetus from one womb to another, which is not forbidden in Shiite jurisprudence. Nevertheless, there are some controversies concerning some issues such as kinship and inheritance. The main ethical concern of Iran's experience with gestational surrogacy is the monetary relation between the intended couple and the surrogate mother. While monetary remuneration is practised in Iran and allowed by religious authorities, it seems to suffer from ethical problems. This article proposes that this kind of monetary relation should be modified and limited to reimbursement of normal costs. Such modification requires new legislation and religious decrees.

  17. Motherhood and Work–Life Balance in the National Collegiate Athletic Association Division I Setting: Mentors and the Female Athletic Trainer

    Science.gov (United States)

    Eason, Christianne M.; Mazerolle, Stephanie M.; Goodman, Ashley

    2014-01-01

    Context: One of the greatest catalysts for turnover among female athletic trainers (ATs) is motherhood, especially if employed at the National Collegiate Athletic Association Division I level. The medical education literature regularly identifies the importance of role models in professional character formation. However, few researchers have examined the responsibility of mentorship and professional role models as it relates to female ATs' perceptions of motherhood and retention. Objective: To evaluate perceptions of motherhood and retention in relation to mentorship and role models among female ATs currently employed in the collegiate setting. Design: Qualitative study. Setting: Female athletic trainers working in National Collegiate Athletic Association Division I. Patients or Other Participants: Twenty-seven female ATs employed in the National Collegiate Athletic Association Division I setting volunteered. Average age of the participants was 35 ± 9 years. All were full-time ATs with an average of 11 ± 8 years of clinical experience. Data Collection and Analysis: Participants responded to questions by journaling their thoughts and experiences. Multiple-analyst triangulation and peer review were included as steps to establish data credibility. Results: Male and female role models and mentors can positively or negatively influence the career and work–life balance perceptions of female ATs working in the Division I setting. Female ATs have a desire to see more women in the profession handle the demands of motherhood and the demands of their clinical setting. Women who have had female mentors are more positive about the prospect of balancing the rigors of motherhood and job demands. Conclusions: Role models and mentors are valuable resources for promoting perseverance in the profession in the highly demanding clinical settings. As more female ATs remain in the profession who are able to maintain work–life balance and are available to serve as role models, the

  18. Motherhood and work-life balance in the national collegiate athletic association division I setting: mentors and the female athletic trainer.

    Science.gov (United States)

    Eason, Christianne M; Mazerolle, Stephanie M; Goodman, Ashley

    2014-01-01

    One of the greatest catalysts for turnover among female athletic trainers (ATs) is motherhood, especially if employed at the National Collegiate Athletic Association Division I level. The medical education literature regularly identifies the importance of role models in professional character formation. However, few researchers have examined the responsibility of mentorship and professional role models as it relates to female ATs' perceptions of motherhood and retention. To evaluate perceptions of motherhood and retention in relation to mentorship and role models among female ATs currently employed in the collegiate setting. Qualitative study. Female athletic trainers working in National Collegiate Athletic Association Division I. Twenty-seven female ATs employed in the National Collegiate Athletic Association Division I setting volunteered. Average age of the participants was 35 ± 9 years. All were full-time ATs with an average of 11 ± 8 years of clinical experience. Participants responded to questions by journaling their thoughts and experiences. Multiple-analyst triangulation and peer review were included as steps to establish data credibility. Male and female role models and mentors can positively or negatively influence the career and work-life balance perceptions of female ATs working in the Division I setting. Female ATs have a desire to see more women in the profession handle the demands of motherhood and the demands of their clinical setting. Women who have had female mentors are more positive about the prospect of balancing the rigors of motherhood and job demands. Role models and mentors are valuable resources for promoting perseverance in the profession in the highly demanding clinical settings. As more female ATs remain in the profession who are able to maintain work-life balance and are available to serve as role models, the attitudes of other women may start to change.

  19. Education and Entry into Motherhood: The Czech Republic during State Socialism and the Transition Period (1970-1997

    Directory of Open Access Journals (Sweden)

    2004-04-01

    Full Text Available The Czech Republic presently shows one of the lowest total fertility rates (TFR in Europe. A decline in period fertility followed the transition from a centrally planned economy to a market economy that started in 1990. In this study, we investigate women's transition to first births, focusing on the impact of female education. We make a distinction between the effects of education attainment and time elapsed since completion of education. There are two aspects to the role of education that influenced the delay of entry into motherhood in the 1990s. First, during early adulthood women spent more time in education than their contemporaries did in the era of state socialism. Second, women entered motherhood much later after completion of education than before, which contrasts with the previous pattern of a strong immediate effect the completion of studies had on first-birth risks. The decline in first-birth risks in the 1990s applies more so to women with a higher level of education than to those with a lower level. We argue that greater education differentiation of labor market opportunities and constraints brought about greater education differentiation in the timing of entry into motherhood.

  20. [Perception of the transition to motherhood: a phenomenological study in the Barcelona region].

    Science.gov (United States)

    Berlanga Fernández, Sofía; Vizcaya-Moreno, María Flores; Pérez-Cañaveras, Rosa María

    2013-10-01

    To describe needs and experiences of mothers with children under one year old, to identify the factors that hinder the transition to motherhood, and to design the content of a health promotion program to develop motherhood support group sessions. A qualitative study with a phenomenological approach. Eight Primary Care Centres in the province of Barcelona, between July 2011 and July 2012. A total of 21 mothers participating in group dynamics maternity support: All of them participated in interviews and 8 in focus group. Semi-structured interviews were used in a purposive sample. The transcriptions were analysed by structure (latent content analysis) and content (manifest content analysis), with different categories being obtained. The participants in the study defined the construct of motherhood around three categories: Changes in lifestyle, feelings and perceptions. They identified as the most stressful times; «the new role», «changes in the partner relationship», «feelings», «experiences of pregnancy and childbirth», «idealisation», «lack of support», «crying», «colic», «read the signs of the child», «bath», «rest», «contradictory opinions», «learning», and «acquisition of new skills». They highlighted, as key topics for group dynamics, feeding, development, affective relationship, maternal confidence, fathers participation, family role, emotional, rest, massage, bath, accident prevention, colic, first aid, childcare, resources, and vaccines. Dynamic groups should be contextualised according to the perceived needs of the mothers, and other family members should be allowed to participate. Copyright © 2012 Elsevier España, S.L. All rights reserved.

  1. Comic revisions? : Motherhood and women’s comedy in contemporary Germany

    OpenAIRE

    Stone, Katherine

    2016-01-01

    Maternal stereotypes and the realities of mothering are prominent themes in Anke Engelke’s Ladykracher and Martina Hill’s Knallerfrauen, two of the most popular sketch shows in twenty-first-century Germany. This article relates their success to social anxieties about motherhood, which Engelke and Hill illuminate through the theme of their sketches as well as through their very use of comedy to do so. I begin by using close-readings of Ladykracher and Knallerfrauen to illuminate the political ...

  2. Cultural Collision and Women Victimization in Buchi Emecheta’s The Joys of Motherhood

    Directory of Open Access Journals (Sweden)

    Mohamed Fathi Helaly

    2016-03-01

    Full Text Available Buchi Emecheta is one of the most important female writers to emerge from Nigeria. She is distinguished for her vivid description of female subordination and conflicting cultural values in modern Africa. In Emecheta’s The Joys of Motherhood Nnu Ego, the protagonist, has to suffer as a wife both in the tribal environment in which she was born and the urban community in which she is compelled to live the rest of her life.  Nnu Ego has to suffer because these two environments have different cultures. She falls a victim of the tension of the collision of these two conflicting cultures. This collision occurs between the institutions of the traditional Ibo society and the institution of Western Europe.  The hardships that Nnu Ego experiences are the result of the clash between the Ibo traditions and the colonized Lagos. It is a clash of traditions, values and priorities. Nnu Ego is victimzed because of what the village (Ibuza community demands her to do, on the one hand, and what the rules of a European political  regime requires her to be. She finds herself in a predicament as she has to assume different roles in accordance with the values of the surrounding communities in which she has to live. She escapes from Ibuza because she is not accepted as a wife who cannot produce children. She flees to the distant city of Lagos to start a new life with another husband with the hope of fulfilling her dream of carrying children. This dream is rooted in the cultural values of the Ibo society where motherhood is the primary source of female self- esteem and public status. In Lagos Nnu Ego fulfills her dream of motherhood and begets a lot of children but the pleasures associated with motherhood are negated by the difficult economic conditions of her new urban community and its norms and values. She has to work day in and day out as a street-side peddler to sustain her children because her husband is away working for the colonizers most of the time. Nnu

  3. Feminism, Anthropology and Androcentrism | Ntarangwi | SAFERE ...

    African Journals Online (AJOL)

    SAFERE: Southern African Feminist Review. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 4, No 1 (2000) >. Log in or Register to get access to full text downloads.

  4. Safer childbirth: a rights-based approach.

    Science.gov (United States)

    Boama, Vincent; Arulkumaran, Sabaratnam

    2009-08-01

    The Millennium Development Goals (MDGs) set very high targets for women's reproductive health through reductions in maternal and infant mortality, among other things. Reductions in maternal mortality and morbidity can be achieved through various different approaches, such as the confidential review of maternal deaths, use of evidence-based treatments and interventions, using a health systems approach, use of information technology, global and regional partnerships, and making pregnancy safer through initiatives that increase the focus on human rights. A combination of these and other approaches can have a synergistic impact on reductions in maternal mortality. This paper highlights some of the current global efforts on safer pregnancy with a focus on reproductive rights. We encourage readers to do more in every corner of the world to advocate for women's reproductive rights and, in this way, we may achieve the MDGs by 2015.

  5. Sociodemographic characteristics and attitudes towards motherhood among single women compared with cohabiting women treated with donor semen

    DEFF Research Database (Denmark)

    Salomon, Maria; Sylvest, Randi; Hansson, Helena

    2015-01-01

    OBJECTIVE: To examine sociodemographic characteristics, family backgrounds, reproductive histories, and attitudes towards motherhood in single vs. cohabiting women seeking treatment with donor semen. DESIGN: Baseline data collection in a multicenter cohort study. SETTING: All nine public fertility...... clinics in Denmark. SAMPLE: In total n = 311 childless women initiating assisted reproduction using donor semen. METHODS: Self-reported questionnaire responses from n = 184 single women seeking treatment by using donor semen were compared with responses from n = 127 cohabiting women. MAIN OUTCOME MEASURES......: Sociodemographic characteristics, family backgrounds, reproductive histories, attitudes towards motherhood. RESULTS: Single women were 3.5 years older on average when initiating treatment compared with cohabiting women. No significant differences were found regarding sociodemographic characteristics, previous long...

  6. Effectiveness of community based safe motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania

    Directory of Open Access Journals (Sweden)

    Jahn Albrecht

    2010-04-01

    Full Text Available Abstract Background In Tanzania, maternal mortality ratio remains unacceptably high at 578/100,000 live births. Despite a high coverage of antenatal care (96%, only 44% of deliveries take place within the formal health services. Still, "Ensure skilled attendant at birth" is acknowledged as one of the most effective interventions to reduce maternal deaths. Exploring the potential of community-based interventions in increasing the utilization of obstetric care, the study aimed at developing, testing and assessing a community-based safe motherhood intervention in Mtwara rural District of Tanzania. Method This community-based intervention was designed as a pre-post comparison study, covering 4 villages with a total population of 8300. Intervention activities were implemented by 50 trained safe motherhood promoters (SMPs. Their tasks focused on promoting early and complete antenatal care visits and delivery with a skilled attendant. Data on all 512 deliveries taking place from October 2004 to November 2006 were collected by the SMPs and cross-checked with health service records. In addition 242 respondents were interviewed with respect to knowledge on safe motherhood issues and their perception of the SMP's performance. Skilled delivery attendance was our primary outcome; secondary outcomes included antenatal care attendance and knowledge on Safe Motherhood issues. Results Deliveries with skilled attendant significantly increased from 34.1% to 51.4% (ρ Conclusion The study has demonstrated the effectiveness of community-based safe motherhood intervention in promoting the utilization of obstetric care and a skilled attendant at delivery. This improvement is attributed to the SMPs' home visits and the close collaboration with existing community structures as well as health services.

  7. Gaming for Safer Sex: Young German and Turkish People Report No Specific Culture-Related Preferences Toward Educational Games Promoting Safer Sex.

    Science.gov (United States)

    Brüll, Phil; Ruiter, Robert A C; Wiers, Reinout W; Kok, Gerjo

    2016-12-01

    Comprehensive sex education programs specifically designed for adolescents and young adults that take into account gender norms and cultural background have shown promise as a means of countering the high sexually transmitted infection rate in young people. Recently, digital gaming interventions delivered on computers or mobile devices have emerged as another way to promote safer sex behavior in a young population. Tailoring these computer-based interventions to their target population has been recognized to increase positive behavior outcomes. In this qualitative study, we investigated whether young female and male adults from two different cultural backgrounds (all living in Germany) would have different preferences and needs in relation to an educational game promoting safer sex. We conducted four semistructured focus group interviews comprising open-ended questions with male and female participants who had either a German or a Turkish background. In total, 20 individuals, aged between 18 and 22 years, from two socially diverse and ethnically mixed vocational schools in Germany participated. Independent of cultural background and gender, participants preferred a real-world design with a first-person visual perspective over a fantasy-like third-person perspective. Furthermore, they preferred highly customizable avatars. All participants mentioned the importance of including an alcohol-intoxicated avatar and most participants wanted there to be additional information available about various safer sex approaches and about the use of different barrier protection methods. Males and females reported similar preferences for the design of an educational game promoting safer sex, with the only difference being exactly how the topic of having sexual intercourse should be addressed in the game. Males preferred a direct approach, whereas females had a preference for treating this subject more sympathetically. Educational games offer anonymity and can provide young people

  8. Viral Transmissions: Safer Sex Videos, Disability, and Queer Politics

    OpenAIRE

    Karisa Butler-Wall

    2016-01-01

    Bringing disability studies into conversation with queer histories of AIDS activism, this article examines the relationship between disability and queer politics in safer sex videos created by AIDS activists in the 1980s. As a form of what the author terms "guerrilla biopolitics," safer sex videos insisted on the viability of queer life and sexual expression at a historical moment of intense homophobia and sex negativity. At the same time, the vision of sexual health and identity they offered...

  9. Health Resources and Strategies among Employed Women in Norway during Pregnancy and Early Motherhood

    Science.gov (United States)

    Alstveit, Marit; Karlsen, Bjørg

    2015-01-01

    The number of women in paid employment is increasing. However, when becoming a mother for the first time, many seem unprepared for the challenge of balancing motherhood and work as well as for the impact on their health. The aim of this study was to investigate the health resources and strategies of employed women in Norway during pregnancy and early motherhood by means of salutogenic theory. A hypothetical-deductive interpretive approach based on Antonovsky's salutogenic theory was applied in a secondary analysis. A total of six themes were identified; three were classified as health resources when experiencing tension and three as health strategies. Salutogenic theory seems to be a useful framework for illuminating the health resources and strategies adopted by employed women who become mothers. The identified health resources when experiencing tension and the health strategies applied may have implications for maternity care professionals and employers in promoting the health of such women and supporting them to combine work and family life. PMID:25945258

  10. Tea with Mother: Sarah Palin and the Discourse of Motherhood as a Political Ideal

    Directory of Open Access Journals (Sweden)

    Janet McCabe

    2016-02-01

    Full Text Available Seldom has someone emerged so unexpectedly and sensationally on to the American political scene as Sarah Palin. With Palin came what had rarely, if ever, been seen before on a presidential trail: hockey moms, Caribou-hunting, pitbulls in lipstick parcelled as political weaponry. And let’s not forget those five children, including Track 19, set to deploy to Iraq, Bristol, and her unplanned pregnancy at 17, and Trig, a six-month-old infant with Down’s syndrome. Never before had motherhood been so finely balanced with US presidential politics. Biological vigour translated into political energy, motherhood transformed into an intoxicating political ideal. This article focuses on Sarah Palin and how her brand of “rugged Alaskan motherhood” (PunditMom 2008 became central to her media image, as well as what this representation has to tell us about the relationship between mothering as a political ideal, US politics, and the media.

  11. Should Postponing Motherhood via “Social Freezing” Be Legally Banned? An Ethical Analysis

    Directory of Open Access Journals (Sweden)

    Stephanie Bernstein

    2014-06-01

    Full Text Available In industrial societies, women increasingly postpone motherhood. While men do not fear a loss of fertility with age, women face the biological boundary of menopause. The freezing of unfertilized eggs can overcome this biological barrier. Due to technical improvements in vitrification, so-called “social freezing” (SF for healthy women is likely to develop into clinical routine. Controversial ethical debates focus on the risks of the technique for mother and child, the scope of reproductive autonomy, and the medicalization of reproduction. Some criticize the use of the technique in healthy women in general, while others support a legally defined maximum age for women at the time of an embryo transfer after oocyte cryopreservation. Since this represents a serious encroachment on the reproductive autonomy of the affected women, the reasons for and against must be carefully examined. We analyze arguments for and against SF from a gendered ethical perspective. We show that the risk of the cryopreservation of oocytes for mother and future child is minimal and that the autonomy of the women involved is not compromised. The negative ethical evaluation of postponed motherhood is partly due to a biased approach highlighting only the medical risks for the female body without recognizing the potential positive effects for the women involved. In critical accounts, age is associated in an undifferentiated way with morbidity and psychological instability and is thus used in a discriminatory way. We come to the conclusion that age as a predictor of risk in the debate about SF is, from an ethical point of view, an empty concept based on gender stereotypes and discriminatory connotations of aging. A ban on postponing motherhood via SF is not justified.

  12. Esperando o futuro: a maternidade na adolescência Awaiting the future: teenage motherhood

    Directory of Open Access Journals (Sweden)

    Silvia Alexim Nunes

    2012-01-01

    Full Text Available Este artigo é parte de um projeto que pretende avaliar o lugar da maternidade na constituição da subjetividade de um grupo de adolescentes. Parte da hipótese de que a gravidez na adolescência só se tornou um problema político e social dentro de uma biopolítica voltada para a produção e reprodução do corpo social que pressupõe a maternidade como um projeto racional. Nesse contexto, a gravidez na adolescência torna-se um problema de saúde pública, e os discursos sobre o tema adotam um tom homogeneizante e estigmatizante, acentuando seus aspectos negativos. A pesquisa, realizada com adolescentes de camadas populares entre 16 e 18 anos de idade, permite questionar esses discursos. Apontou a maternidade como um acontecimento fundamental para a constituição da subjetividade dessas jovens, possibilitando a construção de ideais e a articulação de um projeto de futuro.This paper is part of a research that aims to evaluate the place of motherhood in the constitution of subjectivity in a group of teenagers. It begins with the hypotheses that teenage pregnancy has become a political and social problem, inside a bio-politic targeting the production and reproduction of the social body. In this context, teenage pregnancy becomes a public health problem and the speeches about the subject tend to assume a homogenizing and stigmatizing tone, punctuating its negatives aspects. A research developed with teenagers from poor communities, between 16 and 18 years old, allows us to question these speeches. The research pointed out motherhood as a fundamental event in the constitution of these young women subjectivities. In fact, motherhood makes possible for them to built new ideals, and articulates a plan for the future.

  13. Early Motherhood and Harsh Parenting: The Role of Human, Social, and Cultural Capital

    Science.gov (United States)

    Lee, Yookyong

    2009-01-01

    Objective: This study examined the role of maternal human, social, and cultural capital in the relationship between early motherhood and harsh parenting behavior. Methods: This study used data from the Fragile Families and Child Wellbeing (FFCW) Study. Harsh parenting behaviors by mothers who were 19 years or younger at birth of the focal child (n…

  14. "But You Would Be the Best Mother": Unwomen, Counterstories, and the Motherhood Mandate.

    Science.gov (United States)

    Gotlib, Anna

    2016-06-01

    This paper addresses and challenges the pronatalist marginalization and oppression of voluntarily childless women in the Global North. These conditions call for philosophical analyses and for sociopolitical responses that would make possible the necessary moral spaces for resistance. Focusing on the relatively privileged subgroups of women who are the targets of pronatalist campaigns, the paper explores the reasons behind their choices, the nature and methods of Western pronatalism, and distinguishes three specific sources of some of the more lasting, and stigmatizing attacks: popular culture, law and policy, and medicine itself. I then argue that because they are construed by motherhood-essentializing, and increasingly popular, pronatalist narratives as, among other things, "failed" or "selfish," voluntarily childless women are subsequently burdened with damaged identities that can leave them personally othered and uniquely liminal in ways that are destructive to moral agency. Finally, I conclude with a challenge to the pronatalist master narratives by suggesting the possibility of counter narratives to the voluntarily childless woman's liminality that might serve as the ground of moral and political solidarity among differently situated women, regardless of their motherhood status.

  15. The Emotional Experience of Motherhood in Planned Lesbian Families in the South African Context: "… Look How Good a Job I'm Doing, Look How Amazing We Are".

    Science.gov (United States)

    Van Ewyk, Jacquetta; Kruger, Lou-Marié

    2017-01-01

    This article focuses on lesbian mothers' emotional experience of motherhood. It forms part of a larger qualitative and exploratory study with 10 lesbian couples in South Africa on their lived experience of planned motherhood. The study is located in a feminist phenomenological framework. Semi-structured interviews were conducted and interview transcripts were analyzed using thematic analysis. Participants described many different emotions associated with new motherhood: hope, joy, love, anxiety, helplessness, exhaustion, and feeling companionship and togetherness as well as feeling compromised and deprived. Mothers described these emotions but also focused on the development of a new identity, that of being a mother.

  16. Seriously Mentally Ill Women’s Safer Sex Behaviors and the Theory of Reasoned Action

    Science.gov (United States)

    Randolph, Mary E.; Pinkerton, Steven D.; Somlai, Anton M.; Kelly, Jeffrey A.; Gibson, Richard H.; Hackl, Kristin

    2014-01-01

    Seriously mentally ill women at risk for HIV infection (n = 96) participated in structured interviews assessing sexual and substance use behavior over a 3-month period. The majority of the women (63.5%) did not use condoms. Consistent with the Theory of Reasoned Action, condom use attitudes and perceived social norms about safer sex were associated with safer sex intentions. Supplementing TRA variables with safer sex self-efficacy explained additional variance in safer sex intentions. Greater safer sex intentions were related to both greater condom use and to less frequent unprotected intercourse. In addition, less frequent sex after drug use and a less fatalistic outlook were associated with less frequent unprotected intercourse. Life circumstances specific to this population are particularly important to examine to improve the effectiveness of risk reduction interventions for seriously mentally ill women. PMID:19458268

  17. CDC Vital Signs: Making Health Care Safer

    Science.gov (United States)

    ... of Page What Can Be Done The Federal government is Implementing activities across all government agencies to ... Making Health Care Safer [PSA – 0:60 seconds] Digital Press Kit: CDC Modeling Predicts Growth of Drug- ...

  18. Ethical Problems Related to Surrogate Motherhood

    Directory of Open Access Journals (Sweden)

    Erdem Aydin

    2006-03-01

    Full Text Available Being unable to have children is an important problem for married couples. At present, new reproduction techniques help these couples while those who can not find any solution try new approaches. One of these is the phenomenon of surrogate motherhood, which is based upon an agreement between the infertile couple and surrogate mother. Surrogate mother may conceive with the sperm of the male of the involved couple as well as by the transfer of the embryo formed by invitro fertilization. Couples who choose to have a child born from a pregnancy or to whom they are genetically partially connected rather than adopting a child give rise to the emergence of some ethical problems. Traditional family notion based upon having children after the union of the reproductive cells of the mother and father do not receive the pheneomenon of surrogate mother favourably. Such practices are criticised as they are far from being natural and other ethical problems are faced in the implementation.

  19. Long-Term Alterations in Neural and Endocrine Processes Induced by Motherhood

    Science.gov (United States)

    Bridges, Robert S.

    2015-01-01

    The reproductive experience of pregnancy, lactation and motherhood can significantly remodel the female’s biological state, affecting endocrine, neuroendocrine, neural, and immunological processes. The brain, pituitary gland, liver, thymus, and mammary tissue are among the structures that are modified by reproductive experience. The present review that focuses on rodent research, but also includes pertinent studies in sheep and other species, identifies specific changes in these processes brought about by the biological states of pregnancy, parturition, and lactation and how the components of reproductive experience contribute to the remodeling of the maternal brain and organ systems. Findings indicate that prior parity alters key circulating hormone levels and neural receptor gene expression. Moreover, reproductive experience results in modifications in neural processes and glial support. The possible role of pregnancy-induced neurogenesis is considered in the context of neuroplasticity and behavior, and the effects of reproductive experience on maternal memory, i.e. the retention of maternal behavior, together with anxiety and learning are presented. Together, these sets of findings support the concept that the neural and biological state of the adult female is significantly and dramatically altered on a long-term basis by the experiences of parity and motherhood. Remodeling of the maternal brain and other biological systems is posited to help facilitate adaptations to environmental/ecological challenges as the female raises young and ages. PMID:26388065

  20. Motherhood in the context of HIV infection: a study concerning the feelings of pregnant women

    Directory of Open Access Journals (Sweden)

    Fernanda Torres de Carvalho

    2006-12-01

    Full Text Available The present study investigated the feelings of HIV seropositive pregnant women, concerning their own infection, motherhood and the baby. Six pregnant women, aged between 26 and 35 years old, from low socioeconomic status, took part in the study. They were interviewed and their answers were examined through qualitative content analysis, divided in three categories: Experience concerning the HIV/Aids infection, Feelings about pregnancy and HIV/Aids and Family relations and HIV/Aids. The results revealed sexual risk behaviors, difficulty in accepting diagnosis and the need to justify the origin of their infection. Fears, guilty, prejudices, frustration with their own mother, loss of the maternal figure, lack of family support and instability in the relationship with the baby’s father were also revealed. The importance of psychological interventions aiming to treatment´s adherence and prevention of the mother-child transmission of HIV/Aids are discussed.   Keywords: HIV/Aids; pregnancy; motherhood; feelings.

  1. Navigating Motherhood and the Role of the Head Athletic Trainer in the Collegiate Setting.

    Science.gov (United States)

    Mazerolle, Stephanie M; Eason, Christianne M

    2016-07-01

    Motherhood has been identified as a barrier to the head athletic trainer (AT) position. Role models have been cited as a possible facilitator for increasing the number of women who pursue and maintain this role in the collegiate setting. To examine the experiences of female ATs balancing motherhood and head AT positions in the National Collegiate Athletic Association Division II and III and National Association of Intercollegiate Athletics settings. Qualitative study. National Collegiate Athletic Association Divisions II and III and National Association of Intercollegiate Athletics. A total of 22 female head ATs (average age = 40 ± 8 years) who were married with children completed our study. Our participants had been certified for 15.5 ± 7.5 years and in their current positions as head ATs for 9 ± 8 years. We conducted online interviews with all participants. Participants journaled their reflections on a series of open-ended questions pertaining to their experiences as head ATs. Data were analyzed following a general inductive approach. Credibility was confirmed through peer review and researcher triangulation. We identified 3 major contributors to work-life conflict. Two speak to organizational influences on conflict: work demands and time of year. The role of motherhood, which was more of a personal contributor, also precipitated conflict for our ATs. Four themes emerged as work-life balance facilitators: planning, attitude and perspective, support networks, and workplace integration. Support was defined at both the personal and professional levels. In terms of the organization, our participants juggled long work hours, travel, and administrative tasks. Individually and socioculturally, they overcame their guilt and their need to be present and an active part of the parenting process. These mothers demonstrated the ability to cope with their demanding roles as both moms and head ATs.

  2. Narratives of Displacement: The Challenges of Motherhood and Mothering in semi-fictional works by Laura Pariani, Mary Melfi, and Donatella Di Pierantonio

    Directory of Open Access Journals (Sweden)

    Laura Rorato

    2018-01-01

    Full Text Available This article analyses the representation of the impact of migration on family dynamics in three autobiographical works: Laura Pariani’s Il piatto dell’angelo (2013, Mary Melfi’s Italy Revisited. Conversations with my Mother (2009, and Antonella Di Pietrantonio’s Mia madre è un fiume (2011. All three authors were directly or indirectly affected by the wave of emigration that took place in Italy between the end of the 19th century and the first half of the 20th century. Pariani extends her observations to the present by focusing also on those South American women who are currently moving to Italy to work as cares for old people, often leaving their families behind. Motherhood and mothering are central themes in all three books. These works problematise the patriarchal notion of motherhood and highlight the need to move towards alternative concepts of motherhood that do not imply the subordination of women. Additionally, this article offers a reflection on the role that creative writing can play in challenging some of the most engrained stereotypes, such as those of the good mother versus the bad mother, partially related to our Christian tradition. Building on Podnieks and O’Reilly’s notion of “maternal texts” (1-2, this article argues that through fiction women are less inhibited in exploring the thornier aspects of motherhood as a social construction than they seem to be in everyday life.

  3. Effectiveness of community based Safe Motherhood promoters in improving the utilization of obstetric care. The case of Mtwara Rural District in Tanzania.

    Science.gov (United States)

    Mushi, Declare; Mpembeni, Rose; Jahn, Albrecht

    2010-04-01

    In Tanzania, maternal mortality ratio remains unacceptably high at 578/100,000 live births. Despite a high coverage of antenatal care (96%), only 44% of deliveries take place within the formal health services. Still, "Ensure skilled attendant at birth" is acknowledged as one of the most effective interventions to reduce maternal deaths. Exploring the potential of community-based interventions in increasing the utilization of obstetric care, the study aimed at developing, testing and assessing a community-based safe motherhood intervention in Mtwara rural District of Tanzania. This community-based intervention was designed as a pre-post comparison study, covering 4 villages with a total population of 8300. Intervention activities were implemented by 50 trained safe motherhood promoters (SMPs). Their tasks focused on promoting early and complete antenatal care visits and delivery with a skilled attendant. Data on all 512 deliveries taking place from October 2004 to November 2006 were collected by the SMPs and cross-checked with health service records. In addition 242 respondents were interviewed with respect to knowledge on safe motherhood issues and their perception of the SMP's performance. Skilled delivery attendance was our primary outcome; secondary outcomes included antenatal care attendance and knowledge on Safe Motherhood issues. Deliveries with skilled attendant significantly increased from 34.1% to 51.4% (rho utilization of obstetric care and a skilled attendant at delivery. This improvement is attributed to the SMPs' home visits and the close collaboration with existing community structures as well as health services.

  4. Integration of Gender-sensitive Approach to Safe Motherhood Program for the Prevention of STD/ HIV in Iran: A Qualitative Study

    Directory of Open Access Journals (Sweden)

    Fatemeh Rahmanian

    2017-07-01

    Full Text Available Background & aim: Sexually transmitted infections (STIs present a serious public health burden, which are considered as the factors contributing to acute illnesses, infertility, long-term disability, and mortality. The aim of the present study was to provide an in-depth understanding of the participants' perceptions about the integration of gender-sensitive approach to safe motherhood program for the prevention of STIs/human immunodeficiency virus (HIV in Iran. Methods: This qualitative exploratory study was conducted on 32 male and female key informants, including health managers, health policy makers, and reproductive health providers. The participants were selected through the purposive sampling method, followed by the snowball sampling technique. The data collection was performed using the semi-structured interviews. The data were analyzed through the content analysis. Results: Based on the results, the participants’ perceptions were categorized into two categories, namely the STIs/HIV prevention among males in safe motherhood and gender-sensitivity in primary maternal STIs/HIV prevention. Each of the patients was further divided into codes. The first category includes accountability to men's own sexual health needs’ and prevention of ill-health effects of men on women’s STIs/HIV status and the second category includes (1 condom negotiation skills in women (2 mandatory pre-marital HIV test policy, (3 partner notification guidelines, (4 STI/HIV risk assessment in safe motherhood services, and (5 women’s right-based instruction for prenatal HIV screening in private services. Conclusion: As the findings of the present study indicated, the health policy makers were not adequately sensitive to gender sensitivity, which is particularly crucial for STIs/HIV prevention in the safe motherhood programs.

  5. Merit Making, Money and Motherhood : Women's Experiences of Commercial Surrogacy in Thailand

    OpenAIRE

    Nilsson, Elina

    2015-01-01

    This thesis explores transnational commercial surrogacy in the context of Thailand, with the specific purpose to examine Thai women’s motives and experiences of being a surrogate mother. The study is based on two months of fieldwork in Bangkok between June and August 2014 during which interviews were conducted with eleven former, current or future surrogate mothers. The analysis take a postcolonial feminist approach, and draw upon theory of motherhood, intimate labor and stratified reproducti...

  6. Graphene Based Ultra-Capacitors for Safer, More Efficient Energy Storage

    Science.gov (United States)

    Roberson, Luke B.; Mackey, Paul J.; Zide, Carson J.

    2016-01-01

    Current power storage methods must be continuously improved in order to keep up with the increasingly competitive electronics industry. This technological advancement is also essential for the continuation of deep space exploration. Today's energy storage industry relies heavily on the use of dangerous and corrosive chemicals such as lithium and phosphoric acid. These chemicals can prove hazardous to the user if the device is ruptured. Similarly they can damage the environment if they are disposed of improperly. A safer, more efficient alternative is needed across a wide range of NASA missions. One solution would a solid-state carbon based energy storage device. Carbon is a safer, less environmentally hazardous alternative to current energy storage materials. Using the amorphous carbon nanostructure, graphene, this idea of a safer portable energy is possible. Graphene was electrochemically produced in the lab and several coin cell devices were built this summer to create a working prototype of a solid-state graphene battery.

  7. Being a Mother in a Strange Land : Motherhood Practices Experiences of Chinese Migrant Women in the Netherlands

    NARCIS (Netherlands)

    Huang, S-Y.

    2015-01-01

    Chinese migrants have been emigrating to the Netherlands since 1911. Particularly after World War Two, female migrants outnumbered male migrants, yet their daily-life practices and transnational motherhood experiences have remained largely unknown. For this reason, my study pays attention to

  8. The social construction of surrogacy research: an anthropological critique of the psychosocial scholarship on surrogate motherhood.

    Science.gov (United States)

    Teman, Elly

    2008-10-01

    This article presents a critical appraisal of the psychosocial empirical research on surrogate mothers, their motivations for entering into surrogacy agreements and the outcome of their participation. I apply a social constructionist approach toward analyzing the scholarship, arguing that the cultural assumption that "normal" women do not voluntarily become pregnant with the premeditated intention of relinquishing the child for money, together with the assumption that "normal" women "naturally" bond with the children they bear, frames much of this research. I argue that this scholarship reveals how Western assumptions about motherhood and family impact upon scientific research. In their attempt to research the anomalous phenomenon of surrogacy, these researchers respond to the cultural anxieties that the practice provokes by framing their research methodologies and questions in a manner that upholds essentialist gendered assumptions about the naturalness and normalness of motherhood and childbearing. This leads the researchers to overlook the intrinsic value of the women's personal experiences and has implications for social policy.

  9. Education, Work, and Motherhood in Low and Middle Income Countries: A Review of Equality Challenges and Opportunities for Women with Disabilities

    Directory of Open Access Journals (Sweden)

    Belaynesh Tefera

    2018-03-01

    Full Text Available This study looks at the equality challenges and opportunities for women with disabilities in low and middle income countries (LMICs to participate and succeed in education, employment and motherhood. It is based on a systematic review of the literature from academic and non-governmental organization databases. The search of these databases yielded 24 articles, which were subsequently passed through open, axial, and selective coding. The resulting review found that women with disabilities in LMICs have severe difficulty participating and succeeding in education, employment and motherhood due to a number of interrelated factors: (i hampered access to education, employment, intimacy and marriage, (ii stigma and cultural practices resulting in discrimination and prejudice, and (iii lack of support from family, teachers and institutions—all of which are exacerbated by poverty. Support from families, communities, the government, and non-governmental organizations improves women’s ability to fulfil their social roles (as students, employees and mothers, resulting in a better quality of life. Strategies that create awareness, minimize poverty and facilitate justice may improve the opportunities for women with disabilities in LMICs to participate in education, employment and motherhood, as well as their ability to succeed in these domains.

  10. Safer electronic health records safety assurance factors for EHR resilience

    CERN Document Server

    Sittig, Dean F

    2015-01-01

    This important volume provide a one-stop resource on the SAFER Guides along with the guides themselves and information on their use, development, and evaluation. The Safety Assurance Factors for EHR Resilience (SAFER) guides, developed by the editors of this book, identify recommended practices to optimize the safety and safe use of electronic health records (EHRs). These guides are designed to help organizations self-assess the safety and effectiveness of their EHR implementations, identify specific areas of vulnerability, and change their cultures and practices to mitigate risks.This book pr

  11. Volume reduction, a safer and cheaper way of radwaste management

    International Nuclear Information System (INIS)

    Mergan, L.M.; Cordier, J.P.; Storrer, J.A.

    1979-01-01

    Development of 'Volume Reduction' has demonstrated that it is a safer and cheaper radwaste management method. Safer, because of several advantages: decrease of solidified product volume, satisfactory product properties, absence of free water, better control of process parameters, increased encapsulation efficiency ... The corresponding impact on the waste management costs, results in important savings on different factors, as well as regards the operational costs as the investment expenses. Economy in the range of BF 35.000 per m 3 of incoming waste is achievable. The main volume reduction techniques readily available are briefly reviewed

  12. SPAСE-TEMPORAL STRUCTURE OF SELF-AWARENESS OF WOMEN WITH DIFFERENT EXPERIENCES MOTHERHOOD SYNERGETIC APPROACH

    Directory of Open Access Journals (Sweden)

    Kostareva Elena Nikolaevna

    2013-04-01

    Full Text Available In article the question of interrelation of features of consciousness and life experience of the person is considered. Results of empirical research, which purpose - the comparative analysis existential psychosemantics structures of consciousness of women with different experience of motherhood are submitted. In structure self-consiousness of the women having children, the personal value of family well-being integrating senses of child-parental and matrimonial relations, a material prosperity and dialogue is revealed. In self-consciousness women who are not having children, the potential personal values of motherhood not connected among themselves and the leisure, focused on the future and specifying alternative variants of development and self-determination of women are found out. On the basis of methodology of synergetrics parameters of the system - structural analysis of consciousness are proved. The consciousness of the women having children is established, that, made structurally out and differs relative orderliness and stability. The consciousness of the women who are not having children, is made structurally out, but characterized by instability and rather smaller orderliness.

  13. Shaping the Health Policy Agenda: The Case of Safe Motherhood Policy in Vietnam

    Directory of Open Access Journals (Sweden)

    Bui Thi Thu Ha

    2015-11-01

    Full Text Available Background Maternal health remains a central policy concern in Vietnam. With a commitment to achieving the Millennium Development Goal (MDG 5 target of maternal mortality rate (MMR of 70/100 000 by 2015, the Ministry of Health (MoH issued the National Plan for Safe Motherhood (NPSM 2003-2010. In 2008, reproductive health, including safe motherhood (SM became a national health target program with annual government funding. Methods A case study of how SM emerged as a political priority in Vietnam over the period 2001-2008, drawing on Kingdon’s theory of agenda-setting was conducted. A mixed method was adopted for this study of the NPSM. Results Three related streams contributed to SM priority in Vietnam: (1 the problem of high MMR was officially recognized from high-quality research, (2 the strong roles of policy champion from MoH in advocating for the needs to reducing MMR as well as support from government and donors, and (3 the national and international events, providing favorable context for this issue to emerge on policy agenda. Conclusion This paper draws on the theory of agenda-setting to analyze the Vietnam experience and to develop guidance for SM a political priority in other high maternal mortality communities.

  14. Consensus statement: Supporting Safer Conception and Pregnancy For Men And Women Living with and Affected by HIV.

    Science.gov (United States)

    Matthews, Lynn T; Beyeza-Kashesya, Jolly; Cooke, Ian; Davies, Natasha; Heffron, Renee; Kaida, Angela; Kinuthia, John; Mmeje, Okeoma; Semprini, Augusto E; Weber, Shannon

    2017-05-13

    Safer conception interventions reduce HIV incidence while supporting the reproductive goals of people living with or affected by HIV. We developed a consensus statement to address demand, summarize science, identify information gaps, outline research and policy priorities, and advocate for safer conception services. This statement emerged from a process incorporating consultation from meetings, literature, and key stakeholders. Three co-authors developed an outline which was discussed and modified with co-authors, working group members, and additional clinical, policy, and community experts in safer conception, HIV, and fertility. Co-authors and working group members developed and approved the final manuscript. Consensus across themes of demand, safer conception strategies, and implementation were identified. There is demand for safer conception services. Access is limited by stigma towards PLWH having children and limits to provider knowledge. Efficacy, effectiveness, safety, and acceptability data support a range of safer conception strategies including ART, PrEP, limiting condomless sex to peak fertility, home insemination, male circumcision, STI treatment, couples-based HIV testing, semen processing, and fertility care. Lack of guidelines and training limit implementation. Key outstanding questions within each theme are identified. Consumer demand, scientific data, and global goals to reduce HIV incidence support safer conception service implementation. We recommend that providers offer services to HIV-affected men and women, and program administrators integrate safer conception care into HIV and reproductive health programs. Answers to outstanding questions will refine services but should not hinder steps to empower people to adopt safer conception strategies to meet reproductive goals.

  15. EXPLAINING THE MOTHERHOOD WAGE PENALTY DURING THE EARLY OCCUPATIONAL CAREER

    Science.gov (United States)

    STAFF, JEREMY; MORTIMER, JEYLAN T.

    2011-01-01

    Prior research shows that mothers earn lower hourly wages than women without children, and that this maternal wage penalty cannot be fully explained by differences between mothers and other women in work experience and job characteristics. This research examines whether the residual motherhood wage penalty results from differences between mothers and other women in the accumulation of work interruptions and breaks in schooling. Using longitudinal data for 486 women followed from ages 19 to 31 in the Youth Development Study, we find that accumulated months not in the labor force and not enrolled in school explain the residual pay gap between mothers and other women. PMID:22037996

  16. Navigating Motherhood and the Role of the Head Athletic Trainer in the Collegiate Setting

    Science.gov (United States)

    Mazerolle, Stephanie M.; Eason, Christianne M.

    2016-01-01

    Context:  Motherhood has been identified as a barrier to the head athletic trainer (AT) position. Role models have been cited as a possible facilitator for increasing the number of women who pursue and maintain this role in the collegiate setting. Objective:  To examine the experiences of female ATs balancing motherhood and head AT positions in the National Collegiate Athletic Association Division II and III and National Association of Intercollegiate Athletics settings. Design:  Qualitative study. Setting:  National Collegiate Athletic Association Divisions II and III and National Association of Intercollegiate Athletics. Patients or Other Participants:  A total of 22 female head ATs (average age = 40 ± 8 years) who were married with children completed our study. Our participants had been certified for 15.5 ± 7.5 years and in their current positions as head ATs for 9 ± 8 years. Data Collection and Analysis:  We conducted online interviews with all participants. Participants journaled their reflections on a series of open-ended questions pertaining to their experiences as head ATs. Data were analyzed following a general inductive approach. Credibility was confirmed through peer review and researcher triangulation. Results:  We identified 3 major contributors to work-life conflict. Two speak to organizational influences on conflict: work demands and time of year. The role of motherhood, which was more of a personal contributor, also precipitated conflict for our ATs. Four themes emerged as work-life balance facilitators: planning, attitude and perspective, support networks, and workplace integration. Support was defined at both the personal and professional levels. Conclusions:  In terms of the organization, our participants juggled long work hours, travel, and administrative tasks. Individually and socioculturally, they overcame their guilt and their need to be present and an active part of the parenting process. These mothers demonstrated the

  17. Pregnancy and Motherhood During Surgical Training.

    Science.gov (United States)

    Rangel, Erika L; Smink, Douglas S; Castillo-Angeles, Manuel; Kwakye, Gifty; Changala, Marguerite; Haider, Adil H; Doherty, Gerard M

    2018-03-21

    the operating room to express milk. Sixty-four women (18.4%) had institutional support for childcare, and 231 (66.8%) reported a desire for greater mentorship on integrating a surgical career with motherhood and pregnancy. A total of 135 (39.0%) strongly considered leaving surgical residency, and 102 (29.5%) would discourage female medical students from a surgical career, specifically because of the difficulties of balancing pregnancy and motherhood with training. The challenges of having children during surgical residency may have significant workforce implications. A deeper understanding is critical to prevent attrition and to continue recruiting talented students. This survey characterizes these issues to help design interventions to support childbearing residents.

  18. Mass-Produced, Buffer | Masitera | SAFERE: Southern African ...

    African Journals Online (AJOL)

    SAFERE: Southern African Feminist Review. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 3, No 2 (1999) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. DOWNLOAD FULL TEXT Open Access ...

  19. Safer sexual practices among African American women: intersectional socialisation and sexual assertiveness.

    Science.gov (United States)

    Brown, Danice L; Blackmon, Sha'Kema; Shiflett, Alexandra

    2018-06-01

    Scholars have posited that childhood socialisation experiences may play a key role in influencing behaviours and attitudes that contribute to the acquisition of HIV. This study examined the links between past ethnic-racial and gender socialisation, sexual assertiveness and the safe sexual practices of African American college women utilising a cluster analytic approach. After identifying separate racial-gender and ethnic-gender socialisation profiles, results indicated that ethnic-gender socialisation cluster profiles were directly associated with sexual assertiveness and safer sex behaviour. Greater levels of ethnic socialisation and low traditional gender role socialisation were found to be associated with greater sexual assertiveness and safer sex behaviour. Further analysis showed that sexual assertiveness mediated the links between the identified ethnic-gender socialisation profiles and safer sex behaviour. Implications for policy and programme development are discussed.

  20. What Goes Around: the process of building a community-based harm reduction research project.

    Science.gov (United States)

    Jalloh, Chelsea; Illsley, Shohan; Wylie, John; Migliardi, Paula; West, Ethan; Stewart, Debbie; Mignone, Javier

    2017-11-16

    Often, research takes place on underserved populations rather than with underserved populations. This approach can further isolate and stigmatize groups that are already made marginalized. What Goes Around is a community-based research project that was led by community members themselves (Peers). This research aimed to implement a community-based research methodology grounded in the leadership and growing research capacity of community researchers and to investigate a topic which community members identified as important and meaningful. Chosen by community members, this project explored how safer sex and safer drug use information is shared informally among Peers. Seventeen community members actively engaged as both community researchers and research participants throughout all facets of the project: inception, implementation, analysis, and dissemination of results. Effective collaboration between community researchers, a community organization, and academics facilitated a research process in which community members actively guided the project from beginning to end. The methods used in What Goes Around demonstrated that it is not only possible, but advantageous, to draw from community members' involvement and direction in all stages of a community-based research project. This is particularly important when working with a historically underserved population. Purposeful and regular communication among collaborators, ongoing capacity building, and a commitment to respect the experience and expertise of community members were essential to the project's success. This project demonstrated that community members are highly invested in both informally sharing information about safer sex and safer drug use and taking leadership roles in directing research that prioritizes harm reduction in their communities.

  1. Impact of Teenage Motherhood on the Academic Performance in Public Primary Schools in Bungoma County, Kenya

    Science.gov (United States)

    Barmao-Kiptanui, Catherine; Kindiki, Jonah Nyaga; Lelan, Joseph K.

    2015-01-01

    Teenage pregnancy and motherhood is a concern in both developed and developing countries and is a complex reality of contemporary society however the re-entry of teenage mothers into the school system continues to demand attention as society's negative attitude towards pregnant girls and teenage mothers persists. Those who do return to school…

  2. Access management in Safer Transportation Network Planning : safety principles, planning framework, and library information.

    NARCIS (Netherlands)

    Hummel, T.

    2001-01-01

    This report is one in a series of publications, used in the development of the network planning tool ‘Safer Transportation Network Planning’ (Safer-TNP). The publications were used to guide the development of planning structures, diagnostic tools, planning recommendations, and research information

  3. Intersection planning in Safer Transportation Network Planning : safety principles, planning framework, and library information.

    NARCIS (Netherlands)

    Hummel, T.

    2001-01-01

    This report is one in a series of publications, used in the development of the network planning tool ‘Safer Transportation Network Planning’ (Safer-TNP). The publications were used to guide the development of planning structures, diagnostic tools, planning recommendations, and research information

  4. Route management in Safer Transportation Network Planning : safety principles, planning framework, and library information.

    NARCIS (Netherlands)

    Hummel, T.

    2001-01-01

    This report is one in a series of publications, used in the development of the network planning tool ‘Safer Transportation Network Planning’ (Safer-TNP). The publications were used to guide the development of planning structures, diagnostic tools, planning recommendations, and research information

  5. The Mother, Who Is Not One: Reflections Of Motherhood In Shakespeare's Romeo And Juliet, The Tempest, And The Taming Of The Shrew

    Directory of Open Access Journals (Sweden)

    KARAMAN HATICE

    2014-12-01

    Full Text Available The lack of proper motherhood in Shakespeare's plays has been a point of attraction for many feminist critics actively engaged in emphasizing the patriarchal aspect of Shakespeare's plays. This paper aims to analyze motherhood and the lack of mother/mother-figure in The Tempest, Romeo and Juliet and The Taming of the Shrew through Luce Irigaray's theory of gender and the work of other feminist critics. The issues of gender, father-daughter relations and the reflections of the absent mothers will be discussed. Male/Female Subjectivity will also be questioned, in view of Irigaray's conceptualization of gender by relating it to Subject.

  6. [Sexual Behavior and Self-Efficacy for the Negotiation of Safer Sex in Heterosexual Persons.

    Science.gov (United States)

    Pérez-Jiménez, David; Santiago-Rivas, Marimer; Serrano-García, Irma

    2009-05-01

    Self-efficacy has been defined as one of the factors that may facilitate or impede safer sex. Studies reveal that peoples in steady relationships practice safer sex less often that those in casual relationships. We conducted a study with 447 sexually active heterosexual adults. A self-administered questionnaire was designed to study the sexual behavior, the male condom use and the practice of mutual masturbation, and the self-efficacy toward these practices. Results show that most men are sexually active and that there is a low frequency of male condom use and the practice of mutual masturbation as safer sex. The majority of those who use the male condom are engage in casual relationships. However, participants have high levels of self-efficacy toward these practices. Although self-efficacy is one of the factors that influence in deciding to practice safer sex, it is not sufficient to reach this goal.

  7. Sociodemographic characteristics and attitudes towards motherhood among single women compared with cohabiting women treated with donor semen - a Danish multicenter study.

    Science.gov (United States)

    Salomon, Maria; Sylvest, Randi; Hansson, Helena; Nyboe Andersen, Anders; Schmidt, Lone

    2015-05-01

    To examine sociodemographic characteristics, family backgrounds, reproductive histories, and attitudes towards motherhood in single vs. cohabiting women seeking treatment with donor semen. Baseline data collection in a multicenter cohort study. All nine public fertility clinics in Denmark. In total n = 311 childless women initiating assisted reproduction using donor semen. Self-reported questionnaire responses from n = 184 single women seeking treatment by using donor semen were compared with responses from n = 127 cohabiting women. Sociodemographic characteristics, family backgrounds, reproductive histories, attitudes towards motherhood. Single women were 3.5 years older on average when initiating treatment compared with cohabiting women. No significant differences were found regarding sociodemographic characteristics, previous long-term relationships, previous pregnancies, or attitudes towards motherhood between single women and cohabiting women. The vast majority of single women wanted to achieve parenthood with a partner, 85.8% wished to have a partner in the future, and approximately half of them preferred for a partner to take parental responsibilities. In this study single women seeking treatment with donor semen in the public health system did not differ from cohabiting women, except that they were older. To be a single mother by choice is not their preferred way of parenthood, but a solution they needed to accept. © 2015 Nordic Federation of Societies of Obstetrics and Gynecology.

  8. Teen motherhood and pregnancy prototypes: the role of social context in changing young African American mothers' risk images and contraceptive expectations.

    Science.gov (United States)

    Barr, Ashley B; Simons, Ronald L; Simons, Leslie Gordon; Gibbons, Frederick X; Gerrard, Meg

    2013-12-01

    Despite the declining rate of teen pregnancies in the United States, academic and public health experts have expressed concern over the still relatively high rate of rapid repeat pregnancies among adolescents, particularly among minority youth. Using a sample of over 300 African American female adolescents, the current study used insights from the prototype/willingness model of adolescent risk behavior to explore this risk. More specifically, it assessed the relationship between entry into unwed motherhood during mid-to-late adolescence and changes in prototypes of unmarried pregnant teens. Further, it explored the extent to which these changing prototypes accounted for young mothers' later contraceptive expectations. We tested the possibility that social images were affected not only by personal experience (the birth of a child) but also by the family and community context in which this experience took place. The findings show that the early entrance into teen motherhood was associated with a shift toward more favorable prototypes of unwed pregnant teens, but that this was only the case for young mothers in disadvantaged contexts. Given this, prototype changes helped to explain the link between teen motherhood and contraceptive expectations only for those in disadvantaged contexts. We discuss these findings in terms of their practical and theoretical implications.

  9. Beyond HIV-serodiscordance: Partnership communication dynamics that affect engagement in safer conception care.

    Directory of Open Access Journals (Sweden)

    Lynn T Matthews

    Full Text Available We explored acceptability and feasibility of safer conception methods among HIV-affected couples in Uganda.We recruited HIV-positive men and women on antiretroviral therapy (ART ('index' from the Uganda Antiretroviral Rural Treatment Outcomes cohort who reported an HIV-negative or unknown-serostatus partner ('partner', HIV-serostatus disclosure to partner, and personal or partner desire for a child within two years. We conducted in-depth interviews with 40 individuals from 20 couples, using a narrative approach with tailored images to assess acceptability of five safer conception strategies: ART for the infected partner, pre-exposure prophylaxis (PrEP for the uninfected partner, condomless sex timed to peak fertility, manual insemination, and male circumcision. Translated and transcribed data were analyzed using thematic analysis.11/20 index participants were women, median age of 32.5 years, median of 2 living children, and 80% had HIV-RNA <400 copies/mL. Awareness of HIV prevention strategies beyond condoms and abstinence was limited and precluded opportunity to explore or validly assess acceptability or feasibility of safer conception methods. Four key partnership communication challenges emerged as primary barriers to engagement in safer conception care, including: (1 HIV-serostatus disclosure: Although disclosure was an inclusion criterion, partners commonly reported not knowing the index partner's HIV status. Similarly, the partner's HIV-serostatus, as reported by the index, was frequently inaccurate. (2 Childbearing intention: Many couples had divergent childbearing intentions and made incorrect assumptions about their partner's desires. (3 HIV risk perception: Participants had disparate understandings of HIV transmission and disagreed on the acceptable level of HIV risk to meet reproductive goals. (4 Partnership commitment: Participants revealed significant discord in perceptions of partnership commitment. All four types of partnership

  10. Fertility Intentions, Pregnancy, and Use of PrEP and ART for Safer Conception Among East African HIV Serodiscordant Couples.

    Science.gov (United States)

    Heffron, Renee; Thomson, Kerry; Celum, Connie; Haberer, Jessica; Ngure, Kenneth; Mugo, Nelly; Bukusi, Elizabeth; Katabira, Elly; Odoyo, Josephine; Bulya, Nulu; Asiimwe, Stephen; Tindimwebwa, Edna; Baeten, Jared M

    2017-09-11

    African HIV serodiscordant couples often desire pregnancy, despite sexual HIV transmission risk during pregnancy attempts. Pre-exposure prophylaxis (PrEP) and antiretroviral therapy (ART) reduce HIV risk and can be leveraged for safer conception but how well these strategies are used for safer conception is not known. We conducted an open-label demonstration project of the integrated delivery of PrEP and ART among 1013 HIV serodiscordant couples from Kenya and Uganda followed quarterly for 2 years. We evaluated fertility intentions, pregnancy incidence, the use of PrEP and ART during peri-conception, and peri-conception HIV incidence. At enrollment, 80% of couples indicated a desire for more children. Pregnancy incidence rates were 18.5 and 18.7 per 100 person years among HIV-uninfected and HIV-infected women, and higher among women who recently reported fertility intention (adjusted odds ratio 3.43, 95% CI 2.38-4.93) in multivariable GEE models. During the 6 months preceding pregnancy, 82.9% of couples used PrEP or ART and there were no HIV seroconversions. In this cohort with high pregnancy rates, integrated PrEP and ART was readily used by HIV serodiscordant couples, including during peri-conception periods. Widespread scale-up of safer conception counseling and services is warranted to respond to strong desires for pregnancy among HIV-affected men and women.

  11. Connected Motherhood: Social Support for Moms and Moms-to-Be on Facebook.

    Science.gov (United States)

    Holtz, Bree; Smock, Andrew; Reyes-Gastelum, David

    2015-05-01

    Research addressing online social support, especially for new mothers, has typically focused on forums and dedicated Web sites, and not on social networking sites like Facebook. Here we expand on this existing body of work by addressing a Facebook page, Ask the Chicks, themed around questions and answers related to motherhood. Using the uses and gratification lens, we explore motivations for participation as they relate to engagement with the page. Individuals were recruited to participant in an online survey through posts on the Ask the Chicks Facebook page made by the page owner over a 1-week period. To be eligible to complete the survey, participants had to be 18 years old or older, female, and pregnant or have at least one child under the age of 5 years. Analyses of survey data collected from users of the page (n=647) revealed that engagement has a positive relationship with the motives of relaxing entertainment, expressive information sharing, social interaction, and information seeking. Online support groups, and especially Facebook, appear to be a more convenient method than traditional online support groups for people who want to obtain information about certain topics, in this case, about motherhood and raising kids. Having this type of social support tool is important, as social support has been found to reduce levels of stress, which can improve overall health and quality of life. This study provides a better understanding of why people use this type of social support group for questions about parenting.

  12. Negotiating the transition from adolescence to motherhood: Coping with prenatal and parenting stress in teenage mothers in Mulago hospital, Uganda

    Directory of Open Access Journals (Sweden)

    Kaye Dan K

    2008-03-01

    Full Text Available Abstract Background Adolescence is a transitional stage from childhood to adulthood that is characterized by physical, physiological, psychosocial and behavioral changes that are influenced to a large extent by the age, culture and socialization of the individual. To explore what adolescent mothers perceive as their struggles during the period of transition from childhood to parenthood (through motherhood and to describe strategies employed in coping with stress of pregnancy, motherhood and parenthood. Methods Longitudinal qualitative study involving twenty two in-depth interviews and six focus group discussions among pregnant adolescents who were followed from pregnant to delivery, from January 2004 to August 2005. Participant were selected by theoretical sampling and data was analyzed using grounded theory. Results Overall, young adolescents reported more anxiety, loss of self esteem (when they conceived, difficulty in accessing financial, moral and material support from parents or partners and stigmatization by health workers when they sought care from health facilities. Three strategies by which adolescent mothers cope with parenting and pregnancy stress that were described as utilizing opportunities (thriving, accommodating the challenges (bargaining and surviving, or failure (despairing, and varied in the extent to which they enabled adolescents to cope with the stress. Conclusion Adolescents on the transition to motherhood have variable needs and aspirations and utilize different strategies to cope with the stress of pregnancy and parenthood.

  13. Designing safer living environments support for local government

    CSIR Research Space (South Africa)

    Landman, K

    1999-06-01

    Full Text Available This paper addresses the built environment, the opportunities it presents for crime and the role city planners and urban designers have to play in the design of safer cities and towns. City planners and urban designers can play a role...

  14. Perceived Impact of Motherhood on Adherence to Therapy in Mothers with Cystic Fibrosis.

    Science.gov (United States)

    Ullrich, G; Bobis, I; Bewig, B

    2015-11-01

    To explore the stress related to motherhood and its perceived impact on adherence to therapy in women with cystic fibrosis (CF). Cross-sectional study with a purpose-designed questionnaire. 46/73 eligible women were enrolled and 38 returned the questionnaire. Mean age of mothers was 33.8 y  ± 7.1 y, mean age of firstborn child was 6.9 y  ± 5.7 y. Nine women had more than one biological child. 18 mothers (47%) were currently employed, 12 of whom worked 19 to 30 hours per week and none full-time. There were mothers who reported a detrimental effect on adherence (time constraints 38%; intentional nonadherence 42%), and mothers who reported that adherence had actually improved (29%). Both of these effects were related to daily CF therapy at home. By contrast, i. v. antibiotic therapy was less impaired by role strains, mainly due to home i. v. therapy being an alternative and/or due to intensive social support (husband, parents). Participants clearly addressed the importance of adherence and the need for adequate self-management in narrative comments. Motherhood may improve adherence to CF therapy as well as it may affect it negatively. Health caregivers are well-advised to address a possible detrimental effect, proactively. © Georg Thieme Verlag KG Stuttgart · New York.

  15. Using a narrative to spark safer sex communication

    NARCIS (Netherlands)

    Donné, Lennie; Hoeks, Jacobus; Jansen, C. J. M.

    2017-01-01

    Objective: College students are a group at risk for contracting sexually transmitted infections (STIs). While they are generally well informed about STIs, they do not consistently use condoms. An important element in preventing STIs is safer sex communication, especially with a sexual partner. This

  16. Parent-Adolescent Sexual Communication and Adolescent Safer Sex Behavior: A Meta-Analysis

    Science.gov (United States)

    Widman, Laura; Choukas-Bradley, Sophia; Noar, Seth M.; Nesi, Jacqueline; Garrett, Kyla

    2016-01-01

    Importance Parent-adolescent sexual communication has received considerable attention as one factor that can positively impact safer sex among youth; however, the evidence linking communication to youth contraceptive and condom use has not been empirically synthesized. Objective This meta-analysis examined the effect of parent-adolescent sexual communication on youth safer sex behavior and explored potential moderators of this association. Data Sources A systematic search was conducted of studies published through June 2014 using Medline, PsycINFO, and Communication & Mass Media Complete databases and relevant review articles. Study Selection Studies were included if they: 1) sampled adolescents (mean sample age≤18); 2) included an adolescent report of sexual communication with parent(s); 3) measured safer sex behavior; and 4) were published in English. Data Extraction and Synthesis Correlation coefficients (r) and 95% confidence intervals (CIs) were computed from studies and meta-analyzed using random-effects models. Main Outcomes and Measures The primary outcome was safer sex behavior, including use of contraceptives/birth control or condoms. Results Seventy-one independent effects representing over three decades of research on 25,314 adolescents (mean age = 15.1) were synthesized. Across studies, there was a small, significant weighted mean effect (r = .10, [95% CI:0.08–0.13]) linking parent-adolescent sexual communication to safer sex behavior, which was statistically heterogeneous (Q = 203.50, p communication with girls (r = .12) than boys (r = .04), and among youth who discussed sex with mothers (r = .14) compared to fathers (r = .03). Effects did not differ for contraceptive versus condom use, or among longitudinal versus cross-sectional studies, indicating parent sexual communication had a similar impact across study designs and outcomes. Several methodological issues were identified in the literature; future studies can improve on these by measuring

  17. Land use planning in Safer Transportation Network Planning : safety principles, planning framework, and library information.

    NARCIS (Netherlands)

    Hummel, T.

    2001-01-01

    This report is one in a series of publications, used in the development of the network planning tool ‘Safer Transportation Network Planning’ (Safer-TNP). The publications were used to guide the development of planning structures, diagnostic tools, planning recommendations, and research information

  18. Safer handling practice: influence of staff education on older people.

    Science.gov (United States)

    Wilson, Christine Brown

    The purpose of this small-scale survey was to explore the level of moving and handling training undertaken by nurses within private sector continuing care environments and the potential this training had to influence the care of older people. This study uses a definition of safer handling practice derived from existing literature to examine how nurses report the application of this training and whether they observe changes to the mobility of older people within their care. The limitations of this study indicate that generalizations must be made cautiously. However, this study tentatively suggests that potential exists to influence positively the use of safer handling practice as defined within this study. Recommendations for further study are made.

  19. Pregnancy termination in Matlab, Bangladesh: trends and correlates of use of safer and less-safe methods.

    Science.gov (United States)

    DaVanzo, Julie; Rahman, Mizanur

    2014-09-01

    Menstrual regulation (MR), a relatively safe form of pregnancy termination, is legal in Bangladesh during the early stages of pregnancy. However, little is known about the factors associated with whether women who terminate pregnancies choose this method or a less-safe one. Data from the Matlab Demographic Surveillance System on 122,691 pregnancies-5,221 (4.3%) of which were terminated-were used to examine trends between 1989 and 2008 in termination and in use of safer methods (MR or dilation and curettage) and less-safe (all other) methods of pregnancy termination. Logistic and multinomial logistic regressions were used to assess factors associated with whether women terminate pregnancies and whether they use safer methods. Sixty-seven percent of pregnancy terminations were by safer methods and 33% by less-safe means. The proportion of pregnancies that were terminated increased between 1989 and 2008; this increase was entirely due to increased use of safer methods. Women younger than 18 and those 25 or older were more likely than women aged 20-24 to terminate their pregnancies (odds ratios ranged from 1.5 among women aged 16-17 or 25-29 to 26.1 among those aged 45 or older). Among women who terminated their pregnancies, those aged 25-44 were more likely than those aged 20-24 to use a safer method. Compared with women who had no formal education, those with some education were more likely to terminate their pregnancies and to do so using safer methods. A growing proportion of pregnancies in Matlab are terminated, and these terminations are increasingly done using safer methods.

  20. 40 CFR 93.126 - Exempt projects.

    Science.gov (United States)

    2010-07-01

    ... transportation buildings, structures, or facilities). Repair of damage caused by natural disasters, civil unrest... location or feature. Safer non-Federal-aid system roads. Shoulder improvements. Increasing sight distance... than signalization projects. Railroad/highway crossing warning devices. Guardrails, median barriers...

  1. Mini-project

    DEFF Research Database (Denmark)

    Katajainen, Jyrki

    2008-01-01

    In this project the goal is to develop the safe * family of containers for the CPH STL. The containers to be developed should be safer and more reliable than any of the existing implementations. A special focus should be put on strong exception safety since none of the existing prototypes available...

  2. Vexing Motherhoods in Ireland and Abroad in Nuala Ní Chonchúir’s Mother America

    OpenAIRE

    Aitor Ibarrola-Armendariz

    2018-01-01

    This article explores the difficulties of representing motherhood from a contemporary – and, allegedly, feminist – perspective in the collection of short stories Mother America (2012) by Irish author Nuala Ní Chonchúir. The stories in the volume include a whole typology of mothers: surrogate mothers, exiled mothers, mothers who see their child abducted and others who tattoo them for protection, all of whom need to deal with particular crises which usually change them in profound ways. Althoug...

  3. System Hardening Architecture for Safer Access to Critical Business ...

    African Journals Online (AJOL)

    System Hardening Architecture for Safer Access to Critical Business Data. ... and the threat is growing faster than the potential victims can deal with. ... in this architecture are applied to the host, application, operating system, user, and the ...

  4. NREL, NASA, and UCL Team Up to Make Lithium-Ion Batteries Safer on Earth

    Science.gov (United States)

    (NASA) and University College London (UCL) for a cutting-edge study on lithium-ion (Li-ion) battery and in Space | News | NREL NREL, NASA, and UCL Team Up to Make Lithium-Ion Batteries Safer on Earth and in Space NREL, NASA, and UCL Team Up to Make Lithium-Ion Batteries Safer on Earth and in Space

  5. AIDS in Zimbabwe: | Sibanda | SAFERE: Southern African Feminist ...

    African Journals Online (AJOL)

    SAFERE: Southern African Feminist Review. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 3, No 1 (1999) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. DOWNLOAD FULL TEXT Open Access ...

  6. One being White | Newman | SAFERE: Southern African Feminist ...

    African Journals Online (AJOL)

    SAFERE: Southern African Feminist Review. Journal Home · ABOUT THIS JOURNAL · Advanced Search · Current Issue · Archives · Journal Home > Vol 3, No 2 (1999) >. Log in or Register to get access to full text downloads. Username, Password, Remember me, or Register. DOWNLOAD FULL TEXT Open Access ...

  7. [A father's motherhood... or a mother's fatherhood? Transgender, assisted reproduction and bioethics].

    Science.gov (United States)

    Alvarez-Díaz, Jorge Alberto

    2009-01-01

    The presence of a transsexual pregnant male in the mass media has made people reassess if transsexuals should have access to assisted reproduction. The bioethical discussion should focus on the future child best interests. This article describes the story of this transsexual man, legally married to a woman in the state of Oregon in the United States. A brief overview of transsexuality and the specific characteristics of this case, with special considerations towards fertility in transsexual people is included. We suggest reflections on what constitutes motherhood and fatherhood and bioethical considerations brought forth by this groundbreaking event.

  8. Community Influences on Married Women's Safer Sex Negotiation Attitudes in Bangladesh: A Multilevel Analysis.

    Science.gov (United States)

    Jesmin, Syeda S; Cready, Cynthia M

    2016-02-01

    The influence of disadvantaged or deprived community on individuals' health risk-behaviors is increasingly being documented in a growing body of literature. However, little is known about the effects of community characteristics on women's sexual attitudes and behaviors. To examine community effects on married women's safer sex negotiation attitudes, we analyzed cross-sectional data from the 2011 Bangladesh Demographic and Health Surveys on a sample of 15,134 married women in 600 communities. We estimated two multilevel logistic regression models. Model 1, which included only individual-level variables, showed that women's autonomy/empowerment, age, and HIV knowledge had significant associations with their safer sex negotiation attitudes. We did not find any socioeconomic status gradient in safer sex negotiation attitudes at the individual level. Adding community-level variables in Model 2 significantly improved the fit of the model. Strikingly, we found that higher community-level poverty was associated with greater positive safer sex negotiation attitudes. Prevailing gender norms and overall women's empowerment in the community also had significant effects. While research on community influences calls for focusing on disadvantaged communities, our research highlights the importance of not underestimating the challenges that married women in economically privileged communities may face in negotiating safer sex. To have sufficient and equitable impact on married women's sexual and reproductive health, sexual and reproductive health promotion policies and programs need to be directed to women in wealthier communities as well.

  9. Documentary shows how public employment is making cities safer ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2016-06-10

    Jun 10, 2016 ... In an engaging new documentary film, researchers from the Centre for the Study of Violence and Reconciliation share their insights of how a public employment program in South Africa is making cities safer and more inclusive.

  10. Beyond HIV-serodiscordance: Partnership communication dynamics that affect engagement in safer conception care.

    Science.gov (United States)

    Matthews, Lynn T; Burns, Bridget F; Bajunirwe, Francis; Kabakyenga, Jerome; Bwana, Mwebesa; Ng, Courtney; Kastner, Jasmine; Kembabazi, Annet; Sanyu, Naomi; Kusasira, Adrine; Haberer, Jessica E; Bangsberg, David R; Kaida, Angela

    2017-01-01

    We explored acceptability and feasibility of safer conception methods among HIV-affected couples in Uganda. We recruited HIV-positive men and women on antiretroviral therapy (ART) ('index') from the Uganda Antiretroviral Rural Treatment Outcomes cohort who reported an HIV-negative or unknown-serostatus partner ('partner'), HIV-serostatus disclosure to partner, and personal or partner desire for a child within two years. We conducted in-depth interviews with 40 individuals from 20 couples, using a narrative approach with tailored images to assess acceptability of five safer conception strategies: ART for the infected partner, pre-exposure prophylaxis (PrEP) for the uninfected partner, condomless sex timed to peak fertility, manual insemination, and male circumcision. Translated and transcribed data were analyzed using thematic analysis. 11/20 index participants were women, median age of 32.5 years, median of 2 living children, and 80% had HIV-RNA perception: Participants had disparate understandings of HIV transmission and disagreed on the acceptable level of HIV risk to meet reproductive goals. (4) Partnership commitment: Participants revealed significant discord in perceptions of partnership commitment. All four types of partnership miscommunication introduced constraints to autonomous reproductive decision-making, particularly for women. Such miscommunication was common, as only 2 of 20 partnerships in our sample were mutually-disclosed with agreement across all four communication themes. Enthusiasm for safer conception programming is growing. Our findings highlight the importance of addressing gendered partnership communication regarding HIV disclosure, reproductive goals, acceptable HIV risk, and commitment, alongside technical safer conception advice. Failing to consider partnership dynamics across these domains risks limiting reach, uptake, adherence to, and retention in safer conception programming.

  11. Pragmatic Politics and Epistemological Diversity: The Contested and Authoritative Uses of Historical Evidence in the Safe Motherhood Initiative

    Science.gov (United States)

    Béhague, Dominique; Storeng, Katerini

    2013-01-01

    In recent years, the demand for cost-effective evidence of health impact has grown exponentially, often to the exclusion of other disciplines and of epidemiology's longstanding interest in the multivariate determinants of health. Drawing on an ethnography of the Safe Motherhood Initiative, this paper focuses on experts who, in producing historical…

  12. 'If you have children, you have responsibilities': motherhood, sex work and HIV in southern Tanzania.

    Science.gov (United States)

    Beckham, Sarah W; Shembilu, Catherine R; Winch, Peter J; Beyrer, Chris; Kerrigan, Deanna L

    2015-01-01

    Many female sex workers begin sex work as mothers, or because they are mothers, and others seek childbearing. Motherhood may influence women's livelihoods as sex workers and their subsequent HIV risks. We used qualitative research methods (30 in-depth interviews and three focus group discussions) and employed Connell's theory of Gender and Power to explore the intersections between motherhood, sex work, and HIV-related risk. Participants were adult women who self-reported exchanging sex for money within the past month and worked in entertainment venues in southern Tanzania. Participants had two children on average, and two-thirds had children at home. Women situated their socially stigmatised work within their respectable identities as mothers caring for their children. Being mothers affected sex workers' negotiating power in complex manners, which led to both reported increases in HIV-related risk behaviours (accepting more clients, accepting more money for no condom, anal sex), and decreases in risk behaviours (using condoms, demanding condom use, testing for HIV). Sex workers/mothers were aware of risks at work, but with children to support, their choices were constrained. Future policies and programming should consider sex workers' financial and practical needs as mothers, including those related to their children such as school fees and childcare.

  13. Parent-Adolescent Sexual Communication and Adolescent Safer Sex Behavior: A Meta-Analysis.

    Science.gov (United States)

    Widman, Laura; Choukas-Bradley, Sophia; Noar, Seth M; Nesi, Jacqueline; Garrett, Kyla

    2016-01-01

    Parent-adolescent sexual communication has received considerable attention as a factor that can positively affect safer sex behavior among youth; however, the evidence linking such communication to youth contraceptive and condom use has not been empirically synthesized. To examine the effect of parent-adolescent sexual communication on safer sex behavior among youth and explore potential moderators of this association. A systematic search of studies published from database inception through June 30, 2014, using the MEDLINE, PsycINFO, and Communication & Mass Media Complete databases and relevant review articles yielded 5098 studies, of which 52 studies with 25,314 adolescents met the study eligibility criteria. Analysis was conducted from July 1, 2014, to July 27, 2015. Studies were included if they sampled adolescents (mean sample age ≤18 years), included an adolescent report of sexual communication with one or both parents, measured safer sex behavior, and were published in English. Correlation coefficients (r) and 95% CIs were computed from studies and meta-analyzed using random-effects models. Safer sex behavior, including use of contraceptives or condoms. Fifty-two articles, including 71 independent effects representing more than 3 decades of research on 25,314 adolescents (weighted mean age, 15.2 years) were synthesized. Across studies, there was a significant weighted mean effect (r = 0.10; 95% CI, 0.08-0.13) linking parent-adolescent sexual communication with safer sex behavior, which was statistically heterogeneous (Q = 203.50, P communication with girls (r = 0.12) than boys (r = 0.04) and among youth who discussed sex with their mothers (r = 0.14) compared with their fathers (r = 0.03). Effects did not differ for contraceptive vs condom use or among longitudinal vs cross-sectional studies, indicating that parent sexual communication had a similar effect across study designs and outcomes. Several methodological issues were

  14. Using a Narrative to Spark Safer Sex Communication

    Science.gov (United States)

    Donné, Lennie; Hoeks, John; Jansen, Carel

    2017-01-01

    Objective: College students are a group at risk for contracting sexually transmitted infections (STIs). While they are generally well informed about STIs, they do not consistently use condoms. An important element in preventing STIs is safer sex communication, especially with a sexual partner. This may be difficult, however, because of a lack of…

  15. Motivational influences on the safer sex behavior of agency-based male sex workers.

    Science.gov (United States)

    Smith, Michael D; Seal, David W

    2008-10-01

    Although indoor male sex workers (MSWs) have been found to engage in lower rates of HIV risk behavior with clients than street-based MSWs, few studies have examined the motivations behind such practices. We interviewed 30 MSWs working for the same escort agency regarding their safer sex practices with clients and their reasons for these. As in other research, MSWs reported little risk behavior with clients. Five motivational themes related to safer sex on the job emerged: health concerns, emotional intimacy, client attractiveness, relationships, and structural work factors. Results suggest that participants engaged in rational decision-making relative to sex with clients, facilitated by reduced economic incentive for riskier behavior and a supportive social context. MSWs desired a safe sexual work place, personal integrity, and minimal negative consequences to personal relationships. Collaborating with sex work employers to study their role in encouraging a safer workplace may be important to future research.

  16. A Safer Way to Fight Malaria in Mexico | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2010-10-18

    supported malaria-control strategy in Mexico. The key is working together. Scientists pinpoint sources of malaria; communities destroy mosquito breeding grounds, such as algae in rivers, and spray homes with a safer pesticide.

  17. Toetsing van het gehalte duurzame veiligheid met Safer Transportation Network Planning : integratie van de ‘DV-gehaltemeter’ in het ontwerpprogramma ‘Safer-TNP’

    NARCIS (Netherlands)

    Hummel, T.

    2001-01-01

    Testing the sustainable-safety contents with Safer Transportation Network Planning. In the publication entitled “Developing a sustainable-safety meter (DV-meter) for measuring the sustainable-safety contents” (Van der Kooi & Dijkstra, 2000), the development of and a pilot measurement with a

  18. Multi-level Correlates of Safer Conception Methods Awareness and ...

    African Journals Online (AJOL)

    Many people living with HIV desire childbearing, but low cost safer conception methods (SCM) such as timed unprotected intercourse (TUI) and manual ... including perceived willingness to use SCM, knowledge of respondent's HIV status, HIV-seropositivity, marriage and equality in decision making within the relationship.

  19. Chinese primiparous women's experiences of early motherhood: factors affecting maternal role competence.

    Science.gov (United States)

    Ngai, Fei-Wan; Chan, Sally W C; Holroyd, Eleanor

    2011-05-01

    The aim of this study was to explore Chinese women's perceptions of maternal role competence and factors contributing to maternal role competence during early motherhood. Developing a sense of competence and satisfaction in the maternal role are considered critical components in maternal adaptation, which have a significant impact on parenting behaviours and the psychosocial development of the child. However, qualitative studies that address maternal role competence are limited in the Chinese population. This was an exploratory descriptive study. A purposive sample of 26 Chinese primiparous mothers participated in a childbirth psychoeducation programme and was interviewed at six weeks postpartum. Data were analysed using content analysis. Women perceived a competent mother as being able to make a commitment to caring for the physical and emotional well-being of child, while cultivating appropriate values for childhood. Personal knowledge and experience of infant care, success in breastfeeding, infant's well-being, availability of social support and contradictory information from various sources were major factors affecting maternal role competency. The findings highlight the importance of understanding Chinese cultural attitudes to childrearing and maternal role competence. New Chinese mothers need information on child care, positive experiences of infant care, social support and consistent information to enhance their maternal role competency. Recommendations are made for Chinese culturally specific guidelines and healthcare delivery interventions to enhance maternal role competence in early motherhood. Nursing and midwifery care should always take into account the cultural beliefs and enable adaptation of traditional postpartum practices. Providing consistent information and positive experience on parenting skills and infant behaviour as well as enhancing effective coping strategies could strengthen Chinese women's maternal role competency. © 2011 Blackwell

  20. Functions and responsibilities of organizations dealing with surrogate motherhood in the UK.

    Science.gov (United States)

    van Den Akker, Olga B. A.

    1998-01-01

    The separation of maternity from social motherhood and progress in reproductive technology raise many social, psychological, medical and legal issues (van den Akker, 1994). The most recent British Medical Association report (BMA, 1996) acknowledged the practice of surrogacy and issued new guidelines for good practice and support for those involved. Surrogate motherhood services have increased around the country over the last decade, even before the formal British Medical Association acknowledgement of their necessity and existence (BMA, 1996). The present survey investigated the incidence, accessibility, and functions of such organizations, specifically, the legal, medical and psychological problems encountered and how they were dealt with, to discover what advice and support is given. Ten centres were interviewed. The incidence of surrogacy conducted through these organizations is widespread, but the processes involved and therefore the implications of the types of surrogacy dealt with are very different. The two major surrogacy agencies deal primarily with partial surrogacy, whereas the clinics are concerned almost exclusively with full (IVF) surrogacy. Information about the procedures involved appears to rely on experience; screening is generally carried out 'in house', and psychological factors are dealt with by counsellors on request by the couples. In general, although the roles of the organizations are disparate and clearly defined, no holistic or long-term care is provided by any of the organizations involved with surrogacy in the UK. The reasons for this are clear cut and stem from the nature of the organizations, and the behaviour of the clients. The data indicate that the current procedures used by the organizations are adequate but could be improved and standardized.

  1. Surrogate motherhood, rights and duties: a reply to Campbell.

    Science.gov (United States)

    McLachlan, H V; Swales, J K

    2001-01-01

    In a recent article in Health Care Analysis (Vol. 8, No. 1), Campbell misrepresents our specific arguments about commercial surrogate motherhood (C.S.M.) and our general philosophical and political views by saying or suggesting that we are 'Millsian' liberals and consequentialists. He gives too the false impression that we do not oppose, in principle, slavery and child purchase. Here our position on C.S.M. is re-expressed and elaborated upon in order to eliminate possible confusion. Our general ethical and philosophical framework is also outlined and shown to be other than Campbell says that it is. In particular, a moral philosophy that is based on neither consequentialism nor Kantianism is presented. C.S.M., it is argued, is not child purchase. It is like it in some respects and unlike it in others. It is unlike it in the respects which, relative to the present discussion, matter.

  2. Motherhood and the Wages of Women in Professional Occupations.

    Science.gov (United States)

    Buchmann, Claudia; McDaniel, Anne

    2016-08-01

    It is well established that mothers are paid less than childless women and that fathers tend to earn higher wages relative to childless men, but we do not know whether these findings apply to workers in all occupations. Using IPUMS and ACS data from 1980 and 2010, we examine the family wage gap for highly educated professionals, the most advantaged sector of the occupational distribution. Results indicate that the size of the negative wage differential for motherhood has declined over time in all professions. Moreover, in the traditionally male-dominated professions of STEM, medicine, and law, women with children experience a positive wage differential, whereas their counterparts in female-dominated professions continue to experience a negative one. The positive differential for fatherhood has remained stable over time. These findings underscore the growing heterogeneity of women's experiences in combining work and family and raise important questions for further research.

  3. Motherhood and the Wages of Women in Professional Occupations

    Directory of Open Access Journals (Sweden)

    Claudia Buchmann

    2016-08-01

    Full Text Available It is well established that mothers are paid less than childless women and that fathers tend to earn higher wages relative to childless men, but we do not know whether these findings apply to workers in all occupations. Using IPUMS and ACS data from 1980 and 2010, we examine the family wage gap for highly educated professionals, the most advantaged sector of the occupational distribution. Results indicate that the size of the negative wage differential for motherhood has declined over time in all professions. Moreover, in the traditionally male-dominated professions of STEM, medicine, and law, women with children experience a positive wage differential, whereas their counterparts in female-dominated professions continue to experience a negative one. The positive differential for fatherhood has remained stable over time. These findings underscore the growing heterogeneity of women's experiences in combining work and family and raise important questions for further research.

  4. [Pregnancy and delivery in western Africa. High risk motherhood].

    Science.gov (United States)

    Prual, A

    1999-06-01

    According to the World Health Organization, 585,000 women die each year from a pregnancy-related cause, 99% of whom are from developing countries. The first International Conference on Safe Motherhood in 1987 sensitized the world community to this drama. Ever since, maternal mortality and its medical causes are better known. The maternal mortality ratio is highest in West Africa (1,020 maternal deaths per 100,000 live borns) when it is 27/100,000 in industrialized countries. Direct obstetric causes account for 80% of the deaths: hemorrhage, infection, dystocia, hypertension and abortion. Indirect causes are essentially anemia, malaria, hepatitis C and AIDS. Severe maternal morbidity is 6 to 10 times more frequent than maternal mortality but it also leads to handicaps which end up often in women's social rejection. However, WHO estimates that 95% of these deaths and handicaps are avoidable, and at a low cost.

  5. Motherhood and the Wages of Women in Professional Occupations

    Science.gov (United States)

    BUCHMANN, CLAUDIA; MCDANIEL, ANNE

    2017-01-01

    It is well established that mothers are paid less than childless women and that fathers tend to earn higher wages relative to childless men, but we do not know whether these findings apply to workers in all occupations. Using IPUMS and ACS data from 1980 and 2010, we examine the family wage gap for highly educated professionals, the most advantaged sector of the occupational distribution. Results indicate that the size of the negative wage differential for motherhood has declined over time in all professions. Moreover, in the traditionally male-dominated professions of STEM, medicine, and law, women with children experience a positive wage differential, whereas their counterparts in female-dominated professions continue to experience a negative one. The positive differential for fatherhood has remained stable over time. These findings underscore the growing heterogeneity of women’s experiences in combining work and family and raise important questions for further research. PMID:29177191

  6. From queen to mother: motherhood as discursive construction in the seventeenth century neogranadine painting

    Directory of Open Access Journals (Sweden)

    Juan Pablo Cruz Medina

    2015-01-01

    Full Text Available This article examines motherhood as a discursive construction, linking this construction with the neogranadine visual discourse of the seventeenth century. The image of “The Virgin with the Child”, within the post Tridentine context, stood as a place of origin of a discourse modeling the women behavior, giving specific roles in relation with their children. The tender, loving and protective mother with their children emerges in the visual discourse as a narrative truth that should be adopted by subjects in everyday behavior.

  7. Consumers want safer meat - but not at all costs

    DEFF Research Database (Denmark)

    Mørkbak, Morten Raun; Christensen, Tove; Gyrd-Hansen, Dorte

    2008-01-01

    Consumers, the public authorities, and the food industry are all concerned with the safety of meat. The increasing demand for safer food from the consumers and the public authorities puts pressure on producers to identify efficient methods to reduce risks. Earlier studies have shown that consumer...

  8. Advanced and safer lithium-ion battery based on sustainable electrodes

    KAUST Repository

    Ding, Xiang; Huang, Xiaobing; Jin, Junling; Ming, Hai; Wang, Limin; Ming, Jun

    2018-01-01

    Seeking advanced and safer lithium-ion battery with sustainable characteristic is significant for the development of electronic devices and electric vehicles. Herein, a new porous TiO nanobundles (PTNBs) is synthesized though a scalable and green

  9. Motherhood, Empowerment, and Resilience within the Context of Intimate Partner Violence

    Directory of Open Access Journals (Sweden)

    Rebecca Bach

    2013-10-01

    Full Text Available We conducted twenty in-depth interviews with residents of a domestic violence shelter in a southeastern metropolitan area to understand how low-income women experience mothering within the context of intimate partner violence (IPV. Interview questions explored the women’s feelings about motherhood, their relationships with their children, and the effects of IPV on their children. Despite the difficulties of raising children with an abusive partner, the women did not regret becoming a mother. In fact, respondents identified their children as one of few positives in their lives and mothering as central to their identity. Relationships with their children enabled the women to feel empowered in ways that their intimate partnerships did not and motivated them to escape the violence and persevere.

  10. Experiences of pregnancy and motherhood among teenage mothers in a suburb of Accra, Ghana: a qualitative study

    Directory of Open Access Journals (Sweden)

    Gyesaw NYK

    2013-11-01

    Full Text Available Nana Yaa Konadu Gyesaw,1 Augustine Ankomah2 1Regional Health Directorate, Ghana Health Service, Koforidua, Eastern Region, 2Department of Population, Family and Reproductive Health, School of Public Health, University of Ghana, Accra, Ghana Background: The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several studies in Ghana have identified the determinants of early sexual activity, contraception, and unsafe abortion, with teenage motherhood only mentioned in passing. Few studies have explored the experiences of adolescent mothers in detail with regard to their pregnancy and childbirth. This qualitative study explores the experiences of adolescent mothers during pregnancy, childbirth, and care of their newborns. Methods: This qualitative study was based on data from focus group discussions and indepth interviews with teenage mothers in a suburb in Accra. Participants were recruited from health facilities as well as by snowball sampling. Results: Some of the participants became pregnant as a result of transactional sex in order to meet their basic needs, while others became pregnant as a result of sexual violence and exploitation. A few others wanted to become pregnant to command respect from people in society. In nearly all cases, parents and guardians of the adolescent mothers were upset in the initial stages when they heard the news of the pregnancy. One key finding, quite different from in other societies, was how often teenage pregnancies are eventually accepted, by both the young women and their families. Also observed was a rarity of willingness to resort to induced abortion. Conclusion: Special programs should be initiated by the government and the various

  11. Constructions and experiences of motherhood in the context of an early intervention for Aboriginal mothers and their children: mother and healthcare worker perspectives.

    Science.gov (United States)

    Ussher, Jane M; Charter, Rosie; Parton, Chloe; Perz, Janette

    2016-07-22

    The colonisation of Australia has been associated with traumatic consequences for Aboriginal health and wellbeing, including the breakdown of the traditional family unit and negative consequences for the mother/child relationship. Early-intervention programs have been developed to assist families to overcome disadvantage and strengthen mother/child attachment. However, there is no research examining Aboriginal women's subjective experiences and constructions of motherhood in the context of such programs, and no research on the perceived impact of such programs, from the perspective of Aboriginal mothers and healthcare workers (HCWs), with previous research focusing on child outcomes. Researchers conducted participant observation of an early intervention program for Aboriginal mothers and young children over a 6 month period, one-to-one interviews and a focus group with 10 mothers, and interviews with nine HCWs, in order to examine their perspectives on motherhood and the intervention program. Thematic analysis identified 2 major themes under which subthemes were clustered. Constructions of motherhood: 'The resilient mother: Coping with life trauma and social stress' and 'The good mother: Transformation of self through motherhood'; Perspectives on the intervention: '"Mothers come to life": Transformation through therapy'; and '"I know I'm a good mum": The need for connections, skills and time for self'. The mothers constructed themselves as being resilient 'good mothers', whilst also acknowledging their own traumatic life experiences, predominantly valuing the peer support and time-out aspects of the program. HCWs positioned the mothers as 'traumatised', yet also strong, and expressed the view that in order to improve mother/child attachment a therapeutic transformation is required. These results suggest that early interventions for Aboriginal mothers should acknowledge and strengthen constructions of the good and resilient mother. The differing perspectives of

  12. Attitudes towards motherhood and fertility awareness among 20-40-year-old female healthcare professionals

    DEFF Research Database (Denmark)

    Mortensen, Luise Lermark; Hegaard, Hanne Kristine; Andersen, Anders Nyboe

    2012-01-01

    ABSTRACT Objective To explore attitudes towards family formation and fertility awareness among Danish female healthcare professionals. Methods We collected cross-sectional baseline data from a prospective cohort study of 863 women, ranging in age from 20 to 40 years, working at a hospital...... in Denmark. Information about participants' intentions and attitudes towards family formation and fertility knowledge was gathered by means of a questionnaire. Results Only 2% of the respondents did not want children. Most women believed that motherhood is important, and hoped to have two to three children...

  13. SAFERE: Southern African Feminist Review - Vol 3, No 1 (1999)

    African Journals Online (AJOL)

    Feminism and Masculinity in an African Capitalist Context: · EMAIL FULL TEXT EMAIL FULL TEXT DOWNLOAD FULL TEXT DOWNLOAD FULL TEXT. Mwenda G. Ntarangwi, 19-32. http://dx.doi.org/10.4314/safere.v3i1.23948 ...

  14. Remedial technology and characterization development at the SRS F/H Retention Basins using the DOE SAFER methodology

    International Nuclear Information System (INIS)

    Miles, W.C. Jr.; Kuelske, K.J.

    1994-01-01

    The Streamlined Approach For Environmental Restoration (SAFER) is a strategy used to accelerate and improve the environmental assessment and remediation of the F/H Retention Basins at the Savannah River Site (SRS). TMs strategy combines the data quality objectives (DQO) process and the observational approach to focus on data collection and converge on a remedial action early. This approach emphasizes stakeholder involvement throughout the Remedial Investigation/Feasibility Study (RI/FS) process. The SAFER methodology is being applied to the characterization, technology development, and remediation tasks for the F/H Retention Basins. This ''approach was initiated in the scoping phase of these projects through the involvment of major stakeholders; Department of Energy (DOE)-Savannah River Field Office, DOE-Headquarters, Westinghouse Savannah River Company, United States Environmental Protection Agency (EPA) Region IV, and the state of South Carolina Department of Health and Environmental Control (SCDHEC), in the development of the Remedial Investigation (RI) workplans. A major activity that has been initiated is the development and implementation of a phase I workplan to identify preliminary contaminants of concern (pCOCs). A sampling plan was developed and approved by the major stakeholders for preliminary characterization of wastes remaining in the F/H Retention Basins. The involvement of stakeholders, development of a site conceptual model, development of remedial objectives for probable conditions, identification of the problem and reasonable deviations, and development of initial decision rules in the planning stages will ensure that preliminary data needs are identified and obtained prior to the initiation of the assessment and implementation phases of the projects resulting in the final remediation of the sites in an accelerated and more cost effective manner

  15. Immobilizer-assisted management of metal-contaminated agricultural soils for safer food production.

    Science.gov (United States)

    Kim, Kwon-Rae; Kim, Jeong-Gyu; Park, Jeong-Sik; Kim, Min-Suk; Owens, Gary; Youn, Gyu-Hoon; Lee, Jin-Su

    2012-07-15

    Production of food crops on metal contaminated agricultural soils is of concern because consumers are potentially exposed to hazardous metals via dietary intake of such crops or crop derived products. Therefore, the current study was conducted to develop management protocols for crop cultivation to allow safer food production. Metal uptake, as influenced by pH change-induced immobilizing agents (dolomite, steel slag, and agricultural lime) and sorption agents (zeolite and compost), was monitored in three common plants representative of leafy (Chinese cabbage), root (spring onion) and fruit (red pepper) vegetables, in a field experiment. The efficiency of the immobilizing agents was assessed by their ability to decrease the phytoavailability of metals (Cd, Pb, and Zn). The fruit vegetable (red pepper) showed the least accumulation of Cd (0.16-0.29 mgkg(-1) DW) and Pb (0.2-0.9 mgkg(-1) DW) in edible parts regardless of treatment, indicating selection of low metal accumulating crops was a reasonable strategy for safer food production. However, safer food production was more likely to be achievable by combining crop selection with immobilizing agent amendment of soils. Among the immobilizing agents, pH change-induced immobilizers were more effective than sorption agents, showing decreases in Cd and Pb concentrations in each plant well below standard limits. The efficiency of pH change-induced immobilizers was also comparable to reductions obtained by 'clean soil cover' where the total metal concentrations of the plow layer was reduced via capping the surface with uncontaminated soil, implying that pH change-induced immobilizers can be practically applied to metal contaminated agricultural soils for safer food production. Copyright © 2012 Elsevier Ltd. All rights reserved.

  16. Safer operating conditions and optimal scaling-up process for cyclohexanone peroxide reaction

    International Nuclear Information System (INIS)

    Zang, Na; Qian, Xin-Ming; Liu, Zhen-Yi; Shu, Chi-Min

    2015-01-01

    Highlights: • Thermal hazard of cyclohexanone peroxide reaction was measured by experimental techniques. • Levenberg–Marquardt algorithm was adopted to evaluate kinetic parameters. • Safer operating conditions at laboratory scale were acquired by BDs and TDs. • The verified safer operating conditions were used to obtain the optimal scale-up parameters applied in industrial plants. - Abstract: The cyclohexanone peroxide reaction process, one of the eighteen hazardous chemical processes identified in China, is performed in indirectly cooled semibatch reactors. The peroxide reaction is added to a mixture of hydrogen peroxide and nitric acid, which form heterogeneous liquid–liquid systems. A simple and general procedure for building boundary and temperature diagrams of peroxide process is given here to account for the overall kinetic expressions. Such a procedure has been validated by comparison with experimental data. Thermally safer operating parameters were obtained at laboratory scale, and the scaled-up procedure was performed to give the minimum dosing time in an industrial plant, which is in favor of maximizing industrial reactor productivity. The results are of great significance for governing the peroxide reaction process apart from the thermal runaway region. It also greatly aids in determining optimization on operating parameters in industrial plants.

  17. Transition to Motherhood as an Immigrant: Risks and Obstacles

    Directory of Open Access Journals (Sweden)

    Ruveyde Aydin

    2017-09-01

    Full Text Available The process of transition to motherhood that brings along a number of vital changes may be full of risks and difficulties for immigrant mothers. Poverty, being unfamiliar with the language of the country that the mother migrated, inability of healthcare policies in covering healthcare expenses of immigrants, insufficiency of social assistance and loneliness may negatively affect health of mother and infant. Postpartum immigrant mothers are seen depression, anxiety, stress and social isolation because of these obstacles. Therefore, health care professionals, who provide care to immigrant mothers, should clarify immigrant mothers' religious, cultural beliefs and attitudes. Procurement of peer support is important by developing care programs special to immigrant mothers and ensuring immigrant women to come together. Increase in the number of translators in hospitals and prepara-tion of education materials in native language of mothers will improve the level of benefiting from healthcare services. [Psikiyatride Guncel Yaklasimlar - Current Approaches in Psychiatry 2017; 9(3.000: 250-262

  18. Female Athletic Training Students' Perceptions of Motherhood and Retention in Athletic Training

    Science.gov (United States)

    Mazerolle, Stephanie M.; Gavin, Kerri

    2013-01-01

    Context: Motherhood appears to be a catalyst in job turnover for female athletic trainers, especially those employed at the National Collegiate Athletic Association Division I level. However, most researchers examining this topic have investigated the perspectives of those who are currently employed rather than those who are preparing to enter the profession. Objective: To evaluate female athletic training students' perceptions of motherhood and retention. Design: Qualitative study. Setting: Athletic training education program. Patients or Other Participants: A total of 18 female athletic training students volunteered to participate. They were enrolled in 1 Commission on Accrediting Athletic Training Education–accredited athletic training program and represented 3 levels of academic study. Data Collection and Analysis: The participants responded to a series of questions related to work–life balance and retention in athletic training. Analysis of the data followed a general inductive process. Credibility was established by interpretive member checks and peer review. Results: The first theme, clinical setting, speaks to the belief that work–life balance and retention in athletic training require an employment setting that fosters a family-friendly atmosphere and a work schedule (including travel) that allows for time at home. The second theme, mentorship, reflects the acknowledgment that a female mentor who is successful in balancing the roles of mother and athletic trainer can serve as a role model. The final theme, work–life balance strategies, illustrates the need to have a plan in place to meet the demands of both home and work life. Conclusions: A female athletic trainer who is successfully balancing her career and family responsibilities may be the most helpful factor in retention, especially for female athletic training students. Young professionals need to be educated on the importance of developing successful work–life balance strategies, which can

  19. Female athletic training students' perceptions of motherhood and retention in athletic training.

    Science.gov (United States)

    Mazerolle, Stephanie M; Gavin, Kerri

    2013-01-01

    Motherhood appears to be a catalyst in job turnover for female athletic trainers, especially those employed at the National Collegiate Athletic Association Division I level. However, most researchers examining this topic have investigated the perspectives of those who are currently employed rather than those who are preparing to enter the profession. To evaluate female athletic training students' perceptions of motherhood and retention. Qualitative study. Athletic training education program. A total of 18 female athletic training students volunteered to participate. They were enrolled in 1 Commission on Accrediting Athletic Training Education-accredited athletic training program and represented 3 levels of academic STUDY. The participants responded to a series of questions related to work-life balance and retention in athletic training. Analysis of the data followed a general inductive process. Credibility was established by interpretive member checks and peer review. The first theme, clinical setting, speaks to the belief that work-life balance and retention in athletic training require an employment setting that fosters a family-friendly atmosphere and a work schedule (including travel) that allows for time at home. The second theme, mentorship, reflects the acknowledgment that a female mentor who is successful in balancing the roles of mother and athletic trainer can serve as a role model. The final theme, work-life balance strategies, illustrates the need to have a plan in place to meet the demands of both home and work life. A female athletic trainer who is successfully balancing her career and family responsibilities may be the most helpful factor in retention, especially for female athletic training students. Young professionals need to be educated on the importance of developing successful work-life balance strategies, which can be helpful in reducing attrition from the profession.

  20. Using a service design model to develop the "Passport to Safer Birth" in Nigeria and Uganda.

    Science.gov (United States)

    Salgado, Mariana; Wendland, Melanie; Rodriguez, Damaris; Bohren, Meghan A; Oladapo, Olufemi T; Ojelade, Olubunmi A; Olalere, Adebimpe A; Luwangula, Ronald; Mugerwa, Kidza; Fawole, Bukola

    2017-12-01

    To demonstrate how a human-centered service design approach can generate practical tools for good-quality childbirth care in low-resource settings. As part of the WHO "Better Outcomes in Labour Difficulty" (BOLD) project, a service design approach was used in eight Ugandan and Nigerian health facilities and communities to develop the "Passport to Safer Birth." There are three phases: Research for Design, Concept Design, and Detail Design. These generated design principles, design archetype personas, and Passport prototypes. Data collection methods included desk research, interviews, group discussions, and journey mapping to identify touchpoints where the woman interacts with the health system. A total of 90 interviews, 12 observation hours, and 15 group discussions were undertaken. The resulting design principles were: a shared and deeper understanding of pregnancy and childbirth among family and community; family readiness for decision-making and action; and the woman's sense of being in control and being cared for. Four archetype personas of women emerged: Vulnerable; Passive; Empowered; Accepter. Subsequent development of the Passport to Safer Birth tools addressed three domains: Care Mediator; Expectation Manager; and Pregnancy Assistant. The service design approach can create innovative, human-centered service solutions to improve maternity care experiences and outcomes in low-resource settings. © 2017 International Federation of Gynecology and Obstetrics The World Health Organization retains copyright and all other rights in the manuscript of this article as submitted for publication.

  1. Short-Term Impact of Safer Choices: A Multicomponent, School-Based HIV, Other STD, and Pregnancy Prevention Program.

    Science.gov (United States)

    Coyle, Karin; Basen-Engquist, Karen; Kirby, Douglas; Parcel, Guy; Banspach, Stephen; Harrist, Ronald; Baumler, Elizabeth; Weil, Marsha

    1999-01-01

    Evaluated the effectiveness of the first year of "Safer Choices," a two-year, multicomponent HIV, STD, and pregnancy-prevention program for high school students based on social theory. Student self-report surveys indicated that "Safer Choices" succeeded in reducing selected risk behaviors and in enhancing selected protective…

  2. Motherhood in the American Woman Poet’s Perspective: A Short Glance at Allen’s Rock Me to Sleep

    Directory of Open Access Journals (Sweden)

    Nandy Intan Kurnia

    2015-11-01

    Full Text Available Article scrutinized one of the works of an American woman poet named Elizabeth Akers Allen. The poem under study entitled “Rock Me to Sleep”. It was a portrayal of motherhood. The speaker of this poem is a woman who is longing for the love of her mother. She is seeking for a way to ease her pain since she feels that she has lost her own battle of womanhood. Although the mother remains absent, the readers of the poem can sense the powerful love of the speaker of the poem toward her mother. Method of this study was library research that carried out by applying descriptive analytical methods. Data were collected from the primary and secondary sources. Results of this paper are the writer of poetry wants to warn people that womanhood in the patriarchal society can create many problems, and the only remedy for those problems is motherhood. Article also proves that a writer does not have to be a feminist to produce a literary text which discusses the issue of women, which has became the focus of feminism.

  3. Cost estimate modeling of transportation management plans for highway projects.

    Science.gov (United States)

    2012-05-01

    Highway rehabilitation and reconstruction projects frequently cause road congestion and increase safety concerns while limiting access for road users. State Transportation Agencies (STAs) are challenged to find safer and more efficient ways to renew ...

  4. Long Work Hours, Part-Time Work, and Trends in the Gender Gap in Pay, the Motherhood Wage Penalty, and the Fatherhood Wage Premium

    Directory of Open Access Journals (Sweden)

    Kim A. Weeden

    2016-08-01

    Full Text Available We assess how changes in the social organization and compensation of work hours over the last three decades are associated with changes in wage differentials among mothers, fathers, childless women, and childless men. We find that large differences between gender and parental status groups in long work hours (fifty or more per week, coupled with sharply rising hourly wages for long work hours, contributed to rising gender gaps in wages (especially among parents, motherhood wage penalties, and fatherhood wage premiums. Changes in the representation of these groups in part-time work, by contrast, is associated with a decline in the gender gap in wages among parents and in the motherhood wage penalty, but an increase in the fatherhood wage premium. These findings offer important clues into why gender and family wage differentials still persist.

  5. Transition to motherhood in type 1 diabetes: design of the pregnancy and postnatal well-being in transition questionnaires.

    Science.gov (United States)

    Rasmussen, Bodil; Dunning, Trisha; Hendrieckx, Christel; Botti, Mari; Speight, Jane

    2013-02-27

    Life transitions are associated with high levels of stress affecting health behaviours among people with Type 1 diabetes. Transition to motherhood is a major transition with potential complications accelerated by pregnancy with risks of adverse childbirth outcomes and added anxiety and worries about pregnancy outcomes. Further, preparing and going through pregnancy requires vigilant attention to a diabetes management regimen and detailed planning of everyday activities with added stress on women. Psychological and social well-being during and after pregnancy are integral for good pregnancy outcomes for both mother and baby. The aim of this study is to establish the face and content validity of two novel measures assessing the well-being of women with type 1 diabetes in their transition to motherhood, 1) during pregnancy and 2) during the postnatal period. The approach to the development of the Pregnancy and Postnatal Well-being in T1DM Transition questionnaires was based on a four-stage pre-testing process; systematic overview of literature, items development, piloting testing of questionnaire and refinement of questionnaire. The questionnaire was reviewed at every stage by expert clinicians, researchers and representatives from consumer groups. The cognitive debriefing approach confirmed relevance of issues and identified additional items. The literature review and interviews identified three main areas impacting on the women's postnatal self-management; (1) psychological well-being; (2) social environment, (3) physical (maternal and fetal) well-being. The cognitive debriefing in pilot testing of the questionnaire identified that immediate postnatal period was difficult, particularly when the women were breastfeeding and felt depressed. The questionnaires fill an important gap by systematically assessing the psychosocial needs of women with type 1 diabetes during pregnancy and in the immediate postnatal period. The questionnaires can be used in larger data

  6. Differences between pregnant women with secure and fearful attachment patterns with respect to transition to motherhood

    Directory of Open Access Journals (Sweden)

    Hanak Nataša

    2010-01-01

    Full Text Available This study investigated the possibility of discerning differences between attachment patterns of pregnant women in some mental processes during the transition to motherhood. Participants were 335 primiparae, examined between 20 and 32 weeks of pregnancy. The revised version of Questionnaire for Attachment Assessment (UPIPAV-R was used for the assessment of seven attachment dimensions. Cluster analysis, k means method, was employed for determining the general attachment pattern of the participants. Four clusters were identified: secure, fearful, preoccupied and dismissing. Maternal prenatal attachment, her anxieties about the prospective maternal role and her possibly dysfunctional expectations about the role of the child in her private and family life were assessed using scales developed for the purpose of the research. The hypothesis about differences of attachment patterns in examined mental processes of preparation for motherhood was confirmed by the results of discriminant analysis. All dimensions of maternal prenatal attachment are central for discriminating secure from fearful attachment pattern. All dimensions of possibly dysfunctional expectations are central for discriminating preoccupied from dismissing attachment patterns. Anxiety related to loss of freedom and no self-realization in the mother role has significant contribution to discriminating secure from fearful attachment pattern. The other two dimensions of anxiety, related to the 'difficult baby' and incompetence in mother role, are important for discriminating dismissing from preoccupied attachment patterns. .

  7. Women on the Edge of Time: Representations of revolutionary motherhood in the NEP-era Soviet Union

    Directory of Open Access Journals (Sweden)

    Hannah Proctor

    2015-01-01

    Full Text Available Following the October revolution of 1917 the fledgling Soviet government legalized divorce and abortion, secularized marriage, and decriminalized homosexuality. Utopians dreamed of the withering away of the family and the transformation of women's roles in the home and the workplace. But at least for the time being, only some bodies were capable of bearing children. Women's bodies became contested territory, a site of paradox. On the one hand the image of woman was re-imagined as a de-libidinalized fellow comrade, but this was combined with a continued emphasis on women's biological role as the privileged carriers of the future generation. Rather than circumventing this seeming contradiction, Soviet artworks of the 1920s confronted it, depicting motherhood as an emancipatory and revolutionary act. And this crucially does not only relate to bodies but to emotions. Revolutionary maternal love has a positive, affective dimension that provides an alternative to sexual love. The figure of the revolutionary mother prefigures the still hazily defined qualitative richness of the communist future. This article examines the figure of the revolutionary mother through a discussion of key artworks from the NEP era (1921-1928 concluding by considering how the representation of motherhood shifted in the Stalin era. The article asks what these historical ideas might still teach us today.

  8. Security giving in surrogacy motherhood process as a caring model for commissioning mothers: A theory synthesis.

    Science.gov (United States)

    Zandi, Mitra; Vanaki, Zohreh; Shiva, Marziyeh; Mohammadi, Eesa; Bagheri-Lankarani, Narges

    2016-07-01

    Despite the increasing use of surrogacy, there are no caring theories/models that serve as the basis for nursing care to surrogacy commissioning mothers. This study has designed a model for caring of surrogacy commissioning mothers in 2013. The theory synthesis of Walker and Avant's strategies of theory construction (2011) was used to design a caring model/theory. The theory synthesis includes three stages: (i) selection of focal concept (the concept of "security giving in motherhood" was selected); (ii) review of studies in order to identify factors related to focal concept relevant studies (42 articles and 13 books) were reviewed, statements and concepts related to focal concept were then extracted and classified, and their relations were specified; and (iii) organization of concepts and statements within a relevant general and effective manifestation of the phenomenon under study which led to developing of a model. In this caring model/theory, entitled "security giving in surrogacy motherhood", nurses roles were conceptualized within the conceptual framework that includes three main roles: (i) coordination; (ii) participation; and (iii) security giving (physical, emotional, and legal support; empowerment; presence; relationship management between both parties and advocacy). Training surrogacy specialist nurses and establishment of surrogacy care centers are important factors for implementation of the model. This model could help to provided better caring for surrogacy clients, especially for commissioning mothers. © 2016 Japan Academy of Nursing Science.

  9. Biomedically assisted reproduction and child birth: Surrogate motherhood in comparative European law and Serbia

    Directory of Open Access Journals (Sweden)

    Kovaček-Stanić Gordana

    2013-01-01

    Full Text Available Surrogate motherhood is an arrangement in which a woman agrees to carry and deliver a child for another couple who ordered the pregnancy. This procedure is applied today in Great Britain, Holland (although without legal regulations, Israel, Greece, Ukraine, Armenia, Georgia, the USA and Australia, and it is forbidden in France, Austria, Spain, Germany, Switzerland and Slovenia. There are two types of surrogacy, one when the woman gives birth to a child who is genetically her own ("partial", genetic surrogacy, and the other where the surrogate mother only carries and gives birth to a child, whereby the child is genetically from the couple that wanted the child, or the fertilized egg is from a third woman (donor, or the embryo was donated ("full", "total", gestational surrogacy. In these cases two women take part in conception and birth of the child while in the last case there is a third woman who will raise the child. Biologically observed, the woman whose egg has been fertilized may be called the genetic mother, while the woman who carried the pregnancy and gave birth to the child - the gestational carrier. Taking into consideration that the Preliminary Draft of the Serbian Civil Law anticipates the introduction of surrogate motherhood into domestic law, we believe restrictive solutions should first be taken into consideration. This would mean that only full surrogating should be allowed, namely the egg should be from the woman who wants the child and not the surrogate mother. In domestic conditions, genetic surrogation should not be allowed as it leads to confusion in family relations, and kinships still have an important social and legal significance in our country. The surrogate mother should be a woman who has already given birth, because in that way any possible shocks which might arise after birth when the woman who has to handover the child to the intended couple would be avoided. The next condition would be that persons involved in this

  10. Military men and sexual practices: Discourses of 'othering' in safer ...

    African Journals Online (AJOL)

    Military men and sexual practices: Discourses of 'othering' in safer sex in the light of HIV/AIDS. ... Military men are particularly vulnerable to HIV because of their working conditions; for example, working far from home and being among communities where they have greater economic and political power, as well as in relation ...

  11. The e-Safer Suffolk Cybersurvey 2012-2013 Summary Report

    OpenAIRE

    Bond, E; Carter, P J; Youthworks Consulting Ltd.; Suffolk County Council; University Campus Suffolk; Suffolk Children's Trust Partnership

    2013-01-01

    This research by Dr Emma Bond and Dr Pelham Carter at UCS, funded by the Suffolk Children’s Trust and commissioned by Suffolk’s E-Safer Strategy investigated the Cyberbullying experiences by young people in Suffolk. The study undertaken between September – November in 2012 was based on an online questionnaire, administered by Youthworks Consulting Ltd, which examined the responses of 2,838 young people in Suffolk.

  12. The urban dilemma: how to make cities safer | IDRC - International ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2015-10-01

    Oct 1, 2015 ... ... and inequalities, and identify which programs work – and which don't – to prevent and reduce violence in cities. Read the blog post. Learn more from the baseline study, Researching the Urban Dilemma. Find out more about how IDRC supports research to make cities safer through our partnership – Safe ...

  13. TNO moving forward ... to a safer, cleaner and more efficient mobility

    NARCIS (Netherlands)

    Bleijenberg, A.N.

    2008-01-01

    This book provides an impression of how we are contributing to cleaner, safer and more efficient mobility in Europe, helping our customers from concept to implementation and from engineering solutions to strategic advice. Our knowledge is derived to a significant extent from European research

  14. Cost estimate modeling of transportation management plans for highway projects : [research brief].

    Science.gov (United States)

    2012-05-01

    Highway rehabilitation and reconstruction projects frequently cause road congestion and increase safety concerns while limiting access for road users. State Transportation Agencies (STAs) are challenged to find safer and more efficient ways to renew ...

  15. Sexually active older Australian's knowledge of sexually transmitted infections and safer sexual practices.

    Science.gov (United States)

    Lyons, Anthony; Heywood, Wendy; Fileborn, Bianca; Minichiello, Victor; Barrett, Catherine; Brown, Graham; Hinchliff, Sharron; Malta, Sue; Crameri, Pauline

    2017-06-01

    Rates of sexually transmitted infections (STIs) are rising among older Australians. We conducted a large survey of older people's knowledge of STIs and safer sexual practices. A total of 2,137 Australians aged 60 years and older completed the survey, which included 15 questions assessing knowledge of STIs and safer sexual practices. We examined both levels of knowledge and factors associated with an overall knowledge score. In total, 1,652 respondents reported having sex in the past five years and answered all knowledge questions. This group had good general knowledge but poorer knowledge in areas such as the protection offered by condoms and potential transmission modes for specific STIs. Women had better knowledge than men. Men in their 60s, men with higher education levels, and men who thought they were at risk of STIs reported better knowledge than other men. Knowledge was also better among men and women who had been tested for STIs or reported 'other' sources of knowledge on STIs. Many older Australians lack knowledge of STIs and safer sexual practices. Implications for public health: To reverse current trends toward increasing STI diagnoses in this population, policies and education campaigns aimed at improving knowledge levels may need to be considered. © 2017 The Authors.

  16. Identifying psychosocial variables that predict safer-sex intentions in adolescents and young adults

    Directory of Open Access Journals (Sweden)

    Phil eBrüll

    2016-04-01

    Full Text Available Young people are especially vulnerable to sexually transmitted infections. The triad of deliberate and effective safer-sex behavior encompasses condom use, combined with additional information about a partner’s sexual health, and the kind of sex acts usually performed. To identify psychosocial predictors of young people’s intentions to have safer sex, as related to this triad we conducted an online study with 211 sexually active participants aged between 18 and 24 years. Predictors (i.e. perceived behavioural control, subjective norms and intention taken from Fishbein and Ajzen’s Reasoned Action Approach (RAA, were combined with more distal variables (e.g. behavioral inhibition, sensation seeking, parental monitoring, and knowledge about sexually transmitted infections. Beyond the highly predictive power of RAA variables, additional variance was explained by the number of instances of unprotected sexual intercourse during the last twelve months and reasons for using barrier protection during first sexual intercourse. In particular, past condom nonuse behavior moderated perceived behavioral control related to intended condom use. Further, various distal variables showed significant univariate associations with intentions related to the three behaviors of interest. It may, therefore, be helpful to include measures of past behavior as well as certain additional distal variables in future safer-sex programs designed to promote health sustaining sexual behavior.

  17. Experiences Using Pre-Exposure Prophylaxis for Safer Conception Among HIV Serodiscordant Heterosexual Couples in the United States.

    Science.gov (United States)

    Bazzi, Angela R; Leech, Ashley A; Biancarelli, Dea L; Sullivan, Meg; Drainoni, Mari-Lynn

    2017-08-01

    Antiretroviral pre-exposure prophylaxis (PrEP) is a promising HIV prevention strategy for HIV serodiscordant couples (HIV-infected male, uninfected female) seeking safer conception. However, most research on PrEP for safer conception has focused on couples in sub-Saharan Africa; little is known about the perspectives or experiences of heterosexual couples in the United States. We conducted qualitative interviews with six couples (six women and five of their male partners) receiving PrEP for conception services at an urban safety net hospital in the US Northeast. In-depth interview guides explored couple relationships and contextual factors and attitudes, perceptions, and decision-making processes surrounding PrEP for safer conception. Thematic analyses focused on identifying the following emergent themes. We found that couple relationships were situated within broader social and cultural contexts of immigration, family, and community that shaped their experiences with HIV and serodiscordant relationship status. Despite strong partner support within relationships, HIV stigma and disapproval of serodiscordant relationships contributed to couples' feelings of social isolation and subsequent aspirations to have "normal" families. By enabling "natural" conception through condomless sex, PrEP for safer conception provided a sense of enhanced relationship intimacy. Couples called for increasing public awareness of PrEP through positive messaging as a way to combat HIV stigma. Findings suggest that relationship dynamics and broader social contexts appear to shape HIV serodiscordant couples' fertility desires and motivations to use PrEP. However, increased public awareness of PrEP for safer conception may be needed to combat HIV stigma at the community level.

  18. The Polish Mother on the defensive? The transformation of the myth and its impact on the motherhood of Polish women

    Directory of Open Access Journals (Sweden)

    Agnieszka Imbierowicz

    2012-06-01

    Full Text Available The subject of this presentation is the attempt to define and to present the origins, socio-cultural content and the evolution of The Polish Mother myth, present in the polish national consciousness. The author tries to show how this myth was born, what functions it fulfilled and what forms it took in the changing historical and social reality, from the moment of loss of independence, through a period of real socialism, until the present day. The impact of this myth in the lives of real women and their motherhood is taken into consideration. Then, the author comparing the results of the latest polish sociological researches on the family and its transformation, and transformation of value systems together with theories about the specifics of life in the period of postmodernity, wonders whether it’s time to deconstruct the myth of The Polish Mother, because it does not fit the conditions of today’s world, which is characterized, above all, by the apotheosis of individuality, self-realization and freedom, or perhaps in polish society there is still strong traditionalism in thinking about motherhood, and the myth of The Polish Mother is still alive?

  19. Building social capital in healthcare organizations: thinking ecologically for safer care.

    Science.gov (United States)

    Hofmeyer, Anne; Marck, Patricia B

    2008-01-01

    Research on patient safety and health human resources, 2 critical issues for 21st century healthcare, converges on similar findings. Specifically, it is apparent that along with the patients, families, and communities we serve, nurses and other healthcare professionals navigate a volatile health care system where persistent restructuring, market pressures, and workforce instability present ongoing threats to the delivery of safer care. Drawing from the fields of nursing, healthcare ethics, health systems management, and ecological restoration, we outline the role of social capital for organizational integrity, healthy workplace cultures, sustainable resource management, improved nurse retention, effective knowledge translation, and safer patient care. Nursing leaders can use ecological thinking to build the vital resource of social capital by taking concrete steps to commit the necessary human and material resources to: (1) forge relations to foster bonding, bridging and linking social capital; (2) build solidarity and trust; (3) foster collective action and cooperation; (4) strengthen communication and knowledge exchange; and (5) create capacity for social cohesion and inclusion.

  20. kNOw Fear: Making rural public spaces safer for women and girls ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    2018-05-01

    May 1, 2018 ... kNOw Fear: Making rural public spaces safer for women and girls ... The International Centre for Research on Women (ICRW) conducts research ... Poonam Kathuria's 17 years of experience as a women's rights advocate is ...

  1. NanoSafer vs. 1.1 - Nanomaterial risk assessment using first order modeling

    DEFF Research Database (Denmark)

    Jensen, Keld A.; Saber, Anne T.; Kristensen, Henrik V.

    2013-01-01

    Currently, there are no nanospecific safety data sheets (SDS) fo r manufactured nanomaterials (MN) and there is only limited data available on nanomaterial exposure levels. We have established an advanced control banding tool, NanoSafer, which enables alternative risk assessm ent and guidance...... in the SDS for the closest analogue bulk material for which the requested occupational exposure limit (OEL) is given as well. The emission potential is either given by a constant release rate or the dustiness level determined us ing the EN15051 rotating drum or similar. The exposure assessment is estimated...... of the nearest analogue bulk material a nd the specific surface area. The NanoSafer control banding tool is now available in Danish and English and contains help tools, including a data library with dustiness data and an inspirational nanosafety e learning tool for companies’ risk management. The ability...

  2. Synergistic Effects of Unintended Pregnancy and Young Motherhood on Shaking and Smothering of Infants among Caregivers in Nagoya City, Japan

    Directory of Open Access Journals (Sweden)

    Aya Isumi

    2017-09-01

    Full Text Available BackgroundShaking and smothering in response to infant crying are forms of child abuse that often result in death. Unintended pregnancy and young motherhood are risk factors of such child maltreatment that are often comorbid, few studies have examined their synergistic effect on shaking and smothering of infants. We examined the synergistic effects of unintended pregnancy and young motherhood on shaking and smothering among caregivers of infants in Japan.MethodsIn this retrospective cohort study, a questionnaire was administered to caregivers enrolled for a health check for 3- to 4-month-old infants between October 2013 and February 2014 in Nagoya City, Japan. The questionnaire data were linked to those from pregnancy notification forms registered at municipalities and included information on women’s age and feelings about their pregnancy (N = 4,159. Data were analyzed using logistic regression analysis in 2016.ResultsShaking and smothering of 3- to 4-month-old infants occurred at least once in the past month in 2.0 and 1.5% of cases, respectively. Of all participants, 24.8% reported unintended pregnancy while 7.3% were younger than 25 years old. Infants of young mothers (under 25 years old with unintended pregnancy were 2.77 [95% confidence interval (CI: 1.15–6.68] and 5.61 (95% CI: 2.40–13.1 times more likely to be shaken and smothered, respectively, than those of older mothers with intended pregnancy. In addition, the odds ratio of young mothers with unintended pregnancy regarding smothering was significantly higher than that of older mothers with unintended pregnancy (odds ratio: 2.12; p = 0.02.ConclusionOur findings suggest a synergistic effect of unintended pregnancy and young motherhood on smothering. Infants of young mothers with unintended pregnancy are at greater risk of abuse, especially smothering. Prevention strategies are required for young women with unintended pregnancies.

  3. The ambiguity of disabled women's experiences of pregnancy, childbirth and motherhood: a phenomenological understanding.

    Science.gov (United States)

    Walsh-Gallagher, Dympna; Sinclair, Marlene; Mc Conkey, Roy

    2012-04-01

    there is limited knowledge about the pregnancy, childbirth and motherhood experiences of women living with a disability. Traditionally, such women have been viewed unsympathetically by society and professionals have challenged their fitness for motherhood. The situation is compounded by a lack of robust evidence regarding the life experience of pregnant women with a disability and their perspective on childbirth. seventeen pregnant women from the island of Ireland who had a physical, sensory and/or intellectual disability were interviewed at home, pre and post birth, using a qualitative approach derived from descriptive phenomenology. Interpretative phenomenological analysis (IPA), was chosen for data analysis. the women in this study welcomed pregnancy as affirming their identity and worth as women and as mothers. They encountered mixed reactions from partners and families, while professionals tended to view them as liabilities, regarding most as 'high risk'. These reactions intensified mothers' fears. They felt their ability to make choices and maintain control over their childbirth experiences was removed as the usual services were geared to provide for 'normal', able bodied women and were not adapted to their individual needs. Moreover, a proportion were offered a termination and, although all refused, they subsequently went on to indicate feeling pressurised to place their newborn babies into social services care. pregnant women with disabilities, in particular those labelled 'high risk', should expect equal ease of access to appropriate maternity care and consultation as that enjoyed by their mainstream, 'low risk' or 'normal' counterparts. Maternity services should foster these vulnerable women's independence and autonomy as far as practicable and uphold their identity and worth as women and as mothers. Three strategies are proposed for doing this. Copyright © 2011 Elsevier Ltd. All rights reserved.

  4. Expanding Rational Molecular Design beyond Pharma: Metrics to Guide Safer Chemical Design

    Science.gov (United States)

    The demand for safer, healthier and sustainable products, materials and processes has been increasing over the past several years. Differentiating which chemicals are relatively less hazardous than others, often referred to as “greener” or “sustainable, demands a comprehensive, h...

  5. The impact of a child's special health care needs on maternal work participation during early motherhood.

    Science.gov (United States)

    Hauge, Lars Johan; Kornstad, Tom; Nes, Ragnhild Bang; Kristensen, Petter; Irgens, Lorentz M; Eskedal, Leif T; Landolt, Markus A; Vollrath, Margarete E

    2013-07-01

    Many women temporarily reduce work hours or stop working when caring for small children. However, mothers of children with special health care needs may face particular challenges balancing childrearing responsibilities and employment demands. This study examines how the work participation among mothers of children with special health care needs compares with that of mothers in general during early motherhood, focusing in particular on the extent of the child's additional health care needs. By linkage of the population-based Norwegian Mother and Child Cohort Study with national registers on employment, child health care needs, and social background factors, 41,255 mothers employed prior to childbirth were followed until child age 3 years to investigate associations between the child's care needs and mother's dropping out of employment. In total, 16.3% of the formerly employed mothers were no longer employed at child age 3 years. Mothers of children with mild care needs did not differ from mothers in general, whereas mothers of children with moderate [Risk Ratio (RR) 1.45; 95% confidence interval (CI) 1.17, 1.80] and severe care needs [RR 2.19; 95% CI 1.67, 2.87] were at substantial risk of not being employed at follow-up. The impact of the child's health care needs remained strong also after adjusting for several factors associated with employment in general. Extensive childhood health care needs are associated with reduced short-term employment prospects and remain a substantial influence on mothers' work participation during early motherhood, irrespective of other important characteristics associated with maternal employment. © 2013 John Wiley & Sons Ltd.

  6. Achieving Safety: Safer Sex, Communication, and Desire among Young Gay Men

    Science.gov (United States)

    Eisenberg, Anna; Bauermeister, Jose A.; Pingel, Emily; Johns, Michelle Marie; Santana, Matthew Leslie

    2011-01-01

    Conceptualizations of safer sex practices among young gay men (YGM) are frequently structured around communication between partners and the subsequent utilization or absence of condoms in a sexual encounter. Drawing on a sample of 34 in-depth interviews with YGM, ages 18 to 24, the authors explore the ways in which conceptualizations and…

  7. Married women's negotiation for safer sexual intercourse in Kenya: Does experience of female genital mutilation matter?

    Science.gov (United States)

    Chai, Xiangnan; Sano, Yujiro; Kansanga, Moses; Baada, Jemima; Antabe, Roger

    2017-12-01

    Married women's ability to negotiate for safer sex is important for HIV prevention in sub-Saharan Africa, including Kenya. Yet, its relationship to female genital mutilation is rarely explored, although female genital mutilation has been described as a social norm and marker of womanhood that can control women's sexuality. Drawing on the social normative influence theory, this study addressed this void in the literature. We analysed data from the 2014 Kenya Demographic and Health Survey using logistic regression. Our sample included 8,602 married women. Two indicators of safer sex, namely the ability to refuse sex and the ability to ask for condom use, were explored. We found that women who had undergone genital mutilation were significantly less likely to report that they can refuse sex (OR=0.87; p<.05) and that they can ask for condom use during sexual intercourse (OR=0.62; p<.001) than their counterparts who had not undergone genital mutilation, while controlling for theoretically relevant variables. Our findings indicate that the experience of female genital mutilation may influence married women's ability to negotiate for safer sex through gendered socialization and expectations. Based on these findings, several policy implications are suggested. For instance, culturally sensitive programmes are needed that target both married women who have undergone genital mutilation and their husbands to understand the importance of safer sexual practices within marriage. Copyright © 2017. Published by Elsevier B.V.

  8. A safer alternative: Cannabis substitution as harm reduction.

    Science.gov (United States)

    Lau, Nicholas; Sales, Paloma; Averill, Sheigla; Murphy, Fiona; Sato, Sye-Ok; Murphy, Sheigla

    2015-11-01

    Substitution is operationalised as a conscious choice made by users to use one drug instead of, or in conjunction with another based on: perceived safety, level of addiction potential, effectiveness in relieving symptoms, access and level of acceptance. Harm reduction is a set of strategies that aim to minimise problems associated with drug use while recognising that for some users, abstinence may be neither a realistic nor a desirable goal. In this paper, we aim for deeper understandings of older adult cannabis users' beliefs and substitution practices as part of the harm reduction framework. We present selected findings from our qualitative study of Baby Boomer (born 1946-1964) marijuana users in the San Francisco Bay Area. Although the sample consisted of primary cannabis users, many had personal experience with other drugs throughout their lifetimes. Data collection consisted of an audio-recorded, semi-structured in-depth life history interview followed by a questionnaire and health survey. Qualitative interviews were analysed to discover users' harm reduction beliefs and cannabis substitution practices. Study participants described using cannabis as a safer alternative for alcohol, illicit drugs and pharmaceuticals based on their perceptions of less adverse side effects, low-risk for addiction and greater effectiveness at relieving symptoms, such as chronic pain. Cannabis substitution can be an effective harm reduction method for those who are unable or unwilling to stop using drugs completely. More research is needed on cannabis as a safer alternative. © 2015 Australasian Professional Society on Alcohol and other Drugs.

  9. Justifying gender discrimination in the workplace: The mediating role of motherhood myths.

    Science.gov (United States)

    Verniers, Catherine; Vala, Jorge

    2018-01-01

    The issue of gender equality in employment has given rise to numerous policies in advanced industrial countries, all aimed at tackling gender discrimination regarding recruitment, salary and promotion. Yet gender inequalities in the workplace persist. The purpose of this research is to document the psychosocial process involved in the persistence of gender discrimination against working women. Drawing on the literature on the justification of discrimination, we hypothesized that the myths according to which women's work threatens children and family life mediates the relationship between sexism and opposition to a mother's career. We tested this hypothesis using the Family and Changing Gender Roles module of the International Social Survey Programme. The dataset contained data collected in 1994 and 2012 from 51632 respondents from 18 countries. Structural equation modellings confirmed the hypothesised mediation. Overall, the findings shed light on how motherhood myths justify the gender structure in countries promoting gender equality.

  10. Surrogate Motherhood and Abortion for Fetal Abnormality.

    Science.gov (United States)

    Walker, Ruth; van Zyl, Liezl

    2015-10-01

    A diagnosis of fetal abnormality presents parents with a difficult - even tragic - moral dilemma. Where this diagnosis is made in the context of surrogate motherhood there is an added difficulty, namely that it is not obvious who should be involved in making decisions about abortion, for the person who would normally have the right to decide - the pregnant woman - does not intend to raise the child. This raises the question: To what extent, if at all, should the intended parents be involved in decision-making? In commercial surrogacy it is thought that as part of the contractual agreement the intended parents acquire the right to make this decision. By contrast, in altruistic surrogacy the pregnant woman retains the right to make these decisions, but the intended parents are free to decide not to adopt the child. We argue that both these strategies are morally unsound, and that the problems encountered serve to highlight more fundamental defects within the commercial and altruistic models, as well as in the legal and institutional frameworks that support them. We argue in favour of the professional model, which acknowledges the rights and responsibilities of both parties and provides a legal and institutional framework that supports good decision-making. In particular, the professional model acknowledges the surrogate's right to decide whether to undergo an abortion, and the intended parents' obligation to accept legal custody of the child. While not solving all the problems that arise in surrogacy, the model provides a framework that supports good decision-making. © 2015 John Wiley & Sons Ltd.

  11. Motherhood in adolescent mothers: maternal attachment, mother-infant styles of interaction and emotion regulation at three months.

    Science.gov (United States)

    Riva Crugnola, Cristina; Ierardi, Elena; Gazzotti, Simona; Albizzati, Alessandro

    2014-02-01

    Early motherhood is considered a risk factor for an adequate relationship between mother and infant and for the subsequent development of the infant. The principal aim of the study is to analyze micro-analytically the effect of motherhood in adolescence on the quality of mother-infant interaction and emotion regulation at three months, considering at the same time the effect of maternal attachment on these variables. Participants were 30 adolescent mother-infant dyads compared to 30 adult mother-infant dyads. At infant 3 months, mother-infant interaction was video-recorded and coded with a modified version of the Infant Caregiver Engagement Phases and the Adult Attachment Interview was administered to the mother. Analysis showed that adolescent mothers (vs. adult mothers) spent more time in negative engagement and their infants spent less time in positive engagement and more time in negative engagement. Adolescent mothers are also less involved in play with their infants than adult mothers. Adolescent mother-infant dyads (vs. adult mother-infant dyads) showed a greater duration of negative matches and spent less time in positive matches. Insecure adolescent mother-infant dyads (vs. insecure adult mother-infant dyads) demonstrated less involvement in play with objects and spent less time in positive matches. To sum up adolescent mother-infant dyads adopt styles of emotion regulation and interaction with objects which are less adequate than those of dyads with adult mothers. Insecure maternal attachment in dyads with adolescent mothers (vs. adult mother infant dyads) is more influential as risk factor. Copyright © 2014 Elsevier Inc. All rights reserved.

  12. Qualitative evaluation of the Teenage Mothers Project in Uganda: a community-based empowerment intervention for unmarried teenage mothers.

    Science.gov (United States)

    Leerlooijer, Joanne N; Bos, Arjan E R; Ruiter, Robert A C; van Reeuwijk, Miranda A J; Rijsdijk, Liesbeth E; Nshakira, Nathan; Kok, Gerjo

    2013-09-08

    A large proportion of unmarried teenage mothers in Uganda face physical, psychological, and social problems after pregnancy and childbirth, such as obstetric complications, lack of education, and stigmatisation in their communities. The Teenage Mothers Project (TMP) in Eastern Uganda empowers unmarried teenage mothers to cope with the consequences of early pregnancy and motherhood. Since 2000, 1036 unmarried teenage mothers, their parents, and community leaders participated in economic and social empowerment interventions. The present study explored the changes resulting from the TMP as well as factors that either enabled or inhibited these changes. Semi-structured interviews (N = 23) were conducted with former teenage mothers , community leaders, and project implementers, and lifeline histories were obtained from former teenage mothers (N = 9). Quantitative monitoring data regarding demographic and social characteristics of teenage mother participants (N = 1036) were analysed. The findings suggest that, overall, the TMP seems to have contributed to the well-being of unmarried teenage mothers and to a supportive social environment. It appears that the project contributed to supportive community norms towards teenage mothers' position and future opportunities, increased agency, improved coping with early motherhood and stigma, continued education, and increased income generation by teenage mothers. The study findings also suggest limited change in disapproving community norms regarding out-of-wedlock sex and pregnancy, late active enrolment of teenage mothers in the project (i.e., ten months after delivery of the child), and differences in the extent to which parents provided support. It is concluded that strengths of the community-based TMP seem to be its socio-ecological approach, the participatory planning with community leaders and other stakeholders, counselling of parents and unmarried teenage mothers, and the emphasis on education and income

  13. Russian-Soviet Literature of the 1960s and 1970s: Motherhood in Disguise, or A Male Anti-Feminist Rethoric for what it’s Worth

    Directory of Open Access Journals (Sweden)

    Olga Tabachnikova

    2017-12-01

    Full Text Available This paper looks into the Russian Soviet literature of both the “thaw” and “stagnation” periods (1960s and 1970s in order to reassess the existing paradigm in its critical reception provided from the gender perspective. The discussion starts with consideration of the issue of motherhood – especially in the case of working mothers – and its literary treatment, but then expands to a feminist reading of the literature in question more generally. By suggesting an alternative interpretation of literary works of this period, especially those authored by male writers, the paper challenges the accepted understanding of this literature as essentially misogynistic. By revealing concealed insecurities behind hostile male rhetoric, it turns the tables round to argue that the prevailing model that arises from this literature is, in figurative terms, that of all pervasive motherhood, and as such is actually matriarchal. Thus, the suggestion made, is that this literature should be viewed at least as two-fold: superficially misogynistic, but matriarchal in spirit.

  14. "Out of All of this Mess, I Got a Blessing": Perceptions and Experiences of Reproduction and Motherhood in African American Women Living With HIV.

    Science.gov (United States)

    Fletcher, Faith; Ingram, Lucy Annang; Kerr, Jelani; Buchberg, Meredith; Richter, Donna L; Sowell, Richard

    2016-01-01

    HIV disproportionately impacts African American women of childbearing age residing in the southern United States. Antiretroviral therapy has increased the quantity and quality of life for people living with HIV and produced viable and safe reproduction possibilities for women living with HIV. However, little is known about reproductive decision-making processes for African American women living with HIV. The overall goal of our study was to qualitatively explore perspectives related to reproduction and motherhood in HIV-infected African American women of childbearing capacity. HIV-infected African American women of childbearing capacity in South Carolina (N = 42) participated in in-depth interviews. Our respondents held positive views about pregnancy and motherhood, despite nonsupportive pregnancy messages from interpersonal influences, including health care providers. Study findings uncovered the need for programs and interventions to support women's reproductive autonomy and focus on reducing conception- and pregnancy-related transmission risks to infants and uninfected sexual partners. Copyright © 2016 Association of Nurses in AIDS Care. Published by Elsevier Inc. All rights reserved.

  15. Justifying gender discrimination in the workplace: The mediating role of motherhood myths

    Science.gov (United States)

    2018-01-01

    The issue of gender equality in employment has given rise to numerous policies in advanced industrial countries, all aimed at tackling gender discrimination regarding recruitment, salary and promotion. Yet gender inequalities in the workplace persist. The purpose of this research is to document the psychosocial process involved in the persistence of gender discrimination against working women. Drawing on the literature on the justification of discrimination, we hypothesized that the myths according to which women’s work threatens children and family life mediates the relationship between sexism and opposition to a mother’s career. We tested this hypothesis using the Family and Changing Gender Roles module of the International Social Survey Programme. The dataset contained data collected in 1994 and 2012 from 51632 respondents from 18 countries. Structural equation modellings confirmed the hypothesised mediation. Overall, the findings shed light on how motherhood myths justify the gender structure in countries promoting gender equality. PMID:29315326

  16. Electronic cigarettes: a safer alternative or potential poison?

    Science.gov (United States)

    Smith, Janet E

    2014-10-01

    Electronic cigarettes have been marketed as a safer alternative to cigarettes, and their use is expanding exponentially. However, there is a severe lack of scientific data about the ingredients in the liquid used in the device and the health consequences of using electronic cigarettes. As technology has outpaced regulations, the production and sale of electronic cigarettes are, as yet, unregulated and do not fall under the purview of the Food and Drug Administration. This article will review the mechanism of action and what is currently known about the safety of electronic cigarettes. The risk of poisoning for children will also be identified, as well as the implications for home healthcare clinicians.

  17. One mum too few: maternal status in host surrogate motherhood arrangements.

    Science.gov (United States)

    Oultram, Stuart

    2015-06-01

    In a host surrogate motherhood arrangement, the surrogate agrees to be implanted with, and carry to term, an embryo created from the commissioning couple's gametes. When the surrogate child is born, it is the surrogate mother who, according to UK law, holds the legal status of mother. By contrast, the commissioning mother possesses no maternal status and she can only attain it once the surrogate agrees to the completion of the arrangement. One consequence of this is that, in the event that a host arrangement fails, the commissioning mother is left without maternal status. In this paper, I argue that this denial of maternal status misrepresents the commissioning mother's role in the host arrangement and her relationship with the surrogate child. Consequently, I suggest that commissioning mothers participating in host surrogacy arrangements ought to be granted the status of mother in the event that the arrangement fails. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  18. SAFER, an Analysis Method of Quantitative Proteomic Data, Reveals New Interactors of the C. elegans Autophagic Protein LGG-1.

    Science.gov (United States)

    Yi, Zhou; Manil-Ségalen, Marion; Sago, Laila; Glatigny, Annie; Redeker, Virginie; Legouis, Renaud; Mucchielli-Giorgi, Marie-Hélène

    2016-05-06

    Affinity purifications followed by mass spectrometric analysis are used to identify protein-protein interactions. Because quantitative proteomic data are noisy, it is necessary to develop statistical methods to eliminate false-positives and identify true partners. We present here a novel approach for filtering false interactors, named "SAFER" for mass Spectrometry data Analysis by Filtering of Experimental Replicates, which is based on the reproducibility of the replicates and the fold-change of the protein intensities between bait and control. To identify regulators or targets of autophagy, we characterized the interactors of LGG1, a ubiquitin-like protein involved in autophagosome formation in C. elegans. LGG-1 partners were purified by affinity, analyzed by nanoLC-MS/MS mass spectrometry, and quantified by a label-free proteomic approach based on the mass spectrometric signal intensity of peptide precursor ions. Because the selection of confident interactions depends on the method used for statistical analysis, we compared SAFER with several statistical tests and different scoring algorithms on this set of data. We show that SAFER recovers high-confidence interactors that have been ignored by the other methods and identified new candidates involved in the autophagy process. We further validated our method on a public data set and conclude that SAFER notably improves the identification of protein interactors.

  19. 75 FR 71123 - Agency Information Collection Activities; Proposed Collection; Comment Request; Safer Detergent...

    Science.gov (United States)

    2010-11-22

    ..., cleaners, airplane deicers, and fire-fighting foams. Safer surfactants are those that break down quickly to... protected through regulations.gov or e- mail. The regulations.gov Web site is an ``anonymous access'' system... technology and systems for the purposes of collecting, validating, and verifying information, processing and...

  20. State of the science: does the theory of maternal role attainment apply to African American motherhood?

    Science.gov (United States)

    Fouquier, Katherine Ferrell

    2013-01-01

    This article reviews the current state of knowledge of the theory of maternal role attainment (MRA) and its relevance in describing African American motherhood. EBSCOhost Research Databases that included PubMed, CINAHL plus, MEDLINE, PsycINFO, SCOPUS, and Web of Science were searched for journal articles that examined maternal identity and MRA. Keyword searches included maternal identity, maternal role attainment, becoming a mother, prenatal attachment, maternal-fetal attachment, and maternal-infant attachment. Inclusion criteria for this review were published journal articles of studies conducted in the United States, with a clear delineation of the theoretical framework of MRA. Journal articles that measured MRA among women with depression or medically fragile infants were excluded. Two hundred and twelve studies were reviewed; 25 studies, published between 1975 and 2007, met the inclusion criteria. Nine articles described the theory of MRA, 11 articles measured variables thought to influence MRA, and 6 articles described maternal-fetal attachment, a construct of MRA. Studies were reviewed, categorized, and analyzed to determine current knowledge of how the theory of MRA describes African American motherhood. Categories included studies describing the theoretical framework of maternal identity and MRA, studies measuring key variables thought to impact MRA, and studies measuring maternal-fetal attachment and maternal-infant attachment. The studies were limited by homogenous samples of upper-middle-class white women and low-income, single, African American adolescents. Study results of MRA cannot be generalized to African American women. Further research is essential to identify attributes influencing MRA, specifically among larger samples of African American women with demographics similar to that of the white populations that have been included in studies thus far. © 2013 by the American College of Nurse-Midwives.

  1. Advanced and safer lithium-ion battery based on sustainable electrodes

    KAUST Repository

    Ding, Xiang

    2018-02-17

    Seeking advanced and safer lithium-ion battery with sustainable characteristic is significant for the development of electronic devices and electric vehicles. Herein, a new porous TiO nanobundles (PTNBs) is synthesized though a scalable and green hydrothermal strategy from the TiO powders without using any high-cost and harmful organic titanium-based compounds. The PTNBs exhibits an extremely high lithium storage capacity of 296 mAh g at 100 mA g, where the capacity can maintain over 146 mAh g even after 500 cycles at 1000 mA g. To pursue more reliable Li-ion batteries, full batteries of PTNBs/LiNiMnO (x = 0, 0.5) using spinel structured cathode are constructed. The batteries have the features of sustainability and deliver high capacities of 112 mAh g and 102 mAh g with stable capacity retentions of 99% and 90% over 140 cycles. Note that the energy densities can achieve as high as 267 and 270 Wh kg (535 and 540 Wh kg ) respectively, which is feasible to satisfy diverse requirements for energy storage products. We believe that the universal synthetic strategy, appealing structure and intriguing properties of PTNBs is applicable for wider applications, while the concept of sustainable strategy seeking reliable and safer Li-ion battery can attract broad interest.

  2. Advanced and safer lithium-ion battery based on sustainable electrodes

    Science.gov (United States)

    Ding, Xiang; Huang, Xiaobing; Jin, Junling; Ming, Hai; Wang, Limin; Ming, Jun

    2018-03-01

    Seeking advanced and safer lithium-ion battery with sustainable characteristic is significant for the development of electronic devices and electric vehicles. Herein, a new porous TiO2 nanobundles (PTNBs) is synthesized though a scalable and green hydrothermal strategy from the TiO2 powders without using any high-cost and harmful organic titanium-based compounds. The PTNBs exhibits an extremely high lithium storage capacity of 296 mAh g-1 at 100 mA g-1, where the capacity can maintain over 146 mAh g-1 even after 500 cycles at 1000 mA g-1. To pursue more reliable Li-ion batteries, full batteries of PTNBs/LiNixMn1-xO4 (x = 0, 0.5) using spinel structured cathode are constructed. The batteries have the features of sustainability and deliver high capacities of 112 mAh gcathode-1 and 102 mAh gcathode-1 with stable capacity retentions of 99% and 90% over 140 cycles. Note that the energy densities can achieve as high as 267 and 270 Wh kgcathode-1 (535 and 540 Wh kganode-1) respectively, which is feasible to satisfy diverse requirements for energy storage products. We believe that the universal synthetic strategy, appealing structure and intriguing properties of PTNBs is applicable for wider applications, while the concept of sustainable strategy seeking reliable and safer Li-ion battery can attract broad interest.

  3. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 538: Spill Sites, Nevada Test Site, Nevada, Rev. No.: 0

    Energy Technology Data Exchange (ETDEWEB)

    Alfred Wickline

    2006-04-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions necessary for the closure of Corrective Action Unit (CAU) 538: Spill Sites, Nevada Test Site, Nevada. It has been developed in accordance with the ''Federal Facility Agreement and Consent Order'' (FFACO) (1996) that was agreed to by the State of Nevada, the U.S. Department of Energy (DOE), and the U.S. Department of Defense. A SAFER may be performed when the following criteria are met: (1) Conceptual corrective actions are clearly identified (although some degree of investigation may be necessary to select a specific corrective action before completion of the Corrective Action Investigation [CAI]). (2) Uncertainty of the nature, extent, and corrective action must be limited to an acceptable level of risk. (3) The SAFER Plan includes decision points and criteria for making data quality objective (DQO) decisions. The purpose of the investigation will be to document and verify the adequacy of existing information; to affirm the decision for either clean closure, closure in place, or no further action; and to provide sufficient data to implement the corrective action. The actual corrective action selected will be based on characterization activities implemented under this SAFER Plan. This SAFER Plan identifies decision points developed in cooperation with the Nevada Division of Environmental Protection (NDEP) and where DOE will reach consensus with NDEP before beginning the next phase of work.

  4. Constructions and experiences of motherhood in the context of an early intervention for Aboriginal mothers and their children: mother and healthcare worker perspectives

    Directory of Open Access Journals (Sweden)

    Jane M. Ussher

    2016-07-01

    Full Text Available Abstract Background The colonisation of Australia has been associated with traumatic consequences for Aboriginal health and wellbeing, including the breakdown of the traditional family unit and negative consequences for the mother/child relationship. Early-intervention programs have been developed to assist families to overcome disadvantage and strengthen mother/child attachment. However, there is no research examining Aboriginal women’s subjective experiences and constructions of motherhood in the context of such programs, and no research on the perceived impact of such programs, from the perspective of Aboriginal mothers and healthcare workers (HCWs, with previous research focusing on child outcomes. Method Researchers conducted participant observation of an early intervention program for Aboriginal mothers and young children over a 6 month period, one-to-one interviews and a focus group with 10 mothers, and interviews with nine HCWs, in order to examine their perspectives on motherhood and the intervention program. Results Thematic analysis identified 2 major themes under which subthemes were clustered. Constructions of motherhood: ‘The resilient mother: Coping with life trauma and social stress’ and ‘The good mother: Transformation of self through motherhood’; Perspectives on the intervention: ‘“Mothers come to life”: Transformation through therapy’; and ‘“I know I’m a good mum”: The need for connections, skills and time for self’. Conclusions The mothers constructed themselves as being resilient ‘good mothers’, whilst also acknowledging their own traumatic life experiences, predominantly valuing the peer support and time-out aspects of the program. HCWs positioned the mothers as ‘traumatised’, yet also strong, and expressed the view that in order to improve mother/child attachment a therapeutic transformation is required. These results suggest that early interventions for Aboriginal mothers should

  5. Recommendations for safer radiotherapy: what’s the message?

    Energy Technology Data Exchange (ETDEWEB)

    Dunscombe, Peter, E-mail: peter.dunscombe@albertahealthservices.ca [Department of Oncology, University of Calgary, Calgary, AB (Canada)

    2012-09-28

    Radiotherapy, with close to a million courses delivered per year in North America, is a very safe and effective intervention for a devastating disease. However, although rare, several deeply regrettable incidents have occurred in radiotherapy and have rightly been the subject of considerable public interest. Partly in response to reports of these incidents a variety of authoritative organizations across the globe has harnessed the expertise amongst their members in attempts to identify the measures that will make radiotherapy safer. While the intentions of all these organizations are clearly good it is challenging for the health care providers in the clinic to know where to start with so much advice coming from so many directions. Through a mapping exercise we have identified commonalities between recommendations made in seven authoritative documents and identified those issues most frequently cited. The documents reviewed contain a total of 117 recommendations. Using the 37 recommendations in “Towards Safer Radiotherapy” as the initial base layer, recommendations in the other documents were mapped, adding to the base layer to accommodate all the recommendations from the additional six documents as necessary. This mapping exercise resulted in the distillation of the original 117 recommendations down to 61 unique recommendations. Twelve topics were identified in three or more of the documents as being pertinent to the improvement of patient safety in radiotherapy. They are, in order of most to least cited: training, staffing, documentation, incident learning, communication, check lists, quality control and preventive maintenance, dosimetric audit, accreditation, minimizing interruptions, prospective risk assessment, and safety culture. This analysis provides guidance for the selection of those activities most likely to enhance safety and quality in radiotherapy based on the frequency of citation in selected recent authoritative literature.

  6. Recommendations for safer radiotherapy: what’s the message?

    International Nuclear Information System (INIS)

    Dunscombe, Peter

    2012-01-01

    Radiotherapy, with close to a million courses delivered per year in North America, is a very safe and effective intervention for a devastating disease. However, although rare, several deeply regrettable incidents have occurred in radiotherapy and have rightly been the subject of considerable public interest. Partly in response to reports of these incidents a variety of authoritative organizations across the globe has harnessed the expertise amongst their members in attempts to identify the measures that will make radiotherapy safer. While the intentions of all these organizations are clearly good it is challenging for the health care providers in the clinic to know where to start with so much advice coming from so many directions. Through a mapping exercise we have identified commonalities between recommendations made in seven authoritative documents and identified those issues most frequently cited. The documents reviewed contain a total of 117 recommendations. Using the 37 recommendations in “Towards Safer Radiotherapy” as the initial base layer, recommendations in the other documents were mapped, adding to the base layer to accommodate all the recommendations from the additional six documents as necessary. This mapping exercise resulted in the distillation of the original 117 recommendations down to 61 unique recommendations. Twelve topics were identified in three or more of the documents as being pertinent to the improvement of patient safety in radiotherapy. They are, in order of most to least cited: training, staffing, documentation, incident learning, communication, check lists, quality control and preventive maintenance, dosimetric audit, accreditation, minimizing interruptions, prospective risk assessment, and safety culture. This analysis provides guidance for the selection of those activities most likely to enhance safety and quality in radiotherapy based on the frequency of citation in selected recent authoritative literature.

  7. Recommendations for safer radiotherapy: what’s the message?

    Directory of Open Access Journals (Sweden)

    Peter eDunscombe

    2012-09-01

    Full Text Available Radiotherapy, with close to a million courses delivered per year in North America, is a very safe and effective intervention for a devastating disease. However, although rare, several deeply regrettable incidents have occurred in radiotherapy and have rightly been the subject of considerable public interest. Partly in response to reports of these incidents a variety of authoritative organizations across the globe has harnessed the expertise amongst their members in attempts to identify the measures that will make radiotherapy safer. While the intentions of all these organizations are clearly good it is challenging for the health care providers in the clinic to know where to start with so much advice coming from so many directions. Through a mapping exercise we have identified commonalities between recommendations made in seven authoritative documents and identified those issues most frequently cited. The documents reviewed contain a total of 117 recommendations. Using the 37 recommendations in Towards Safer Radiotherapy as the initial base layer, recommendations in the other documents were mapped, adding to the base layer to accommodate all the recommendations from the additional six documents as necessary. This mapping exercise resulted in the distillation of the original 117 recommendations down to 61 unique recommendations. Twelve topics were identified in three or more of the documents as being pertinent to the improvement of patient safety in radiotherapy. They are, in order of most to least cited: training, staffing, documentation, incident learning, communication, check lists, quality control and preventive maintenance, dosimetric audit, accreditation, minimizing interruptions, prospective risk assessment and safety culture. This analysis provides guidance for the selection of those activities most likely to enhance safety and quality in radiotherapy based on the frequency of citation in selected recent authoritative literature.

  8. Rosie Carpe and the Virgin Mary: Modelling Modern Motherhood

    Directory of Open Access Journals (Sweden)

    Pauline Eaton

    2016-06-01

    Full Text Available Marie NDiaye’s 2001 novel, Rosie Carpe, incorporates, as one of its several instances of parenting failure, the narrative of the decline of a single mother from adequacy to abuse. This narrative, which is the focus of this article, might be said to put flesh on the bones of Julia Kristeva’s deconstruction of the Virgin Mary in her 1980s essay ‘Stabat Mater’. Kristeva saw the Marian model as out of date but she interrogated its enduring power and its continuing influence on our cultural perceptions of maternity. NDiaye’s eponymous Rosie realises she is pregnant but has no idea how this has come about. Rosie is not represented as a woman who has a religious faith but she decides to accept her child as a holy miracle. This article analyses how the ‘mythology’ of the Virgin Mary, and other biblical intertext, is woven into the narrative of Rosie’s experience of motherhood, so as to counterpoint and illuminate Rosie’s bleak and raw inner experience of maternity, an experience which, while confirming that Rosie is not, and never could have been, a modern Virgin Mary nevertheless refreshes the human stories at the root of the Christian narrative.

  9. Moral implications of obstetric technologies for pregnancy and motherhood.

    Science.gov (United States)

    Brauer, Susanne

    2016-03-01

    Drawing on sociological and anthropological studies, the aim of this article is to reconstruct how obstetric technologies contribute to a moral conception of pregnancy and motherhood, and to evaluate that conception from a normative point of view. Obstetrics and midwifery, so the assumption, are value-laden, value-producing and value-reproducing practices, values that shape the social perception of what it means to be a "good" pregnant woman and to be a "good" (future) mother. Activities in the medical field of reproduction contribute to "kinning", that is the making of particular social relationships marked by closeness and special moral obligations. Three technologies, which belong to standard procedures in prenatal care in postmodern societies, are presently investigated: (1) informed consent in prenatal care, (2) obstetric sonogram, and (3) birth plan. Their widespread application is supposed to serve the moral (and legal) goal of effecting patient autonomy (and patient right). A reconstruction of the actual moral implications of these technologies, however, reveals that this goal is missed in multiple ways. Informed consent situations are marked by involuntariness and blindness to social dimensions of decision-making; obstetric sonograms construct moral subjectivity and agency in a way that attribute inconsistent and unreasonable moral responsibilities to the pregnant woman; and birth plans obscure the need for a healthcare environment that reflects a shared-decision-making model, rather than a rational-choice-framework.

  10. Measurement Noninvariance of Safer Sex Self-Efficacy Between Heterosexual and Sexual Minority Black Youth.

    Science.gov (United States)

    Gerke, Donald; Budd, Elizabeth L; Plax, Kathryn

    2016-01-01

    Black and lesbian, gay, bisexual, or questioning (LGBQ) youth in the United States are disproportionately affected by HIV and other sexually transmitted diseases (STDs). Although self-efficacy is strongly, positively associated with safer sex behaviors, no studies have examined the validity of a safer sex self-efficacy scale used by many federally funded HIV/STD prevention programs. This study aims to test factor validity of the Sexual Self-Efficacy Scale by using confirmatory factor analysis (CFA) to determine if scale validity varies between heterosexual and LGBQ Black youth. The study uses cross-sectional data collected through baseline surveys with 226 Black youth (15 to 24 years) enrolled in community-based HIV-prevention programs. Participants use a 4-point Likert-type scale to report their confidence in performing 6 healthy sexual behaviors. CFAs are conducted on 2 factor structures of the scale. Using the best-fitting model, the scale is tested for measurement invariance between the 2 groups. A single-factor model with correlated errors of condom-specific items fits the sample well and, when tested with the heterosexual group, the model demonstrates good fit. However, when tested with the LGBQ group, the same model yields poor fit, indicating factorial noninvariance between the groups. The Sexual Self-Efficacy Scale does not perform equally well among Black heterosexual and LGBQ youth. Study findings suggest additional research is needed to inform development of measures for safer sex self-efficacy among Black LGBQ youth to ensure validity of conceptual understanding and to accurately assess effectiveness of HIV/STD prevention interventions among this population.

  11. Engaged mothering: the transition to motherhood for a group of African American women.

    Science.gov (United States)

    Sawyer, L M

    1999-01-01

    Using grounded theory methodology, 17 first-time African American mothers were interviewed to elicit their experiences of pregnancy and motherhood. Participants had a mean age of 30 years, were mostly married, employed, middle income, college educated, and all received adequate prenatal care. Engaged Mothering was identified as the core category, denoting the active, involved, and mutual process in which a woman prepares to be a mother, cares for herself and her infant, and dreams about and plans for the future to have a good life for her child. Strategies women used in this process included getting ready, dealing with the reality, settling in, and dreaming. Conditions of intentionality of the pregnancy and prior history of miscarriage or health problems of the mother affected the process. Women described the effects of racism on their daily lives and on the criteria they used to choose providers. Nursing interventions are proposed based on these results.

  12. HIV knowledge, risk perception, and safer sex practices among female sex workers in Port Moresby, Papua New Guinea

    Science.gov (United States)

    Bruce, Eunice; Bauai, Ludwina; Sapuri, Mathias; Kaldor, John M; Fairley, Christopher K; Keogh, Louise A

    2011-01-01

    Sex workers are considered a high-risk group for sexually transmitted infections, including human immunodeficiency virus (HIV), and are often targeted by prevention interventions with safer sex messages. The purpose of this study was to explore the extent to which knowledge of HIV and perception of risk influence safer sex practices among female sex workers (FSWs) in Port Moresby, Papua New Guinea. FSWs (n = 174) were recruited from 19 sites to participate in the study. Qualitative data were collected using semistructured interviews with FSWs (n = 142) through focus group discussions and (n = 32) individual interviews. In addition, quantitative data were collected from all FSWs using a short structured, demographic questionnaire. Data were analyzed using recurring themes and calculations of confidence intervals. Despite some common misperceptions, overall, most FSWs were basically aware of the risks of HIV and informed about transmission and prevention modalities but used condoms inconsistently. Most reported using condoms ‘sometimes’, almost one-sixth ‘never’ used condoms, only a fraction used condoms ‘always’ with clients, and none used condoms ‘always’ with regular sexual partners (RSPs). Among these FSWs, being knowledgeable about the risks, transmission, and prevention of HIV did not translate into safe sex. The findings suggest that certain contextual barriers to safer sex practices exist. These barriers could heighten HIV vulnerability and possibly may be responsible for infection in FSWs. Specific interventions that focus on improving condom self-efficacy in FSWs and simultaneously target clients and RSPs with safer sex messages are recommended. PMID:21445375

  13. Experiences of pregnancy and motherhood among teenage mothers in a suburb of Accra, Ghana: a qualitative study.

    Science.gov (United States)

    Gyesaw, Nana Yaa Konadu; Ankomah, Augustine

    2013-01-01

    The proportion of teenage girls who are mothers or who are currently pregnant in sub-Saharan African countries is staggering. There are many studies regarding teenage pregnancy, unsafe abortions, and family planning among teenagers, but very little is known about what happens after pregnancy, ie, the experience of teenage motherhood. Several studies in Ghana have identified the determinants of early sexual activity, contraception, and unsafe abortion, with teenage motherhood only mentioned in passing. Few studies have explored the experiences of adolescent mothers in detail with regard to their pregnancy and childbirth. This qualitative study explores the experiences of adolescent mothers during pregnancy, childbirth, and care of their newborns. This qualitative study was based on data from focus group discussions and indepth interviews with teenage mothers in a suburb in Accra. Participants were recruited from health facilities as well as by snowball sampling. Some of the participants became pregnant as a result of transactional sex in order to meet their basic needs, while others became pregnant as a result of sexual violence and exploitation. A few others wanted to become pregnant to command respect from people in society. In nearly all cases, parents and guardians of the adolescent mothers were upset in the initial stages when they heard the news of the pregnancy. One key finding, quite different from in other societies, was how often teenage pregnancies are eventually accepted, by both the young women and their families. Also observed was a rarity of willingness to resort to induced abortion. Special programs should be initiated by the government and the various responsible departments to address ignorance on sexual matters, and the challenges and risks associated with pregnancy and parenting by adolescents. Parenting techniques should be taught in sex education programs.

  14. A Safer and Convenient Synthesis of Sulfathiazole for Undergraduate Organic and Medicinal Chemistry Classes

    Science.gov (United States)

    Boyle, Jeff; Otty, Sandra; Sarojini, Vijayalekshmi

    2012-01-01

    A safer method for the synthesis of the sulfonamide drug sulfathiazole, for undergraduate classes, is described. This method improves upon procedures currently followed in several undergraduate teaching laboratories for the synthesis of sulfathiazole. Key features of this procedure include the total exclusion of pyridine, which has potential…

  15. Struggling with motherhood and coping with fatherhood - A grounded theory study among Thai teenagers.

    Science.gov (United States)

    Sriyasak, Atcharawadee; Almqvist, Anna-Lena; Sridawruang, Chaweewan; Neamsakul, Wanwadee; Häggström-Nordin, Elisabet

    2016-11-01

    to gain a deeper understanding of Thai teenage parents' perspectives, experiences and reasoning about becoming and being a teenage parent from a gender perspective. an exploratory design using grounded theory methodology. Semi-structured interviews were used to collect data. An interview guide was developed, a pilot study was undertaken, and interviews were performed on two different occasions: once during the second trimester of pregnancy and again when the infant was 5-6 months old. a province in the western part of Thailand. the selection of a heterogeneous group of teenage parents-to-be continued until saturation was reached, as describe by Glaser and Strauss (1967), in all n=50. Inclusion criteria for participants were that they were heterosexual couples, under 20 years of age, cohabiting, and expecting their first child. the core category 'struggling with motherhood and coping with fatherhood' comprises descriptions of the process from when the teenagers first learned about the pregnancy until the child was six months old. The teenagers had failed to use contraceptives which led to an unintended parenthood. Their parenthood became a turning point as the teenagers started to change their behaviours and lifestyle during pregnancy, and adapted their relationships to partner and family. Family commitments was a facilitator, through support given by their families. Finally, becoming a parent describes ways of dealing with the parental role, by engaging in parental activities and reestablishing goals in life. Most of the teenage parents reproduced traditional gender roles by being a caring mother or a breadwinning father respectively. 'struggling with motherhood and coping with fatherhood' referred to the parents' stories about how they struggled and coped with life changes and their parental role when they became unintentionally pregnant, accepted their parenting, and finally became parents. After becoming parents, the main concerns of most of the teenage parents

  16. Seriously Mentally Ill Women's Safer Sex Behaviors and the Theory of Reasoned Action

    Science.gov (United States)

    Randolph, Mary E.; Pinkerton, Steven D.; Somlai, Anton M.; Kelly, Jeffrey A.; McAuliffe, Timothy L.; Gibson, Richard H.; Hackl, Kristin

    2009-01-01

    Seriously mentally ill women at risk for HIV infection (n = 96) participated in structured interviews assessing sexual and substance-use behavior over a 3-month period. The majority of the women (63.5%) did not use condoms. Consistent with the theory of reasoned action, attitudes toward condom use and perceived social norms about safer sex were…

  17. Urban Vulnerability in Bantul District, Indonesia—Towards Safer and Sustainable Development

    Directory of Open Access Journals (Sweden)

    R. Rijanta

    2012-08-01

    Full Text Available Assuring safer and sustainable development in seismic prone areas requires predictive measurements, i.e., hazard, vulnerability and risk assessment. This research aims to assess urban vulnerability due to seismic hazard through a risk based spatial plan. The idea is to indicate current and future potential losses due to specified hazards with given spatial and temporal units. Herein, urban vulnerability refers to the classic separation between social and physical vulnerability assessments. The research area covers six sub-districts in Bantul, Indonesia. It experienced 6.2 Mw earthquakes on May, 27th, 2006 and suffered a death toll of 5700, economic losses of up to 3.1 billion US$ and damage to nearly 80% of a 508 km2 area. The research area experienced the following regional issues: (1 seismic hazard; (2 rapid land conversion and (3 domination of low-income group. This research employs spatial multi criteria evaluations (SMCE for social vulnerability (SMCE-SV and for physical vulnerability (SMCE-PV. The research reveals that (1 SMCE-SV and SMCE-PV are empirically possible to indicate the urban vulnerability indices; and (2 integrating the urban vulnerability assessment into a spatial plan requires strategic, technical, substantial and procedural integration. In summary, without adequate knowledge and political support, any manifestation towards safer and sustainable development will remain meager and haphazard.

  18. Maternal and child health project in Nigeria.

    Science.gov (United States)

    Okafor, Chinyelu B

    2003-12-01

    Maternal deaths in developing countries are rooted in womens powerlessness and their unequal access to employment, finance, education, basic health care, and other resources. Nigeria is Africa's most populous country, and it is an oil producing country, but Nigeria has one of the worst maternal mortality rates in Africa. These deaths were linked to deficiencies in access to health care including poor quality of health services, socio-cultural factors, and access issues related to the poor status of women. To address these problems, a participatory approach was used to bring Christian women from various denominations in Eastern Nigeria together. With technical assistance from a research unit in a university in Eastern Nigeria, the women were able to implement a Safe Motherhood project starting from needs assessment to program evaluation. Lessons learned from this program approach are discussed.

  19. [Reminiscence on the municipal out-of-hospital maternity unit and the motherhood home in Novi Sad].

    Science.gov (United States)

    Dobanovacki, Dusanka; Breberina, Milan; Vujosević, Bozica; Pećanac, Marija; Zakula, Nenad; Trajković, Velicko

    2013-01-01

    In the mid-twentieth century, the health care of women and children was inadequate in the post-war Yugoslavia, including the city of Novi Sad, due to the severe post-war reality: poverty in the devastated country, shortage of all commodities and services and especially of medical supplies, equipment and educated staff. OUT-OF-HOSPITAL MATERNITY UNIT: One of the serious problems was parturition at home and morbidity and mortality of the newborns and women. Soon after the World War II the action programme of improving the women's health was realized on the state level by establishing out-of-hospital maternity units but under the expert supervision. The Maternity unit at 30 Ljudevita Gaja Street in Novi Sad played a great role in providing skilled birth attendance at mainly normal deliveries. With a minimal number of medical staff and modest medical equipment, about 2000 healthy babies were born in this house. After 5 years of functioning in that way, this unit was transformed into the Motherhood Home and became a social and medical institution for pregnant women and new mothers. Regardless of the redefined organization concept the curative and preventive health care as well as women and children social protection programmes were provided successfully for the next 12 years. Although the Motherhood Home was moved into the Women Health Centre of Novi Sad and later into the former Maternity Hospital in Sremski Karlovci, its great importance for women and children's health care remained unchanged. In 1979 the overall social situation and mostly economic issues led to its closing. The house in Gajeva Street is now used as the municipality office. However, this house with its story recommends itself to become a house for a special social function, such as a museum of medical history of Novi Sad. A small investment could make it possible to collect, preserve and display the valuable records of our past, which is something we do owe to the generations to come.

  20. How social myths about childhood, motherhood and medicine affect the detection of subtle developmental problems in young children.

    Science.gov (United States)

    Williams, Jane

    Focus by child health professionals on the well-being of young Australian children and their families has intensified in the past decade, with particular attention drawn to the importance of the early detection and intervention of developmental problems. While many children with developmental difficulties are detected in the preschool years, those with more subtle forms of developmental problems are often only noticed by their mothers, passing unnoticed by professionals until the children begin school and fail socially or academically. This study aimed to ascertain ways in which child health professionals may utilise the experience of mothers to improve early recognition and diagnosis of subtle developmental and behavioural problems in children. French philosopher, Roland Barthes (1973) proposed that myths play an important social role in defining underlying social values that affect how people interpret what others say or do. This paper explores how the social myths of childhood, motherhood and medicine impact upon the early detection of children with subtle developmental problems. In particular, it examines how social myths affect when and how mothers become concerned about their children's development, from whom they seek advice, and the responses which mothers receive in regard to their concerns. Mythical notions of the 'blameless child', 'boys will be boys' and 'children who look OK are OK', and the constituted myth of motherhood, are all shown to affect when mothers become concerned about their children's development. What mothers do about their concerns and the responses they receive from child health professionals are also influenced by these myths. The myth of medicine is also examined to determine how it affects communication between mothers and doctors, the roles and responsibilities of doctors, and the value placed on a mother's concerns by doctors.

  1. Understanding the resistance to creating safer ice hockey: essential points for injury prevention.

    Science.gov (United States)

    Todd, Ryan A; Soklaridis, Sophie; Treen, Alice K; Bhalerao, Shree U; Cusimano, Michael D

    2017-11-27

    Despite the known negative health outcomes of concussions in minor level boys' hockey, there has been significant resistance to creating a safer game with less body checking. To better understand cultural barriers that prevent making the sport safer for youth and adolescents, semistructured interviews, with 20 ice hockey stakeholders, were conducted and analysed using thematic analysis. Through this analysis, two primary concepts arose from respondents. The first concept is that body checking, despite the harm it can cause, should be done in a respectful sportsmanlike fashion. The second concept is the contradiction that the game of ice hockey is both dynamic and unchangeable. Using structural functionalist theory, we propose an argument that the unfortunate perpetuation of violence and body checking in youth ice hockey serves to maintain the social order of the game and its culture. Any strategies aimed at modifying and promoting healthy behaviour in the game should take these concepts into account. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2017. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  2. Overview of ACTYS project on development of indigenous state-of-the-art code suites for nuclear activation analysis

    International Nuclear Information System (INIS)

    Subhash, P.V.; Tadepalli, Sai Chaitanya; Deshpande, Shishir P.; Kanth, Priti; Srinivasan, R.

    2017-01-01

    Rigorous activation calculations are warranted for safer and efficient design of future fusion machines. Suitable activation codes, which yield accurate results with faster performance yet include all fusion relevant reactions are a prerequisite. To meet these, an indigenous project called ACTYS-Project is initiated and as a result, four state-of-art codes are developed so far. The goal of this project is to develop indigenous state-of-the-art code suites for nuclear activation analysis

  3. The Body and its Able-ness: Articulating In/Eligibility through Rhetorics of Motherhood, Unjust Language, and Questionable Medical Authority

    Directory of Open Access Journals (Sweden)

    Rachel D. Davidson

    2016-03-01

    Full Text Available This essay analyzes a controversy involving Amelia (Mia Rivera, a three-year old girl who was denied a life-saving kidney transplant in January 2012. As reported by Mia's mother, Chrissy, on her blog post, Mia was denied the kidney transplant because of her mental disability. Throughout the public discussion that took place over a few short weeks, we argue Mia's ineligibility was rearticulated through rhetorics of motherhood, unjust body language, and questions about medical authority. we suggest this indicates that descriptions of the body and its able-ness carry more weight in the public's understanding of health issues than does medical authority.

  4. Severing Ties: A Lacanian Reading of Motherhood in Joyce Carol Oates’s Short Stories "The Children" and "Feral"

    Directory of Open Access Journals (Sweden)

    Uroš Tomić

    2016-12-01

    Full Text Available This paper approaches two of Joyce Carol Oates’s short stories (“The Children” and “Feral” from a Lacanian perspective on the tripartite structure of personality in an attempt to analyze questions of motherhood and the parent-child separation process. Although published 35 years apart both stories deal with mothers who have trouble containing their maternal attitude and children who become elusive entities for their parents. Utilizing as well the concept of what Oates has termed “realistic allegory” in the analysis of characters situated within highly specific settings and circumstances, the paper aims to shed light on Oates’s vision of the workings of individuals within contemporary society.

  5. SaferNanoDesign Summer School | 13-18 June

    CERN Multimedia

    2016-01-01

    A bioHC Summer School - 13-18 June 2016 - European Scientific Institute, Archamps, Haute-Savoie.   How can industrial innovation in nanotechnologies be reconciled with the legitimate concerns of citizens regarding environmental protection and public health? Tomorrow’s researchers and engineers will require skills in risk evaluation using computational methods of modelling and simulation relevant to nanomaterials. An intensive one-week specialist school, SaferNanoDesign will examine the analytical tools and methodologies required to rise to the challenge of the ecodesign of nanomaterial-enabled technology. The School combines an intensive programme of lecture presentations, followed up by practical sessions (experiments, computer simulation and modelling) and interdisciplinary group work. Courses will be given by international experts from France, Scotland, the US, the Netherlands and Switzerland and representatives from industry and regulatory bodies. For more information: www....

  6. Safer Conception for Couples Affected by HIV: Structural and Cultural Considerations in the Delivery of Safer Conception Care in Uganda.

    Science.gov (United States)

    Mindry, Deborah; Wanyenze, Rhoda K; Beyeza-Kashesya, Jolly; Woldetsadik, Mahlet A; Finocchario-Kessler, Sarah; Goggin, Kathy; Wagner, Glenn

    2017-08-01

    In countries with high HIV prevalence and high fertility desires, the rights of HIV-affected couples to have children are a pressing issue. Conception among people living with HIV carries risks for both horizontal and vertical HIV transmission. In Uganda ~100,000 HIV-infected women become pregnant annually. Providers face a number of challenges to preventing HIV transmission, reducing unplanned pregnancies, and ensuring safer conception. We report findings from interviews with 27 HIV-affected couples (54 individuals) in Uganda. We explored key cultural and structural factors shaping couples' childbearing decisions. Our data reveal a complex intersection of gender norms, familial expectations, relationship dynamics, and HIV stigma influencing their decisions. Participants provided insights regarding provider bias, stigma, and the gendering of reproductive healthcare. To reduce horizontal transmission HIV and family planning clinics must address men's and women's concerns regarding childbearing with specific attention to cultural and structural challenges.

  7. An application of safer for the Upper East Fork Poplar Creek characterization area at the Oak Ridge Y-12 Plant, Oak Ridge, Tennessee

    International Nuclear Information System (INIS)

    Lutz, C.T.; Provost, C.A.

    1996-01-01

    The Streamlined Approach for Environmental Restoration (SAFER) has been applied at the US Department of Energy's Y-12 Plant in Oak Ridge, Tennessee. The Y-12 Plant is an operationally and hydrogeologically complex area located within the watershed of Upper East Fork Poplar Creek (UEFPC). The plant has been in operation since 1943 and nearly 175 potentially contaminated sites resulting from past waste management practices have been identified. The need to complete Remedial Investigations (RIs) for the sites in a timely and cost-effective manner has resulted in an approach that considers the entire watershed of UEFPC, which has been designated a open-quotes Characterization Areaclose quotes (CA). This approach emphasizes the watershed rather than individual sites, focuses on key questions and issues, and maximizes the use of existing data. The goal of this approach is to focus work toward the resolution of key questions and decisions necessary to complete the remediation of the CA. An evaluation of the potentially contaminated sites, the development of key questions, and the compilation and analysis of existing data are progressing. A SAFER workshop will be held in 1996, which will allow the project team and stakeholders to discuss the status of the RI, identify additional key questions and issues, and determine the activities necessary to complete the RI. This investigation demonstrates an approach to streamlining the RI process that could be applied successfully to other complex sites

  8. A Peer-Led, Social Media-Delivered, Safer Sex Intervention for Chinese College Students: Randomized Controlled Trial.

    Science.gov (United States)

    Sun, Wai Han; Wong, Carlos King Ho; Wong, William Chi Wai

    2017-08-09

    The peer-led, social media-delivered intervention is an emerging method in sexual health promotion. However, no research has yet investigated its effectiveness as compared with other online channels or in an Asian population. The objective of this study is to compare a peer-led, social media-delivered, safer sex intervention with a sexual health website. Both conditions target Chinese college students in Hong Kong. A randomized controlled trial was conducted with a peer-led, safer sex Facebook group as the intervention and an existing online sexual health website as the control. The intervention materials were developed with peer input and followed the information-motivation-behavioral skills model; the intervention was moderated by peer educators. The participants filled out the online questionnaires before and after the 6-week intervention period. Outcome evaluations included safer sex attitudes, behavioral skills, and behaviors, while process evaluation focused on online experience, online-visiting frequency, and online engagement. The effect of online-visiting frequency and online engagement on outcome variables was investigated. Of 196 eligible participants-100 in the control group and 96 in the intervention group-who joined the study, 2 (1.0%) control participants joined the Facebook group and 24 of the remaining 194 participants (12.4%) were lost to follow-up. For the process evaluation, participants in the intervention group reported more satisfying online experiences (Psocial media-delivered, safer sex intervention was found to be feasible and effective in improving attitudes toward condom use and behavioral skills, but was not significantly more effective than a website. Future research may focus on the long-term effectiveness and cost-effectiveness of this popular method, as well as the potential cultural differences of using social media between different countries. Chinese Clinical Trial Registry (ChiCTR): ChiCTR-IOR-16009495; http

  9. A change in strategy for a CERCLA Removal Action Demolition Project in progress results in overall project enhancements

    International Nuclear Information System (INIS)

    Albertin, M.; Nichols, R.M.; Edwards, D.T.

    1995-01-01

    This paper discusses changes made in a demolition project at the Fernald Environmental Management Project (FEMP), a site on the National Priorities list (NPL), owned by the Department of Energy. The project, to demolish fourteen uranium ore silos and their structure, was based on a Removal Action Work Plan, submitted and approved by the United States Environmental Protection Agency (USEPA), that integrated Comprehensive Environmental Response Compensation and Liability Act (CERCLA) requirements to remove the source of contamination and threat to public health and the environment. After the demolition contractor defaulted at 30% complete, completion of the project by the USEPA deadline was threatened. The recovery plan included re-evaluation of project documents in addition to the schedule. It was determined that re-interpretation of the removal action criteria, including design and Removal Action Work Plan, would eliminate road-blocks, and optimize resources, resulting in project completion by the original deadline even after lost-time in mobilizing another contractor. This presentation will discuss the open-quotes lessons learnedclose quotes by the project team and illustrate how simplification of construction methods resulted in enhancements to the environmental controls, improved material handing, and created a safer work environment

  10. Towards safer surgery in patients with sickle cell disease

    International Nuclear Information System (INIS)

    Meshikhes, Abdul-Wahed N.

    2007-01-01

    Surgery in patients with sickle cell disease (SCD) has been associated with high morbidity and mortality. In recent years, a marked improvement in the safety of surgery and anesthesia in this high-risk group of patients has been witnessed; owing to the improvements in surgical and anesthetic care, greater awareness of pathophysiology of disease, proper perioperative preparation and attention to factors predisposing to vasoocclusive crises. However, this is not paralleled by similar improvement in countries where the disease is not prevalent. Greater population mobility in recent years makes recognition of surgical manifestations of the disease and awareness of perioperative management of sickle cell patients undergoing surgical interventions of paramount importance. This article aims to summarize steps towards safer surgery in patients with SCD. (author)

  11. Develop and implement preconditioning techniques to control face ejection rockbursts for safer mining in seismically hazardous areas

    CSIR Research Space (South Africa)

    Toper, AZ

    1998-01-01

    Full Text Available This research report discusses the development of preconditioning techniques to control face bursts, for safer mining in seismically hazardous areas. Preconditioning involves regularly setting off carefully tailored blasts in the fractured rock...

  12. Acceptability and preferences for safer conception HIV prevention strategies: a qualitative study.

    Science.gov (United States)

    Schwartz, Sheree R; West, Nora; Phofa, Rebecca; Yende, Nompumelelo; Sanne, Ian; Bassett, Jean; Van Rie, Annelies

    2016-10-01

    Safer conception strategies to reduce the HIV transmission risk include antiretroviral therapy for HIV-positive partners, pre-exposure prophylaxis for HIV-negative partners, condomless sex limited to fertile periods, and home-based self-insemination. Resistance to taking treatment or cultural concerns may limit uptake of strategies and intervention success. Understanding the acceptability and preferences between different approaches is important to optimise service delivery. Between February and July 2013, 42 adults (21 HIV-positive and 21 HIV-negative) receiving primary care at Witkoppen Health and Welfare Centre in Johannesburg, South Africa, participated in focus group discussions or in-depth interviews. Themes were analysed using a grounded theory approach. Acceptability of antiretroviral-based strategies varied. Concerns over side effects, antiretroviral treatment duration and beliefs that treatment is only for the sick were common barriers; however, desperation for a child was noted as a facilitator for uptake. HIV-negative men and HIV-positive women had favourable attitudes towards self-insemination, though paternity and safety concerns were raised. Self-insemination was generally preferred over pre-exposure prophylaxis by HIV-negative men, and antiretroviral-based strategies were preferred by couples with HIV-negative female partners, despite concerns raised about condomless sex while virally suppressed. Knowledge about the fertile window was low. A strong counselling component will be required for effective uptake and adherence to safer conception services. © The Author(s) 2016.

  13. New research discovery may mean less radioactive contamination, safer nuclear power plants

    Energy Technology Data Exchange (ETDEWEB)

    Murph, S. [Savannah River Site (SRS), Aiken, SC (United States). Savannah River National Lab. (SRNL)

    2017-06-20

    Murph has now made another nanoparticle breakthrough that could benefit various work environments such as nuclear power plants. Murph and her team have created nanoparticle treated stainless steel filters that are capable to capturing radioactive vapor materials. Just like air filters capture dust and dirt, these filters are capable of capturing large amounts of radioactive vapors. The new research may one day mean that nuclear power plant workers, and other workers in related fields, will have a safer working environment.

  14. Understanding Barriers to Safer Sex Practice in Zimbabwean Marriages: Implications for Future HIV Prevention Interventions

    Science.gov (United States)

    Mugweni, Esther; Omar, Mayeh; Pearson, Stephen

    2015-01-01

    Against the backdrop of high human immunodeficiency virus (HIV) prevalence in stable relationships in Southern Africa, our study presents sociocultural barriers to safer sex practice in Zimbabwean marriages. We conducted 36 in-depth interviews and four focus group discussions with married men and women in Zimbabwe in 2008. Our aim was to identify…

  15. Female gratification, sexual power and safer sex

    DEFF Research Database (Denmark)

    Skafte, Ina; Silberschmidt, Margrethe

    2014-01-01

    The gender-based response to HIV in sub-Saharan Africa has tended to reinforce normative stereotypes of women as subordinated, passive and powerless victims, in particular in sexual relations. However, based on qualitative data from Rwanda, this paper argues that such conceptualisations fail to r...... both to practice safer sex and to access decision-making power and material resources. This suggests that inherent in sexual relations is a potential for the empowerment of women and the transformation of gender relations.......The gender-based response to HIV in sub-Saharan Africa has tended to reinforce normative stereotypes of women as subordinated, passive and powerless victims, in particular in sexual relations. However, based on qualitative data from Rwanda, this paper argues that such conceptualisations fail...... to recognise that while women do comply with prevalent social norms, they also challenge these norms and sex becomes a domain in which they can exert power. Female sexuality and sexual gratification - acknowledged and valued by women as well as men - play a pivotal role in the Rwandese mode of sexual...

  16. Steering patients to safer hospitals? The effect of a tiered hospital network on hospital admissions.

    Science.gov (United States)

    Scanlon, Dennis P; Lindrooth, Richard C; Christianson, Jon B

    2008-10-01

    To determine if a tiered hospital benefit and safety incentive shifted the distribution of admissions toward safer hospitals. A large manufacturing company instituted the hospital safety incentive (HSI) for union employees. The HSI gave union patients a financial incentive to choose hospitals that met the Leapfrog Group's three patient safety "leaps." The analysis merges data from four sources: claims and enrollment data from the company, the American Hospital Association, the AHRQ HCUP-SID, and a state Office of the Insurance Commissioner. Changes in hospital admissions' patterns for union and nonunion employees using a difference-in-difference design. We estimate the probability of choosing a specific hospital from a set of available alternatives using conditional logistic regression. Patients affiliated with the engineers' union and admitted for a medical diagnosis were 2.92 times more likely to select a hospital designated as safer in the postperiod than in the preperiod, while salaried nonunion (SNU) patients (not subject to the financial incentive) were 0.64 times as likely to choose a compliant hospital in the post- versus preperiod. The difference-in-difference estimate, which is based on the predictions of the conditional logit model, is 0.20. However, the machinists' union was also exposed to the incentive and they were no more likely to choose a safer hospital than the SNU patients. The incentive did not have an effect on patients admitted for a surgical diagnosis, regardless of union status. All patients were averse to travel time, but those union patients selecting an incentive hospital were less averse to travel time. Patient price incentives and quality/safety information may influence hospital selection decisions, particularly for medical admissions, though the optimal incentive level for financial return to the plan sponsor is not clear.

  17. Special Aviation Fire and Explosion Reduction (SAFER) Advisory Committee. Volume IIB.

    Science.gov (United States)

    1980-06-26

    alternates be identified collectively as the "SAFER Advisory Committee," or simply the Committee. 2. That the Committee serve as the decision-making body...iefta 10 e - Avisttln Kal £s1a~r*W. Odke Of W- rPs A..ecn~e "I t12, AdOWt(~ 0 W ae Itirea~t pgsPer110 I’o Mhet Cuxlser Attenton. Rulem LlozkCL is ira...factors, such as bur.t.it ot inha~ation of toxic gases. It is only in recent years that t-e :37 o actempted to collect such data. 4. Except for the KC

  18. Cutting the cost of South African antiretroviral therapy using newer, safer drugs

    Directory of Open Access Journals (Sweden)

    W F Venter

    2017-01-01

    Full Text Available Antiretrovirals are a significant cost driver for HIV programmes. Current first-line regimens have performed well in real-life programmes, but have a low barrier to virological resistance and still carry toxicity that limits adherence. New drug developments may mean that we have access to safer, more robust and cheaper regimens, but only if the appropriate clinical trials are conducted. We briefly discuss these trials, and demonstrate the large cost savings to the South African HIV programme if these are successful.

  19. Motives and barriers to safer sex and regular STI testing among MSM soon after HIV diagnosis

    NARCIS (Netherlands)

    Heijman, Titia; Zuure, Freke; Stolte, Ineke; Davidovich, Udi

    2017-01-01

    Understanding why some recently with HIV diagnosed men who have sex with men (MSM) choose for safer sex and regular STI testing, whereas others do not, is important for the development of interventions that aim to improve the sexual health of those newly infected. To gain insight into motives and

  20. Understanding lean & safety projects: analysis of case studies

    Directory of Open Access Journals (Sweden)

    Maria Crema

    2017-12-01

    Full Text Available Facing the current socio-economic contingency while guaranteeing a high level of care quality is particularly challenging in the field of healthcare. Through an integrated adoption of emerging managerial solutions, projects that allow organizations to achieve both efficiency and patient safety improvements could be implemented, thereby transposing policy directives towards a safer and more sustainable healthcare system. Therefore, the purpose of this paper is to investigate the features of Lean & Safety (L&S projects. Three Health Lean Management (HLM projects that had unexpected patient safety results were selected from the same region. Differences and similarities among the cases have been highlighted and interesting points of evidence have been noted. Despite the fact that the projects were pursuing similar objectives and benefiting from comparable support, the obtained changes had direct impact on patient safety enhancement in the cases that involved the front-office processes, and an indirect impact on patient safely for the L&S project that focused on back-office activities. The implementation processes and the Information and Communication Technologies (ICT adoption of the cases are also different.

  1. Attitudes towards motherhood of women with physical versus psychiatric disabilities.

    Science.gov (United States)

    Hasson-Ohayon, Ilanit; Hason-Shaked, Meiran; Silberg, Tamar; Shpigelman, Carmit-Noa; Roe, David

    2018-05-16

    Women with disabilities may face social negative attitudes with regard to their being mothers. In addition, attitudes toward different disabilities form a hierarchy, with more positive attitudes being displayed toward persons with physical disabilities than toward persons with psychiatric disabilities. Current observational study examined whether the relationship between a woman's type of disability (psychiatric vs. physical) and the social attitude towards her would be moderated by her being presented as a mother. University students (N = 100) filled out the Multidimensional Attitudes Scale Toward Persons With Disabilities and the Social Distance Scale, after reading one of six randomly assigned fictitious vignettes. The vignettes consisted of a woman with a physical disability/a woman with a psychiatric disability/a woman without a disability, who either was or was not a mother. Type of disability was found to have a main effect in some attitude domains, suggesting that attitudes toward women with physical disabilities were better than attitudes towards women with psychiatric disabilities. An interaction between type of disability and motherhood was found for the interpersonal distress subscale of the attitudes scale. It was found that when women had physical disabilities, there was no change in attitude towards them regardless of whether they were presented as mothers or not; However, when the target woman had a psychiatric disability, and she was presented as a mother, negative attitudes were generated towards her. The study demonstrates the existence of a hierarchy of stigmatization and the effect of being a mother on stigmatization. Copyright © 2018 Elsevier Inc. All rights reserved.

  2. Are nuclear ships environmentally safer than conventionally powered ships

    International Nuclear Information System (INIS)

    Bone, C.A.; Molgaard, C.A.; Helmkamp, J.C.; Golbeck, A.L.

    1988-01-01

    An epidemiologic analysis was conducted to determine if risk of hospitalization varied by age, ship type, or occupation between nuclear and conventional powered ship crews in the U.S. Navy. Study cohorts consisted of all male enlisted personnel who served exclusively aboard conventional or nuclear powered aircraft carriers and cruisers during the years 1975-1979; cases were those men hospitalized during this period (N = 48,242). Conventional ship personnel showed significantly elevated rates of injury and disease when compared to nuclear ship personnel. The largest relative risks by age occurred for conventional ship crewmen less than 30 years old. Seaman, logistics (supply), and healthcare personnel serving aboard conventional ships comprised the occupational groups exhibiting the highest hospitalization rate differentials. The results strongly suggest that nuclear ships provide a healthier, safer working and living environment than conventional ships

  3. Deploying innovative technologies to improve DOE D ampersand D project baselines

    International Nuclear Information System (INIS)

    Rose, R.W.

    1997-05-01

    The insertion of innovative technologies to replace baseline technologies used in cost estimation and planning of DOE D ampersand D projects is considered a high risk endeavor by project and programmatic decision makers. It is almost always considered safer to go with the open-quotes devil you knowclose quotes than use a new or untried technology, methodology or system. The decision on the specific technology to be utilized to remediate a problem is often made months or years in advance of execution, and the highly proscriptive documentation of agreements necessary to obtain stakeholder and regulator approval of remedial plans is often counterproductive to considering improved technologies

  4. Gender power control, sexual experiences, safer sex practices, and potential HIV risk behaviors among young Asian-American women.

    Science.gov (United States)

    Hahm, Hyeouk Chris; Lee, Jieha; Rough, Kathryn; Strathdee, Steffanie A

    2012-01-01

    We examined the prevalence of three domains of sexual behaviors among young Asian-American women: sexual experiences, safer sex practices, and potential HIV risk behaviors. We also investigated the impact of gender power control on these domains. Among sexually experienced women, 51% reported using condoms during their most recent sex act, 63% reported inconsistent condom use, and 18% reported ever having forced sex. Multiple logistic regression analyses revealed that women's perceived lower relationship power control was not associated with vaginal sex or safer sex practices, but it was powerfully associated with forced sex and all three potential HIV risk behaviors. This study demonstrates that control within young Asian-American women's intimate relationships exerts different associations depending on the type of sexual behavior. The application of the Theory of Gender and Power should be employed with prudence when designing HIV interventions for this population.

  5. Streamlined approach for environmental restoration (SAFER) plan for corrective action unit 412: clean slate I plutonium dispersion (TTR) tonopah test range, Nevada, revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick K.

    2015-04-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions needed to achieve closure for Corrective Action Unit (CAU) 412. CAU 412 is located on the Tonopah Test Range and consists of a single corrective action site (CAS), TA-23-01CS, Pu Contaminated Soil. There is sufficient information and historical documentation from previous investigations and the 1997 interim corrective action to recommend closure of CAU 412 using the SAFER process. Based on existing data, the presumed corrective action for CAU 412 is clean closure. However, additional data will be obtained during a field investigation to document and verify the adequacy of existing information and determine whether the CAU 412 closure objectives have been achieved. This SAFER Plan provides the methodology to gather the necessary information for closing the CAU.The following summarizes the SAFER activities that will support the closure of CAU 412:• Collect environmental samples from designated target populations to confirm or disprove the presence of contaminants of concern (COCs) as necessary to supplement existing information.• If no COCs are present, establish clean closure as the corrective action. • If COCs are present, the extent of contamination will be defined and further corrective actions will be evaluated with the stakeholders (NDEP, USAF).• Confirm the preferred closure option is sufficient to protect human health and the environment.

  6. Motherhood and subsistence work: the Tamang of rural Nepal.

    Science.gov (United States)

    Panter-brick, C

    1989-06-01

    A time-allocation study conducted over a 1-year period among rural women in Nepal indicated that these women are able to perform rigorous subsistence labor during pregnancy and motherhood through cultural practices that facilitate a combining of economic and childcare duties. The fieldwork was conducted in 1982-83 in the predominately Tamang village of Salme. A total of 7678 hours of minute-by-minute observation were collected on Tamang women and their male kin from 43 households. The sample included 19 nonpregnant, nonlactating women and 24 pregnant or lactating mothers. Among the Tamang, agriculture is the responsibility of women, and nonpregnant and pregnant/lactating women devoted similar numbers of hours a day (5-8 hours, depending on the season) to working fields. In addition, there were no significant differences in the amount of time nonpregnant and pregnant/lactating women devoted to animal husbandry, mountain work, and travel. The Tamang women did not ease their workloads in the final weeks of pregnancy--a finding that is consistent with a practice of not making allowances in economic activity level for age, sex, physical fitness, or maternal status due to severe labor shortage and the tight time schedule inherent to agricultural production. On the other hand, there was evidence of behavioral flexibility to cope with the demands of women's dual roles. Mothers of infants take their babies to the fields with them and breastfeed during their rest periods. The use of mobile cattle shelters minimizes the amount of time that is spent away from children. Older children care for younger siblings--a phenomenon facilitated by the long interbirth intervals among the Tamang--and contractual exchanges take place among families. The health risk of this arrangement seems greatest for older children who are left behind during periods of intense agricultural activity and are often deprived of adequate nutrition.

  7. Women's authority during childbirth and Safe Motherhood in Yemen.

    Science.gov (United States)

    Kempe, Annica; Noor-Aldin Alwazer, Fatoom A; Theorell, Töres

    2010-11-01

    In the effort to increase utilization of professional care during childbirth in low-income countries, few studies have taken a holistic approach to investigating women's perspective of safety and the link to perceived own authority at birth. The aim of the study was to examine women's authority at birth with reference to the intrapartum factors, the level of training of staff and the social and demographic background of women. A multistage (stratified-purposive-random) sampling process was used. We interviewed 220 women with childbirth experience in urban/rural Yemen. We performed bivariate chi-square tests and multiple logistic regression analysis. Women who had their questions answered and requests met during childbirth had 83% higher probability (95% CI 1.66-2.02) to perceive own authority. Women who reported skin-to-skin contact/newborn in arms had 28% higher (95% CI 1.03-1.59) and those who had more distant contact 15% lower (95% CI 0.75-0.95) probability. A graded negative association was found between the perceived authority of the woman in childbirth and the level of biomedical training of staff (pauthority at birth. This paper argues that supporting Yemeni women to exercise their own authority during childbirth would significantly facilitate their ability to give birth successfully and with personal satisfaction. In a country where women are routinely disempowered, their personal empowerment at birth is very important to them. Skilled birth assistants often, in women's perceptions, work against their personal power and authority, most especially MDs but also midwives. This failure results in women failing to seek medical care when needed. Supporting women to experience their own authority at birth would facilitate the accomplishment of both the Millennium Development Goals and those of the Safe Motherhood Initiative. We call for increased cooperation between modern and traditional methods of care. Copyright © 2010 Elsevier B.V. All rights reserved.

  8. Multi-level Correlates of Safer Conception Methods Awareness and Attitudes Among Ugandan HIV Clients with Fertility Intentions.

    Science.gov (United States)

    Wagner, Glenn J; Woldetsadik, Mahlet A; Beyeza-Kashesya, Jolly; Goggin, Kathy; Mindry, Deborah; Finocchario-Kessler, Sarah; Khanakwa, Sarah; Wanyenze, Rhoda K

    2016-03-01

    Many people living with HIV desire childbearing, but low cost safer conception methods (SCM) such as timed unprotected intercourse (TUI) and manual self-insemination (MSI) are rarely used. We examined awareness and attitudes towards SCM, and the correlates of these constructs among 400 HIV clients with fertility intentions in Uganda. Measures included awareness, self-efficacy, and motivation regarding SCM, as well as demographics, health management, partner and provider characteristics. Just over half knew that MSI (53%) and TUI (51%) reduced transmission risk during conception, and 15% knew of sperm washing and pre-exposure prophylaxis. In separate regression models for SCM awareness, motivation, and self-efficacy, nearly all independent correlates were related to the partner, including perceived willingness to use SCM, knowledge of respondent's HIV status, HIV-seropositivity, marriage and equality in decision making within the relationship. These findings suggest the importance of partners in promoting SCM use and partner inclusion in safer conception counselling.

  9. Juggling work and motherhood: the impact of employment and maternity leave on breastfeeding duration: a survival analysis on Growing Up in Scotland data.

    Science.gov (United States)

    Skafida, Valeria

    2012-02-01

    In 2005, Scotland became the first nation to make breastfeeding in public a legal right, but current breastfeeding targets and maternity leave allowance do not acknowledge the conflicting demands women face when juggling employment and motherhood. This paper explores how employment and maternity leave relate to breastfeeding duration among mothers in Scotland. The Growing Up in Scotland national longitudinal cohort study of 5,217 babies born in 2004-2005 was used. Multivariate proportional hazards regression models were specified using one cross-sectional wave of data to predict breastfeeding duration. Mothers working as employees, full-time (Hazard Ratio 1.6) or part-time (HR1.3), had a higher risk of earlier breastfeeding cessation than non-working mothers. However, self-employed mothers did not differ significantly from non-working mothers in their breastfeeding patterns. Mothers who took longer maternity leave breastfed for longer. The relationships between employment, maternity leave and breastfeeding duration were significant when controlling for known predictors of breastfeeding. Younger mothers, those with less formal education, single mothers, those of white ethnic background, and first-time mothers were more likely to stop breastfeeding sooner, as has been noted in previous research. Employment and early return to work are both factors associated with a shorter duration of breastfeeding. More flexible working conditions and more generous employment leave could help to prolong breastfeeding among working mothers. Current health and employment policy in Scotland and the UK could be better coordinated so that working mothers have the adequate support to meet the conflicting demands of employment and motherhood.

  10. Migrant women's perceptions of healthcare during pregnancy and early motherhood: addressing the social determinants of health.

    Science.gov (United States)

    Almeida, Lígia Moreira; Casanova, Catarina; Caldas, José; Ayres-de-Campos, Diogo; Dias, Sónia

    2014-08-01

    Recent guidelines from the World Health Organization emphasize the need to monitor the social determinants of health, with particular focus on the most vulnerable groups. With this in mind, we evaluated the access, use and perceived quality of care received by migrant women during pregnancy and early motherhood, in a large urban area in northern Portugal. We performed semi-structured interviews in 25 recent mothers, contacted through welfare institutions, who had immigrated from Eastern European countries, Brazil, or Portuguese-speaking African countries. Six native-Portuguese women of equal economic status were also interviewed for comparison. Misinformation about legal rights and inadequate clarification during medical appointments frequently interacted with social determinants, such as low social-economic status, unemployment, and poor living conditions, to result in lower perceived quality of healthcare. Special attention needs to be given to the most vulnerable populations in order to improve healthcare. Challenges reside not only in assuring access, but also in promoting equity in the quality of care.

  11. Designing out Crime - Voices from the Fields: Editorial for Special Edition of Safer Communities

    OpenAIRE

    Monchuk, Leanne; Clancey, Garner

    2013-01-01

    ‘Crime prevention through environmental design (CPTED)’, ‘designing out crime’, ‘safer by design’, ‘secured by design’ or any of the other ‘flavours’ of manipulating the built environment to prevent crime, invariably engender an inter-disciplinary approach. This work is frequently the domain of architects, urban planners, police, security professionals, local authority planners and community safety professionals (amongst others). Despite the real work being undertaken by these actors, the div...

  12. On Demand Internal Short Circuit Device Enables Verification of Safer, Higher Performing Battery Designs

    Energy Technology Data Exchange (ETDEWEB)

    Darcy, Eric; Keyser, Matthew

    2017-05-15

    The Internal Short Circuit (ISC) device enables critical battery safety verification. With the aluminum interstitial heat sink between the cells, normal trigger cells cannot be driven into thermal runaway without excessive temperature bias of adjacent cells. With an implantable, on-demand ISC device, thermal runaway tests show that the conductive heat sinks protected adjacent cells from propagation. High heat dissipation and structural support of Al heat sinks show high promise for safer, higher performing batteries.

  13. Three-dimensional multislice spiral computed tomographic angiography: a potentially useful tool for safer free tissue transfer to complicated regions

    DEFF Research Database (Denmark)

    Demirtas, Yener; Cifci, Mehmet; Kelahmetoglu, Osman

    2009-01-01

    Three-dimensional multislice spiral computed tomographic angiography (3D-MSCTA) is a minimally invasive method of vascular mapping. The aim of this study was to evaluate the clinical usefulness of this imaging technique in delineating the recipient vessels for safer free tissue transfer to compli......Three-dimensional multislice spiral computed tomographic angiography (3D-MSCTA) is a minimally invasive method of vascular mapping. The aim of this study was to evaluate the clinical usefulness of this imaging technique in delineating the recipient vessels for safer free tissue transfer...... be kept in mind, especially inthe patients with peripheral vascular disease. 3D-MSCTA has the potential to replace digital subtraction angiography for planning of microvascular reconstructions and newer devices with higher resolutions will probably increase the reliability of this technique. (c) 2009...

  14. A randomised controlled trial using mobile advertising to promote safer sex and sun safety to young people.

    Science.gov (United States)

    Gold, J; Aitken, C K; Dixon, H G; Lim, M S C; Gouillou, M; Spelman, T; Wakefield, M; Hellard, M E

    2011-10-01

    Mobile phone text messages (SMS) are a promising method of health promotion, but a simple and low cost way to obtain phone numbers is required to reach a wide population. We conducted a randomised controlled trial with simultaneous brief interventions to (i) evaluate effectiveness of messages related to safer sex and sun safety and (ii) pilot the use of mobile advertising for health promotion. Mobile advertising subscribers aged 16-29 years residing in Victoria, Australia (n = 7606) were randomised to the 'sex' or 'sun' group and received eight messages during the 2008-2009 summer period. Changes in sex- and sun-related knowledge and behaviour were measured by questionnaires completed on mobile phones. At follow-up, the sex group had significantly higher sexual health knowledge and fewer sexual partners than the sun group. The sun group had no change in hat-wearing frequency compared with a significant decline in hat-wearing frequency in the sex group. This is the first study of mobile advertising for health promotion, which can successfully reach most young people. Challenges experienced with project implementation and evaluation should be considered as new technological approaches to health promotion continue to be expanded.

  15. Readjusting one's life in the tension inherent in work and motherhood.

    Science.gov (United States)

    Alstveit, Marit; Severinsson, Elisabeth; Karlsen, Bjørg

    2011-10-01

    This paper is a report on a study undertaken to interpret employed first-time mothers' experiences of returning to work after maternity leave, in a Norwegian context. Despite the increasing rate of employed fertile women and increasing welfare benefits to support the work-life balance, the first years after giving birth are described as being the most demanding on mothers' health. However, little is known about mothers' experiences of returning to work after maternity leave. The study included nine Norwegian employees who were individually interviewed during the first months after their return to work following maternity leave. The interviews were conducted during 2009 and interpreted using a method grounded in hermeneutics. Overall, the meaning of returning to work was interpreted as 'Readjusting one's life in the tension inherent in work and motherhood'. This comprehensive theme was based on three sub-themes: (a) Striving to manage the workload and taking responsibility for the best interests of the child, (b) Struggling with feelings of not being a good enough mother, and (c) Maintaining a balance between sensitivity and self-confidence. Returning to work after maternity leave appears to be a transitional phase that can be critical to the well-being of first-time mothers. To support women during this phase, employers and public health nurses should monitor the work in relation to the women's capacity and value their competence both as employees and mothers. © 2011 The Authors. Journal of Advanced Nursing © 2011 Blackwell Publishing Ltd.

  16. Gender Power Control, Sexual Experiences, Safer Sex Practices, and Potential HIV Risk Behaviors Among Young Asian-American Women

    Science.gov (United States)

    Lee, Jieha; Rough, Kathryn; Strathdee, Steffanie A.

    2012-01-01

    We examined the prevalence of three domains of sexual behaviors among young Asian-American women: sexual experiences, safer sex practices, and potential HIV risk behaviors. We also investigated the impact of gender power control on these domains. Among sexually experienced women, 51% reported using condoms during their most recent sex act, 63% reported inconsistent condom use, and 18% reported ever having forced sex. Multiple logistic regression analyses revealed that women’s perceived lower relationship power control was not associated with vaginal sex or safer sex practices, but it was powerfully associated with forced sex and all three potential HIV risk behaviors. This study demonstrates that control within young Asian-American women’s intimate relationships exerts different associations depending on the type of sexual behavior. The application of the Theory of Gender and Power should be employed with prudence when designing HIV interventions for this population. PMID:21259042

  17. Does the real-time ultrasound guidance provide safer venipuncture in implantable venous port implantation?

    Science.gov (United States)

    Yıldırım, İlknur; Tütüncü, Ayşe Çiğdem; Bademler, Süleyman; Özgür, İlker; Demiray, Mukaddes; Karanlık, Hasan

    2018-03-01

    To examine whether the real-time ultrasound-guided venipuncture for implantable venous port placement is safer than the traditional venipuncture. The study analyzed the results of 2153 venous ports placed consecutively from January 2009 to January 2016. A total of 922 patients in group 1 and 1231 patients in group 2 were admitted with venous port placed using the traditional landmark subclavian approach and real-time ultrasound-guided axillary approach, respectively. Sociodemographic characteristics of patients, early (pneumothorax, pinch-off syndrome, arterial puncture, hematoma, and malposition arrhythmia) and late (deep vein thrombosis, obstruction, infection, erosion-dehiscence, and rotation of the port chamber) complications and the association of these complications with the implantation method were evaluated. There were no significant differences in the sociodemographic characteristics of the patients between the two groups. The overall and early complications in group 2 were significantly lower than those in group 1. Pinch-off syndrome only developed in group 1. Seven patients and two patients had pneumothorax in groups 1 and 2, respectively. Puncture number was significantly associated with the development of the overall complications. The ultrasound-guided axillary approach may be preferred as a method to reduce the risk of both early and late complications. Large, randomized, controlled prospective trials will be helpful in determining a safer implantable venous port implantation technique.

  18. A framework for safer driving in Mauritius

    Directory of Open Access Journals (Sweden)

    V. Bassoo

    2017-12-01

    Full Text Available According to the National Transport Authority (NTA, there were 493,081 registered vehicles in Mauritius in April 2016, which represents a 1.4% annual increase compared to 2015. Despite the sensitization campaigns and the series of measures setup by the Minister of Public Infrastructure and Land Transport, the number of road accidents continues to rise. The three main elements that contribute to accidents are: road infrastructure, vehicle and driver. The driver has the highest contribution in collisions. If the driver is given the right information (e.g. driving behaviour, accident-prone areas and vehicle status at the right time, he/she can make better driving decisions and react promptly to critical situations. This paper proposes a framework for safer driving in Mauritius that uses an on-board car diagnostic module (OBDII to collect data such as vehicle average speed, engine revolution and acceleration. This module relays the data to a cloud environment where an adaptive algorithm analyses the data and predicts driver behaviour in real-time. Based on driving behaviour, mobile alerts can be sent to the driver in the form of messages, voice commands or beeps. A survey was also carried out to evaluate the acceptance rate of such a framework by people of different age groups in Mauritius.

  19. 'He lacks his fatherhood': safer conception technologies and the biological imperative for fatherhood among recently-diagnosed Xhosa-speaking men living with HIV in South Africa.

    Science.gov (United States)

    Taylor, Tonya N; Mantell, Joanne E; Nywagi, Ntobeko; Cishe, Nomazizi; Cooper, Diane

    2013-01-01

    This paper explores notions of fatherhood and their linkages to fertility desires and intentions among a treatment-naïve cohort of Xhosa-speaking male key informants living with HIV, aged 20-53 in Cape Town, South Africa. Analysis is based on an initial 27, and 20 follow-up, interviews with men who were part of a study that assessed the acceptability of safer conception and alternative parenting strategies among men and women newly diagnosed with HIV to inform an intervention. Grounded theory analysis revealed themes related to the cultural imperative of biologically-connected fatherhood. Certain safer-conception strategies aimed at minimising the risk of HIV transmission were perceived as threats to paternity. These findings suggest that understanding of social and cultural beliefs related to notions of paternity and fatherhood may inform the implementation of acceptable safer-conception options for HIV-positive men and their infected and uninfected female partners in a high-HIV prevalence, low-resource setting.

  20. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 553: Areas 19, 20 Mud Pits and Cellars, Nevada Test Site, Nevada, Rev. No. 0

    International Nuclear Information System (INIS)

    Boehlecke, Robert F.

    2006-01-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions necessary for the closure of Corrective Action Unit (CAU) 553: Areas 19, 20 Mud Pits and Cellars, Nevada Test Site (NTS), Nevada. It has been developed in accordance with the ''Federal Facility Agreement and Consent Order'' (FFACO) (1996) that was agreed to by the State of Nevada, the U.S. Department of Energy (DOE), and the U.S. Department of Defense. A SAFER may be performed when the following criteria are met: (1) Conceptual corrective actions are clearly identified (although some degree of investigation may be necessary to select a specific corrective action before completion of the Corrective Action Investigation [CAI]); (2) Uncertainty of the nature, extent, and corrective action must be limited to an acceptable level of risk; (3) The SAFER Plan includes decision points and criteria for making data quality objective (DQO) decisions. The purpose of the investigation will be to document and verify the adequacy of existing information; to affirm the decision for clean closure, closure in place, or no further action; and to provide sufficient data to implement the corrective action. The actual corrective action selected will be based on characterization activities implemented under this SAFER Plan. This SAFER Plan identifies decision points developed in cooperation with the Nevada Department of Environmental Protection (NDEP), where the DOE, National Nuclear Security Administration Nevada Site Office (NNSA/NSO) will reach consensus with the NDEP before beginning the next phase of work. Corrective Action Unit 553 is located in Areas 19 and 20 of the NTS, approximately 65 miles (mi) northwest of Las Vegas, Nevada (Figure 1-1). Corrective Action Unit 553 is comprised of the four Corrective Action Sites (CASs) shown on Figure 1-1 and listed below: 19-99-01, Mud Spill; 19-99-11, Mud Spill; 20-09-09, Mud Spill; and 20-99-03, Mud Spill. There is sufficient information and process

  1. The safe motherhood referral system to reduce cesarean sections and perinatal mortality - a cross-sectional study [1995-2006

    Directory of Open Access Journals (Sweden)

    Rudge Marilza VC

    2011-11-01

    Full Text Available Abstract Background In 2000, the eight Millennium Development Goals (MDGs set targets for reducing child mortality and improving maternal health by 2015. Objective To evaluate the results of a new education and referral system for antenatal/intrapartum care as a strategy to reduce the rates of Cesarean sections (C-sections and maternal/perinatal mortality. Methods Design: Cross-sectional study. Setting: Department of Gynecology and Obstetrics, Botucatu Medical School, Sao Paulo State University/UNESP, Brazil. Population: 27,387 delivering women and 27,827 offspring. Data collection: maternal and perinatal data between 1995 and 2006 at the major level III and level II hospitals in Botucatu, Brazil following initiation of a safe motherhood education and referral system. Main outcome measures: Yearly rates of C-sections, maternal (/100,000 LB and perinatal (/1000 births mortality rates at both hospitals. Data analysis: Simple linear regression models were adjusted to estimate the referral system's annual effects on the total number of deliveries, C-section and perinatal mortality ratios in the two hospitals. The linear regression were assessed by residual analysis (Shapiro-Wilk test and the influence of possible conflicting observations was evaluated by a diagnostic test (Leverage, with p Results Over the time period evaluated, the overall C-section rate was 37.3%, there were 30 maternal deaths (maternal mortality ratio = 109.5/100,000 LB and 660 perinatal deaths (perinatal mortality rate = 23.7/1000 births. The C-section rate decreased from 46.5% to 23.4% at the level II hospital while remaining unchanged at the level III hospital. The perinatal mortality rate decreased from 9.71 to 1.66/1000 births and from 60.8 to 39.6/1000 births at the level II and level III hospital, respectively. Maternal mortality ratios were 16.3/100,000 LB and 185.1/100,000 LB at the level II and level III hospitals. There was a shift from direct to indirect causes of

  2. 'Motherhood penalty' and 'fatherhood premium'? Fertility effects on parents in China

    Directory of Open Access Journals (Sweden)

    Zheng Mu

    2016-11-01

    Full Text Available Background: Many previous empirical findings on 'motherhood penalty' and 'fatherhood premium' remain inconclusive due to potential selection biases. China's regional variation in exemptions to the one-child policy enables us to use the gender of the first child as a powerful instrumental variable (IV in identifying the gendered fertility effects. Objective: We aim to estimate the causal effects of fertility on fathers' and mothers' various outcomes in China. Methods: Using the IV approach, this paper examines the gender-specific fertility effects on parents' time use, income, and subjective well-being, using data for 2010 from the China Family Panel Studies. Results: Results show that while fathers spend more time at work and less time taking care of family members with more children, mothers report better subjective well-being. Moreover, fathers gain self-confidence in both their careers and the future, and mothers are happier, more satisfied with life and report better social ability. Conclusions: Our findings do not directly support the gendered fertility effects on parents. However, the differential fertility effects on specific domains for mothers versus fathers are consistent with household specialisation. By interpreting this conclusion within the context of China's one-child family planning policy, our research suggests that parents would do better if the one-child policy were abolished - i.e., if parents were allowed to have more children. Contribution: The unique policy setting in China affords us the methodological opportunity to study the true causal effects of fertility on parents, which has crucial implications for China's new two-child policy era since October 2015.

  3. SWOT analysis for safer carriage of bulk liquid chemicals in tankers.

    Science.gov (United States)

    Arslan, Ozcan; Er, Ismail Deha

    2008-06-15

    The application of strengths, weaknesses, opportunities and threats (SWOT) analysis to formulation of strategy concerned with the safe carriage of bulk liquid chemicals in maritime tankers was examined in this study. A qualitative investigation using SWOT analysis has been implemented successfully for ships that are designed to carry liquid chemicals in bulk. The originality of this study lies in the use of SWOT analysis as a management tool to formulate strategic action plans for ship management companies, ship masters and officers for the carriage of dangerous goods in bulk. With this transportation-based SWOT analysis, efforts were made to explore the ways and means of converting possible threats into opportunities, and changing weaknesses into strengths; and strategic plans of action were developed for safer tanker operation.

  4. A Randomised Controlled Trial Using Mobile Advertising to Promote Safer Sex and Sun Safety to Young People

    Science.gov (United States)

    Gold, J.; Aitken, C. K.; Dixon, H. G.; Lim, M. S. C.; Gouillou, M.; Spelman, T.; Wakefield, M.; Hellard, M. E.

    2011-01-01

    Mobile phone text messages (SMS) are a promising method of health promotion, but a simple and low cost way to obtain phone numbers is required to reach a wide population. We conducted a randomised controlled trial with simultaneous brief interventions to (i) evaluate effectiveness of messages related to safer sex and sun safety and (ii) pilot the…

  5. Satisfaction with life during pregnancy and early motherhood in first-time mothers of advanced age: a population-based longitudinal study.

    Science.gov (United States)

    Aasheim, Vigdis; Waldenström, Ulla; Rasmussen, Svein; Espehaug, Birgitte; Schytt, Erica

    2014-02-25

    The trend to delay motherhood to the age of 30 and beyond is established in most high-income countries but relatively little is known about potential effects on maternal emotional well-being. This study investigates satisfaction with life during pregnancy and the first three years of motherhood in women expecting their first baby at an advanced and very advanced age. The study was based on the National Norwegian Mother and Child Cohort Study (MoBa) conducted by the Norwegian Institute of Public Health. Data on 18 565 nulliparous women recruited in the second trimester 1999-2008 were used. Four questionnaires were completed: at around gestational weeks 17 and 30, and at six months and three years after the birth. Medical data were retrieved from the national Medical Birth Register. Advanced age was defined as 32-37 years, very advanced age as ≥38 years and the reference group as 25-31 years. The distribution of satisfaction with life from age 25 to ≥40 years was investigated, and the mean satisfaction with life at the four time points was estimated. Logistic regression analyses based on generalised estimation equations were used to investigate associations between advanced and very advanced age and satisfaction with life when controlling for socio-demographic factors. Satisfaction with life decreased from around age 28 to age 40 and beyond, when measured in gestational weeks 17 and 30, and at six months and three years after the birth. When comparing women of advanced and very advanced age with the reference group, satisfaction with life was slightly reduced in the two older age groups and most of all in women of very advanced age. Women of very advanced age had the lowest scores at all time points and this was most pronounced at three years after the birth. First-time mothers of advanced and very advanced age reported a slightly lower degree of satisfaction with life compared with the reference group of younger women, and the age-related effect was greatest

  6. Gestação e a constituição da maternidade Gestación y la constitución de la maternidad Pregnancy and motherhood

    Directory of Open Access Journals (Sweden)

    Cesar Augusto Piccinini

    2008-03-01

    proceso de la constitución de la maternidad está en intenso desarrollo, bien como el propio ejercicio activo del rol materno.Biological, somatic, psychological and social changes take place in pregnancy which influence the pregnant woman's psychic dynamics and social relationships. The manner a woman experiences these changes impacts intensely on the constitution of motherhood and mother-infant relationships. Current study investigates pregnant women's feelings concerning motherhood, with special emphasis on the relationship between the pregnancy period and the constitution of motherhood. Thirty-nine primipari pregnant women, aged 19 to 37, in the third trimester of pregnancy, took part in the study. Qualitative content analysis on the interviews showed that pregnant women reported considerable body, personal and interpersonal transformations during pregnancy and experienced intense feelings related to the fact of becoming mothers. Results suggest that in pregnancy the process of constitution of motherhood is in sharp development coupled to the active exercise of the maternal role itself.

  7. “He lacks his fatherhood”: Safer conception technologies and the biological imperative for fatherhood among recently-diagnosed Xhosa-speaking men living with HIV in South Africa

    Science.gov (United States)

    Taylor, Tonya N.; Mantell, Joanne E.; Nywagi, Ntobeko; Cishe, Nomazizi; Cooper, Diane

    2013-01-01

    This paper explores notions of fatherhood and their linkages to fertility desires and intentions among a treatment-naïve cohort of Xhosa-speaking male key informants living with HIV aged 20-53 in Cape Town, South Africa. Analysis is based on an initial 27 and 20 follow up interviews with men who were part of a study that assessed the acceptability of safer conception and alternative parenting strategies among men and women newly diagnosed with HIV to inform an intervention. Grounded theory analysis revealed themes related to the cultural imperative of biologically-connected fatherhood. Certain safer conception strategies aimed at minimising the risk of HIV transmission were perceived as threats to paternity. These findings suggest that understanding of social and cultural beliefs related to notions of paternity and fatherhood may inform the implementation of acceptable safer conception options for HIV-positive men and their infected and uninfected female partners in a high HIV prevalence, low-resource setting. PMID:23862770

  8. The WIPP transportation system -- ''Safer than any other''

    International Nuclear Information System (INIS)

    Ward, T.R.; Spooner, R.

    1991-01-01

    The Department of Energy (DOE) has developed an integrated transportation system to transport transuranic (TRU) waste from ten widely dispersed generator sites to the Waste Isolation Pilot Plant (WIPP). The system consists of a Type B container, a specially designed trailer, a lightweight tractor, the DOE TRANSCOM satellite-based vehicle tracking system, and uniquely qualified and highly trained drivers. The DOE has demonstrated that this system is ready to transport the TRU waste to the WIPP site efficiently and safely. Since the system was put in place in November 1988, it has been repeatedly upgraded and enhanced to incorporate additional safety measures. In June of 1989, the National Academy of Sciences (NAS) reviewed the transportation system and concluded that ''the system proposed for transportation of TRU waste to WIPP is safer than that employed for any other hazardous material in the United States today and will reduce risk to very low levels'' (emphasis added). The NAS conclusion was made before the DOE implemented the Enhanced Driver Training Course for carrier drivers. The challenge facing the DOE was to examine the transportation system objectively and determine what additional improvements could be made to further enhance safety

  9. Small modular reactors: Simpler, safer, cheaper?

    International Nuclear Information System (INIS)

    Vujić, Jasmina; Bergmann, Ryan M.; Škoda, Radek; Miletić, Marija

    2012-01-01

    Nuclear energy can play a very significant long-term role for meeting the world’s increasing energy demands, while simultaneously addressing challenges associated with global climate and environmental impact. Many nations of the world, particularly the Asia/Pacific Rim countries, are actively engaged in a major expansion of their nuclear energy complex. The degree to which nuclear energy can address long-term energy needs, either globally or regionally, will be dictated by the pace and adequacy of technical and policy solutions for waste, safety, security, and non-proliferation issues, as well as the capital cost of construction. Small Modular Reactors (SMRs) could successfully address several of these issues. SMRs offer simpler, standardized, and safer modular design by being factory built, requiring smaller initial capital investment, and having shorter construction times. The SMRs could be small enough to be transportable, could be used in isolated locations without advanced infrastructure and without power grid, or could be clustered in a single site to provide a multi-module, large capacity power plant. This paper summarizes some of the basic features of SMRs for early deployment, several advanced SMR concepts, and points out the benefits and challenges in regulatory, economical, safety and security issues. -- Highlights: ► We held a summer forum on SMR technologies at UC Berkeley in July 2010. ► Advantages and disadvantages, technical and economic, of each design were discussed. ► Further literature searches were also done and this paper summarizes prominent designs. ► We conclude SMRs have no large problems preventing their introduction into the nuclear market.

  10. Attitudes towards motherhood and fertility awareness among 20-40-year-old female healthcare professionals.

    Science.gov (United States)

    Mortensen, Luise Lermark; Hegaard, Hanne Kristine; Andersen, Anders Nyboe; Bentzen, Janne Gasseholm

    2012-12-01

    To explore attitudes towards family formation and fertility awareness among Danish female healthcare professionals. We collected cross-sectional baseline data from a prospective cohort study of 863 women, ranging in age from 20 to 40 years, working at a hospital in Denmark. Information about participants' intentions and attitudes towards family formation and fertility knowledge was gathered by means of a questionnaire. Only 2% of the respondents did not want children. Most women believed that motherhood is important, and hoped to have two to three children. About half of the respondents intended to have their last child after the age of 35 years. The most important prerequisites for family formation included: living in a stable relationship, having completed one's studies, a sound financial situation, a job that can be kept when having children, access to public child day care, and the possibility of travelling. As many as 50% of women underrated the impact of a woman's age on fertility, and overestimated the success rates of assisted reproductive technology (ART) treatments. Many female healthcare professionals contemplated giving birth after the age of 35 years. Knowledge of fertility and ART success rates is needed to make well-informed decisions about when to have children.

  11. The global health law trilogy: towards a safer, healthier, and fairer world.

    Science.gov (United States)

    Gostin, Lawrence O; DeBartolo, Mary Clare; Katz, Rebecca

    2017-10-21

    Global health advocates often turn to medicine and science for solutions to enduring health risks, but law is also a powerful tool. No state acting alone can ward off health threats that span borders, requiring international solutions. A trilogy of global health law-the Framework Convention on Tobacco Control, International Health Regulations (2005), and Pandemic Influenza Preparedness Framework-strives for a safer, healthier, and fairer world. Yet, these international agreements are not well understood, and contain gaps in scope and enforceability. Moreover, major health concerns remain largely unregulated at the international level, such as non-communicable diseases, mental health, and injuries. Here, we offer reforms for this global health law trilogy. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Goneis.gr: Training Greek Parents on ICT and Safer Internet

    Science.gov (United States)

    Manouselis, Nikos; Riviou, Katerina; Palavitsinis, Nikos; Giannikopoulou, Vasiliki; Tsanakas, Panayotis

    Children's use of the Internet has significantly risen in the last decade. Nevertheless, children spend a lot of time online which makes them susceptible to various threats (such as inappropriate material, offensive language, etc). Parents are the last frontier to this menace but they also need to be educated and trained in order to protect their children. Goneis.gr is an initiative launched by the Greek government that aims to educate parents on safer Internet and the use of parental control software. Parents are also entitled to distance learning courses covering basic computer skills. This paper presents the results of two separate surveys that took place in the last few months (December 2008-January 2009). The first survey targeted the parents that have completed the programme and the second one the educational providers that participate in the programme and offer the training to the beneficiaries.

  13. The Environmental Health/Home Safety Education Project: a successful and practical U.S.-Mexico border initiative.

    Science.gov (United States)

    Forster-Cox, Susan C; Mangadu, Thenral; Jacquez, Benjamín; Fullerton, Lynne

    2010-05-01

    The Environmental Health/Home Safety Education Project (Proyecto de Salud Ambiental y Seguridad en el Hogar) has been developed in response to a wide array of severe and often preventable environmental health issues occurring in and around homes on the U.S.-Mexico border. Utilizing well-trained community members, called promotoras , homes are visited and assessed for potential environmental hazards, including home fire and food safety issues. Data analyzed from project years 2002 to 2005 shows a significant impact in knowledge levels and initial behavior change among targeted participants as it relates to fire and food safety issues. Since the initiation of the project in 1999, hundreds of participants have improved their quality of life by making their homes safer. The project has proven to be sustainable, replicable, flexible, and attractive to funders.

  14. Perspectives of healthcare providers and HIV-affected individuals and couples during the development of a Safer Conception Counseling Toolkit in Kenya: stigma, fears, and recommendations for the delivery of services.

    Science.gov (United States)

    Mmeje, Okeoma; Njoroge, Betty; Akama, Eliud; Leddy, Anna; Breitnauer, Brooke; Darbes, Lynae; Brown, Joelle

    2016-01-01

    Reproduction is important to many HIV-affected individuals and couples and healthcare providers (HCPs) are responsible for providing resources to help them safely conceive while minimizing the risk of sexual and perinatal HIV transmission. In order to fulfill their reproductive goals, HIV-affected individuals and their partners need access to information regarding safer methods of conception. The objective of this qualitative study was to develop a Safer Conception Counseling Toolkit that can be used to train HCPs and counsel HIV-affected individuals and couples in HIV care and treatment clinics in Kenya. We conducted a two-phased qualitative study among HCPs and HIV-affected individuals and couples from eight HIV care and treatment sites in Kisumu, Kenya. We conducted in-depth interviews (IDIs) and focus group discussions (FGDs) to assess the perspectives of HCPs and HIV-affected individuals and couples in order to develop and refine the content of the Toolkit. Subsequently, IDIs were conducted among HCPs who were trained using the Toolkit and FGDs among HIV-affected individuals and couples who were counseled with the Toolkit. HIV-related stigma, fears, and recommendations for delivery of safer conception counseling were assessed during the discussions. One hundred and six individuals participated in FGDs and IDIs; 29 HCPs, 49 HIV-affected women and men, and 14 HIV-serodiscordant couples. Participants indicated that a safer conception counseling and training program for HCPs is needed and that routine provision of safer conception counseling may promote maternal and child health by enhancing reproductive autonomy among HIV-affected couples. They also reported that the Toolkit may help dispel the stigma and fears associated with reproduction in HIV-affected couples, while supporting them in achieving their reproductive goals. Additional research is needed to evaluate the Safer Conception Toolkit in order to support its implementation and use in HIV care and

  15. “I don’t know if this is right…but this is what I’m offering”: Healthcare provider knowledge, practice, and attitudes towards safer conception for HIV-affected couples in the context of Southern African guidelines

    Science.gov (United States)

    Schwartz, Sheree; Phofa, Rebecca; Yende, Nompumelelo; Bassett, Jean; Sanne, Ian; Van Rie, Annelies

    2016-01-01

    The 2011 guidelines for safer conception for HIV-affected individuals and couples were adopted by the South African Department of Health in December 2012. We assessed implementation gaps and facilitators and barriers to delivering safer conception services through examining patient and healthcare provider (HCP) experiences. At Witkoppen Health and Welfare Centre, a primary care clinic in Johannesburg, we conducted in-depth interviews (IDIs) with 9 HCPs (doctors, nurses and counselors) and IDIs and focus group discussions with 42 HIV-affected men and women interested in having a child. Data were analyzed using a grounded theory approach. HCPs were supportive of fertility intentions of HIV-affected couples and demonstrated some knowledge of safer conception methods, especially ART initiation to suppress viral load in infected partners. Unfortunately, HCPs did not follow the key recommendation that HCPs initiate conversations on fertility intentions with HIV-affected men and women. Providers and clients reported that conversations about conception only occur when client-initiated, placing the onus on HIV-affected individuals. Important barriers underlying this were the misconception held by some HCPs that uninfected partners in serodiscordant partnerships are “latently” infected and the desire by most HCPs to protect or control knowledge around fertility and safer conception methods out of concern over what clients will do with this knowledge before they are virally suppressed or ready to conceive. Almost all participants who had conceived or attempted conception did so without safer conception methods knowledge. HCP concern over conception readiness, perception of what clients will do with safer conception knowledge, and gaps in safer conception knowledge prevent HCPs from initiating conversations with HIV-affected patients on the issue of childbearing. Examining these findings in the context of existing South African guidelines illuminates areas that need to be

  16. Safer sex decision-making among men with haemophilia and HIV and their female partners.

    Science.gov (United States)

    Parish, K L; Cotton, D; Huszti, H C; Parsons, J T

    2001-01-01

    An exploratory qualitative study of adult heterosexual men with haemophilia and HIV and women who were their sexual partners was conducted as formative research to better understand cognitive factors involved in behavioural intentions and practices which comprise HIV risk-reduction for sexual transmission. The study sought to generate hypotheses, uncover themes, and develop a broad perspective on possible determinants of behaviours related to HIV transmission risk reduction. Qualitative analysis of these data served as a basis for developing a subsequent quantitative, hypothesis-testing survey and an intervention. Face-to-face interviews were conducted with 23 single men and 28 married men with haemophilia and HIV infection, and 28 married women partners selected through stratified, purposeful sampling. The interviews identified beliefs, attitudes, and values underlying decisions regarding target behaviours related to preventing sexual transmission of HIV, including (1) using condoms consistently during vaginal intercourse and (2) talking to partners about risk reduction. The interviews elicited information about perceived advantages and disadvantages of performing each of the targeted behaviours, and factors that facilitate or prevent performing them. Qualitative analysis of coded responses yielded important themes regarding how choices are made about sexual activity and safer sex. Most notably, communication between partners (1) plays a direct, key role in facilitating condom use and (2) forms the basis for maintaining emotional intimacy in these relationships. The link between condom use and communicating about safer sex was viewed as pivotal in achieving HIV prevention for individuals in serodiscordant couples. Recommendations for risk reduction intervention development are discussed.

  17. The Polymeal: a more natural, safer, and probably tastier (than the Polypill) strategy to reduce cardiovascular disease by more than 75%

    NARCIS (Netherlands)

    O.H. Franco (Oscar); L.G.A. Bonneux (Luc); C.E.D. de Laet (Chris); A. Peeters (Anna); E.W. Steyerberg (Ewout); J.P. Mackenbach (Johan)

    2004-01-01

    textabstractOBJECTIVE: Although the Polypill concept (proposed in 2003) is promising in terms of benefits for cardiovascular risk management, the potential costs and adverse effects are its main pitfalls. The objective of this study was to identify a tastier and safer

  18. C.2 analysis of the environmental effects of the Nuclear Facilities Modernization project

    International Nuclear Information System (INIS)

    1991-04-01

    This analysis indicates that the potential impacts associated with the current/projected Mound tritium operations are adequately bounded by the existing environmental impacts analyzed in the FEIS. It also indicates that the incremental impacts of the NFM project will make a positive contribution to the overall impact of current/projected tritium operations. Except for minor and normal temporary conditions during the construction and demolition phases, the NFM project would measurably reduce the likelihood of adverse consequences to the environment. Relocation of the PE/PD laboratory operations from the SW/R Tritium Complex to the T Building will place these operations in a safer, state-of-the-art glovebox systems. Through the utilization of modern laboratory equipment and enhanced containment, the project will reduce the quantity of routine airborne tritium releases and volume of solid tritiated wastes resulting from routine PE/PD laboratory operations. The increased reliance placed on engineered safety aspects and stronger mitigative measures by the project will also reduce the risk associated with these operations by reducing both the probability and consequences of unusual occurrences involving uncontrolled tritium releases

  19. Multi-level Correlates of Safer Conception Methods Awareness and Attitudes Among Ugandan HIV Clients with Fertility Intentions

    OpenAIRE

    Wagner, Glenn J.; Woldetsadik, Mahlet A.; Beyeza-Kashesya, Jolly; Goggin, Kathy; Mindry, Deborah; Finocchario-Kessler, Sarah; Khanakwa, Sarah; Wanyenze, Rhoda K.

    2016-01-01

    Many people living with HIV desire childbearing, but low cost safer conception methods (SCM) such as timed unprotected intercourse (TUI) and manual self-insemination (MSI) are rarely used. We examined awareness and attitudes towards SCM, and the correlates of these constructs among 400 HIV clients with fertility intentions in Uganda. Measures included awareness, self-efficacy, and motivation regarding SCM, as well as demographics, health management, partner and provider characteristics. Just ...

  20. Does my step look big in this? A visual illusion leads to safer stepping behaviour.

    Directory of Open Access Journals (Sweden)

    David B Elliott

    Full Text Available BACKGROUND: Tripping is a common factor in falls and a typical safety strategy to avoid tripping on steps or stairs is to increase foot clearance over the step edge. In the present study we asked whether the perceived height of a step could be increased using a visual illusion and whether this would lead to the adoption of a safer stepping strategy, in terms of greater foot clearance over the step edge. The study also addressed the controversial question of whether motor actions are dissociated from visual perception. METHODOLOGY/PRINCIPAL FINDINGS: 21 young, healthy subjects perceived the step to be higher in a configuration of the horizontal-vertical illusion compared to a reverse configuration (p = 0.01. During a simple stepping task, maximum toe elevation changed by an amount corresponding to the size of the visual illusion (p<0.001. Linear regression analyses showed highly significant associations between perceived step height and maximum toe elevation for all conditions. CONCLUSIONS/SIGNIFICANCE: The perceived height of a step can be manipulated using a simple visual illusion, leading to the adoption of a safer stepping strategy in terms of greater foot clearance over a step edge. In addition, the strong link found between perception of a visual illusion and visuomotor action provides additional support to the view that the original, controversial proposal by Goodale and Milner (1992 of two separate and distinct visual streams for perception and visuomotor action should be re-evaluated.

  1. Association between 'safer sex fatigue' and rectal gonorrhea is mediated by unsafe sex with casual partners among HIV-positive homosexual men.

    NARCIS (Netherlands)

    Stolte, Ineke G; Wit, John B F de; Kolader, Marion-Eliëtte; Fennema, Johan S A; Coutinho, Roel A; Dukers, Nicole H T M

    2006-01-01

    OBJECTIVE: The objective of this study was to investigate whether and what sexual risk behavior is a mediator of associations between rectal gonorrhea (RG) and highly active antiretroviral therapy-related beliefs, safer sex fatigue, or sexual sensation-seeking among homosexual men. STUDY DESIGN:

  2. Association between 'safer sex fatigue' and rectal gonorrhea is mediated by unsafe sex with casual partners among HIV-positive homosexual men

    NARCIS (Netherlands)

    Stolte, Ineke G.; de Wit, John B. F.; Kolader, Marion; Fennema, Han; Coutinho, Roel A.; Dukers, Nicole H. T. M.

    2006-01-01

    OBJECTIVE: The objective of this study was to investigate whether and what sexual risk behavior is a mediator of associations between rectal gonorrhea (RG) and highly active antiretroviral therapy-related beliefs, safer sex fatigue, or sexual sensation-seeking among homosexual men. STUDY DESIGN:

  3. "I don't know if this is right … but this is what I'm offering": healthcare provider knowledge, practice, and attitudes towards safer conception for HIV-affected couples in the context of Southern African guidelines.

    Science.gov (United States)

    West, Nora; Schwartz, Sheree; Phofa, Rebecca; Yende, Nompumelelo; Bassett, Jean; Sanne, Ian; Van Rie, Annelies

    2016-01-01

    The 2011 guidelines for safer conception for HIV-affected individuals and couples were adopted by the South African Department of Health in December 2012. We assessed implementation gaps and facilitators and barriers to delivering safer conception services through examining patient and healthcare provider (HCP) experiences. At Witkoppen Health and Welfare Centre, a primary care clinic in Johannesburg, we conducted in-depth interviews (IDIs) with nine HCPs (doctors, nurses, and counselors) and IDIs and focus group discussions with 42 HIV-affected men and women interested in having a child. Data were analyzed using a grounded theory approach. HCPs were supportive of fertility intentions of HIV-affected couples and demonstrated some knowledge of safer conception methods, especially ART initiation to suppress viral load in infected partners. Unfortunately, HCPs did not follow the key recommendation that HCPs initiate conversations on fertility intentions with HIV-affected men and women. Providers and clients reported that conversations about conception only occur when client-initiated, placing the onus on HIV-affected individuals. Important barriers underlying this were the misconception held by some HCPs that uninfected partners in serodiscordant partnerships are "latently" infected and the desire by most HCPs to protect or control knowledge around fertility and safer conception methods out of concern over what clients will do with this knowledge before they are virally suppressed or ready to conceive. Almost all participants who had conceived or attempted conception did so without safer conception methods knowledge. HCP concern over conception readiness, perception of what clients will do with safer conception knowledge, and gaps in safer conception knowledge prevent HCPs from initiating conversations with HIV-affected patients on the issue of childbearing. Examining these findings in the context of existing South African guidelines illuminates areas that need to be

  4. Case study: Proposed application of project management techniques for construction of nuclear power plant in Malaysia

    International Nuclear Information System (INIS)

    Syahirah Abdul Rahman; Phongsakorn Prak Tom; Wan Abd Hadi Wan Abu Bakar; Shaharum Ramli

    2010-01-01

    This study discusses the techniques of project management for the construction of nuclear power plants that can be used in Malaysia. Nuclear power reactors are expected to apply is the categories of Gen III + reactor where it is safer and more modern than the first generation of reactors built in the 1970s. The objective of this study is that the construction of this reactor to be completed by the stipulated time and not exceed the cost estimates. In addition, project management is also able to meet all the specifications and achieve the quality standard. In this study, the techniques used in project management to ensure the success of construction projects of nuclear power plants are a Gantt Chart, CPM/ PERT and Microsoft Project. From the study, found that these techniques can assist in facilitating the management of the project for the construction of nuclear power plants to ensure that the estimated time and cost can be managed more effectively as well as quality of care. (author)

  5. ïSCOPE: Safer care for older persons (in residential environments: A study protocol

    Directory of Open Access Journals (Sweden)

    Barnard Debbie

    2011-07-01

    Full Text Available Abstract Background The current profile of residents living in Canadian nursing homes includes elder persons with complex physical and social needs. High resident acuity can result in increased staff workload and decreased quality of work life. Aims Safer Care for Older Persons [in residential] Environments is a two year (2010 to 2012 proof-of-principle pilot study conducted in seven nursing homes in western Canada. The purpose of the study is to evaluate the feasibility of engaging front line staff to use quality improvement methods to integrate best practices into resident care. The goals of the study are to improve the quality of work life for staff, in particular healthcare aides, and to improve residents' quality of life. Methods/design The study has parallel research and quality improvement intervention arms. It includes an education and support intervention for direct caregivers to improve the safety and quality of their care delivery. We hypothesize that this intervention will improve not only the care provided to residents but also the quality of work life for healthcare aides. The study employs tools adapted from the Institute for Healthcare Improvement's Breakthrough Series: Collaborative Model and Canada's Safer Healthcare Now! improvement campaign. Local improvement teams in each nursing home (1 to 2 per facility are led by healthcare aides (non-regulated caregivers and focus on the management of specific areas of resident care. Critical elements of the program include local measurement, virtual and face-to-face learning sessions involving change management, quality improvement methods and clinical expertise, ongoing virtual and in person support, and networking. Discussion There are two sustainability challenges in this study: ongoing staff and leadership engagement, and organizational infrastructure. Addressing these challenges will require strategic planning with input from key stakeholders for sustaining quality improvement

  6. A Pilot Model for the NASA Simplified Aid for EVA Rescue (SAFER) (Single-Axis Pitch Task)

    Science.gov (United States)

    Handley, Patrick Mark

    This thesis defines, tests, and validates a descriptive pilot model for a single-axis pitch control task of the Simplified Aid for EVA Rescue (SAFER). SAFER is a small propulsive jetpack used by astronauts for self-rescue. Pilot model research supports development of improved self-rescue strategies and technologies through insights into pilot behavior.This thesis defines a multi-loop pilot model. The innermost loop controls the hand controller, the middle loop controls pitch rate, and the outer loop controls pitch angle. A human-in-the-loop simulation was conducted to gather data from a human pilot. Quantitative and qualitative metrics both indicate that the model is an acceptable fit to the human data. Fuel consumption was nearly identical; time to task completion matched very well. There is some evidence that the model responds faster to initial pitch rates than the human, artificially decreasing the model's time to task completion. This pilot model is descriptive, not predictive, of the human pilot. Insights are made into pilot behavior from this research. Symmetry implies that the human responds to positive and negative initial conditions with the same strategy. The human pilot appears indifferent to pitch angles within 0.5 deg, coasts at a constant pitch rate 1.09 deg/s, and has a reaction delay of 0.1 s.

  7. Phosphoryl-rich flame-retardant ions (FRIONs): towards safer lithium-ion batteries.

    Science.gov (United States)

    Rectenwald, Michael F; Gaffen, Joshua R; Rheingold, Arnold L; Morgan, Alexander B; Protasiewicz, John D

    2014-04-14

    The functionalized catecholate, tetraethyl (2,3-dihydroxy-1,4-phenylene)bis(phosphonate) (H2 -DPC), has been used to prepare a series of lithium salts Li[B(DPC)(oxalato)], Li[B(DPC)2], Li[B(DPC)F2], and Li[P(DPC)3]. The phosphoryl-rich character of these anions was designed to impart flame-retardant properties for their use as potential flame-retardant ions (FRIONs), additives, or replacements for other lithium salts for safer lithium-ion batteries. The new materials were fully characterized, and the single-crystal structures of Li[B(DPC)(oxalato)] and Li[P(DPC)3] have been determined. Thermogravimetric analysis of the four lithium salts show that they are thermally stable up to around 200 °C. Pyrolysis combustion flow calorimetry reveals that these salts produce high char yields upon combustion. © 2014 WILEY-VCH Verlag GmbH & Co. KGaA, Weinheim.

  8. [Motherhood behind bars: the struggle for citizens' rights and health for women inmates and their children in Brazil].

    Science.gov (United States)

    Ventura, Miriam; Simas, Luciana; Larouzé, Bernard

    2015-03-01

    This study analyzes the links between health, rights, legislation, and public policies based on document research on legal safeguards for women and their children residing in prison. The research was conducted at the Federal level and in four States of Brazil: Rio Grande do Sul, Mato Grosso, Paraná, and São Paulo. The study aims to back measures by public agencies to guarantee such rights and to raise awareness of the problem, given the extreme vulnerability of women inmates and their children and the issue's legal and administrative invisibility. The authors identified 33 different legal provisions as points of tension, such as the possibility of house arrest and disparities in the terms and conditions for children to remain inside the prison system. Various provisions cite the Constitutional guarantee of women inmates' right to breastfeed in prison. Meanwhile, the study found gaps in other issues pertaining to motherhood in prison, expressed as dual incarceration (imprisonment arbitrarily extended to their children). It is necessary to expand and enforce the existing legislation to prevent such violations of rights.

  9. "Tava morta e revivi": significado de maternidade para adolescentes com experiência de vida nas ruas "I was dead, but came back to life": the meaning of motherhood for adolescent girls with a history of living in the streets

    Directory of Open Access Journals (Sweden)

    Daniela T. Gontijo

    2008-02-01

    Full Text Available A descoberta da sexualidade entre as adolescentes que fazem das ruas seu espaço de sobrevivência geralmente é permeada pelo desconhecimento do próprio corpo, o que resulta, muitas vezes, em comportamentos de risco para a contaminação por doenças sexualmente transmissíveis e para a gravidez. O objetivo desta pesquisa foi identificar os significados atribuídos à maternidade por adolescentes com experiência de vida nas ruas que optaram por assumir o cuidado dos filhos fora das ruas. Com base na abordagem de pesquisa qualitativa, os dados foram coletados junto a adolescentes-mães abrigadas em uma instituição não-governamental, e analisados segundo a modalidade temática da análise de conteúdo. Os resultados foram discutidos por meio da categoria "a nova vida: mãe & filho", mostrando que a experiência da maternidade é significada de forma positiva pelas adolescentes, sendo o filho entendido como o "salvador" de uma morte certa nas ruas, depositando nele as expectativas de um futuro melhor. A título de considerações finais, observamos no exercício da maternidade uma oportunidade de estabelecimento de novas formas de estar e se relacionar no mundo, sendo o processo de construção dessa maternidade terreno fértil para a intervenção de profissionais da saúde.The discovery of sexuality by adolescent girls living in the streets generally involves lack of knowledge about their own bodies, often resulting in risk behaviors for sexually transmitted diseases and pregnancy. This study aimed to identify the meanings ascribed to motherhood by teenage girls with a history of living in the streets and who chose to assume the care for their children, off the streets. Based on a qualitative methodology, data were collected from the adolescent mothers at a nongovernmental shelter and analyzed according to the content analysis modality. The results were discussed using the category "new life: mother & child", showing that the adolescents

  10. From safe motherhood, newborn, and child survival partnerships to the continuum of care and accountability: moving fast forward to 2015.

    Science.gov (United States)

    Bustreo, Flavia; Requejo, Jennifer Harris; Merialdi, Mario; Presern, Carole; Songane, Francisco

    2012-10-01

    The present paper provides an overview of the Safe Motherhood Initiative, Healthy Newborn Partnership, and Child Survival Partnership and their eventual merge into the Partnership for Maternal, Newborn and Child Health (PMNCH) in 2005. The promise and past successes of the PMNCH are highlighted, with a particular focus on the PMNCH's partner-centric approach showing the importance of collaboration for progress. The aims of the strategic framework for 2012-2015 are presented within the context of the Global Strategy for Women's and Children's Health, launched in 2010, and growing political momentum to achieve Millennium Development Goals 4 and 5 (reduce child mortality and improve maternal health, respectively). The next 4 years leading to 2015 are critical, and the global community must continue to work together to ensure all women and children are reached with key interventions proven to reduce mortality. Copyright © 2012 International Federation of Gynecology and Obstetrics. Published by Elsevier Ireland Ltd. All rights reserved.

  11. Features of Parent-Child Relationship of Mothers with Teenage Children in the Conditions of Late Motherhood

    Directory of Open Access Journals (Sweden)

    Zakharova E.I.,

    2015-02-01

    Full Text Available The author's attention is attracted by one of the features of modern Russian family: the tendency to increase the frequency of childbirth by women of older reproductive age. The article presents the results of a comparative analysis of the mothers’ parent position, who had children at different periods of adulthood (middle, late. The aim of the study was to investigate the features of the parent-child relationship of mothers with teenage children in the conditions of late motherhood. Mothers of adolescents who participated in the study were divided into two groups: "young" mothers who gave birth to the first child before the age of 30 years, and "late" mothers who gave birth to their first child after being 30 years old. It turned out that the strategies of education and interaction between the "young" and "late" mothers, reflecting the value orientation of personality, are significantly different. Focusing on the emotional closeness with the child and creativity, education strategy of "late" mothers has a high emotional involvement, soft and inconsistent parenting. The features of maternal parenting strategies are adequately reflected by the teenagers who follow their mothers in priority of the values of family and work, or material well-being and the pursuit of hedonistic values.

  12. Nuclear Rocket Facility Decommissioning Project: Controlled Explosive Demolition of Neutron-Activated Shield Wall

    International Nuclear Information System (INIS)

    Michael R. Kruzic

    2007-01-01

    Located in Area 25 of the Nevada Test Site (NTS), the Test Cell A (TCA) Facility was used in the early to mid-1960s for the testing of nuclear rocket engines, as part of the Nuclear Rocket Development Program, to further space travel. Nuclear rocket testing resulted in the activation of materials around the reactors and the release of fission products and fuel particles in the immediate area. Identified as Corrective Action Unit 115, the TCA facility was decontaminated and decommissioned (D and D) from December 2004 to July 2005 using the Streamlined Approach for Environmental Restoration (SAFER) process, under the ''Federal Facility Agreement and Consent Order''. The SAFER process allows environmental remediation and facility closure activities (i.e., decommissioning) to occur simultaneously provided technical decisions are made by an experienced decision maker within the site conceptual site model, identified in the Data Quality Objective process. Facility closure involved a seven-step decommissioning strategy. Key lessons learned from the project included: (1) Targeted preliminary investigation activities provided a more solid technical approach, reduced surprises and scope creep, and made the working environment safer for the D and D worker. (2) Early identification of risks and uncertainties provided opportunities for risk management and mitigation planning to address challenges and unanticipated conditions. (3) Team reviews provided an excellent mechanism to consider all aspects of the task, integrated safety into activity performance, increase team unity and ''buy-in'' and promoted innovative and time saving ideas. (4) Development of CED protocols ensured safety and control. (5) The same proven D and D strategy is now being employed on the larger ''sister'' facility, Test Cell C

  13. Gender legacies of jung and freud as epistemology in emergent feminist research on late motherhood.

    Science.gov (United States)

    Barone-Chapman, Maryann

    2014-03-01

    While conducting doctoral research in social science on late motherhood, two analytical engagements with the feminine came to my attention as evidence of a patriarchal bias toward the realm of womanhood. Jung's mythopoetic tension between symbolism and enactments with the feminine and Freud's supposition that a denial of the feminine was necessary for psychological and emotional development appeared to be perpetuating a social problem continuing in current times. Across affective behavior and narrative within stories of late procreative desire, dream journals and Word Association Tests of eight participants was the memory of a male sibling who had enjoyed primacy of place in the parental home over the daughter. The female body with a voice was missing in the one-sided perspectives of Analytical Psychology and Psychoanalysis on the subject of the feminine, until a whole view of psyche's discontents in Feminist inspired Psychoanalytic theories from both schools on the female body were included. Freud and Jung's views became evidence of patriarchy as background while extension of Feminist inspired psychoanalytical thinking, Queer theories and Creation Myth allowed new meanings of the embodied feminine to emerge through a recapitulation of a union of opposites as a union of epistemology and ethos. The essence of Jung's mid-life theories, altered by modernity and eclipsed by female advancement, remains replicatable and paradigmatic outside of essentialist gender performance.

  14. Gender Legacies of Jung and Freud as Epistemology in Emergent Feminist Research on Late Motherhood

    Science.gov (United States)

    Barone-Chapman, Maryann

    2014-01-01

    While conducting doctoral research in social science on late motherhood, two analytical engagements with the feminine came to my attention as evidence of a patriarchal bias toward the realm of womanhood. Jung’s mythopoetic tension between symbolism and enactments with the feminine and Freud’s supposition that a denial of the feminine was necessary for psychological and emotional development appeared to be perpetuating a social problem continuing in current times. Across affective behavior and narrative within stories of late procreative desire, dream journals and Word Association Tests of eight participants was the memory of a male sibling who had enjoyed primacy of place in the parental home over the daughter. The female body with a voice was missing in the one-sided perspectives of Analytical Psychology and Psychoanalysis on the subject of the feminine, until a whole view of psyche’s discontents in Feminist inspired Psychoanalytic theories from both schools on the female body were included. Freud and Jung’s views became evidence of patriarchy as background while extension of Feminist inspired psychoanalytical thinking, Queer theories and Creation Myth allowed new meanings of the embodied feminine to emerge through a recapitulation of a union of opposites as a union of epistemology and ethos. The essence of Jung’s mid-life theories, altered by modernity and eclipsed by female advancement, remains replicatable and paradigmatic outside of essentialist gender performance. PMID:25379265

  15. Gender Legacies of Jung and Freud as Epistemology in Emergent Feminist Research on Late Motherhood

    Directory of Open Access Journals (Sweden)

    Maryann Barone-Chapman

    2014-01-01

    Full Text Available While conducting doctoral research in social science on late motherhood, two analytical engagements with the feminine came to my attention as evidence of a patriarchal bias toward the realm of womanhood. Jung’s mythopoetic tension between symbolism and enactments with the feminine and Freud’s supposition that a denial of the feminine was necessary for psychological and emotional development appeared to be perpetuating a social problem continuing in current times. Across affective behavior and narrative within stories of late procreative desire, dream journals and Word Association Tests of eight participants was the memory of a male sibling who had enjoyed primacy of place in the parental home over the daughter. The female body with a voice was missing in the one-sided perspectives of Analytical Psychology and Psychoanalysis on the subject of the feminine, until a whole view of psyche’s discontents in Feminist inspired Psychoanalytic theories from both schools on the female body were included. Freud and Jung’s views became evidence of patriarchy as background while extension of Feminist inspired psychoanalytical thinking, Queer theories and Creation Myth allowed new meanings of the embodied feminine to emerge through a recapitulation of a union of opposites as a union of epistemology and ethos. The essence of Jung’s mid-life theories, altered by modernity and eclipsed by female advancement, remains replicatable and paradigmatic outside of essentialist gender performance.

  16. Safer disclosure of HIV serostatus for women living with HIV who experience or fear violence: a systematic review

    OpenAIRE

    Kennedy, Caitlin E; Haberlen, Sabina; Amin, Avni; Baggaley, Rachel; Narasimhan, Manjulaa

    2015-01-01

    Introduction: Supporting individuals as they disclose their HIV serostatus may lead to a variety of individual and public health benefits. However, many women living with HIV are hesitant to disclose their HIV status due to fear of negative outcomes such as violence, abandonment, relationship dissolution and stigma. Methods: We conducted a systematic review of studies evaluating interventions to facilitate safer disclosure of HIV status for women living with HIV who experience or fear violenc...

  17. Promoting Safe Motherhood in Jimma Zone, Ethiopia (IMCHA ...

    International Development Research Centre (IDRC) Digital Library (Canada)

    Technology, communication, skills development. This project will ... -developing healthcare worker skills for safe deliveries. The project ... Canada launches new funding opportunity to support Canadian-African research teams studying Ebola.

  18. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 411. Double Tracks Plutonium Dispersion (Nellis), Nevada Test and Training Range, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick K. [Navarro-Intera, LLC (N-I), Las Vegas, NV (United States)

    2015-03-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions needed to achieve closure for Corrective Action Unit (CAU) 411, Double Tracks Plutonium Dispersion (Nellis). CAU 411 is located on the Nevada Test and Training Range and consists of a single corrective action site (CAS), NAFR-23-01, Pu Contaminated Soil. There is sufficient information and historical documentation from previous investigations and the 1996 interim corrective action to recommend closure of CAU 411 using the SAFER process. Based on existing data, the presumed corrective action for CAU 411 is clean closure. However, additional data will be obtained during a field investigation to document and verify the adequacy of existing information, and to determine whether the CAU 411 closure objectives have been achieved. This SAFER Plan provides the methodology to gather the necessary information for closing the CAU. The results of the field investigation will be presented in a closure report that will be prepared and submitted to the Nevada Division of Environmental Protection (NDEP) for review and approval. The site will be investigated based on the data quality objectives (DQOs) developed on November 20, 2014, by representatives of NDEP, the U.S. Air Force (USAF), and the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Field Office. The DQO process was used to identify and define the type, amount, and quality of data needed to determine whether CAU 411 closure objectives have been achieved. The following text summarizes the SAFER activities that will support the closure of CAU 411; Collect environmental samples from designated target populations to confirm or disprove the presence of contaminants of concern (COCs) as necessary to supplement existing information; If COCs are no longer present, establish clean closure as the corrective action; If COCs are present, the extent of contamination will be defined and further corrective actions

  19. Přechod k mateřství – Plány versus realita týkající se pracovních životů vysokoškolsky vzdělaných žen

    Czech Academy of Sciences Publication Activity Database

    Nešporová, Olga

    2015-01-01

    Roč. 16, č. 2 (2015), s. 73-84 ISSN 1213-0028 R&D Projects: GA ČR(CZ) GAP404/11/0145 Institutional support: RVO:68378025 Keywords : motherhood * employment * childcare Subject RIV: AO - Sociology, Demography

  20. Souvislosti mezi rodičovstvím a životní spokojeností v České republice a zemích Evropské unie

    Czech Academy of Sciences Publication Activity Database

    Nešporová, Olga; Hamplová, Dana

    2014-01-01

    Roč. 56, č. 3 (2014), s. 185-202 ISSN 0011-8265 R&D Projects: GA ČR(CZ) GAP404/11/0145 Institutional support: RVO:68378025 Keywords : parenthood * motherhood * life satisfaction Subject RIV: AO - Sociology, Demography

  1. Entre el empoderamiento y la vulnerabilidad: la monoparentalidad como proyecto familiar de las MSPE por reproducción asistida y adopción internacional

    Directory of Open Access Journals (Sweden)

    Ana Mª Rivas

    2009-10-01

    Full Text Available This article studies the position of single mothers by choice ‒SMBC‒ in the stage of access to motherhood, that is, from the moment they decide to start their family projects until their sons/daughters are incorporated into their homes. The hypothesis maintained here is that the SMBC empowerment degree varies throughout time so that, for example, those who have opted for international adoption are, on its initial stage, in a situation of vulnerability that can subside when they finally manage to be mothers. We want to state here that in order to analyze the socio-political positions of these women we have to consider not only variables as age, education, income, etc., but also their different access channels to motherhood as well as the stage in the development of their family projects, that is, their temporal dimension.

  2. But the kids are okay: motherhood, consumption and sex work in neo-liberal Latin America.

    Science.gov (United States)

    Rivers-Moore, Megan

    2010-12-01

    Although sex work remains highly stigmatized around the world, its relatively high value (when compared to other kinds of work available for low-income women) allows sex workers to attain some level of economic, if not social, mobility. This article challenges the idea that sex work in 'third world' settings is always about mere subsistence. Instead, it suggests that sex workers in Costa Rica's tourism sector work to survive, but they also demonstrate significant personal ambition and aim not only to increase their own consumption levels, but crucially to get ahead. Women are clear about what sex work enables for their families and themselves: not the maintenance of the status quo, but rather a level of consumption otherwise unavailable to them as low-income and poor women. Sex work offers an opportunity to consume and to get ahead that these women have been unable to attain in other kinds of employment, primarily domestic and factory work. Furthermore, sex work allows women to think of themselves as particularly good mothers, able to provide for and spend important quality time with their kids. The article argues that survival, consumption, and motherhood are discursively deployed, in often contradictory and conflicting ways, in order to counteract the effects that stigma has on sex workers. It also suggests that sex workers may very well be the quintessential subjects of neo-liberalism in Latin America, in their embrace of entrepreneurial work and consumption.

  3. Community-level effect of the reproductive health vouchers program on out-of-pocket spending on family planning and safe motherhood services in Kenya.

    Science.gov (United States)

    Obare, Francis; Warren, Charlotte; Kanya, Lucy; Abuya, Timothy; Bellows, Ben

    2015-08-25

    Although vouchers can protect individuals in low-income countries from financial catastrophe and impoverishment arising from out-of-pocket expenditures on healthcare, their effectiveness in achieving this goal depends on whether both service and transport costs are subsidized as well as other factors such as service availability in a given locality and community perceptions about the quality of care. This paper examines the community-level effect of the reproductive health vouchers program on out-of-pocket expenditure on family planning, antenatal, delivery and postnatal care services in Kenya. Data are from two rounds of cross-sectional household surveys in voucher and non-voucher sites. The first survey was conducted between May 2010 and July 2011 among 2,933 women aged 15-49 years while the second survey took place between July and October 2012 among 3,094 women of similar age groups. The effect of the program on out-of-pocket expenditure is determined by difference-in-differences estimation. Analysis entails comparison of changes in proportions, means and medians as well as estimation of multivariate linear regression models with interaction terms between indicators for study site (voucher or non-voucher) and period of study (2010-2011 or 2012). There were significantly greater declines in the proportions of women from voucher sites that paid for antenatal, delivery and postnatal care services at health facilities compared to those from non-voucher sites. The changes were also consistent with increased uptake of the safe motherhood voucher in intervention sites over time. There was, however, no significant difference in changes in the proportions of women from voucher and non-voucher sites that paid for family planning services. The results further show that there were significant differences in changes in the amount paid for family planning and antenatal care services by women from voucher compared to those from non-voucher sites. Although there were greater

  4. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 575: Area 15 Miscellaneous Sites, Nevada National Security Site, Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Matthews, Patrick [Navarro-Intera, LLC (N-I), Las Vegas, NV (United States)

    2014-12-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions needed to achieve closure for Corrective Action Unit (CAU) 575, Area 15 Miscellaneous Sites, identified in the Federal Facility Agreement and Consent Order (FFACO). CAU 575 comprises the following four corrective action sites (CASs) located in Area 15 of the Nevada National Security Site: 15-19-02, Waste Burial Pit, 15-30-01, Surface Features at Borehole Sites, 15-64-01, Decontamination Area, 15-99-03, Aggregate Plant This plan provides the methodology for field activities needed to gather the necessary information for closing each CAS. There is sufficient information and process knowledge from historical documentation and investigations of similar sites regarding the expected nature and extent of potential contaminants to recommend closure of CAU 575 using the SAFER process. Additional information will be obtained by conducting a field investigation to document and verify the adequacy of existing information, to affirm the predicted corrective action decisions, and to provide sufficient data to implement the corrective actions. This will be presented in a closure report that will be prepared and submitted to the Nevada Division of Environmental Protection (NDEP) for review and approval.

  5. Impact of community-based interventions on maternal and neonatal health indicators: Results from a community randomized trial in rural Balochistan, Pakistan

    Directory of Open Access Journals (Sweden)

    Becker Stan

    2010-11-01

    Full Text Available Abstract Background Pakistan has high maternal mortality, particularly in the rural areas. The delay in decision making to seek medical care during obstetric emergencies remains a significant factor in maternal mortality. Methods We present results from an experimental study in rural Pakistan. Village clusters were randomly assigned to intervention and control arms (16 clusters each. In the intervention clusters, women were provided information on safe motherhood through pictorial booklets and audiocassettes; traditional birth attendants were trained in clean delivery and recognition of obstetric and newborn complications; and emergency transportation systems were set up. In eight of the 16 intervention clusters, husbands also received specially designed education materials on safe motherhood and family planning. Pre- and post-intervention surveys on selected maternal and neonatal health indicators were conducted in all 32 clusters. A district-wide survey was conducted two years after project completion to measure any residual impact of the interventions. Results Pregnant women in intervention clusters received prenatal care and prophylactic iron therapy more frequently than pregnant women in control clusters. Providing safe motherhood education to husbands resulted in further improvement of some indicators. There was a small but significant increase in percent of hospital deliveries but no impact on the use of skilled birth attendants. Perinatal mortality reduced significantly in clusters where only wives received information and education in safe motherhood. The survey to assess residual impact showed similar results. Conclusions We conclude that providing safe motherhood education increased the probability of pregnant women having prenatal care and utilization of health services for obstetric complications.

  6. Rechargeable nickel-3D zinc batteries: An energy-dense, safer alternative to lithium-ion.

    Science.gov (United States)

    Parker, Joseph F; Chervin, Christopher N; Pala, Irina R; Machler, Meinrad; Burz, Michael F; Long, Jeffrey W; Rolison, Debra R

    2017-04-28

    The next generation of high-performance batteries should include alternative chemistries that are inherently safer to operate than nonaqueous lithium-based batteries. Aqueous zinc-based batteries can answer that challenge because monolithic zinc sponge anodes can be cycled in nickel-zinc alkaline cells hundreds to thousands of times without undergoing passivation or macroscale dendrite formation. We demonstrate that the three-dimensional (3D) zinc form-factor elevates the performance of nickel-zinc alkaline cells in three fields of use: (i) >90% theoretical depth of discharge (DOD Zn ) in primary (single-use) cells, (ii) >100 high-rate cycles at 40% DOD Zn at lithium-ion-commensurate specific energy, and (iii) the tens of thousands of power-demanding duty cycles required for start-stop microhybrid vehicles. Copyright © 2017, American Association for the Advancement of Science.

  7. Women's household decision-making autonomy and safer sex negotiation in Nigeria: An analysis of the Nigeria Demographic and Health Survey.

    Science.gov (United States)

    Sano, Yujiro; Sedziafa, Alice P; Vercillo, Siera; Antabe, Roger; Luginaah, Isaac

    2018-02-01

    Although married women's safer sex negotiation with their husbands is critical in reducing new HIV infections in Nigeria, its linkage to women's household decision-making autonomy is less explored in Nigeria. Drawing data from the 2013 Nigeria Demographic and Health Survey and using the logistic regression technique, we examined the associations between women's household decision-making autonomy and two indicators of the ability to engage in safer sex including whether married women 1) can refuse sex and 2) ask for condom use during sexual intercourse with husbands. Findings indicate that 64% and 41% of married women can refuse sex and ask for condom use, respectively. While the impact of women's household decision-making autonomy on the ability to refuse sex remained statistically significant after controlling for theoretically relevant variables (OR = 1.15; p < 0.001), its impact on the ability to ask for condom use became weakly significant once socioeconomic variables were controlled (OR = 1.03; p < 0.1). Based on these results, we have two suggestions. First, it may be important that marital-based policies and counselling promote environments in which married women can establish equal power relations with their husbands. Second, it is also important to eliminate structural barriers that hinder married women's economic opportunities in Nigeria.

  8. Best practices for preparing vessel internals segmentation projects

    International Nuclear Information System (INIS)

    Boucau, Joseph; Segerud, Per; Sanchez, Moises

    2016-01-01

    Westinghouse has been involved in reactor internals segmentation activities in the U.S. and Europe for 30 years. Westinghouse completed in 2015 the segmentation of the reactor vessel and reactor vessel internals at the Jose Cabrera nuclear power plant in Spain and a similar project is on-going at Chooz A in France. For all reactor dismantling projects, it is essential that all activities are thoroughly planned and discussed up-front together with the customer. Detailed planning is crucial for achieving a successful project. One key activity in the preparation phase is the 'Segmentation and Packaging Plan' that documents the sequential steps required to segment, separate, and package each individual component, based on an activation analysis and component characterization study. Detailed procedures and specialized rigging equipment have to be developed to provide safeguards for preventing certain identified risks. The preparatory work can include some plant civil structure modifications for making the segmentation work easier and safer. Some original plant equipment is sometimes not suitable enough and need to be replaced. Before going to the site, testing and qualification are performed on full scale mock-ups in a specially designed pool for segmentation purposes. The mockup testing is an important step in order to verify the function of the equipment and minimize risk on site. This paper is describing the typical activities needed for preparing the reactor internals segmentation activities using under water mechanical cutting techniques. It provides experiences and lessons learned that Westinghouse has collected from its recent projects and that will be applied for the new awarded projects. (authors)

  9. The impact of self–narratives of motherhood for mothers of children with autism

    Directory of Open Access Journals (Sweden)

    Jerzy Trzebiński

    2016-12-01

    Full Text Available The main goal of this study was to identify the impact of a narrative construction of a life challenge - discovering to have a child with autism - on the meaning of life and on resources for coping depending on the challenge’s novelty, i.e. the number of years from the diagnosis. 364 mothers of children with autism participated in a long–term 3x2 experiment. Half of the mothers had children with autism at the age of 9–12 years. For the remaining half, having children with autism was a new and stressful life situation. Their children were 2–3 years old and just diagnosed by a medical center as having autism spectrum disorder. The mothers were assigned to one of three study conditions: they were either asked to write stories of their motherhood or to describe their children’s behavior on a questionnaire or they did not participate in any tasks. One month and then four months after this task the participants completed measures of meaning of life and several well–being scales. The results indicated that following the narrative writing the participants had the highest scores on the meaning of life and well–being scales. This affect was sustained over 4 months and was significant only for mothers with older children. The mediation analysis showed that the effects of the experimental conditions on different well–being scales were mediated by the changes in perceived meaning of life. The results suggest that construction of self–narratives of difficult ongoing challenges facilitates meaning making and subsequently strengthens resources for coping. However, it seems that a meaning-making construction of such self–story may be blocked by the uncertainty and stress caused by novelty of the challenging situation.

  10. Right there all along. Latest IOM report lays out how to deliver safer, more effective care by using existing strategies, technology.

    Science.gov (United States)

    McKinney, Maureen

    2012-09-10

    Want to make healthcare safer and more cost-effective? You already have the necessary tools, a new IOM report says. "To Err is Human made visible the tremendous problem we had with medical errors, but back then very few systems had this kind of data infrastructure," says Paul Tang, of the Palo Alto (Calif.) Medical Foundation. said. "We're in a much different spot now."

  11. Liposuction-assisted four pedicle-based breast reduction (LAFPBR): A new safer technique of breast reduction for elderly patients.

    Science.gov (United States)

    La Padula, Simone; Hersant, Barbara; Noel, Warren; Meningaud, Jean Paul

    2018-05-01

    As older people increasingly care for their body image and remain active longer, the demand for reduction mammaplasty is increasing in this population. Only a few studies of reduction mammaplasty have specifically focussed on the outcomes in elderly women. We developed a new breast reduction technique: the Liposuction-Assisted Four Pedicle-Based Breast Reduction (LAFPBR) that is especially indicated for elderly patients. The aim of this paper was to describe the LAFPBR technique and to determine whether it could be considered a safer option for elderly patients compared to the superomedial pedicle (SMP) technique. A retrospective study included sixty-two women aged 60 years and over who underwent bilateral breast reduction mammaplasty. Thirty-one patients underwent LAFPBR and 31 patients were operated using the SMP technique. Complications and patient satisfaction in both groups were analysed. Patient satisfaction was measured using a validated questionnaire: the client satisfaction questionnaire 8 (CSQ-8). The LAFPBR technique required less operating time, and avoided significant blood loss. Six minor complications were observed in SMP patients. No LAFPBR women developed a procedure-related complication. Patient satisfaction was high with a mean score of 29.65 in LAFPBR patients and 28.68 in SMP patients. The LAFPBR is an easy procedure that appears safer than SMP and results in a high satisfaction rate in elderly women. Copyright © 2018 British Association of Plastic, Reconstructive and Aesthetic Surgeons. Published by Elsevier Ltd. All rights reserved.

  12. Evaluating Safer Conception Options for HIV-Serodiscordant Couples (HIV-Infected Female/HIV-Uninfected Male: A Closer Look at Vaginal Insemination

    Directory of Open Access Journals (Sweden)

    Okeoma Mmeje

    2012-01-01

    Full Text Available HIV serodiscordant couples represent at least half of all HIV-affected couples worldwide. Many of these couples have childbearing desires. Safer methods of conception may allow for pregnancy while minimizing the risk of sexual transmission of HIV. In serodiscordant partnerships with an HIV-infected female and HIV-uninfected male, vaginal insemination of a partner's semen during the fertile period coupled with 100% condom use may be the safest method of conception.

  13. Birth spacing, human capital, and the motherhood penalty at midlife in the United States

    Directory of Open Access Journals (Sweden)

    Margaret Gough

    2017-08-01

    Full Text Available Background: Researchers have examined how first-birth timing is related to motherhood wage penalties, but research that examines birth spacing is lacking. Furthermore, little research has examined the persistence of penalties across the life course. Objective: The objective is to estimate the effects of birth spacing on midlife labor market outcomes and assess the extent to which these effects vary by education and age at first birth. Methods: I use data from the United States from the 1979-2010 waves of the National Longitudinal Survey of Youth 1979 and dynamic inverse probability of treatment weighting to estimate the effects of different birth intervals on mothers' midlife cumulative work hours, cumulative earnings, and hourly wages. I examine how education and age at first birth moderate these effects. Results: Women with birth intervals longer than two years but no longer than six years have the smallest penalties for cumulative outcomes; in models interacting the birth interval with age at first birth, postponement of a first birth to at least age 30 appears to be more important for cumulative outcomes than birth spacing. College-educated women benefit more from a longer birth interval than less educated women. Conclusions: Childbearing strategies that result in greater accumulation of human capital provide long-run labor market benefits to mothers, and results suggest that different birth-spacing patterns could play a small role in facilitating this accumulation, as theorized in past literature. Contribution: I contribute to the demographic literature by testing the theory that birth spacing matters for mothers' labor market outcomes and by assessing the effects at midlife rather than immediately following a birth.

  14. Effect of teenage motherhood on cognitive outcomes in children: a population-based cohort study.

    Science.gov (United States)

    Morinis, Julia; Carson, Claire; Quigley, Maria A

    2013-12-01

    To examine the association between teenage motherhood and cognitive development at 5 years. Data from Millennium Cohort Study, a prospective, nationally representative UK cohort of 18 818 infants born between 2000 and 2001. 12 021 (64%) mother-child pairs from white, English-speaking, singleton pregnancies were included. Cognitive ability at 5 years was measured by the British Ability Scales II. Difference in mean cognitive scores across maternal age groups was estimated using linear regression, with adjustment for potential confounders and mediators. 617 (5%) children were born to mothers aged ≤18 years. Our analysis revealed that children of teenage mothers had significantly lower cognitive scores compared with children of mothers aged 25-34 years: difference in mean score for verbal ability -8.9 (-10.88 to -6.86, p<0.001); non-verbal ability -7.8 (-10.52 to -5.19, p<0.001); spatial ability -4.7 (-6.39 to -3.07, p<0.001), which is equivalent to an average delay of 11, 7 and 4 months, respectively. After adjustment for perinatal and sociodemographic factors, the effect of young maternal age on non-verbal and spatial ability mean scores was attenuated. A difference persisted in the mean verbal ability scores -3.8 (-6.34 to -1.34, p=0.003), equivalent to an average delay of 5 months. Results suggest that the difference observed in the initial analyses for non-verbal and spatial skills are almost entirely explained by marked inequalities in sociodemographic circumstances and perinatal risk. However, there remains a significant adverse effect on verbal abilities in the children born to teenage mothers.

  15. Toxic release consequence analysis tool (TORCAT) for inherently safer design plant

    International Nuclear Information System (INIS)

    Shariff, Azmi Mohd; Zaini, Dzulkarnain

    2010-01-01

    Many major accidents due to toxic release in the past have caused many fatalities such as the tragedy of MIC release in Bhopal, India (1984). One of the approaches is to use inherently safer design technique that utilizes inherent safety principle to eliminate or minimize accidents rather than to control the hazard. This technique is best implemented in preliminary design stage where the consequence of toxic release can be evaluated and necessary design improvements can be implemented to eliminate or minimize the accidents to as low as reasonably practicable (ALARP) without resorting to costly protective system. However, currently there is no commercial tool available that has such capability. This paper reports on the preliminary findings on the development of a prototype tool for consequence analysis and design improvement via inherent safety principle by utilizing an integrated process design simulator with toxic release consequence analysis model. The consequence analysis based on the worst-case scenarios during process flowsheeting stage were conducted as case studies. The preliminary finding shows that toxic release consequences analysis tool (TORCAT) has capability to eliminate or minimize the potential toxic release accidents by adopting the inherent safety principle early in preliminary design stage.

  16. Attachment representations among substance-abusing women in transition to motherhood: implications for prenatal emotions and mother-infant interaction.

    Science.gov (United States)

    Isosävi, Sanna; Flykt, Marjo; Belt, Ritva; Posa, Tiina; Kuittinen, Saija; Puura, Kaija; Punamäki, Raija-Leena

    2016-08-01

    We studied how attachment representations contribute to central components of transition to motherhood, prenatal emotion processing (EP) and emotional availability (EA) of mother-infant interaction, and whether there are group specific differences. Participants were 51 treatment-enrolled substance-abusing (SA) mothers and their infants and 50 non-using comparison dyads with obstetric risk. Mother's attachment representations (AAI) and EP were assessed prenatally and EA when infants were four months. Results showed that autonomous attachment only had a buffering effect on prenatal EP among comparisons. All SA mothers showed more dysfunctional EP than comparisons and, contrary to comparisons, autonomous SA mothers reported more negative cognitive appraisals and less meta-evaluation of emotions than dismissing SA mothers. Preoccupied SA mothers showed high negative cognitive appraisals, suggesting under-regulation of emotions. Attachment representations were not associated with EA in either group; rather, SA status contributed to global risk in the relationship. Surprisingly, autonomous SA mothers showed a tendency towards intrusiveness. We propose that obstetric risk among comparisons and adverse relational experiences among almost all SA mothers might override the protective role of mother's autonomous representations for dyadic interaction. We conclude that prenatal emotional turbulence and high interaction risk of all SA mothers calls for holistic treatment for the dyad.

  17. Implementing pharmacogenomics decision support across seven European countries: The Ubiquitous Pharmacogenomics (U-PGx) project.

    Science.gov (United States)

    Blagec, Kathrin; Koopmann, Rudolf; Crommentuijn-van Rhenen, Mandy; Holsappel, Inge; van der Wouden, Cathelijne H; Konta, Lidija; Xu, Hong; Steinberger, Daniela; Just, Enrico; Swen, Jesse J; Guchelaar, Henk-Jan; Samwald, Matthias

    2018-02-09

    Clinical pharmacogenomics (PGx) has the potential to make pharmacotherapy safer and more effective by utilizing genetic patient data for drug dosing and selection. However, widespread adoption of PGx depends on its successful integration into routine clinical care through clinical decision support tools, which is often hampered by insufficient or fragmented infrastructures. This paper describes the setup and implementation of a unique multimodal, multilingual clinical decision support intervention consisting of digital, paper-, and mobile-based tools that are deployed across implementation sites in seven European countries participating in the Ubiquitous PGx (U-PGx) project. © The Author(s) 2018. Published by Oxford University Press on behalf of the American Medical Informatics Association.

  18. Results from the fielding of the Bio-surveillance Analysis, Feedback, Evaluation and Response (B-SAFER) system in Albuquerque, New Mexico.

    Science.gov (United States)

    Forslund, David; Umland, Edith; Brillman, Judith C; Joyce, Ed; Froman, Philip; Burr, Tom; Judd, Stephen L; Picard, Richard; Wokoun, Doug; Joner, Mike; Sewell, C Mack

    2003-01-01

    Public health authorities need a surveillance system that is sensitive enough to detect a disease outbreak early to enable a proper response. In order to meet this challenge we have deployed a pilot component-based system in Albuquerque, NM as part of the National Biodefense Initiative (BDI). B-SAFER gathers routinely collected data from healthcare institutions to monitor disease events in the community. We describe initial results from the deployment of the system for the past 6 months

  19. Diferenciace motivů svobodného mateřství: proč neprovdané matky nevstoupily před narozením svého prvního dítěte do manželství?

    Czech Academy of Sciences Publication Activity Database

    Chaloupková, Jana

    2007-01-01

    Roč. 1, č. 2 (2007), s. 127-140 ISSN 1802-8152 R&D Projects: GA AV ČR 1QS700280552 Institutional research plan: CEZ:AV0Z70280505 Keywords : motivation of un-married motherhood * non-marital fertility Subject RIV: AO - Sociology, Demography

  20. An open framework for automated chemical hazard assessment based on GreenScreen for Safer Chemicals: A proof of concept.

    Science.gov (United States)

    Wehage, Kristopher; Chenhansa, Panan; Schoenung, Julie M

    2017-01-01

    GreenScreen® for Safer Chemicals is a framework for comparative chemical hazard assessment. It is the first transparent, open and publicly accessible framework of its kind, allowing manufacturers and governmental agencies to make informed decisions about the chemicals and substances used in consumer products and buildings. In the GreenScreen® benchmarking process, chemical hazards are assessed and classified based on 18 hazard endpoints from up to 30 different sources. The result is a simple numerical benchmark score and accompanying assessment report that allows users to flag chemicals of concern and identify safer alternatives. Although the screening process is straightforward, aggregating and sorting hazard data is tedious, time-consuming, and prone to human error. In light of these challenges, the present work demonstrates the usage of automation to cull chemical hazard data from publicly available internet resources, assign metadata, and perform a GreenScreen® hazard assessment using the GreenScreen® "List Translator." The automated technique, written as a module in the Python programming language, generates GreenScreen® List Translation data for over 3000 chemicals in approximately 30 s. Discussion of the potential benefits and limitations of automated techniques is provided. By embedding the library into a web-based graphical user interface, the extensibility of the library is demonstrated. The accompanying source code is made available to the hazard assessment community. Integr Environ Assess Manag 2017;13:167-176. © 2016 SETAC. © 2016 SETAC.

  1. Positive reinforcement to promote safer sex among clients.

    Science.gov (United States)

    Raman, S

    1992-01-01

    The AIDS Research Foundation of India (ARFI) began an intervention program with sex workers in Madras where the women reported that they were willing to use condoms, whereas the customers were not. Accordingly, ARFI is focusing on clients using a positive reinforcement approach: repetition of the desirability of condom use by communication. First, truck drivers and dock workers have been targeted. Drivers interviewed by ARFI were familiar with the condom as a contraceptive method rather than a disease-preventing method, and used it with their wives. The ARFI program has convinced tobacco shopkeepers to stock condoms for drivers. Truckers receive key chains with a holder for a condom. At transit site tea shops songs are aired about road and roadside safety sponsored by a tire manufacturer with a message about rubber (tires and condoms). Women selling sex at transit sites are also educated about the human immunodeficiency virus (HIV) infection and sexually transmitted diseases (STDs) while attempting to increase their level of hygiene. The typical Friday night sex-seeking behavior among dock workers consists of drinking in a wine shop and soliciting sex workers. Port management and unions have also been recruited for promoting AIDS-related education after participating in health education sessions with flip charts and flash cards. Rest rooms display posters on condom use, some men have been recruited as condom holders for distribution on Friday nights, and barber shops also feature posters with messages about safer sex. AIDS/STD prevention programs have to deal with prevailing practices, values, and beliefs. Results indicate increased condom use among clients as shown by increased sales at transit site tobacco shops and shops around the port. In the future the program will pay more attention to improving the negotiation skills of sex workers.

  2. Evaluating the implementation of health and safety innovations under a regulatory context: a collective case study of Ontario's safer needle regulation.

    Science.gov (United States)

    Chambers, Andrea; Mustard, Cameron A; Breslin, Curtis; Holness, Linn; Nichol, Kathryn

    2013-01-22

    Implementation effectiveness models have identified important factors that can promote the successful implementation of an innovation; however, these models have been examined within contexts where innovations are adopted voluntarily and often ignore the socio-political and environmental context. In the field of occupational health and safety, there are circumstances where organizations must adopt innovations to comply with a regulatory standard. Examining how the external environment can facilitate or challenge an organization's change process may add to our understanding of implementation effectiveness. The objective of this study is to describe implementation facilitators and barriers in the context of a regulation designed to promote the uptake of safer engineered medical devices in healthcare. The proposed study will focus on Ontario's safer needle regulation (2007) which requires healthcare organizations to transition to the use of safer engineered medical devices for the prevention of needlestick injuries. A collective case study design will be used to learn from the experiences of three acute care hospitals in the province of Ontario, Canada. Interviews with management and front-line healthcare workers and analysis of supporting documents will be used to describe the implementation experience and examine issues associated with the integration of these devices. The data collection and analysis process will be influenced by a conceptual framework that draws from implementation science and the occupational health and safety literature. The focus of this study in addition to the methodology creates a unique opportunity to contribute to the field of implementation science. First, the study will explore implementation experiences under circumstances where regulatory pressures are influencing the organization's change process. Second, the timing of this study provides an opportunity to focus on issues that arise during later stages of implementation, a phase

  3. Transformaciones Histórico Culturales del Concepto de Maternidad y sus Repercusiones en la Identidad de la Mujer Historical and Cultural Changes in the Conceptualization of Motherhood and Their Impact on Women's Identity

    Directory of Open Access Journals (Sweden)

    María Elisa Molina

    2006-11-01

    Full Text Available La noción de maternidad muestra una evolución histórica, particularmente en relación con la imagen de mujer y las nociones de crianza. El artículo revisa esa evolución y analiza los límites y posibilidades en la construcción de esta noción en la actualidad. Las transformaciones que ha experimentado este concepto, lo sitúan como un constructo social que ha tenido impacto en la definición de la identidad de la mujer y su posición en la sociedad. Los cambios que caracterizan la época postmoderna plantean nuevas demandas a la organización social. Esto ofrece nuevas direcciones a la concepción de maternidad que se construye en el diálogo colectivo y a la definición de la mujer tanto frente a sí misma como frente a la cultura.The conceptualization of motherhood has a historical development, particularly related with woman's image and childrearing ideas. This article attempts to review specific issues in this process and discusses constrains and possibilities for further construction of this notion at the present. The transformations of this concept through human history express the impact of this social construction on woman's identity and on her social position. The changes that take place at the postmodern era pose new demands on social organization. These dynamics offer new directions for the construction of motherhood that takes place in the collective dialogue and for women's definition both of their self-image and their rol in society.

  4. From 'Virgin Births' to 'Octomom': Representations of Single Motherhood via Sperm Donation in the UK News.

    Science.gov (United States)

    Zadeh, S; Foster, J

    2016-01-01

    The use of sperm donation by single women has provoked public, professional and political debate. Newspapers serve as a critical means of both broadcasting this debate and effecting a representation of this user group within the public sphere. This study uses the theory of social representations to examine how single motherhood by sperm donation has been represented in the UK news over time. The study sampled news coverage on this topic in eight British newspapers during three 4-year periods between the years 1988 and 2012. The dataset of news reports ( n  = 406) was analysed using a qualitative approach. Findings indicated that UK media reports of single women using donor sperm are underpinned by conventional categories of the 'personal', the 'traditional' and the 'natural' that when paired with their corollaries produce a representation of this user group as the social 'other'. The amount of coverage on this topic over time was found to vary according to the political orientation of different media sources. Using key concepts from social representations theory, this article discusses the relationship between themata and anchoring in the maintenance of representations of the social 'other' in mass mediated communication. Findings are explained in relation to theoretical conceptions of the mass media and its position within the public sphere. It is argued that the use of personal narratives in news reports of single mothers by sperm donation may have significant implications for public understandings of this social group. © 2016 The Authors. Journal of Community & Applied Social Psychology published by John Wiley & Sons Ltd.

  5. Geographical access to care at birth in Ghana: a barrier to safe motherhood

    Directory of Open Access Journals (Sweden)

    Gething Peter W

    2012-11-01

    Full Text Available Abstract Background Appropriate facility-based care at birth is a key determinant of safe motherhood but geographical access remains poor in many high burden regions. Despite its importance, geographical access is rarely audited systematically, preventing integration in national-level maternal health system assessment and planning. In this study, we develop a uniquely detailed set of spatially-linked data and a calibrated geospatial model to undertake a national-scale audit of geographical access to maternity care at birth in Ghana, a high-burden country typical of many in sub-Saharan Africa. Methods We assembled detailed spatial data on the population, health facilities, and landscape features influencing journeys. These were used in a geospatial model to estimate journey-time for all women of childbearing age (WoCBA to their nearest health facility offering differing levels of care at birth, taking into account different transport types and availability. We calibrated the model using data on actual journeys made by women seeking care. Results We found that a third of women (34% in Ghana live beyond the clinically significant two-hour threshold from facilities likely to offer emergency obstetric and neonatal care (EmONC classed at the ‘partial’ standard or better. Nearly half (45% live that distance or further from ‘comprehensive’ EmONC facilities, offering life-saving blood transfusion and surgery. In the most remote regions these figures rose to 63% and 81%, respectively. Poor levels of access were found in many regions that meet international targets based on facilities-per-capita ratios. Conclusions Detailed data assembly combined with geospatial modelling can provide nation-wide audits of geographical access to care at birth to support systemic maternal health planning, human resource deployment, and strategic targeting. Current international benchmarks of maternal health care provision are inadequate for these purposes because

  6. Birth preparedness and complication readiness among pregnant ...

    African Journals Online (AJOL)

    government and donor agency funding for safe motherhood programmes should focus on female ... were of child-bearing age, in 2011.[7] The ..... Projected population and work plan for routine immunization, 2011. ... Adeleye OA, Chiwuzie J. 'He does his own and walks away': Perception about male attitudes and practices.

  7. Measuring emotions in traffic : paper presented at the ESF Congress ‘Towards Safer Road Traffic in Southern Europe’, May 31st-June 2nd 2001, Ankara, Turkey.

    NARCIS (Netherlands)

    Mesken, J.

    2002-01-01

    This paper contains the text of a presentation held at the European Science Foundation Congress ‘Towards Safer Road Traffic in Southern Europe’ (May 31st – June 2nd, 2001, Ankara , Turkey). In this paper, methods to measure emotions are reviewed and possible applications for traffic research are

  8. Evaluating the implementation of health and safety innovations under a regulatory context: A collective case study of Ontario’s safer needle regulation

    Directory of Open Access Journals (Sweden)

    Chambers Andrea

    2013-01-01

    Full Text Available Abstract Background Implementation effectiveness models have identified important factors that can promote the successful implementation of an innovation; however, these models have been examined within contexts where innovations are adopted voluntarily and often ignore the socio-political and environmental context. In the field of occupational health and safety, there are circumstances where organizations must adopt innovations to comply with a regulatory standard. Examining how the external environment can facilitate or challenge an organization’s change process may add to our understanding of implementation effectiveness. The objective of this study is to describe implementation facilitators and barriers in the context of a regulation designed to promote the uptake of safer engineered medical devices in healthcare. Methods The proposed study will focus on Ontario’s safer needle regulation (2007 which requires healthcare organizations to transition to the use of safer engineered medical devices for the prevention of needlestick injuries. A collective case study design will be used to learn from the experiences of three acute care hospitals in the province of Ontario, Canada. Interviews with management and front-line healthcare workers and analysis of supporting documents will be used to describe the implementation experience and examine issues associated with the integration of these devices. The data collection and analysis process will be influenced by a conceptual framework that draws from implementation science and the occupational health and safety literature. Discussion The focus of this study in addition to the methodology creates a unique opportunity to contribute to the field of implementation science. First, the study will explore implementation experiences under circumstances where regulatory pressures are influencing the organization's change process. Second, the timing of this study provides an opportunity to focus on issues

  9. Surrogate motherhood: Where Italy is now and where Europe is going. Can the genetic mother be considered the legal mother?

    Science.gov (United States)

    Frati, Paola; Busardò, Francesco Paolo; Vergallo, Gianluca Montanari; Pacchiarotti, Arianna; Fineschi, Vittorio

    2015-02-01

    This paper explores a recent case, which has reawakened the debate in Italy over the opportunities offered by technological progress in the field of Assisted Reproduction. On 17 January 2013, the Juvenile Court of Brescia ordered the removal and adoption of a newborn baby whose parents had turned to surrogate motherhood and heterologous insemination in Ukraine, thus expressly violating the Italian and Ukrainian laws. The authors provide a critical analysis of the legal reasoning given by the Court in order to balance the best interests of the unborn child and the needs of certain parents suffering from sterility/infertility problems. In establishing the legal status of parent, the guiding principle must be the child's right not to be objectified or exploited by the adult. Therefore, it is necessary to provide appropriate tools to balance, on the one hand, the defence of the desire to become parents, if legitimate, and on the other the preservation of the legal and harmonious development of the child. Thus, the professionals have the burden of adapting the legal rules to a variety of individual cases, always taking into account the need to comply with the principles of both Constitutional and European Union law. Copyright © 2014 Elsevier Ltd and Faculty of Forensic and Legal Medicine. All rights reserved.

  10. Water productivity using SAFER - Simple Algorithm for Evapotranspiration Retrieving in watershed

    Directory of Open Access Journals (Sweden)

    Daniel N. Coaguila

    Full Text Available ABSTRACT The Cabeceira Comprida stream’s watershed, located in Santa Fé do Sul, São Paulo state, has great environmental importance. It is essential for supplying water to the population and generating surpluses for sewage dilution. This study aimed to evaluate the annual performance of the components of water productivity from Landsat-8 images of 2015, using the Simple Algorithm for Evapotranspiration Retrieving (SAFER, calculating the actual evapotranspiration (ETa, biomass (BIO and water productivity (WP. The annual averages of ETa, BIO and WP were 1.03 mm day-1, 36.04 kg ha-1 day-1 and 3.19 kg m-3, respectively. The average annual values of ETa for land use and occupation were 1.40, 1.23, 1.05, 0.97 and 1.08 mm day-1 for the remaining forest (RF, invasive species (IS, pasture (Pa, annual crop (AC and perennial crop (PC, respectively, with BIO of 57.64, 46.10, 36.78, 32.69, 40.03 kg ha-1 day-1 for RF, IS, Pa, AC and PC, respectively, resulting in WP of 3.94, 3.59, 3.25, 3.09, 3.35 kg m-3 for RF, IS, Pa, AC and PC, respectively. The ETa, BIO and WP adjust to the seasonality of the region, and RF and IS stood out with the highest values.

  11. Do Safer Sex Self-Efficacy, Attitudes toward Condoms, and HIV Transmission Risk Beliefs Differ among Men who have Sex with Men, Heterosexual Men, and Women Living with HIV?

    Science.gov (United States)

    Widman, Laura; Golin, Carol E.; Grodensky, Catherine A.; Suchindran, Chirayath

    2013-01-01

    To understand sexual decision-making processes among people living with HIV, we compared safer sex self-efficacy, condom attitudes, sexual beliefs, and rates of unprotected anal or vaginal intercourse with at-risk partners (UAVI-AR) in the past 3 months among 476 people living with HIV: 185 men who have sex with men (MSM), 130 heterosexual men, and 161 heterosexual women. Participants were enrolled in SafeTalk, a randomized, controlled trial of a safer sex intervention. We found 15% of MSM, 9% of heterosexual men, and 12% of heterosexual women engaged in UAVI-AR. Groups did not differ in self-efficacy or sexual attitudes/beliefs. However, the associations between these variables and UAVI-AR varied within groups: greater self-efficacy predicted less UAVI-AR for MSM and women, whereas more positive condom attitudes – but not self-efficacy – predicted less UAVI-AR for heterosexual men. These results suggest HIV prevention programs should tailor materials to different subgroups. PMID:22252475

  12. Safer disclosure of HIV serostatus for women living with HIV who experience or fear violence: a systematic review.

    Science.gov (United States)

    Kennedy, Caitlin E; Haberlen, Sabina; Amin, Avni; Baggaley, Rachel; Narasimhan, Manjulaa

    2015-01-01

    Supporting individuals as they disclose their HIV serostatus may lead to a variety of individual and public health benefits. However, many women living with HIV are hesitant to disclose their HIV status due to fear of negative outcomes such as violence, abandonment, relationship dissolution and stigma. We conducted a systematic review of studies evaluating interventions to facilitate safer disclosure of HIV status for women living with HIV who experience or fear violence. Articles, conference abstracts and programme reports were included if they reported post-intervention evaluation results and were published before 1 April 2015. Searching was conducted through electronic databases for peer-reviewed articles and conference abstracts, reviewing websites of relevant organizations for grey literature, hand searching reference lists of included studies and contacting experts. Systematic methods were used for screening and data abstraction, which was conducted in duplicate. Study quality (rigor) was assessed with the Cochrane risk of bias tool. Two interventions met the inclusion criteria: the Safe Homes and Respect for Everyone cluster-randomized trial of combination HIV and intimate partner violence (IPV) services in Rakai, Uganda, and the South Africa HIV/AIDS Antenatal Post-Test Support study individual randomized trial of an enhanced counselling intervention for pregnant women undergoing HIV testing and counselling. Both programmes integrated screening for IPV into HIV testing services and trained counsellors to facilitate discussions about disclosure based on a woman's risk of violence. However, both were implemented as part of multiple-component interventions, making it impossible to isolate the impact of the safer disclosure components. The existing evidence base for interventions to facilitate safe HIV serostatus disclosure for women who experience or fear violence is limited. Development and implementation of new approaches and rigorous evaluation of safe

  13. Does the upgrading of the radio communications network in health ...

    African Journals Online (AJOL)

    In an attempt to strengthen the obstetric referral system, the Safe Motherhood Project installed a repeater-based VHF radio communication system in three pilot districts. The overall goal of the new network was to enable the health centers to communicate directly to their district health offices (DHOs) for an ambulance when ...

  14. BETWEEN DALMATIA AND BOSNIA – INTERCULTURAL ASPECTS OF THE CONSTRUCTION OF IDENTITY OF FEMALE CHARACTERS THROUGH MOTHERHOOD IN VERKA ŠKURLA-ILIJIĆ’S WORKS

    Directory of Open Access Journals (Sweden)

    Kornelija Kuvač-Levačić

    2016-01-01

    Full Text Available Verka Škurla-Ilijić (1891 – 1971 was a Croatian writer from the period of Modernism. From the vantage point of biography and culture, her life was marked by two geographic locations – the Dalmatian islands (she was born in Dol on the island of Hvar and, until 1899, lived on the Pelješac peninsula and Bosnia (from 1899 until the First World War she lived in Bosnia, and was educated in Mostar and Sarajevo which was also where her first short story Han was published and included in the volume of Bosnian writing Sa strana zamagljenih in 1928. Her female characters are constructed within the determinants of identity which is, in turn, determined by a certain cultural fabric. Elements of the theme of gender are closely connected to this as is evident in her work. Since the theme of motherhood is the element most strongly marked by the influence of the patterns of society and culture, the works of Verka Škurla-Ilijić, which present this image of motherhood within a patriarchal society (regardless of whether it is the Eastern Orthodox, Islamic or Catholic context, will be at the centre of this investigation. It is interesting to note that in her works the geographical location is never stated outright, but can be read out of certain inter-cultural determinants (context, language and style which come to the fore in the narrative and uncover how Verka Škurla-Ilijić shapes her aesthetic world. At times the reader is given no clues which would enable him/her to determine with certainty whether the action is taking place in Bosnia, the Dalmatian hinterland or somewhere in the area along the border between Dalmatia and Bosnia where the influence of all three aforementioned cultural contexts can be felt. This investigation will show that the theme of gender does not only serve the purpose of characterization, but is also the foundation of her entire narrative which is mimetically related to Dalmatia and Bosnia in the first half of the 20th Century

  15. Risky decisions despite counter evidence: modeling a culture of safer sexual practices.

    Science.gov (United States)

    Patel, Vimla L; Yoskowitz, Nicole A; Kaufman, David R; Gutnik, Lily A; Shortliffe, Edward H

    2005-01-01

    To create a culture of safe practices, we need to understand how and under what conditions the public makes risky decisions about their health. Because risky sexual behaviors are known to be common in young adults, we investigated their decision making regarding sexual activities that could incur a high risk of HIV infection. Sixty young urban adults maintained journals for two weeks and were interviewed regarding condom use and sexual history. We characterized four patterns of condom use behavior: consistent (35.0%), inconsistent (16.7%), consistent to inconsistent (35.0%), and inconsistent to consistent (13.3%). Directionality of reasoning was analyzed in the explanations provided for condom use decisions. The consistent and inconsistent patterns were associated with data-driven heuristic reasoning, where behavior becomes automated and is associated with a high level of confidence in one's judgment. In the other two patterns, the shift in behavior was due to a significant event that influenced a change in directionality to explanation-based reasoning. We discuss these results within the framework of identifying potentially high-risk groups for whom customized intervention strategies (such as computer-based educational programs) can be used to reduce risk, thereby creating a culture of safer sexual practices.

  16. Telerobotic Perception During Asteroid and Mars Regolith Operations Project

    Science.gov (United States)

    Gaddis, Steven; Zeitlin, Nancy (Compiler); Mueller, Robert (Compiler)

    2015-01-01

    Current space telerobotic systems are constrained to only operating in bright light and dust-free conditions. This project will study the effects of difficult lighting and dust conditions on telerobotic perception systems to better assess and refine regolith operations on other neighboring celestial bodies. In partnership with Embry-Riddle Aeronautical University and Caterpillar, Inc., optical, LiDAR and RADAR sensing equipment will be used in performing the study. This project will create a known dust environment in the Swamp Works Granular Mechanics & Regolith Operations (GMRO) Laboratory regolith test bin to characterize the behavior of the sensing equipment in various calibrated lighting and dust conditions. It will also identify potential methods for mitigating the impacts of these undesirable conditions on the performance of the sensing equipment. Enhancing the capability of telerobotic perception systems will help improve life on earth for those working in dangerous, dusty mining conditions, as well as help advance the same technologies used for safer self-driving automobiles in various lighting and weather conditions. It will also prove to be a critical skill needed for advancing robotic and human exploration throughout our solar system, for activities such as mining on an asteroid or pioneering the first colony on Mars.

  17. THE RELATIONSHIP BETWEEN SOCIAL, POLICY AND PHYSICAL VENUE FEATURES AND SOCIAL COHESION ON CONDOM USE FOR PREGNANCY PREVENTION AMONG SEX WORKERS: A SAFER INDOOR WORK ENVIRONMENT SCALE

    Science.gov (United States)

    Duff, Putu; Shoveller, Jean; Dobrer, Sabina; Ogilvie, Gina; Montaner, Julio; Chettiar, Jill; Shannon, Kate

    2015-01-01

    Background This study aims to: report on a newly developed ‘Safer Indoor Work Environmental Scale’ that characterizes the social, policy and physical features of indoor venues and social cohesion; and using this scale, longitudinally evaluate the association between these features on sex workers’ (SWs’) condom use for pregnancy prevention. Methods Drawing on a prospective open cohort of female SWs working in indoor venues, a newly-developed ‘Safer Indoor Work Environment Scale’ was used to build six multivariable models with generalized estimating equations (GEE), to determine the independent effects of social, policy and venue-based features and social cohesion on condom use. Results Of 588 indoor SWs, 63.6% used condoms for pregnancy prevention in the last month. In multivariable GEE analysis, the following venue-based features were significantly correlated with barrier contraceptive use for pregnancy prevention: managerial practices and venue safety policies (Adjusted Odds Ratio (AOR)=1.09; 95% Confidence Interval (95%CI) 1.01–1.17) access to sexual and reproductive health services/supplies (AOR=1.10; 95%CI 1.00–1.20) access to drug harm reduction (AOR=1.13; 95%CI 1.01–1.28), and social cohesion among workers (AOR=1.05; 95%CI 1.03–1.07). Access to security features was marginally associated with condom use (AOR=1.13; 95%CI 0.99–1.29). Conclusion The findings of the current study highlight how work environment and social cohesion among SWs are related to improved condom use. Given global calls for the decriminalization of sex work, and potential legislative reforms in Canada, this study points to the critical need for new institutional arrangements (e.g., legal and regulatory frameworks; labour standards) to support safer sex workplaces. PMID:25678713

  18. The relationship between social, policy and physical venue features and social cohesion on condom use for pregnancy prevention among sex workers: a safer indoor work environment scale.

    Science.gov (United States)

    Duff, Putu; Shoveller, Jean; Dobrer, Sabina; Ogilvie, Gina; Montaner, Julio; Chettiar, Jill; Shannon, Kate

    2015-07-01

    This study aims to report on a newly developed Safer Indoor Work Environmental Scale that characterises the social, policy and physical features of indoor venues and social cohesion; and using this scale, longitudinally evaluate the association between these features on sex workers' (SWs') condom use for pregnancy prevention. Drawing on a prospective open cohort of female SWs working in indoor venues, a newly developed Safer Indoor Work Environment Scale was used to build six multivariable models with generalised estimating equations (GEE), to determine the independent effects of social, policy and physical venue-based features and social cohesion on condom use. Of 588 indoor SWs, 63.6% used condoms for pregnancy prevention in the last month. In multivariable GEE analysis, the following venue-based features were significantly correlated with barrier contraceptive use for pregnancy prevention: managerial practices and venue safety policies (adjusted OR (AOR)=1.09; 95% CI 1.01 to 1.17), access to sexual and reproductive health services/supplies (AOR=1.10; 95% CI 1.00 to 1.20), access to drug harm reduction (AOR=1.13; 95% CI 1.01 to 1.28) and social cohesion among workers (AOR=1.05; 95% CI 1.03 to 1.07). Access to security features was marginally associated with condom use (AOR=1.13; 95% CI 0.99 to 1.29). The findings of the current study highlight how work environment and social cohesion among SWs are related to improved condom use. Given global calls for the decriminalisation of sex work, and potential legislative reforms in Canada, this study points to the critical need for new institutional arrangements (eg, legal and regulatory frameworks; labour standards) to support safer sex workplaces. Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.

  19. Syringaresinol: A Renewable and Safer Alternative to Bisphenol A for Epoxy-Amine Resins.

    Science.gov (United States)

    Janvier, Marine; Hollande, Louis; Jaufurally, Abdus Samad; Pernes, Miguel; Ménard, Raphaël; Grimaldi, Marina; Beaugrand, Johnny; Balaguer, Patrick; Ducrot, Paul-Henri; Allais, Florent

    2017-02-22

    A renewable bisepoxide, SYR-EPO, was prepared from syringaresinol, a naturally occurring bisphenol deriving from sinapic acid, by using a chemo-enzymatic synthetic pathway. Estrogenic activity tests revealed no endocrine disruption for syringaresinol. Its glycidylation afforded SYR-EPO with excellent yield and purity. This biobased, safe epoxy precursor was then cured with conventional and renewable diamines for the preparation of epoxy-amine resins. The resulting thermosets were thermally and mechanically characterized. Thermal analyses of these new resins showed excellent thermal stabilities (T d5 % =279-309 °C) and T g ranging from 73 to 126 °C, almost reaching the properties of those obtained with the diglycidylether of bisphenol A (DGEBA), extensively used in the polymer industry (T d5 % =319 °C and T g =150 °C for DGEBA/isophorone diamine resins). Degradation studies in NaOH and HCl aqueous solutions also highlighted the robustness of the syringaresinol-based resins, similar to bisphenol A (BPA). All these results undoubtedly confirmed the potential of syringaresinol as a greener and safer substitute for BPA. © 2017 Wiley-VCH Verlag GmbH & Co. KGaA, Weinheim.

  20. Produção de sentidos sobre a maternidade: uma experiência no Programa Mãe Canguru Senses production upon motherhood: an experience at the Kangaroo Mother Program

    Directory of Open Access Journals (Sweden)

    Solange Maria Sobottka Rolim de Moura

    2005-04-01

    Full Text Available Este artigo analisa, sob a perspectiva da relação entre a família e instituições de saúde, os sentidos produzidos sobre a maternidade em um programa de saúde neonatal desenvolvido na rede pública - o Programa Mãe Canguru. A partir de entrevistas e observações feitas com usuárias durante sua participação no programa, buscamos apreender como as práticas discursivas e não discursivas sobre maternidade e maternagem, difundidas nesse processo, se articulam com as experiências concretas dessas mulheres para produzir novas configurações subjetivas. Na interpretação dos dados, realizada através de análise do discurso, os aspectos mais significativos das falas das entrevistadas foram agrupados em quatro núcleos de sentido: família e religião; o impacto do nascimento prematuro; desconfiança e resistência nas relações com instituições e profissionais de saúde; e a experiência com o Programa Mãe Canguru. Ao final, procurou-se identificar as principais estratégias e formas de singularização utilizadas por essas mulheres ao atribuírem sentidos ao papel materno.This article analises, under the perspective of the relationship between the family and health institutions, the senses produced upon motherhood on a neonatal health program developed at the public system - The Kangaroo Mother Program. As from interviews and observations made with users during their involvement on the program, we tried to perceive how discursive and non discursive practices about motherhood and maternal care, spreaded on this process, become linked with the factual experiences of this women in order to produce new subjective configurations. On data interpretation, realized through speech analysis, the most significant aspects of interviewees talks were gathered in four senses nucleus: family and religion; the impact of a premature birth; distrust and resistance on relations with institutions and health professionals; and the experience with the

  1. Business Cases for Major Public Infrastructure Projects in Canada

    Directory of Open Access Journals (Sweden)

    Mario Iacobacci

    2017-11-01

    Full Text Available When governments announce that they are going to spend vast sums of taxpayers’ money on a new public infrastructure project, you can be certain they will praise all the terrific new benefits that the project will bring to citizens, making everyone’s life easier, safer, greener and better. But this does not tell us whether we are better off as a society, after accounting for the cost of these projects borne by taxpayers today and well into the future. In reality, there is a meaningful risk that a project undertaken without a proper business case could end up making citizens’ lives worse. That new commuter train might look sleek and shiny and seem convenient for some, but a close business case analysis of recent transit projects in Canada’s three largest cities suggests that in as many as four cases out of 21 projects, the burden of paying for the projects does not justify the public investment. In a review of thirteen recent public transit projects in the Greater Toronto and Hamilton Area (GTHA, at least three projects had benefits that fell short of the costs. Yet, all three projects went ahead (or have been funded. Only one project showed large net benefits for citizens once all considerations were accounted for. Three projects showed small net benefits – of a size that can be easily offset by a modest cost over-run. The six remaining projects did not have any publicly available business cases. In the Greater Montreal area, a review of three recent major transit projects turned up no evidence of a publicly available business case for any of them. As a result, Montrealers are in the dark as to how much benefit or value destruction the three projects are responsible for. Things are far more encouraging in Vancouver, however, where three out of the five major transit projects undertaken or funded in recent years were backed by business cases showing a net benefit. Only one project did not show a net benefit and one project did not have a

  2. Should we consider steps with variable height for a safer stair negotiation in older adults?

    Science.gov (United States)

    Kunzler, Marcos R; da Rocha, Emmanuel S; Dos Santos, Christielen S; Ceccon, Fernando G; Priario, Liver A; Carpes, Felipe P

    2018-01-01

    Effects of exercise on foot clearances are important. In older adults variations in foot clearances during walking may lead to a fall, but there is a lack of information concerning stair negotiation in older adults. Whether a condition of post exercise changes foot clearances between steps of a staircase in older adults still unknown. To determine differences in clearances when older adults negotiate different steps of a staircase before and after a session of aerobic exercise. Kinematics data from 30 older adults were acquired and the toe and heel clearances were determined for each step. Clearances were compared between the steps. Smaller clearances were found at the highest step during ascending and descending, which was not changed by exercise. Smaller clearances suggest higher risk of tripping at the top of the staircase, regardless of exercise. A smaller step at the top of a short flight of stairs could reduce chances of tripping in older adults. It suggests that steps with variable height could make stair negotiation safer in older adults. This hypothesis should be tested in further studies.

  3. Péče o děti jako genderovaná aktivita?

    Czech Academy of Sciences Publication Activity Database

    Maříková, Hana

    2010-01-01

    Roč. 8, č. 11 (2010), s. 10-12 ISSN 1214-1720 R&D Projects: GA ČR GA403/09/1839; GA ČR GAP404/10/0021 Institutional research plan: CEZ:AV0Z70280505 Keywords : body * fatherhood * motherhood * caring * breadwinning Subject RIV: AO - Sociology, Demography http://www.socioweb.cz/upl/editorial/download/184_SOCIOWEB_11_2010.pdf

  4. Toiseustarinat : äitinä suomalaisessa yhteiskunnassa

    OpenAIRE

    Veijalainen, Sari

    2010-01-01

    The focus of this study is to analyse the power relations on how our society normalizes motherhood and what kind techniques of power can be found in the motherhood culture. This study is an educational family research, and the aim of this study was to analyse those power frames that try to limit mothers in their motherhoods. There were seven mother participants in this study. They wrote essays about their experiences of motherhood in the Finnish society. The method of the research was qu...

  5. Safety culture and the 5 steps to safer surgery: an intervention study.

    Science.gov (United States)

    Hill, M R; Roberts, M J; Alderson, M L; Gale, T C E

    2015-06-01

    Improvements in safety culture have been postulated as one of the mechanisms underlying the association between the introduction of the World Health Organisation (WHO) Surgical Safety Checklist with perioperative briefings and debriefings, and enhanced patient outcomes. The 5 Steps to Safer Surgery (5SSS) incorporates pre-list briefings, the three steps of the WHO Surgical Safety Checklist (SSC) and post-list debriefings in one framework. We aimed to identify any changes in safety culture associated with the introduction of the 5SSS in orthopaedic operating theatres. We assessed the safety culture in the elective orthopaedic theatres of a large UK teaching hospital before and after introduction of the 5SSS using a modified version of the Safety Attitude Questionnaire - Operating Room (SAQ-OR). Primary outcome measures were pre-post intervention changes in the six safety culture domains of the SAQ-OR. We also analysed changes in responses to two items regarding perioperative briefings. The SAQ-OR survey response rate was 80% (60/75) at baseline and 74% (53/72) one yr later. There were significant improvements in both the reported frequency (Pculture domain scores (Working Conditions, Perceptions of Management, Job Satisfaction, Safety Climate and Teamwork Climate) of the SAQ-OR (Pculture of elective orthopaedic operating theatres. © The Author 2015. Published by Oxford University Press on behalf of the British Journal of Anaesthesia. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  6. The nexus of nursing leadership and a culture of safer patient care.

    Science.gov (United States)

    Murray, Melanie; Sundin, Deborah; Cope, Vicki

    2018-03-01

    To explore the connection between +6 nursing leadership and enhanced patient safety. Critical reports from the Institute of Medicine in 1999 and Francis QC report of 2013 indicate that healthcare organisations, inclusive of nursing leadership, were remiss or inconsistent in fostering a culture of safety. The factors required to foster organisational safety culture include supportive leadership, effective communication, an orientation programme and ongoing training, appropriate staffing, open communication regarding errors, compliance to policy and procedure, and environmental safety and security. As nurses have the highest patient interaction, and leadership is discernible at all levels of nursing, nurse leaders are the nexus to influencing organisational culture towards safer practices. The position of this article was to explore the need to form a nexus between safety culture and leadership for the provision of safe care. Safety is crucial in health care for patient safety and patient outcomes. A culture of safety has been exposed as a major influence on patient safety practices, heavily influenced by leadership behaviours. The relationship between leadership and safety plays a pivotal role in creating positive safety outcomes for patient care. A safe culture is one nurtured by effective leadership. Patient safety is the responsibility of all healthcare workers, from the highest executive to the bedside nurse, thus effective leadership throughout all levels is essential in engaging staff to provide high quality care for the best possible patient outcomes. © 2017 John Wiley & Sons Ltd.

  7. From ‘Virgin Births’ to ‘Octomom’: Representations of Single Motherhood via Sperm Donation in the UK News

    Science.gov (United States)

    Foster, J.

    2016-01-01

    Abstract The use of sperm donation by single women has provoked public, professional and political debate. Newspapers serve as a critical means of both broadcasting this debate and effecting a representation of this user group within the public sphere. This study uses the theory of social representations to examine how single motherhood by sperm donation has been represented in the UK news over time. The study sampled news coverage on this topic in eight British newspapers during three 4‐year periods between the years 1988 and 2012. The dataset of news reports (n = 406) was analysed using a qualitative approach. Findings indicated that UK media reports of single women using donor sperm are underpinned by conventional categories of the ‘personal’, the ‘traditional’ and the ‘natural’ that when paired with their corollaries produce a representation of this user group as the social ‘other’. The amount of coverage on this topic over time was found to vary according to the political orientation of different media sources. Using key concepts from social representations theory, this article discusses the relationship between themata and anchoring in the maintenance of representations of the social ‘other’ in mass mediated communication. Findings are explained in relation to theoretical conceptions of the mass media and its position within the public sphere. It is argued that the use of personal narratives in news reports of single mothers by sperm donation may have significant implications for public understandings of this social group. © 2016 The Authors. Journal of Community & Applied Social Psychology published by John Wiley & Sons Ltd. PMID:27867283

  8. The ripples of adolescent motherhood: social, educational, and medical outcomes for children of teen and prior teen mothers.

    Science.gov (United States)

    Jutte, Douglas P; Roos, Noralou P; Brownell, Marni D; Briggs, Gemma; MacWilliam, Leonard; Roos, Leslie L

    2010-01-01

    We examined medical, educational and social risks to children of teen mothers and children of nonadolescent mothers with a history of teen birth (prior teen mothers) and considered these risks at both the individual and societal level. A population-based, retrospective cohort study tracked outcomes through young adulthood for children born in Manitoba, Canada (n = 32 179). chi(2) and logistic regression analyses examined risk of childhood death or hospitalization, failure to graduate high school, intervention by child protective services, becoming a teen mother, and welfare receipt as a young adult. For children of both teen and prior teen mothers, adjusted likelihoods of death during infancy, school-aged years, and adolescence were more than 2-fold higher than for other children. Risks for hospitalization, high hospital use, academic failure, and poor social outcomes were also substantially higher. At a societal level, only 16.5% of cohort children were born to teen and prior teen mothers. However, these children accounted for 27% of first-year hospitalizations, 34% of deaths (birth to 17 years), 30% of failures to graduate high school, 51% in foster care, 44% on welfare as young adults, and 56% of next-generation young teen mothers. Children of prior teen mothers had increased risks for poor health and for educational and social outcomes nearly equal to those seen in children of teen mothers. Combined, these relatively few children experienced a large share of the negative outcomes occurring among young people. Our results suggest the need to expand the definition of risk associated with adolescent motherhood and target their children for enhanced medical and social services. Copyright 2010 Academic Pediatric Association. Published by Elsevier Inc. All rights reserved.

  9. Piroxicam-β-cyclodextrin: a GI safer piroxicam.

    Science.gov (United States)

    Scarpignato, C

    2013-01-01

    more rapid onset of action after oral administration and improved GI tolerability because of minimization of the drug gastric effects. One such drug, piroxicam-β-cyclodextrin (PBC), has been used in Europe for 25 years. Preclinical and clinical pharmacology of PBC do show that the β-cyclodextrin inclusion complex of piroxicam is better tolerated from the upper GI tract than free piroxicam, while retaining all the analgesic and anti-inflammatory properties of the parent compound. In addition, the drug is endowed with a quick absorption rate, which translates into a faster onset of analgesic activity, an effect confirmed in several clinical studies. An analysis of the available trials show that PBC has a GI safety profile, which is better than that displayed by uncomplexed piroxicam. Being an inclusion complex of piroxicam, whose CV safety has been pointed out by several observational studies, PBC should be viewed as a CV safe anti-inflmmatory compound and a GI safer alternative to piroxicam. As a consequence, it should be considered as a useful addition to our therapeutic armamentarium.

  10. 'Intimate mothering publics': comparing face-to-face support groups and Internet use for women seeking information and advice in the transition to first-time motherhood.

    Science.gov (United States)

    Johnson, Sophia Alice

    2015-01-01

    This paper seeks to contribute to an understanding of the changing nature of support and information-seeking practices for women in the transition to first-time motherhood. In the context of increasing digitalisation, the significance of new virtual spaces for parenting is discussed. The paper demonstrates how women seek out alternative forms of expertise (specifically, non-medical expertise) and social support. The author argues for the importance of 'intimate mothering publics' through which women gather experiential information and practical support. These publics can act as a space for women to 'test' or legitimise their new identity as a mother. Intimate mothering publics are particularly useful for thinking about the meaning-making practices and learning experiences that occur during intimate online and face-to-face interactions. A variety of types of online support may be used during pregnancy. Surreptitious support in particular involves users invisibly receiving advice, information and reassurance that might otherwise be lacking. Access to intimate mothering publics is motivated by a number of factors, including feelings of community or acceptance, the desire to be a good mother or parent, emotional support and the need for practical and experiential advice.

  11. Safer Roads: Comparisons Between Road Assessment Program and Composite Road Safety Index Method

    Directory of Open Access Journals (Sweden)

    Mohd Razelan Intan Suhana

    2017-01-01

    Full Text Available In most countries, crash statistics have becoming very crucial in evaluating road’s safety level. In Malaysia, these data are very important in deciding crash-prone areas known as black spot where specific road improvements plan will be proposed. However due to the unavailability of reliable crash data in many developing countries, appropriate road maintenance measures are facing great troubles. In light of that, several proactive methods in defining road’s safety level such as Road Assessment Program (RAP have emerged. This research aim to compare two proactive methods that have been tested in Malaysian roads ; road assessment program and road environment risk index which was developed based on composite index theory in defining road’s safety level. Composite road environment risk index was combining several crucial environment indicators, assigning weight and aggregating the individual index together to form a single value representing the road’s safety level. Based on the results, it can be concluded that both road assessment program and composite road environment risk index are contradicted in six different ways such as type of speed used, type of analysis used and their final outcomes. However, with an aim to promote safer roads, these two methods can be used concurrently as the outcomes in both methods seems to fulfil each other’s gap very well.

  12. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 539: Area 25 and Area 26 Railroad Tracks, Nevada Test Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Mark Krauss

    2010-06-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions needed to achieve closure for Corrective Action Unit (CAU) 539, Areas 25 and 26 Railroad Tracks, as identified in the Federal Facility Agreement and Consent Order (FFACO). A modification to the FFACOwas approved in May 2010 to transfer the two Railroad Tracks corrective action sites (CASs) from CAU 114 into CAU539. The two CASs are located in Areas 25 and 26 of the Nevada Test Site: • 25-99-21, Area 25 Railroad Tracks • 26-99-05, Area 26 Railroad Tracks This plan provides the methodology for field activities needed to gather the necessary information for closing the two CASs. There is sufficient information and process knowledge from historical documentation and investigations of similar sites regarding the expected nature and extent of potential contaminants to recommend closure of the CAU 539 Railroad Tracks CASs using the SAFER process. Additional information will be obtained by conducting a field investigation before selecting the appropriate corrective action for each CAS. The results of the field investigation should support a defensible recommendation that no further corrective action is necessary. If it is determined that complete clean closure cannot be accomplished during the SAFER, then a hold point will have been reached and the Nevada Division of Environmental Protection (NDEP) will be consulted to determine whether the remaining contamination will be closed under the alternative corrective action of closure in place with use restrictions. This will be presented in a closure report that will be prepared and submitted to the NDEP for review and approval. The sites will be investigated based on the data quality objectives (DQOs) developed on December 14, 2009, by representatives of U.S.Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office; Navarro Nevada Environmental Services, LLC (NNES); and National Security Technologies

  13. Generation IV reactors: international projects

    International Nuclear Information System (INIS)

    Carre, F.; Fiorini, G.L.; Kupitz, J.; Depisch, F.; Hittner, D.

    2003-01-01

    Generation IV international forum (GIF) was initiated in 2000 by DOE (American department of energy) in order to promote nuclear energy in a long term view (2030). GIF has selected 6 concepts of reactors: 1) VHTR (very high temperature reactor system, 2) GHR (gas-cooled fast reactor system), 3) SFR (sodium-cooled fast reactor system, 4) SCWR (super-critical water-cooled reactor system), 5) LFR (lead-cooled fast reactor system), and 6) MFR (molten-salt reactor system). All these 6 reactor systems have been selected on criteria based on: - a better contribution to sustainable development (through their aptitude to produce hydrogen or other clean fuels, or to have a high energy conversion ratio...) - economic profitability, - safety and reliability, and - proliferation resistance. The 6 concepts of reactors are examined in the first article, the second article presents an overview of the results of the international project on innovative nuclear reactors and fuel cycles (INPRO) within IAEA. The project finished its first phase, called phase-IA. It has produced an outlook into the future role of nuclear energy and defined the need for innovation. The third article is dedicated to 2 international cooperations: MICANET and HTR-TN. The purpose of MICANET is to propose to the European Commission a research and development strategy in order to develop the assets of nuclear energy for the future. Future reactors are expected to be more multiple-purposes, more adaptable, safer than today, all these developments require funded and coordinated research programs. The aim of HTR-TN cooperation is to promote high temperature reactor systems, to develop them in a long term perspective and to define their limits in terms of burn-up and operating temperature. (A.C.)

  14. Adjusting to motherhood. The importance of BMI in predicting maternal well-being, eating behaviour and feeding practice within a cross cultural setting.

    Science.gov (United States)

    Shloim, Netalie; Rudolf, Mary; Feltbower, Richard; Hetherington, Marion

    2014-10-01

    Maternal body mass index (BMI) is associated with negative body image and restrained eating which are experienced differently across cultures. The present study aimed to: 1) examine if self-esteem, eating behaviours and body satisfaction changed from early pregnancy to 2-6 months after giving birth; 2) explore changes according to country (Israel vs. UK) and BMI; and 3) determine any relationship between these measurements and infant feeding. Participants completed questionnaires assessing self-esteem, body image and eating/feeding behaviours. Multilevel linear modelling was used to account for change and to assess the independent impact of BMI on outcomes. Seventy-three women and infants participated in the study in early pregnancy and again 16 (9) weeks following birth. Women gained 1.5 kg (range -12 + 23) and UK mothers reported significantly greater body dissatisfaction, but self-esteem and eating behaviours remained stable. BMI was the main predictor of self-esteem, eating behaviours and body satisfaction. Mothers' perceptions of infant's eating did not vary according to BMI or country; however, heavier mothers reported feeding their infants according to a schedule. The first months after giving birth are a key time to assess adjustment to motherhood but later assessments are necessary in order to track changes beyond the early period post-pregnancy. Copyright © 2014 Elsevier Ltd. All rights reserved.

  15. A safer and flexible method for the oxygen functionalization of carbon nanotubes by nitric acid vapors

    International Nuclear Information System (INIS)

    Santangelo, Saveria; Piperopoulos, Elpida; Fazio, Enza; Faggio, Giuliana; Ansari, Shabana; Lanza, Maurizio; Neri, Fortunato; Messina, Giacomo; Milone, Candida

    2014-01-01

    The functionalization by nitric acid vapors at azeotropic concentration has been recently proposed to eliminate drawbacks of the widely utilized liquid phase functionalization method. This work suggests to exploit the so-called “salt effect” to improve the vapor phase oxidation method in terms of safety and flexibility. Increasing the relative volatility of acid, the addition of Mg(NO 3 ) 2 salt to the HNO 3 + H 2 O solution allows (i) obtaining vapors with HNO 3 at the azeotropic concentration from a more diluted liquid solution (i.e. operating under safer conditions), and (ii) varying the concentration of HNO 3 in the vapor phase even above the azeotropic concentration limit (with improved process flexibility). High-resolution transmission electron microscopy, thermo-gravimetry, Raman spectroscopy and X-ray photoemission spectroscopy systematic analyses are carried out on pristine and oxidized nanotubes in order to assess their functionalization degree, surface chemistry and structural evolution. The most relevant finding of this preliminary study is that the nanotube functionalization extent increases linearly with the HNO 3 vapor concentration.

  16. A safer and flexible method for the oxygen functionalization of carbon nanotubes by nitric acid vapors

    Energy Technology Data Exchange (ETDEWEB)

    Santangelo, Saveria, E-mail: saveria.santangelo@unirc.it [Dipartimento di Ingegneria Civile, dell’Energia, dell’Ambiente e dei Materiali (DICEAM), Università “Mediterranea”, 89122 Reggio Calabria (Italy); Piperopoulos, Elpida [Dipartimento di Ingegneria Eletronica, Chimica ed Ingegneria Industriale (DIECII), Università di Messina, 98166 Messina (Italy); Fazio, Enza [Dipartimento di Fisica e di Scienze della Terra (DFST), Università di Messina, 98166 Messina (Italy); Faggio, Giuliana [Dipartimento di Ingegneria dell’Informazione, delle Infrastrutture e dell’Energia Sostenibile (DIIES), Università “Mediterranea”, 89122 Reggio Calabria (Italy); Ansari, Shabana [Dipartimento di Ingegneria Eletronica, Chimica ed Ingegneria Industriale (DIECII), Università di Messina, 98166 Messina (Italy); Lanza, Maurizio [Istituto per i Processi Chimico Fisici (IPCF) del CNR, 98158 Messina (Italy); Neri, Fortunato [Dipartimento di Fisica e di Scienze della Terra (DFST), Università di Messina, 98166 Messina (Italy); Messina, Giacomo [Dipartimento di Ingegneria dell’Informazione, delle Infrastrutture e dell’Energia Sostenibile (DIIES), Università “Mediterranea”, 89122 Reggio Calabria (Italy); Milone, Candida [Dipartimento di Ingegneria Eletronica, Chimica ed Ingegneria Industriale (DIECII), Università di Messina, 98166 Messina (Italy)

    2014-06-01

    The functionalization by nitric acid vapors at azeotropic concentration has been recently proposed to eliminate drawbacks of the widely utilized liquid phase functionalization method. This work suggests to exploit the so-called “salt effect” to improve the vapor phase oxidation method in terms of safety and flexibility. Increasing the relative volatility of acid, the addition of Mg(NO{sub 3}){sub 2} salt to the HNO{sub 3} + H{sub 2}O solution allows (i) obtaining vapors with HNO{sub 3} at the azeotropic concentration from a more diluted liquid solution (i.e. operating under safer conditions), and (ii) varying the concentration of HNO{sub 3} in the vapor phase even above the azeotropic concentration limit (with improved process flexibility). High-resolution transmission electron microscopy, thermo-gravimetry, Raman spectroscopy and X-ray photoemission spectroscopy systematic analyses are carried out on pristine and oxidized nanotubes in order to assess their functionalization degree, surface chemistry and structural evolution. The most relevant finding of this preliminary study is that the nanotube functionalization extent increases linearly with the HNO{sub 3} vapor concentration.

  17. Heavy Sexual Content Versus Safer Sex Content: A Content Analysis of the Entertainment Education Drama Shuga.

    Science.gov (United States)

    Booker, Nancy Achieng'; Miller, Ann Neville; Ngure, Peter

    2016-12-01

    Extremely popular with Kenyan youth, the entertainment-education drama Shuga was designed with specific goals of promoting condom use, single versus multiple sexual partners, and destigmatization of HIV. Almost as soon as it aired, however, it generated controversy due to its extensive sexual themes and relatively explicit portrayal of sexual issues. To determine how safer sex, antistigma messages, and overall sexual content were integrated into Shuga, we conducted a content analysis. Results indicated that condom use and HIV destigmatization messages were frequently and clearly communicated. Negative consequences for risky sexual behavior were communicated over the course of the entire series. Messages about multiple concurrent partnerships were not evident. In addition, in terms of scenes per hour of programming, Shuga had 10.3 times the amount of sexual content overall, 8.2 times the amount of sexual talk, 17.8 times the amount of sexual behavior, and 9.4 times the amount of sexual intercourse as found in previous analysis of U.S. entertainment programming. Research is needed to determine how these factors may interact to influence adolescent viewers of entertainment education dramas.

  18. Feminismo, maternidade e mídia – relações historicamente estreitas em revisão

    Directory of Open Access Journals (Sweden)

    Renata Tomaz

    2015-06-01

    Full Text Available Feminism, motherhood and the media - historically close relations in review – We start from the premise that motherhood is a social construct increasingly linked to communication processes, especially in the voluptuous offer of advice and guidelines of what is to be a mother. Taking on from this idea, this paper seeks to situate such debate. Based on the main approaches about motherhood in feminist studies, the paper presents a state-focused approach of this research in Brazil, bringing attention to three thematic-theoretical axes and to potential topics yet to be explored in media and motherhood studies.

  19. A Pilot Intervention to Promote Safer Sex in Heterosexual Puerto Rican Couples.

    Science.gov (United States)

    Pérez-Jiménez, David; Seal, David Wyatt; Ronis, David L

    2014-09-01

    Although the sexual transmission of HIV occurs in the context of an intimate relationship, preventive interventions with couples are scarce, particularly those designed for Hispanics. In this article, we present the effect of a pilot intervention directed to prevent HIV/AIDS in heterosexual couples in Puerto Rico. The intervention was theory-based and consisted of five three-hour group sessions. Primary goals included increasing male condom use and the practice of mutual masturbation as a safer sex method, and promoting favorable attitudes toward these behaviors. Twenty-six couples participated in this study. Fifteen were randomly assigned to the intervention group and eleven to a control group. Retention rates at post-intervention and follow-up were 82% for the whole sample. Results showed that there was a significant increase in the use of male condoms with main partners in the intervention group when compared with the control group. Couples in the intervention group also had better scores on secondary outcomes, such as attitudes toward condom use and mutual masturbation, HIV information, sexual decision-making, and social support. We found that these effects persisted over the three month follow up. A significant effect was also observed for the practice of mutual masturbation, but not for sexual negotiation. These results showed that promoting male condom use in dyadic interventions among heterosexual couples in Puerto Rico is feasible. Our findings suggest that because vaginal penetration has been constructed as the sexual script endpoint among many Hispanic couples, promoting other non-penetrative practices, such as mutual masturbation, may be difficult.

  20. Green PCB Remediation from Sediment Systems (GPRSS) Project

    Science.gov (United States)

    Falker, John; Thompson, Karen; Zeitlin, Nancy; Quinn, Jacqueline; Parrish, Lewis M.

    2014-01-01

    An ongoing problem facing the global environment community including NASA centers is the removal and remediation of polychlorinated biphenyls (PCBs). PCBs were commonly used in a variety of materials including paints, caulking, and adhesives due to the advantageous physical and chemical properties that PCBs imparted to these various materials. Unfortunately, these properties have made the treatment of sites contaminated with these chemicals extremely difficult to deal with, due to their inherent chemical stability. The remediation of sediments contaminated with PCBs is especially difficult, primarily due to the risk of releasing the contaminant into the environment during the treatment process. Traditional treatment options involve the use of dredging and incineration of the contaminated soils/sediments, in which the chance of releasing the contaminants is greatly increased. The purpose of this project is to develop cleanup technology capable of remediating contaminated sediments in-situ, with minimum intrusion. This allows for the minimization of any potential contaminant release during the treatment process, providing a safer method for cleanup operations (as opposed to dredging/incineration) and still treating the basic problem of PCB contamination (as opposed to capping).

  1. Progress on the Hanford K basins spent nuclear fuel project

    International Nuclear Information System (INIS)

    Culley, G.E.; Fulton, J.C.; Gerber, E.W.

    1996-01-01

    This paper highlights progress made during the last year toward removing the Department of Energy's (DOE) approximately, 2,100 metric tons of metallic spent nuclear fuel from the two outdated K Basins at the Hanford Site and placing it in safe, economical interim dry storage. In the past year, the Spent Nuclear Fuel (SNF) Project has engaged in an evolutionary process involving the customer, regulatory bodies, and the public that has resulted in a quicker, cheaper, and safer strategy for accomplishing that goal. Development and implementation of the Integrated Process Strategy for K Basins Fuel is as much a case study of modern project and business management within the regulatory system as it is a technical achievement. A year ago, the SNF Project developed the K Basins Path Forward that, beginning in December 1998, would move the spent nuclear fuel currently stored in the K Basins to a new Staging and Storage Facility by December 2000. The second stage of this $960 million two-stage plan would complete the project by conditioning the metallic fuel and placing it in interim dry storage by 2006. In accepting this plan, the DOE established goals that the fuel removal schedule be accelerated by a year, that fuel conditioning be closely coupled with fuel removal, and that the cost be reduced by at least $300 million. The SNF Project conducted coordinated engineering and technology studies over a three-month period that established the technical framework needed to design and construct facilities, and implement processes compatible with these goals. The result was the Integrated Process Strategy for K Basins Fuel. This strategy accomplishes the goals set forth by the DOE by beginning fuel removal a year earlier in December 1997, completing it by December 1999, beginning conditioning within six months of starting fuel removal, and accomplishes it for $340 million less than the previous Path Forward plan

  2. Safer Prescribing and Care for the Elderly (SPACE): feasibility of audit and feedback plus practice mail-out to patients with high-risk prescribing.

    Science.gov (United States)

    Wallis, Katharine; Tuckey, Rebecca

    2017-06-01

    INTRODUCTION High-risk prescribing in general practice is common and places patients at increased risk of adverse events. AIM The Safer Prescribing and Care for the Elderly (SPACE) intervention, comprising audit and feedback plus practice mail-out to patients with high-risk prescribing, was designed to promote medicines review and support safer prescribing. This study aims to test the SPACE intervention feasibility in general practice. METHODS This feasibility study involved an Auckland Primary Health Organisation (PHO), a clinical advisory pharmacist, two purposively sampled urban general practices, and seven GPs. The acceptability and utility of the SPACE intervention were assessed by semi- structured interviews involving study participants, including 11 patients with high-risk prescribing. Interviews were audio-recorded, transcribed verbatim and analysed using a general inductive approach to identify emergent themes. RESULTS The pharmacist said the SPACE intervention facilitated communication with GPs, and provided a platform for their clinical advisory role at no extra cost to the PHO. GPs said the feedback session with the pharmacist was educational but added to time pressures. GPs selected 29 patients for the mail-out. Some GPs were concerned the mail-out might upset patients, but patients said they felt cared for. Some patients intended to take the letter to their next appointment and discuss their medicines with their GP; others said there were already many things to discuss and not enough time. Some patients were confused by the medicines information brochure. DISCUSSION The SPACE intervention is feasible in general practice. The medicines information brochure needs simplification. Further research is needed to test the effect of SPACE on high-risk prescribing.

  3. The art of implosions has impacted the success of three decontamination and decommissioning projects at Fernald

    International Nuclear Information System (INIS)

    Borgman, T.D.

    1997-01-01

    The Department of Energy (DOE) at the Fernald Environmental Management Project (FEMP), near Cincinnati, Ohio, has successfully impacted the safety, cost and schedule goals of the Decontamination and Dismantling (D ampersand D) Program by using the art of implosions. An implosion is the act of bringing a structure down in a well planned and directed manner using explosive materials. Three major structures in three separate projects were imploded using this well known commercial technology. Safety is, and will always be, the major consideration with each of the projects. As each project succeeded another, the work process used new and improved methods to lower the risk to the environment, provide a safer workplace by reducing the exposure of high risk work and reducing the spread of lead, asbestos and radioactive materials. The time frame for dismantlement of the steel structures was greatly improved, thus reducing the total project cost. The lessons learned were incorporated from one project to another, to continually improve the work process. A number of alternatives were considered for the removal of the structures, seven, four and three stories in height. The subcontractor and its demolition sub-tier contractor worked in a fixed price lump sum contract environment. While skeptical at first, the subcontractor realized the benefits of the technology, a win-win situation for all participants. The overall planning of each of the events was tied to the needs of the client (DOE), the stakeholders and the community surrounding the site, and the continuing progress at the Fernald site. The recording and application of several key lessons learned in the sequence of implosions, will be the key issues of interest in this paper. Each project offered interesting opportunities for contingency planning, coordination, safety culture adjustments, and high regard for the protection of surrounding structures

  4. The art of implosions has impacted the success of three decontamination and decommissioning projects at Fernald

    Energy Technology Data Exchange (ETDEWEB)

    Borgman, T.D.

    1997-12-01

    The Department of Energy (DOE) at the Fernald Environmental Management Project (FEMP), near Cincinnati, Ohio, has successfully impacted the safety, cost and schedule goals of the Decontamination and Dismantling (D&D) Program by using the art of implosions. An implosion is the act of bringing a structure down in a well planned and directed manner using explosive materials. Three major structures in three separate projects were imploded using this well known commercial technology. Safety is, and will always be, the major consideration with each of the projects. As each project succeeded another, the work process used new and improved methods to lower the risk to the environment, provide a safer workplace by reducing the exposure of high risk work and reducing the spread of lead, asbestos and radioactive materials. The time frame for dismantlement of the steel structures was greatly improved, thus reducing the total project cost. The lessons learned were incorporated from one project to another, to continually improve the work process. A number of alternatives were considered for the removal of the structures, seven, four and three stories in height. The subcontractor and its demolition sub-tier contractor worked in a fixed price lump sum contract environment. While skeptical at first, the subcontractor realized the benefits of the technology, a win-win situation for all participants. The overall planning of each of the events was tied to the needs of the client (DOE), the stakeholders and the community surrounding the site, and the continuing progress at the Fernald site. The recording and application of several key lessons learned in the sequence of implosions, will be the key issues of interest in this paper. Each project offered interesting opportunities for contingency planning, coordination, safety culture adjustments, and high regard for the protection of surrounding structures.

  5. Canned bluefin tuna, an in vitro cardioprotective functional food potentially safer than commercial fish oil based pharmaceutical formulations.

    Science.gov (United States)

    Tenore, Gian Carlo; Calabrese, Giorgio; Ritieni, Alberto; Campiglia, Pietro; Giannetti, Daniela; Novellino, Ettore

    2014-09-01

    Commercial canned fish species typical in the Italian market were evaluated for their lipid profile. Bluefin tuna samples showed the highest content in omega-3 fatty acids (n-3 PUFA) among the canned fish samples analyzed. Tests on H9C2 cardiomyocytes revealed that bluefin tuna n-3 PUFA may responsible for a significant cell protection against both physiological and doxorubicin-induced oxidative stress. Analogous tests performed by incubating cardiac cells with n-3 PUFA ethyl esters, of which most of fish oil pharmaceutical formulations (FOPF) are based, showed cytotoxicity at high doses. Our results highlighted that n-3 PUFA contents in a 50 g canned bluefin tuna portion would be almost equivalent to and potentially safer than those of 1 FOPF capsule (1000 mg)/die usually suggested for hyperlipidaemic subjects. Thus, Italian commercial canned bluefin tuna could be indicated as a functional food with potential health benefits for the prevention and care of cardiovascular disorders. Copyright © 2014 Elsevier Ltd. All rights reserved.

  6. The highway and railroad operating environments for hazardous shipments in the United States - safer in the '90s?

    International Nuclear Information System (INIS)

    Saricks, C.L.; Tompkins, M.M.

    2000-01-01

    This paper seeks to illuminate the status of transportation safety and risk for large-quantity shipments of spent commercial reactor fuel and mixed and hazardous wastes by examining road and rail accident and vehicular travel data from the mid-1990s. Of special interest are the effect of speed limit changes on controlled-access expressways (chiefly the Interstate Highway System) and the possible effect of season-to-season climatic variation on road transport. We found that improvements in railroad technology and infrastructure have created a safer overall operating environment for railroad freight shipments. We also found recent evidence of an increase in accident rates of heavy combination trucks in states that have raised highway speed limits. Finally, cold weather increases road transport risk, while conditions associated with higher ambient temperatures do not. This last finding is in contrast to rail transport, for which the literature associates both hot and cold temperature extremes with higher accident rates

  7. Large-scale decontamination and decommissioning technology demonstration project at a former uranium metal production facility

    International Nuclear Information System (INIS)

    Martineit, R.A.; Borgman, T.D.; Peters, M.S.; Stebbins, L.L.

    1997-01-01

    The Department of Energy's (DOE) Office of Science and Technology Decontamination and Decommissioning (D ampersand D) Focus Area, led by the Federal Energy Technology Center, has been charged with improving upon baseline D ampersand D technologies with the goal of demonstrating and validating more cost-effective and safer technologies to characterize, deactivate, survey, decontaminate, dismantle, and dispose of surplus structures, buildings, and their contents at DOE sites. The D ampersand D Focus Area's approach to verifying the benefits of the improved D ampersand D technologies is to use them in large-scale technology demonstration (LSTD) projects at several DOE sites. The Fernald Environmental Management Project (FEMP) was selected to host one of the first three LSTD's awarded by the D ampersand D Focus Area. The FEMP is a DOE facility near Cincinnati, Ohio, that was formerly engaged in the production of high quality uranium metal. The FEMP is a Superfund site which has completed its RUFS process and is currently undergoing environmental restoration. With the FEMP's selection to host an LSTD, the FEMP was immediately faced with some challenges. The primary challenge was that this LSTD was to be integrated into the FEMP's Plant 1 D ampersand D Project which was an ongoing D ampersand D Project for which a firm fixed price contract had been issued to the D ampersand D Contractor. Thus, interferences with the baseline D ampersand D project could have significant financial implications. Other challenges include defining and selecting meaningful technology demonstrations, finding/selecting technology providers, and integrating the technology into the baseline D ampersand D project. To date, twelve technologies have been selected, and six have been demonstrated. The technology demonstrations have yielded a high proportion of open-quotes winners.close quotes All demonstrated, technologies will be evaluated for incorporation into the FEMP's baseline D ampersand D

  8. Development of a theory-guided pan-European computer-assisted safer sex intervention.

    Science.gov (United States)

    Nöstlinger, Christiana; Borms, Ruth; Dec-Pietrowska, Joanna; Dias, Sonia; Rojas, Daniela; Platteau, Tom; Vanden Berghe, Wim; Kok, Gerjo

    2016-12-01

    HIV is a growing public health problem in Europe, with men-having-sex-with-men and migrants from endemic regions as the most affected key populations. More evidence on effective behavioral interventions to reduce sexual risk is needed. This article describes the systematic development of a theory-guided computer-assisted safer sex intervention, aiming at supporting people living with HIV in sexual risk reduction. We applied the Intervention Mapping (IM) protocol to develop this counseling intervention in the framework of a European multicenter study. We conducted a needs assessment guided by the information-motivation-behavioral (IMB) skills model, formulated change objectives and selected theory-based methods and practical strategies, i.e. interactive computer-assisted modules as supporting tools for provider-delivered counseling. Theoretical foundations were the IMB skills model, social cognitive theory and the transtheoretical model, complemented by dual process models of affective decision making to account for the specifics of sexual behavior. The counseling approach for delivering three individual sessions was tailored to participants' needs and contexts, adopting elements of motivational interviewing and cognitive-behavioral therapy. We implemented and evaluated the intervention using a randomized controlled trial combined with a process evaluation. IM provided a useful framework for developing a coherent intervention for heterogeneous target groups, which was feasible and effective across the culturally diverse settings. This article responds to the need for transparent descriptions of the development and content of evidence-based behavior change interventions as potential pillars of effective combination prevention strategies. © The Author 2015. Published by Oxford University Press. All rights reserved. For Permissions, please email: journals.permissions@oup.com.

  9. Biosafety and Biosecurity: A Relative Risk-Based Framework for Safer, More Secure, and Sustainable Laboratory Capacity Building.

    Science.gov (United States)

    Dickmann, Petra; Sheeley, Heather; Lightfoot, Nigel

    2015-01-01

    Laboratory capacity building is characterized by a paradox between endemicity and resources: countries with high endemicity of pathogenic agents often have low and intermittent resources (water, electricity) and capacities (laboratories, trained staff, adequate regulations). Meanwhile, countries with low endemicity of pathogenic agents often have high-containment facilities with costly infrastructure and maintenance governed by regulations. The common practice of exporting high biocontainment facilities and standards is not sustainable and concerns about biosafety and biosecurity require careful consideration. A group at Chatham House developed a draft conceptual framework for safer, more secure, and sustainable laboratory capacity building. The draft generic framework is guided by the phrase "LOCAL - PEOPLE - MAKE SENSE" that represents three major principles: capacity building according to local needs (local) with an emphasis on relationship and trust building (people) and continuous outcome and impact measurement (make sense). This draft generic framework can serve as a blueprint for international policy decision-making on improving biosafety and biosecurity in laboratory capacity building, but requires more testing and detailing development.

  10. Biosafety and Biosecurity: A relative risk-based framework for safer, more secure and sustainable laboratory capacity building

    Directory of Open Access Journals (Sweden)

    Petra eDickmann

    2015-10-01

    Full Text Available Background: Laboratory capacity building is characterized by a paradox between endemicity and resources: Countries with high endemicity of pathogenic agents often have low and intermittent resources (water, electricity and capacities (laboratories, trained staff, adequate regulations. Meanwhile, countries with low endemicity of pathogenic agents often have high containment facilities with costly infrastructure and maintenance governed by regulations. The common practice of exporting high biocontainment facilities and standards is not sustainable and concerns about biosafety and biosecurity require careful consideration. Methods: A group at Chatham House developed a draft conceptual framework for safer, more secure and sustainable laboratory capacity building. Results: The draft generic framework is guided by the phrase ‘LOCAL – PEOPLE – MAKE SENSE’ that represents three major principles: capacity building according to local needs (local with an emphasis on relationship and trust-building (people and continuous outcome and impact measurement (make sense. Conclusions: This draft generic framework can serve as a blueprint for international policy decision-making on improving biosafety and biosecurity in laboratory capacity building, but requires more testing and detailing development.

  11. Homelessness among a cohort of women in street-based sex work: the need for safer environment interventions

    Directory of Open Access Journals (Sweden)

    Gibson Kate

    2011-08-01

    Full Text Available Abstract Background Drawing on data from a community-based prospective cohort study in Vancouver, Canada, we examined the prevalence and individual, interpersonal and work environment correlates of homelessness among 252 women in street-based sex work. Methods Bivariate and multivariate logistic regression using generalized estimating equations (GEE was used to examine the individual, interpersonal and work environment factors that were associated with homelessness among street-based sex workers. Results Among 252 women, 43.3% reported homelessness over an 18-month follow-up period. In the multivariable GEE logistic regression analysis, younger age (adjusted odds ratio [aOR] = 0.93; 95%confidence interval [95%CI] 0.93-0.98, sexual violence by non-commercial partners (aOR = 2.14; 95%CI 1.06-4.34, servicing a higher number of clients (10+ per week vs Conclusions These findings indicate a critical need for safer environment interventions that mitigate the social and physical risks faced by homeless FSWs and increase access to safe, secure housing for women.

  12. Female gratification, sexual power and safer sex: female sexuality as an empowering resource among women in Rwanda.

    Science.gov (United States)

    Skafte, Ina; Silberschmidt, Margrethe

    2014-01-01

    The gender-based response to HIV in sub-Saharan Africa has tended to reinforce normative stereotypes of women as subordinated, passive and powerless victims, in particular in sexual relations. However, based on qualitative data from Rwanda, this paper argues that such conceptualisations fail to recognise that while women do comply with prevalent social norms, they also challenge these norms and sex becomes a domain in which they can exert power. Female sexuality and sexual gratification - acknowledged and valued by women as well as men - play a pivotal role in the Rwandese mode of sexual intercourse. This provides women a central position in sexual relations, which affords them sexual power. Recognising their sexuality as a resource and drawing upon this 'sexual capital', women are active social agents who have the capacity to manipulate and challenge male dominance in a deliberate strategy both to practice safer sex and to access decision-making power and material resources. This suggests that inherent in sexual relations is a potential for the empowerment of women and the transformation of gender relations.

  13. "Vida de equilibrista"? Modos de ser Mãe e Trabalhadora: Trajetórias de Mulheres em Diferentes Contextos Sociais

    Directory of Open Access Journals (Sweden)

    Lisandra Espíndula Moreira

    2010-01-01

    Full Text Available This research analyzed the statements that produce meaning's articulation about the relationship between work and motherhood for women belonging to different social contexts. We analyzed working mothers' life trajectories considering the social position occupied by them in the historical context that made them possible. We question the position attributed to these women; we also paid special attention to the social construction of these fields (work and motherhood showing how they are mutually implicated. Work produces ways of being mother - through medical technologies for the health worker mother, through managing strategies for the manager mother, through the moral delegitimization of the prostitute mother. Motherhood, on its turn, produces working ways - through incitation of these mothers to be more docile and affective in the workplace. Taking this articulation between motherhood and work as a 'problem' has a responsibility effect on women, once they are considered the only responsibles for the caring tasks by the way the exercise of motherhood is legitimized.

  14. Motives and barriers to safer sex and regular STI testing among MSM soon after HIV diagnosis.

    Science.gov (United States)

    Heijman, Titia; Zuure, Freke; Stolte, Ineke; Davidovich, Udi

    2017-03-07

    Understanding why some recently with HIV diagnosed men who have sex with men (MSM) choose for safer sex and regular STI testing, whereas others do not, is important for the development of interventions that aim to improve the sexual health of those newly infected. To gain insight into motives and barriers to condom use and regular STI testing among MSM soon after HIV diagnosis, 30 HIV-positive MSM participated in semi-structured qualitative interviews on sexual health behaviours in the first year after HIV diagnosis. Typical barriers to condom use soon after diagnosis were emotions such as anger, relief, and feelings of vulnerability. Additional barriers were related to pre-diagnosis patterns of sexual-social behaviour that were difficult to change, communication difficulties, and substance use. Barriers to STI testing revolved around perceptions of low STI risk, faulty beliefs, and burdensome testing procedures. The great diversity of motives and barriers to condom use and STI testing creates a challenge to accommodate newly infected men with information, motivation, and communication skills to match their personal needs. An adaptive, tailored intervention can be a promising tool of support.

  15. Via generalized function projective synchronization in nonlinear Schrödinger equation for secure communication

    Science.gov (United States)

    Zhao, L. W.; Du, J. G.; Yin, J. L.

    2018-05-01

    This paper proposes a novel secured communication scheme in a chaotic system by applying generalized function projective synchronization of the nonlinear Schrödinger equation. This phenomenal approach guarantees a secured and convenient communication. Our study applied the Melnikov theorem with an active control strategy to suppress chaos in the system. The transmitted information signal is modulated into the parameter of the nonlinear Schrödinger equation in the transmitter and it is assumed that the parameter of the receiver system is unknown. Based on the Lyapunov stability theory and the adaptive control technique, the controllers are designed to make two identical nonlinear Schrödinger equation with the unknown parameter asymptotically synchronized. The numerical simulation results of our study confirmed the validity, effectiveness and the feasibility of the proposed novel synchronization method and error estimate for a secure communication. The Chaos masking signals of the information communication scheme, further guaranteed a safer and secured information communicated via this approach.

  16. Soluble salt removal from MSWI fly ash and its stabilization for safer disposal and recovery as road basement material.

    Science.gov (United States)

    Colangelo, F; Cioffi, R; Montagnaro, F; Santoro, L

    2012-06-01

    Fly ash from municipal solid waste incinerators (MSWI) is classified as hazardous in the European Waste Catalogue. Proper stabilization processes should be required before any management option is put into practice. Due to the inorganic nature of MSWI fly ash, cementitious stabilization processes are worthy of consideration. However, the effectiveness of such processes can be severely compromised by the high content of soluble chlorides and sulphates. In this paper, a preliminary washing treatment has been optimized to remove as much as possible soluble salts by employing as little as possible water. Two different operating conditions (single-step and two-step) have been developed to this scope. Furthermore, it has been demonstrated that stabilized systems containing 20% of binder are suitable for safer disposal as well as for material recovery in the field of road basement (cement bound granular material layer). Three commercially available cements (pozzolanic, limestone and slag) have been employed as binders. Copyright © 2012 Elsevier Ltd. All rights reserved.

  17. Progressively safer, cheaper demolition of Fernald

    International Nuclear Information System (INIS)

    Nichols, Robert; Pennington, Norman

    2000-01-01

    Fluor Fernald, Inc. has been progressively improving Decontamination and Dismantlement (D and D) at the Department of Energy's Fernald Environmental Management Project by applying new technologies and better methodologies to the work. Demolition issues existed in the past that necessitated new or improved solutions to maintain worker safety, protect the environment and accomplish the work in a cost effective manner. Lessons learned from D and D of 80 structures has led to a systematic approach, which can be implemented in various D and D arenas. When facility production was halted, hold-up material and process residues remained in the process piping and components. Over 500,000 pounds of material was removed by workers who completed the tasks two years ahead of schedule, $7 million under budget and with an excellent safety record. This success was the result of detailed planning and irdision of lessons learned as work progressed from facility to facility. Work sequences were developed that reduced airborne contamination. Demolition of structures has been performed at Fernald by carefully selected and qualified subcontractors. Asbestos and lead abatement, equipment, piping and conduit removal, and structural demolition have been completed to progressively higher performance specifications developed by Fluor Fernald based on lessons learned during execution. Safety continues to be the primary consideration in performing potentially hazardous work. Technologies such as hydraulic shears have been developed and used to keep workers away from danger. A new technology, ''Cool Suits,'' has been demonstrated to help prevent heat stress when anti-contamination clothing is required in elevated temperature working conditions. For tall structures, implosion technologies have been employed with progressively improved results, Several other new technologies have been evaluated by Fluor Fernald and applied by subcontractors. The improved technologies included the oxy-gas torch

  18. Evaluation of the California Safer Consumer Products Regulation and the impact on consumers and product manufacturers.

    Science.gov (United States)

    Cowan, Dallas M; Kingsbury, Tony; Perez, Angela L; Woods, Tyler A; Kovochich, Michael; Hill, Denise S; Madl, Amy K; Paustenbach, Dennis J

    2014-02-01

    Chemistry enables more than 95% of products in the marketplace. Over the past 20 years, various entities began to generate inventories of chemicals ("chemical watch lists") potentially associated with human or environmental health risks. Some lists included thousands of chemicals, while others listed only a few chemistries with limited properties or toxicological endpoints (e.g., neurotoxicants). Enacted on October 1, 2013, the California Safer Consumer Products Regulation (SCP) utilized data from chemical inventory lists to create one master list. This paper aims to discuss the background and requirements of this regulation. Additionally, we wanted to understand the universe of Candidate Chemicals identified by the Regulation. Data from all 23 chemical lists identified in the SCP Regulation were entered into a database. The most prevalent chemicals among the ∼2900 chemicals are identified, including the most prevalent chemical, lead, appearing on 65% of lists, followed by DEHP (52%), perchloroethylene (48%), and benzene (48%). Our results indicated that the most prevalent Candidate Chemicals were either persistent, bioaccumulative, carcinogenic, or reprotoxic. This regulation will have wide-ranging impact in California and throughout the global supply chain, which is highlighted through selected examples and case studies. Copyright © 2013 Elsevier Inc. All rights reserved.

  19. Sebepojetí v mateřství

    OpenAIRE

    Kalodová, Lucie

    2012-01-01

    The theoretical part of the thesis deals with the topics of self-concept and motherhood. The part that deals with self-concept contains its definition, possible ways for it to be studied, its aspects, structure and dynamics. It also describes aspects examined in the research part i.e. self-concept clarity and self-esteem and provides an overview of commonly used methods for self-concept research. The part about motherhood formulates motherhood as a social construct and a biological aspect; it...

  20. Can reproductive health voucher programs improve quality of postnatal care? A quasi-experimental evaluation of Kenya's safe motherhood voucher scheme.

    Directory of Open Access Journals (Sweden)

    Claire Watt

    Full Text Available This study tests the group-level causal relationship between the expansion of Kenya's Safe Motherhood voucher program and changes in quality of postnatal care (PNC provided at voucher-contracted facilities. We compare facilities accredited since program inception in 2006 (phase I and facilities accredited since 2010-2011 (phase II relative to comparable non-voucher facilities. PNC quality is assessed using observed clinical content processes, as well as client-reported outcome measures. Two-tailed unpaired t-tests are used to identify differences in mean process quality scores and client-reported outcome measures, comparing changes between intervention and comparison groups at the 2010 and 2012 data collection periods. Difference-in-differences analysis is used to estimate the reproductive health (RH voucher program's causal effect on quality of care by exploiting group-level differences between voucher-accredited and non-accredited facilities in 2010 and 2012. Participation in the voucher scheme since 2006 significantly improves overall quality of postnatal care by 39% (p=0.02, where quality is defined as the observable processes or components of service provision that occur during a PNC consultation. Program participation since phase I is estimated to improve the quality of observed maternal postnatal care by 86% (p=0.02, with the largest quality improvements in counseling on family planning methods (IRR 5.0; p=0.01 and return to fertility (IRR 2.6; p=0.01. Despite improvements in maternal aspects of PNC, we find a high proportion of mothers who seek PNC are not being checked by any provider after delivery. Additional strategies will be necessary to standardize provision of packaged postnatal interventions to both mother and newborn. This study addresses an important gap in the existing RH literature by using a strong evaluation design to assess RH voucher program effectiveness on quality improvement.

  1. Favouring more rigour when investigating human eating behaviour is like supporting motherhood and apple pie: A response to Robinson, Bevelander, Field, and Jones (2018).

    Science.gov (United States)

    Hetherington, Marion M; Rolls, Barbara J

    2018-05-11

    In a 1987 paper, addressing questions about factors that influence the initiation, maintenance, and termination of food intake, we wrote, "development of systematic procedures to measure eating behaviour is essential if descriptive and inferential statistics are to be applied to answering such questions, giving them power and replicability" (Hetherington & Rolls, 1987 page 77). Therefore, as longstanding advocates of rigorous procedures in laboratory-based investigations of food intake, we welcome Robinson et al.'s (2018) clear recommendations for laboratory studies. However, this is akin to voting for "motherhood and apple pie", and few would argue against deployment of improved procedures for these studies. What then can we contribute to the debate in order to refine the recommendations made or add to them? Our most important message for researchers is that the central hypothesis or main research question will determine the most appropriate methods for any study. If a laboratory-based study is planned, then there are basic methodological questions that must be answered before proceeding to a final protocol. While such guidelines are needed to ensure basic methodological rigour, these should not be so prescriptive as to inhibit creativity. Here we provide several thoughts on how to advance studies of ingestive behaviour, including the need to apply appropriate controls, encouragement to move beyond convenience samples, and to remember the value of exploratory, observational, and naturalistic studies to complement laboratory-based studies. Copyright © 2018. Published by Elsevier Ltd.

  2. Citymobil, advanced transport for the urban environment : an update

    NARCIS (Netherlands)

    Dijke, J.P. van; Schijndel-de Nooij, M. van

    2012-01-01

    CityMobil was an integrated project in the Sixth Framework Program of the European Union. The objective of the project was to achieve more effective organization of urban transport for more rational use of motorized traffic with less congestion and pollution, safer driving, a higher quality of

  3. SAFER - Company Snapshot - SAFER - Company Snapshot

    Data.gov (United States)

    Department of Transportation — The Company Snapshot is a concise electronic record of company identification, size, commodity information, and safety record, including the safety rating (if any),...

  4. Il corpo della madre schiava, i corpi dei figli. Forme di resistenza alla schiavitù nell’America del XIX secolo

    Directory of Open Access Journals (Sweden)

    Irene Fattacciu

    2009-12-01

    Full Text Available Slavery represents the most evident form of appropriation and exploitation of the body, notably of the female body. This article focuses on motherhood as a place of oppression and resistance to slavery. The devastating consequences of slavery on the mother-child relation is exemplified, in many slave narratives, by the account of when a child, realizing that he does not belong to his/her parents, perceives him/herself as a slave for the first time. Female slaves suffered a double form of exploitation, both economic (as work force and sexual: besides being exposed to the sexual abuses by masters and overseers, after 1807 they became the only precious resource to “produce” new slaves. The impotence and disillusion felt by enslaved mothers shaped contradictory and contrasting definitions of motherhood. This ambiguity was the centre of women’s daily resistance to slavery: if slavery denied parental role, the refusal of motherhood became the most explicit form of denial of women’s role in the maintenance of the slave system. The author also looks at the reinterpretation of these stories in 20th century literature, shifting the focus from motherhood as an aspect of slavery to investigating slavery in order to understand the evolving definition and practices of motherhood in history.Keywords: schiave, corpo, famiglia, maternità, madri, figli, racconti di schiavitù, resistenza, sessualità, infanticidio; female slaves, body, family, motherhood, mothers, children, slave narratives, resistance, sexuality, infanticide.

  5. Il corpo della madre schiava, i corpi dei figli. Forme di resistenza alla schiavitù nell’America del XIX secolo

    Directory of Open Access Journals (Sweden)

    Irene Fattacciu

    2010-05-01

    Full Text Available

    Slavery represents the most evident form of appropriation and exploitation of the body, notably of the female body. This article focuses on motherhood as a place of oppression and resistance to slavery. The devastating consequences of slavery on the mother-child relation is exemplified, in many slave narratives, by the account of when a child, realizing that he does not belong to his/her parents, perceives him/herself as a slave for the first time. Female slaves suffered a double form of exploitation, both economic (as work force and sexual: besides being exposed to the sexual abuses by masters and overseers, after 1807 they became the only precious resource to “produce” new slaves. The impotence and disillusion felt by enslaved mothers shaped contradictory and contrasting definitions of motherhood. This ambiguity was the centre of women’s daily resistance to slavery: if slavery denied parental role, the refusal of motherhood became the most explicit form of denial of women’s role in the maintenance of the slave system. The author also looks at the reinterpretation of these stories in 20th century literature, shifting the focus from motherhood as an aspect of slavery to investigating slavery in order to understand the evolving definition and practices of motherhood in history.

    Keywords: schiave, corpo, famiglia, maternità, madri, figli, racconti di schiavitù, resistenza, sessualità, infanticidio; female slaves, body, family, motherhood, mothers, children, slave narratives, resistance, sexuality, infanticide.

  6. Plasticity in the olfactory bulb of the maternal mouse is prevented by gestational stress

    Science.gov (United States)

    Belnoue, Laure; Malvaut, Sarah; Ladevèze, Elodie; Abrous, Djoher Nora; Koehl, Muriel

    2016-01-01

    Maternal stress is associated with an altered mother-infant relationship that endangers offspring development, leading to emotional/behavioral problems. However, little research has investigated the stress-induced alterations of the maternal brain that could underlie such a disruption of mother-infant bonding. Olfactory cues play an extensive role in the coordination of mother-infant interactions, suggesting that motherhood may be associated to enhanced olfactory performances, and that this effect may be abolished by maternal stress. To test this hypothesis, we analyzed the impact of motherhood under normal conditions or after gestational stress on olfactory functions in C57BL/6 J mice. We report that gestational stress alters maternal behavior and prevents both mothers’ ability to discriminate pup odors and motherhood-induced enhancement in odor memory. We investigated adult bulbar neurogenesis as a potential mechanism of the enhanced olfactory function in mothers and found that motherhood was associated with an increased complexity of the dendritic tree of newborn neurons. This motherhood-evoked remodeling was totally prevented by gestational stress. Altogether, our results may thus provide insight into the neural changes that could contribute to altered maternal behavior in stressed mothers. PMID:27886228

  7. Safety in numbers in Australia: more walkers and bicyclists, safer walking and bicycling.

    Science.gov (United States)

    Robinson, Dorothy L

    2005-04-01

    Overseas research shows that fatality and injury risks per cyclist and pedestrian are lower when there are more cyclists and pedestrians. Do Australian data follow the same exponential 'growth rule' where (Injuries)/(Amount of cycling) is proportional to ((Amount of cycling)-0.6)? Fatality and injury risks were compared using three datasets: 1) fatalities and amounts of cycling in Australian States in the 1980s; 2) fatality and injury rates over time in Western Australia as cycling levels increased; and 3) deaths, serious head injuries and other serious injuries to cyclists and pedestrians in Victoria, before and after the fall in cycling with the helmet law. In Australia, the risks of fatality and injury per cyclist are lower when cycling is more prevalent. Cycling was safest and most popular in the Australian Capital Territory (ACT), Queensland and Western Australia (WA). New South Wales residents cycled only 47% as much as residents of Queensland and WA, but had 53% more fatalities per kilometre, consistent with the growth rule prediction of 52% more for half as much cycling. Cycling also became safer in WA as more people cycled. Hospitalisation rates per 10,000 regular cyclists fell from 29 to 15, and reported deaths and serious injuries from 5.6 to 3.8 as numbers of regular cyclists increased. In Victoria, after the introduction of compulsory helmets, there was a 30% reduction in cycling and it was associated with a higher risk of death or serious injury per cyclist, outweighing any benefits of increased helmet wearing. As with overseas data, the exponential growth rule fits Australian data well. If cycling doubles, the risk per kilometre falls by about 34%; conversely, if cycling halves, the risk per kilometre will be about 52% higher. Policies that adversely influence the amount of cycling (for example, compulsory helmet legislation) should be reviewed.

  8. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 465: Hydronuclear Nevada National Security Site, Nevada, with ROTC 1, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Patrick Matthews

    2011-11-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions needed to achieve closure for Corrective Action Unit (CAU) 465, Hydronuclear, identified in the Federal Facility Agreement and Consent Order (FFACO). Corrective Action Unit 465 comprises the following four corrective action sites (CASs) located in Areas 6 and 27 of the Nevada National Security Site: (1) 00-23-01, Hydronuclear Experiment; (2) 00-23-02, Hydronuclear Experiment; (3) 00-23-03, Hydronuclear Experiment; (4) 06-99-01, Hydronuclear. The sites will be investigated based on the data quality objectives (DQOs) developed on July 6, 2011, by representatives of the Nevada Division of Environmental Protection (NDEP) and the U.S. Department of Energy (DOE), National Nuclear Security Administration Nevada Site Office. The DQO process was used to identify and define the type, amount, and quality of data needed to determine and implement appropriate corrective actions for each CAS in CAU 465. For CAU 465, two potential release components have been identified. The subsurface release component includes potential releases of radiological and nonradiological contaminants from the subsurface hydronuclear experiments and disposal boreholes. The surface release component consists of other potential releases of radiological and nonradiological contaminants to surface soils that may have occurred during the pre- and post-test activities. This plan provides the methodology for collection of the necessary information for closing each CAS component. There is sufficient information and process knowledge from historical documentation, contaminant characteristics, existing regional and site groundwater models, and investigations of similar sites regarding the expected nature and extent of potential contaminants to recommend closure of CAU 465 using the SAFER process. For potential subsurface releases, flow and transport models will be developed to integrate existing data into a conservative

  9. Why do drivers become safer over the first three months of driving? A longitudinal qualitative study.

    Science.gov (United States)

    Day, Marianne R; Thompson, Andrew R; Poulter, Damian R; Stride, Christopher B; Rowe, Richard

    2018-08-01

    Drivers are at high crash risk when they begin independent driving, with liability decreasing steeply over the first three months. Their behavioural development, and other changes underlying improved safety are not well understood. We adopted an innovative longitudinal qualitative design, with thirteen newly qualified drivers completing a total of 36 semi-structured interviews, one, two and three months after acquiring a full UK driving license. The interviews probed high-risk factors for new drivers, as well as allowing space for generating novel road safety issues. Analysis adopted a dual deductive and inductive interpretative thematic approach, identifying three super-ordinate themes: (1) Improvements in car control skills and situation awareness; (2) A reduction in the thrill of taking risks when driving against a background of generally increasing driving speed; (3) Early concerns about their social status in the eyes of other road users during the early stages of driving, which may put pressure on them to drive faster than they felt comfortable with. The study provides important new leads towards understanding how novice driving becomes safer over the first few months of driving, including how well-studied concepts of driving skill and style may change during development of independent driving, and bringing the less rigorously studied concept of social status into focus. Copyright © 2018 The Authors. Published by Elsevier Ltd.. All rights reserved.

  10. Adverse drug reactions reporting in Calabria (Southern Italy) in the four-year period 2011-2014: impact of a regional pharmacovigilance project in light of the new European Legislation.

    Science.gov (United States)

    Leporini, Christian; Marrazzo, Giuseppina; Mumoli, Laura; Esposito, Stefania; Gallelli, Luca; Mangano, Giovanna; Brancati, Giacomino; De Francesco, Emanuela Adele; Russo, Emilio; De Sarro, Giovambattista

    2017-05-01

    The number of suspected adverse drug reactions (ADRs) yearly submitted to the Italian Network of Pharmacovigilance (RNF) has progressively increased after the new European Pharmacovigilance legislation (July 2012). These results have mostly reflected the agreements between Italian Medicines Agency (AIFA) and Italian Regions, enabling the implementation of active pharmacovigilance projects. A project was funded by the AIFA in Calabria region (Southern Italy) in 2010 to increase ADRs reporting and promote a safer medicines' use. Based on this background, we investigated the trend of ADRs in Calabria in 2011-2014, trying to analyze the possible entailments of the new law. Quantitative and descriptive analysis of ADRs submitted by Calabrian healthcare professionals and patients to the RNF database between 2011 and 2014. A sharp rise in regional reporting rate was observed over study period. Calabrian Pharmacovigilance system completely fulfilled the World Health Organization gold standard for ADR reporting rate, both in 2013 and 2014. However, heterogeneity was observed regarding reporting health facilities, healthcare professionals and patients among the study years. These findings reflect the success of the project performed in Calabria. However, this initiative should go on in the next future to obtain better and more homogeneous reporting behavior.

  11. The relative generosity of the EU-15 member states’ child policies

    OpenAIRE

    Jérôme De Henau; Sile O’Dorchai; Danièle Meulders; Hélène Périvier-Timbeau

    2004-01-01

    The main purpose of this project is to analyse the influence of labour market conditions and social policies on the fertility decisions of young people in order to contribute to the design of better policies at European and national levels to facilitate combination of parenthood and work. Chapter I presents a broader picture on women’s current labour force participation according to motherhood status in the 15 countries of the former EU. The chapter also discusses related European Union po...

  12. A experiência de maternidade de mães de crianças com e sem doença crônica no segundo ano de vida The experience of motherhood in mothers of children with and without chronic disease in the second year of life

    Directory of Open Access Journals (Sweden)

    Elisa Kern Castro

    2004-04-01

    Full Text Available O presente estudo investigou os sentimentos de mães de crianças com e sem doença crônica com relação à sua experiência de maternidade. Participaram do estudo dezesseis díades mãe-criança, sendo oito com crianças portadoras de doença crônica física há pelo menos um ano, e oito cujas crianças não apresentavam problemas crônicos de saúde. As crianças eram de ambos os sexos e tinham 24 meses de idade. Todas as mães responderam a uma entrevista sobre o desenvolvimento infantil e a experiência da maternidade, e as mães do grupo com doença crônica foram também solicitadas a responder a uma entrevista sobre as impressões e sentimentos sobre a doença crônica da criança. A análise de conteúdo das entrevistas mostrou que a experiência da maternidade foi afetada pela presença de doença crônica na criança. Isto apareceu especialmente no sofrimento vivido por essas mães, com sentimentos ambivalentes em relação às crianças, culpa, ansiedade, superproteção, ansiedade de separação e sentimentos de pouca ajuda de outras pessoas. Estes achados apontam para a importância de se fazer um trabalho preventivo e até mesmo de intervenção, que contribua para minimizar eventuais conseqüências da presença da doença crônica não só para a própria criança, mas também para sua família.The present study investigated the experience of motherhood in mothers of children with and without disease. Sixteen mother-child dyads took part in the study, eight of which composed by children with physical chronic disease for at least one year, and eight with children having no chronic health problems. The children were of both sexes and 24 months old. All mothers were interviewed on child development and the experience of motherhood, and the mothers from the group with chronic disease were also interviewed on impressions and feelings concerning the child's chronic disease. Content analysis performed on the interviews showed that

  13. Subgaleo-peritoneal shunt: An effective and safer alternative to lumboperitoneal shunt in the management of persistent or recurrent iatrogenic cranial pseudomeningoceles.

    Science.gov (United States)

    Kiran, Narayanam Anantha Sai; Thakar, Sumit; Mohan, Dilip; Aryan, Saritha; Rao, Arun Sadashiva; Hegde, Alangar S

    2013-01-01

    Subgaleo-peritoneal (SP) shunting for pseudomeningoceles (PMCs) is an effective and safer alternative as compared to the lumboperitoneal (LP) shunt. SP shunting was done in six patients (14-60 years) with persistent or recurrent PMCs using the cranial (ventricular part) and the distal parts of a Chhabra shunt connected by a rigid connector without any intervening chamber or valve. Two patients had undergone a prior LP shunt that had failed. One patient was unsuitable for a LP shunt placement. The PMC subsided completely in all the patients following the SP shunt. In one patient, the shunt got displaced and required repositioning. None of the patients developed symptoms of over-drainage or any other complication. All patients were asymptomatic at a mean follow-up of 15 months. These results suggest that SP shunting is a safe, simple, and effective alternative to the traditional LP shunt in the management of persistent or recurrent cranial PMCs.

  14. Design professional units on maternity home of teens sheltered

    Directory of Open Access Journals (Sweden)

    Lúcia Helena Garcia Penna

    2012-04-01

    Full Text Available This exploratory descriptive study describes the view of government shelters’ professionals regarding pregnancy in institutionalized adolescents and discusses the acting of such professionals to support the construction of a healthy motherhood in this population group. In an investigation performed between December 2009 and January 2010, contents of the reports of six professionals that took care of them in the circles of Community Therapy sheltered adolescents were analyzed. According to the view of such professionals, motherhood in institutionalized adolescents is something precocious and harmful, resultant of the immaturity of those young mothers, and because of that, their schooling process has to be interrupted. The actions of these professionals alternates between social reintegration and care with the motherhood of the adolescents. The dialogical action, the "problematization" concerning motherhood, as well as reproductive, sexual health and family planning are strategies proposed to reach health promotion among sheltered adolescents.

  15. Pregnancy & Motherhood >

    Science.gov (United States)

    Smoking when pregnant; Pregnancy and smoking; Smoking during pregnancy; Pregnant women smoking; Smoking when pregnant effects; Pregnancy and smoking effects; Pregnant quit smoking; Pregnant stop smoking; How to quit smoking when pregnant; Smoking and fertility; Smoking and infertility; Mom smoking; Smoking around children; Second hand smoke and children

  16. Reproductive experience modified dendritic spines on cortical pyramidal neurons to enhance sensory perception and spatial learning in rats.

    Science.gov (United States)

    Chen, Jeng-Rung; Lim, Seh Hong; Chung, Sin-Cun; Lee, Yee-Fun; Wang, Yueh-Jan; Tseng, Guo-Fang; Wang, Tsyr-Jiuan

    2017-01-27

    Behavioral adaptations during motherhood are aimed at increasing reproductive success. Alterations of hormones during motherhood could trigger brain morphological changes to underlie behavioral alterations. Here we investigated whether motherhood changes a rat's sensory perception and spatial memory in conjunction with cortical neuronal structural changes. Female rats of different statuses, including virgin, pregnant, lactating, and primiparous rats were studied. Behavioral test showed that the lactating rats were most sensitive to heat, while rats with motherhood and reproduction experience outperformed virgin rats in a water maze task. By intracellular dye injection and computer-assisted 3-dimensional reconstruction, the dendritic arbors and spines of the layer III and V pyramidal neurons of the somatosensory cortex and CA1 hippocampal pyramidal neurons were revealed for closer analysis. The results showed that motherhood and reproductive experience increased dendritic spines but not arbors or the lengths of the layer III and V pyramidal neurons of the somatosensory cortex and CA1 hippocampal pyramidal neurons. In addition, lactating rats had a higher incidence of spines than pregnant or primiparous rats. The increase of dendritic spines was coupled with increased expression of the glutamatergic postsynaptic marker protein (PSD-95), especially in lactating rats. On the basis of the present results, it is concluded that motherhood enhanced rat sensory perception and spatial memory and was accompanied by increases in dendritic spines on output neurons of the somatosensory cortex and CA1 hippocampus. The effect was sustained for at least 6 weeks after the weaning of the pups.

  17. Greening America's Capitals - Austin, TX

    Science.gov (United States)

    Report on the technical assistance project to help Austin, TX, develop a vision for the South Central Waterfront that incorporates green infrastructure to manage stormwater runoff, makes streets safer, and spurs investment.

  18. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 356: Mud Pits and Disposal Sites, Nevada Test Site, Nevada (Revision No. 0, August 2001); FINAL

    International Nuclear Information System (INIS)

    2001-01-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions necessary for the characterization and closure of Corrective Action Unit (CAU) 356, Mud Pits and Disposal Sites, as identified in the Federal Facility Agreement and Consent Order (FFACO). The CAU, located on the Nevada Test Site in Nevada, consists of seven Corrective Action Sites (CASs): CAS 03-04-01, Area 3 Change House Septic System; CAS 03-09-01, Mud Pit Spill Over; CAS 03-09-03, Mud Pit; CAS 03-09-04, Mud Pit; CAS 03-09-05, Mud Pit; CAS 20-16-01, Landfill; CAS 20-22-21, Drums. Sufficient information and process knowledge from historical documentation and investigations are the basis for the development of the phased approach chosen to address the data collection activities prior to implementing the preferred closure alternative for each CAS. The Phase I investigation will determine through collection of environmental samples from targeted populations (i.e., mud/soil cuttings above textural discontinuity) if contaminants of potential concern (COPCs) are present in concentrations exceeding preliminary action levels (PALs) at each of the CASs. If COPCs are present above PALs, a Phase II investigation will be implemented to determine the extent of contamination to support the appropriate corrective action alternative to complete closure of the site. Groundwater impacts from potentially migrating contaminants are not expected due to the depths to groundwater and limiting hydrologic drivers of low precipitation and high evaporation rates. Future land-use scenarios limit future uses to industrial activities; therefore, future residential uses are not considered. Potential exposure routes to site workers from contaminants of concern in septage and soils include oral ingestion, inhalation, or dermal contact (absorption) through in-advertent disturbance of contaminated structures and/or soils. Diesel within drilling muds is expected to be the primary COPC based on process

  19. The SAFER guides: empowering organizations to improve the safety and effectiveness of electronic health records.

    Science.gov (United States)

    Sittig, Dean F; Ash, Joan S; Singh, Hardeep

    2014-05-01

    Electronic health records (EHRs) have potential to improve quality and safety of healthcare. However, EHR users have experienced safety concerns from EHR design and usability features that are not optimally adapted for the complex work flow of real-world practice. Few strategies exist to address unintended consequences from implementation of EHRs and other health information technologies. We propose that organizations equipped with EHRs should consider the strategy of "proactive risk assessment" of their EHR-enabled healthcare system to identify and address EHR-related safety concerns. In this paper, we describe the conceptual underpinning of an EHR-related self-assessment strategy to provide institutions a foundation upon which they could build their safety efforts. With support from the Office of the National Coordinator for Health Information Technology (ONC), we used a rigorous, iterative process to develop a set of 9 self-assessment tools to optimize the safety and safe use of EHRs. These tools, referred to as the Safety Assurance Factors for EHR Resilience (SAFER) guides, could be used to self-assess safety and effectiveness of EHR implementations, identify specific areas of vulnerability, and create solutions and culture change to mitigate risks. A variety of audiences could conduct these assessments, including frontline clinicians or care teams in different practices, or clinical, quality, or administrative leaders within larger institutions. The guides use a multifaceted systems-based approach to assess risk and empower organizations to work with internal or external stakeholders (eg, EHR developers) on optimizing EHR functionality and using EHRs to drive improvements in the quality and safety of healthcare.

  20. Facile consecutive solvothermal growth of highly fluorescent InP/ZnS core/shell quantum dots using a safer phosphorus source.

    Science.gov (United States)

    Byun, Ho-June; Song, Woo-Seuk; Yang, Heesun

    2011-06-10

    The work presents a facile, stepwise synthetic approach for the production of highly fluorescent InP/ZnS core/shell quantum dots (QDs) by using a safer phosphorus (P) precursor. First, InP quantum dots (QDs) were solvothermally prepared at 180 °C for 24 h by using a P source of P(N(CH(3))(2))(3). The as-grown InP QDs were consecutively placed in another solvothermal condition for ZnS shell overcoating. In contrast to the almost non-fluorescent InP QDs, due to their highly defective surface states, the ZnS-coated InP QDs were highly fluorescent as a result of effective surface passivation. After the shell growth, the resulting InP/ZnS core/shell QDs were subjected to a size-sorting processing, by which red- to green-emitting QDs with quantum yields (QYs) of 24-60% were produced. Solvothermal shell growth parameters such as the reaction time and Zn/In solution concentration ratio were varied and optimized toward the highest QYs of core/shell QDs.

  1. Facile consecutive solvothermal growth of highly fluorescent InP/ZnS core/shell quantum dots using a safer phosphorus source

    International Nuclear Information System (INIS)

    Byun, Ho-June; Song, Woo-Seuk; Yang, Heesun

    2011-01-01

    The work presents a facile, stepwise synthetic approach for the production of highly fluorescent InP/ZnS core/shell quantum dots (QDs) by using a safer phosphorus (P) precursor. First, InP quantum dots (QDs) were solvothermally prepared at 180 deg. C for 24 h by using a P source of P(N(CH 3 ) 2 ) 3 . The as-grown InP QDs were consecutively placed in another solvothermal condition for ZnS shell overcoating. In contrast to the almost non-fluorescent InP QDs, due to their highly defective surface states, the ZnS-coated InP QDs were highly fluorescent as a result of effective surface passivation. After the shell growth, the resulting InP/ZnS core/shell QDs were subjected to a size-sorting processing, by which red- to green-emitting QDs with quantum yields (QYs) of 24-60% were produced. Solvothermal shell growth parameters such as the reaction time and Zn/In solution concentration ratio were varied and optimized toward the highest QYs of core/shell QDs.

  2. Facile consecutive solvothermal growth of highly fluorescent InP/ZnS core/shell quantum dots using a safer phosphorus source

    Science.gov (United States)

    Byun, Ho-June; Song, Woo-Seuk; Yang, Heesun

    2011-06-01

    The work presents a facile, stepwise synthetic approach for the production of highly fluorescent InP/ZnS core/shell quantum dots (QDs) by using a safer phosphorus (P) precursor. First, InP quantum dots (QDs) were solvothermally prepared at 180 °C for 24 h by using a P source of P(N(CH3)2)3. The as-grown InP QDs were consecutively placed in another solvothermal condition for ZnS shell overcoating. In contrast to the almost non-fluorescent InP QDs, due to their highly defective surface states, the ZnS-coated InP QDs were highly fluorescent as a result of effective surface passivation. After the shell growth, the resulting InP/ZnS core/shell QDs were subjected to a size-sorting processing, by which red- to green-emitting QDs with quantum yields (QYs) of 24-60% were produced. Solvothermal shell growth parameters such as the reaction time and Zn/In solution concentration ratio were varied and optimized toward the highest QYs of core/shell QDs.

  3. Facile consecutive solvothermal growth of highly fluorescent InP/ZnS core/shell quantum dots using a safer phosphorus source

    Energy Technology Data Exchange (ETDEWEB)

    Byun, Ho-June; Song, Woo-Seuk; Yang, Heesun, E-mail: hyang@hongik.ac.kr [Department of Materials Science and Engineering, Hongik University, Seoul 121-791 (Korea, Republic of)

    2011-06-10

    The work presents a facile, stepwise synthetic approach for the production of highly fluorescent InP/ZnS core/shell quantum dots (QDs) by using a safer phosphorus (P) precursor. First, InP quantum dots (QDs) were solvothermally prepared at 180 deg. C for 24 h by using a P source of P(N(CH{sub 3}){sub 2}){sub 3}. The as-grown InP QDs were consecutively placed in another solvothermal condition for ZnS shell overcoating. In contrast to the almost non-fluorescent InP QDs, due to their highly defective surface states, the ZnS-coated InP QDs were highly fluorescent as a result of effective surface passivation. After the shell growth, the resulting InP/ZnS core/shell QDs were subjected to a size-sorting processing, by which red- to green-emitting QDs with quantum yields (QYs) of 24-60% were produced. Solvothermal shell growth parameters such as the reaction time and Zn/In solution concentration ratio were varied and optimized toward the highest QYs of core/shell QDs.

  4. Dilemas sobre la Maternidad Subrogada en México (Dilemmas about Surrogate Motherhood from México

    Directory of Open Access Journals (Sweden)

    Mónica Victoria Ruiz Balcázar

    2017-03-01

    Full Text Available From the 33 current civil codes in Mexico, only the State of Tabasco code regulates gestational surrogacy, codes of Coahuila de Zaragoza and Querétaro states prevent it, and the rest avoid the issue rather than discuss it. The Coahuila code considers non-existent any surrogacy arrangement in the name of another person because the authorized ones as recipients of TRHA are those who are marriaged or attached by cohabitation and even if a fertilized egg was implanted a woman who is not from the genetic material the code orders this attribute of motherhood to her. The Queretaro code prohibits embryo adoptive couples to contract the womb of a third woman. The Sinaloa Family Code also authorizes surrogacy arrangemen for free or onerous. This scenario creates legal uncertainty and constant violation of human rights of both interested in procreation and the woman that agrees to become or attempts to become pregnant and bear a child for another person or persons. En México se cuenta con 33 códigos civiles vigentes de los cuales únicamente el que rige al Estado de Tabasco regula la gestación sustituta, dos la impiden y el resto evita el tema en lugar de discutirlo. La impiden Coahuila de Zaragoza y Querétaro. La primera entidad considera inexistente todo pacto o convención que verse sobre la gestación realizada en nombre de otra persona en virtud que sólo autoriza como destinatarios de las TRHA a quienes se encuentren unidos en matrimonio o concubinato y aun en el caso que un óvulo fecundado fuese implantado en una mujer de quien no provenga el material genético ordena atribuirle a ésta la maternidad. La segunda prohíbe a las parejas adoptantes de embriones contratar el vientre de una tercera mujer. De igual forma el Código Familiar de Sinaloa también autoriza la gestación por encargo en forma gratuita u onerosa. Este panorama genera incertidumbre jurídica y una constante violación a los derechos humanos tanto de los interesados en

  5. Surrogaatmoederskap: ’n teologies-etiese beoordeling

    Directory of Open Access Journals (Sweden)

    P. J. de Bruyn

    1991-03-01

    Full Text Available Surrogate motherhood is the process by which a woman (the surrogate mother conceives, carries and gives birth to a child for another woman or couple. Surrogate motherhood is related to issues such as masturbation, artificial insemination, in vitrofertilization (in vitro conception and experimentation with embryos, which could entail the destruction or killing of embryos. Opinions about these matters would undoubtedly influence one’s perception of surrogate motherhood. Christians believe that conception in or outside the human body is made possible by God God gives life at the moment of conception. Therefore an embryo can never be considered as mere matter From a Christian point of view it is not imperative to condemn surrogate motherhood in all instances. Nevertheless, in view of what is taught in the Holy Scriptures and also because of certain practical implications, Christians cannot but be negative about the whole issue and would therefore hesitate to make use of such procedures.

  6. Opiniões sobre maternidade em adolescentes grávidas e não-grávidas

    Directory of Open Access Journals (Sweden)

    Naiana Dapieve Patias

    2013-06-01

    Full Text Available Motherhood is still highly valued socially. This study aimed to compare the views on 50 maternity pregnant and 50 non-pregnant adolescents who are from13 tp 19 years old that went to basic health units and schools in a city in Rio Grande do Sul, Brazil. As a rule of thumb, they tend to take for granted that pregnant adolescents have a more positive view and favorable to the non-pregnant teenagers on motherhood. Questionnaires were applied to two groups of adolescents to check out their opinions on. The responses of pregnant and non-pregnant to the questionnaire items were compared with statistical tests. Generally speaking, it has bennfound significant differences as for opinions expressed by the groups. We confirmed the expectation that pregnant adolescents have more positive opinions about motherhood than non-pregnant women. It discusses about the increased vulnerability to pregnancy associated with only positive view of motherhood.

  7. Youth or disadvantage? The construction of teenage mothers in medical journals.

    Science.gov (United States)

    Breheny, Mary; Stephens, Christine

    2010-04-01

    Teenage motherhood is routinely discussed in medical and nursing journals as a cause for concern and a social problem. Taking these accounts as a starting point, this paper uses discursive analysis to understand how the teenage mother is produced as an unsuitable mother. Beginning with a 'Public Health' discourse, early motherhood is understood as a disease requiring surveillance and a public health response. Using an 'Economic' discourse, teenage mothers are positioned as a financial drain on society and early motherhood as a cost to the mothers themselves. An 'Ethnicity' discourse classifies young mothers into ethnic groups and explains differential fertility rates through the resistance of appropriate reproductive technology among minority group members. These understandings are reflected in a 'Eugenics' discourse, which engages metaphors of parenting as a biological priority and highlights the unsuitability of young mothers as parents. An examination of these discourses shows that concern about teenage motherhood is as much about the wrong sort of young women becoming mothers, as mothering too soon.

  8. Work and family transitions and the self-rated health of young women in South Africa.

    Science.gov (United States)

    Bennett, Rachel; Waterhouse, Philippa

    2018-04-01

    Understanding the transition to adulthood has important implications for supporting young adults and understanding the roots of diversity in wellbeing later in life. In South Africa, the end of Apartheid means today's youth are experiencing their transition to adulthood in a changed social and political context which offers opportunities compared to the past but also threats. This paper presents the first national level analysis of the patterning of key transitions (completion of education, entry into the labour force, motherhood and marriage or cohabitation), and the association between the different pathways and health amongst young women. With the use of longitudinal data from the South African National Income Dynamics Study (2008-2015), this paper employs sequence analysis to identify common pathways to adulthood amongst women aged 15-17 years at baseline (n = 429) and logistic regression modelling to examine the association between these pathways and self-rated health. The sequence analysis identified five pathways: 1. 'Non-activity commonly followed by motherhood', 2. 'Pathway from school, motherhood then work', 3. 'Motherhood combined with schooling', 4. 'Motherhood after schooling', and 5. 'Schooling to non-activity'. After controlling for baseline socio-economic and demographic characteristics and health, the regression results show young women who followed pathways characterised by early motherhood and economic inactivity (1, 3 and 4) had poorer self-rated health compared to women whose pathways were characterised by combining motherhood and economic activity (2) and young women who were yet to become economically active or mothers (5). Therefore, policies should seek to prevent adolescent childbearing, support young mothers to continue their educational careers and enable mothers in work and seeking work to balance their work and care responsibilities. Further, the findings highlight the value of taking a holistic approach to health and provide

  9. Evaluation of a safer male circumcision training programme for traditional surgeons and nurses in the Eastern Cape, South Africa.

    Science.gov (United States)

    Peltzer, Karl; Nqeketo, Ayanda; Petros, George; Kanta, Xola

    2008-06-18

    Training designed to improve circumcision knowledge, attitude and practice was delivered over 5 days to 34 traditional surgeons and 49 traditional nurses in the Eastern Cape, South Africa. Training included the following topics: initiation rites; statutory regulation of traditional male circumcision and initiation into Manhood (TCIM); structure and function of the male sex organs; procedure of safe circumcision, infection control; sexually transmitted infections (STIs); HIV/AIDS; infection control measures; aftercare of the initiate including after care of the circumcision wound and initiate as a whole; detection and early management of common complications of circumcision; nutrition and fluid management; code of conduct and ethics; and sexual health education. The evaluation of the training consisted of a prospective assessment of knowledge and attitude immediately prior to and after training. Significant improvement in knowledge and/or attitudes was observed in legal aspects, STI, HIV and environmental aspects, attitudes in terms of improved collaboration with biomedical health care providers, normal and abnormal anatomy and physiology, sexually transmitted infections and including HIV, circumcision practice and aftercare of initiates. We concluded that safer circumcision training can be successfully delivered to traditional surgeons and nurses.

  10. Trudna miłość: płeć niepełnosprawnego dziecka a psychospołeczne funkcjonowanie jego matki

    OpenAIRE

    Masłowiecka, Agnieszka

    2010-01-01

    Motherhood is a special kind of love, that connects with the child’s sex. We would like to think, that the relationship is unconditional, but having a child relates to some consequences and causes some projections, expectations, isn’t neutral. What happens when a child – equipped in particular gender – has a mental disability? What are the mothers feelings, how does she behave, when she is a mother of handicapped boy or a girl? This work contains the results of researches of psychosocial func...

  11. S/M/Othering

    Science.gov (United States)

    McClure, Marissa

    2014-01-01

    Recent scholarship in art education has introduced complex discourses of mothering, m/othering curriculum, (m)others), m(other)work, family structures that confront myths of the nuclear family, non-Western motherhoods, and disability. Feminist artists and activists have long confronted cultural constructions of motherhood and the pregnant,…

  12. Educational differences in timing and quantum of childbearing in Britain: A study of cohorts born 1940−1969

    Directory of Open Access Journals (Sweden)

    Ann Berrington

    2015-10-01

    Full Text Available Background: Increased postponement of fertility, especially among higher-educated women, means it is important to know whether women recuperate births at older ages, but evidence for the UK is lacking. The extent to which the timing and quantum of mothers' fertility underlie the strong educational gradient in completed family size is also unclear. Objective: We investigate the relative contributions of childlessness, timing, and quantum to educational differences in completed fertility within cohorts born between 1940 and 1969. Methods: We analyse retrospective fertility histories from 44,351 women, born 1940-1969, interviewed in the British General Household Survey (1979-2009 and the UK Household Longitudinal Study (2009-2010. After describing educational differences in the timing of first birth and parity distributions, we quantify the relative contributions of childlessness, delayed entry into motherhood, and fertility rates conditional upon age at entry into motherhood, to educational differences in completed family size. Results: Within each cohort, the educational gradient in completed family size is explained, in demographic accounting terms, almost entirely by educational differences in the proportions remaining childless and the age distribution of mothers at entry into motherhood. Conditional upon age at entry into motherhood, subsequent fertility rates are similar across educational groups and across cohorts. Conclusions: Unlike for some other European countries, the postponement of motherhood to later ages in Britain has not resulted in a significant increase in childbearing among more-educated women who enter motherhood at later ages. The stability of aggregate measures of completed fertility in Britain is not the result of a straightforward process of postponement followed by recuperation.

  13. Gestación por Sustitución y Licencias por Maternidad/Paternidad. La Agenda de Cuidado a la Luz de la Jurisprudencia Española y la Perspectiva Argentina (Surrogate Motherhood and Maternity / Paternity Leave. The Care Agenda in the Light of the Spanish...

    Directory of Open Access Journals (Sweden)

    Agustina Perez

    2017-03-01

    Full Text Available This paper aims to analyze the new technologies and the ability to access a (coMaternity / (coFatherhood through assisted reproductive technics (ART, including surrogate motherhood, altogether with the issue of the care work and maternity/paternity leave. Therefore, this article aims no to stop in the arguments for and against surrogate motherhood (SM, but to reflect about how maternity / paternity leaves must be interpreted in these cases. For that purpose, the article analyzes Argentinian SM and parental leave legal situation in the light of recent Spanish jurisprudence that have authorized maternity / paternity leave in cases of children born by SM while, while considering gender issues involved in this situations, how is the use of time in each family, how both ART and care work have a differential impact on women, and what happens when it comes to families consisting of two male parents. El presente artículo busca analizar la posibilidad de acceder a una (comaternidad / (copaternidad mediante técnicas de reproducción humana asistida (TRHA, incluida la gestación por sustitución (GS, en conjunto con la problemática de la agenda de cuidado y las licencias por maternidad/paternidad, partiendo del hecho cierto de la GS se realiza, sin detenerse en los argumentos a favor y en contra de ella. Así, revisa el marco normativo argentino en relación a la GS y las licencias por maternidad/paternidad a la luz de la reciente jurisprudencia española que ha otorgado y rechazado licencias en casos en que se tuvo hijos/as mediante la GS, teniendo en cuenta teniendo en cuenta la perspectiva de género, cómo es el uso del tiempo en cada familia, cómo las TRHA y el cuidado impactan diferencialmente sobre la mujer y cómo se traduce esta situación cuando se trata de familias compuestas por dos padres varones. DOWNLOAD THIS PAPER FROM SSRN: http://ssrn.com/abstract=2779614

  14. Beryllium Project: developing in CDTN of uranium dioxide fuel pellets with addition of beryllium oxide to increase the thermal conductivity

    International Nuclear Information System (INIS)

    Ferreira, Ricardo Alberto Neto; Camarano, Denise das Merces; Miranda, Odair; Grossi, Pablo Andrade; Andrade, Antonio Santos; Queiroz, Carolinne Mol; Gonzaga, Mariana de Carvalho Leal

    2013-01-01

    Although the nuclear fuel currently based on pellets of uranium dioxide be very safe and stable, the biggest problem is that this material is not a good conductor of heat. This results in an elevated temperature gradient between the center and its lateral surface, which leads to a premature degradation of the fuel, which restricts the performance of the reactor, being necessary to change the fuel before its full utilization. An increase of only 5 to 10 percent in its thermal conductivity, would be a significant increase. An increase of 50 percent would be a great improvement. A project entitled 'Beryllium Project' was developed in CDTN - Centro de Desenvolvimento da Tecnologia Nuclear, which aimed to develop fuel pellets made from a mixture of uranium dioxide microspheres and beryllium oxide powder to obtain a better heat conductor phase, filling the voids between the microspheres to increase the thermal conductivity of the pellet. Increases in the thermal conductivity in the range of 8.6% to 125%, depending on the level of addition employed in the range of 1% to 14% by weight of beryllium oxide, were obtained. This type of fuel promises to be safer than current fuels, improving the performance of the reactor, in addition to last longer, resulting in great savings. (author)

  15. Across the Conference Table: Private and Public Mothering of Children with Learning Disabilities

    Science.gov (United States)

    Valle, Jan W.

    2018-01-01

    In this article, a narrative inquiry approach is used to investigate how mothers report their experiences of parenting children with learning disability (LD) within the culture of American motherhood and to explore what impact such experiences of motherhood might have upon their relationships with school professionals. Analysis of the mothers'…

  16. ¿Bioética y derecho para qué y para quiénes? Discusiones en torno a la regulación de las técnicas de reproducción humana asistida en Colombia

    Directory of Open Access Journals (Sweden)

    Ximena Rincón Castellanos

    2012-12-01

    Full Text Available Bioethics and law for what and whom? Discussions about the Regulation of assisted reproductive techniques in ColombiaThe recent concern for the normative regulation of assisted reproduction techniques (ART, raises discussions about how to manage the embryos, how many times to use a sample, how to define parenthood, and other issues. However, it has not been questioned who would be favouredwith these regulations and what is their contribution to social equity and development for an entire country. Considering that the urgency to guarantee the sexual and reproductive rights —theoretical framework invoked to require ART— should be aimed at reaching a fair society.The proposed analysis will be undertaken considering the case of applying the ART for surrogate mothers in Colombia. The paper presents the context in which it is intended to apply the normative regulation, alongside the review of some conceptual and empirical contributions by Michael Sandel concerning trends in surrogate motherhood among «developed» and «third world» countries. This should allow considering the profiles of fertility in Colombia as a sign of inequality in our country.Subsequently, we will approach the current legal discussion in Colombia concerning surrogate motherhood, from the only case of surrogate motherhood resolved by the Colombian Constitutional Court and the bill projects presented in the Colombian Congress to regulate this issue. Finally,we will present some reflections and discussion on the normative regulation of the ART and surrogate gestation, and the law as a transmission belt of varied interests, that is, that it ought to lead to common good, solidarity and cooperation, and not simply function as a regulator that ensures the fulfilment of contracts.

  17. Streamlined Approach for Environmental Restoration (SAFER) Plan for Corrective Action Unit 544: Cellars, Mud Pits, and Oil Spills, Nevada Test Site, Nevada, Revision 0

    Energy Technology Data Exchange (ETDEWEB)

    Mark Krauss

    2010-07-01

    This Streamlined Approach for Environmental Restoration (SAFER) Plan addresses the actions needed to achieve closure for Corrective Action Unit (CAU) 544, Cellars, Mud Pits, and Oil Spills, identified in the Federal Facility Agreement and Consent Order (FFACO). Corrective Action Unit 544 comprises the following 20 corrective action sites (CASs) located in Areas 2, 7, 9, 10, 12, 19, and 20 of the Nevada Test Site (NTS): • 02-37-08, Cellar & Mud Pit • 02-37-09, Cellar & Mud Pit • 07-09-01, Mud Pit • 09-09-46, U-9itsx20 PS #1A Mud Pit • 10-09-01, Mud Pit • 12-09-03, Mud Pit • 19-09-01, Mud Pits (2) • 19-09-03, Mud Pit • 19-09-04, Mud Pit • 19-25-01, Oil Spill • 19-99-06, Waste Spill • 20-09-01, Mud Pits (2) • 20-09-02, Mud Pit • 20-09-03, Mud Pit • 20-09-04, Mud Pits (2) • 20-09-06, Mud Pit • 20-09-07, Mud Pit • 20-09-10, Mud Pit • 20-25-04, Oil Spills • 20-25-05, Oil Spills This plan provides the methodology for field activities needed to gather the necessary information for closing each CAS. There is sufficient information and process knowledge from historical documentation and investigations of similar sites regarding the expected nature and extent of potential contaminants to recommend closure of CAU 544 using the SAFER process. Using the approach approved for previous mud pit investigations (CAUs 530–535), 14 mud pits have been identified that • are either a single mud pit or a system of mud pits, • are not located in a radiologically posted area, and • have no evident biasing factors based on visual inspections. These 14 mud pits are recommended for no further action (NFA), and further field investigations will not be conducted. For the sites that do not meet the previously approved closure criteria, additional information will be obtained by conducting a field investigation before selecting the appropriate corrective action for each CAS. The results of the field investigation will support a defensible

  18. Transportation research : the Department of Transportation has made progress in coordinating and reviewing its research activities : testimony before the Subcommittee on Technology and Innovation, Committee on Science and Technology, House of Representatives

    Science.gov (United States)

    2009-02-12

    The FAST-TRAC (Faster and Safer Travel through Traffic Routing and Advanced Controls) Operational Field Test (OFT) is an Intelligent Transportation Systems (ITS) project being conducted in Southeast Michigan, managed by the Road Commission of Oakland...

  19. Transgenic Bacillus thuringiensis (Bt rice is safer to aquatic ecosystems than its non-transgenic counterpart.

    Directory of Open Access Journals (Sweden)

    Guangsheng Li

    Full Text Available Rice lines genetically modified with the crystal toxin genes from Bacillus thuringiensis (Bt have experienced rapid development, with biosafety certificates for two Bt rice lines issued in 2009. There has still been no commercial release of these lines yet due to public concerns about human health and environmental risks. Some studies confirmed that Bt rice was as safe as conventional rice to non-target organisms when pesticides were not applied, however, pesticides are still required in Bt rice to control non-lepidopteran pests. In this study, we assessed the environmental effects of two Bt rice lines expressing either the cry1Ab/1Ac or cry2A genes, respectively, by using zooplanktons as indicator species under normal field management practices using pesticides when required. In the whole rice growing season, non-Bt rice was sprayed 5 times while Bt rice was sprayed 2 times, which ensured both rice achieved a normal yield. Field investigations showed that rice type (Bt and non-Bt significantly influenced zooplankton abundance and diversity, which were up to 95% and 80% lower in non-Bt rice fields than Bt rice fields. Laboratory rearing showed that water from non-Bt rice fields was significantly less suitable for the survival and reproduction of Daphnia magna and Paramecium caudatum in comparison with water from Bt rice fields. Higher pesticide residues were detected in the water from non-Bt than Bt rice fields, accounting for the bad performance of zooplankton in non-Bt field water. Our results demonstrate that Bt rice is safer to aquatic ecosystems than non-Bt rice, and its commercialization will be beneficial for biodiversity restoration in rice-based ecosystems.

  20. Understanding international road safety disparities: Why is Australia so much safer than the United States?

    Science.gov (United States)

    Marshall, Wesley E

    2018-02-01

    Despite similarities to the US in terms of transportation, land use, and culture, Australia kills 5.3 people per 100,000 population on the roads each year, as compared to the US rate of 12.4. Similar trends hold when accounting for distance driven and the number of registered cars. This paper seeks to understand what is behind the road safety disparities between these two countries. The results suggest that a number of inter-related factors seem to play a role in the better road safety outcomes of Australia as compared to the US. This includes Australia's strategies related to seat belt usage and impaired driving as well as their efforts to help curb vehicle speeds and reduce exposure. Design-related differences include a much greater reliance on roundabouts and narrower street cross-sections as well as guidelines that encourage self-enforcing roads. Policy-related differences include stronger and more extensive enforcement programs, restrictive licensing programs, and higher driving costs. Combined with a more urban population and multimodal infrastructure, Australia tends to discourage driving mileage and exposure while encouraging safer modes of transportation such as transit, at least more so than in most of the US. Australia also enacted their version of Vision Zero - called the Safe System Approach - more than a decade before similar policies began cropping up in US cities. While it is difficult to attribute recent road safety successes to any specific policy, Australia continues to expand their lead on the US in terms of safety outcomes and is a road safety example worthy of consideration. Copyright © 2017 Elsevier Ltd. All rights reserved.