The paradox of hope Mattingly, Cheryl
2010., 20101102, 2010, 2010-12-02
eBook
Grounded in intimate moments of family life in and out of hospitals, this book explores the hope that inspires us to try to create lives worth living, even when no cure is in sight. The Paradox of ...Hope focuses on a group of African American families in a multicultural urban environment, many of them poor and all of them with children who have been diagnosed with serious chronic medical conditions. Cheryl Mattingly proposes a narrative phenomenology of practice as she explores case stories in this highly readable study. Depicting the multicultural urban hospital as a border zone where race, class, and chronic disease intersect, this theoretically innovative study illuminates communities of care that span both clinic and family and shows how hope is created as an everyday reality amid trying circumstances.
This impressive and original study is one of the first books to combine mainstream sociology with feminism in exploring the subject of the professions and power.This is an important addition to the ...corpus of feminist scholarship... It provides fresh insights into the way in which male power has been used to limit the employment aspirations of women in the middle classes. - Rosemary Crompton, University of Kent
Providing practical, hands-on approaches to connect data to HR policies and practices to help influence overall business performance, this book is an essential resource for aspiring, new and ...experienced HR professionals across a wide range of industrial contexts.
•The relationships between health-promoting behaviors, such as maintaining a healthy weight, exercising, and not smoking, and psychological disorders have been widely studied in civilian ...populations.•Often, but not universally, higher adherence to healthy behaviors is associated with lower risk of psychological disorders. Similarly, those with these disorders often, but not always, benefit from higher adherence to healthy behaviors.•Military personnel are at higher risk than civilian populations for certain psychological disorders, notably post-traumatic stress disorder. However, they are also generally more physically healthy owing largely to the military culture of fitness.•We answered the question of whether, in an already fit and healthy, but psychologically at-risk population, such as military personnel, relationships between health behaviors and mental health are similar to those in civilian populations.•We found that certain behaviors, notably maintaining a healthy weight and obtaining adequate sleep, are related to better mental health, across the disorders studied.•Additionally, certain psychological disorders may benefit from a concurrent treatment approach that targets specific health behaviors, for example, cigarette smoking in anxiety.
Background Military personnel are at greater risk of psychological disorders and related symptoms than civilians. Limited participation in health-promoting behaviors may increase presence of these disorders. Alternatively, these symptoms may limit engagement in health-promoting behaviors.
Methods Self-reported data from the 2015 Department of Defense Health Related Behaviors Survey were used to assess bi-directional relationships between health-related behaviors (obesity, physical activity PA, alcohol, smoking, sleep) and self-reported psychological disorders (generalized anxiety disorder GAD, depression, post-traumatic disorder PTSD) in U.S. military personnel.
Outcomes Among 12 708 respondents (14.7% female; 28.2% 17−24 y; 13.7% obese), self-reported depression was reported by 9.2%, GAD by 13.9%, and PTSD by 8.2%. Obesity and short sleep were associated with self-reported depression, GAD, and PTSD; current smoking was associated with higher odds of GAD; higher levels of vigorous PA were associated with lower odds of GAD; higher levels of moderate PA associated with lower odds of PTSD; and higher alcohol intake associated with higher odds of depression and PTSD. Self-reported depression, GAD, and PTSD were associated with higher odds of short sleep, obesity, and low levels of PA.
Interpretation Obesity, short sleep, and limited engagement in health-promoting behaviors are associated with higher likelihood of self-reported psychological disorders, and vice-versa. Encouraging and improving health-promoting behaviors may contribute to positive mental health in military personnel.
<!CDATAFor years, opponents of outsourcing have argued that offshoring American jobs destroys our local industries, lays waste to American job creation, and gives foreigners the good jobs and income ...that would otherwise remain on our shores. Yet few Americans realize that a parallel dynamic is occurring in the healthcare sector--previously one of the most consistent sources of stable, dependable living-wage jobs in the entire nation.
Instead of outsourcing high-paying jobs overseas--as the manufacturing and service sectors do--hospitals and other healthcare companies insource healthcare labor from developing countries, giving the jobs to people who are willing to accept lower pay and worse working conditions than U.S. healthcare workers. As Dr. Tulenko shows, insourcing has caused tens of thousands of high-paying local jobs in the healthcare sector to effectively vanish from the reach of U.S. citizens, weakened the healthcare systems of developing nations, and constricted the U.S. health professional education system. She warns Americans about what she's seeing--a stunning story they're scarcely aware of, which impacts all of us directly and measurably--and describes how to create better American health professional education, more high-paying healthcare jobs, and improved health for the poor in the developing world.>
In October and November 2020, we conducted a survey of 2,678 healthcare workers (HCWs) involved in general population immunisation in France, French-speaking Belgium and Quebec, Canada to assess ...acceptance of future COVID-19 vaccines (i.e. willingness to receive or recommend these) and its determinants. Of the HCWs, 48.6% (n = 1,302) showed high acceptance, 23.0% (n = 616) moderate acceptance and 28.4% (n = 760) hesitancy/reluctance. Hesitancy was mostly driven by vaccine safety concerns. These must be addressed before/during upcoming vaccination campaigns.
US military suicides have increased substantially over the past decade and currently account for almost 20% of all military deaths. We investigated the associations of a comprehensive set of ...time-varying risk factors with suicides among current and former military service members.
We did a retrospective multivariate analysis of all US military personnel between 2001 and 2011 (n=110 035 573 person-quarter-years, representing 3 795 823 service members). Outcome was death by suicide, either during service or post-separation. We used Cox proportional hazard models at the person-quarter level to examine associations of deployment, mental disorders, history of unlawful activity, stressful life events, and other demographic and service factors with death by suicide.
The strongest predictors of death by suicide were current and past diagnoses of self-inflicted injuries, major depression, bipolar disorder, substance use disorder, and other mental health conditions (compared with service members with no history of diagnoses, the hazard ratio HR ranged from 1·4 95% CI 1·14-1·72 to 8·34 6·71-10·37). Compared with service members who were never deployed, hazard rates of suicide (which represent the probability of death by suicide in a specific quarter given that the individual was alive in the previous quarter) were lower among the currently deployed (HR 0·50, 95% CI 0·40-0·61) but significantly higher in the quarters following first deployment (HR 1·51 1·17-1·96 if deployed in the previous three quarters; 1·14 1·06-1·23 if deployed four or more quarters ago). The hazard rate of suicide increased within the first year of separation from the military (HR 2·49, 95% CI 2·12-2·91), and remained high for those who had separated from the military 6 or more years ago (HR 1·63, 1·45-1·82).
The increased hazard rate of death by suicide for military personnel varies by time since exposure to deployment, mental health diagnoses, and other stressful life events. Continued monitoring is especially needed for these high-risk individuals. Additional information should be gathered to address the persistently raised risk of suicide among service members after separation.
Partly funded by the Naval Research Program.
The Challenges of Minoritized Faculty in Higher Education offers a probing and unvarnished look at the employment challenges of these faculty members in four-year institutions. With dramatic shifts ...in the faculty workforce and nearly three-quarters of instructional positions in United States institutions now off the tenure track, contingent faculty have become the essential, frontline workers of higher education. Remarkably little research attention has focused on the experiences of minoritized contingent faculty in this new academic underclass. Based on in-depth interviews coupled with extensive research, the book highlights the double marginalization that can occur due to secondary employment status in the academic hierarchy, and the exclusion resulting from the intersectionality of nondominant social identities including race and ethnicity, gender, sexual orientation, gender identity, and disability. As the first-person narratives reveal, these faculty often struggle for acceptance, recognition, and rewards in the day-to-day academic environment, and they can face devaluation of their contributions. As a pragmatic and concrete resource, this book offers proactive workforce strategies and key structural and policy recommendations that will assist academic and administrative leaders, including presidents, provosts, department chairs, and chief diversity officers, in building more inclusive working conditions for contingent faculty.
The U.S. military is a massive institution, and its policies on
sex, gender, and sexuality have shaped the experiences of tens of
millions of Americans, sometimes in life-altering fashion. The
essays ...in Managing Sex in the U.S. Military examine
historical and contemporary military policies and offer different
perspectives on the broad question: "How does the U.S. military
attempt to manage sex?" This collection focuses on the U.S.
military's historical and contemporary attempts to manage sex-a
term that is, in practice, slippery and indefinite, encompassing
gender and gender identity, sexuality and sexual orientation, and
sexual behaviors and practices, along with their outcomes. In each
chapter, the authors analyze the military's evolving definitions of
sex, sexuality, and gender, and the significance of those
definitions to both the military and American society.
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