The Big Squeeze: A Social and Political History of the Controversial Mammogram

[Excerpt] The Big Squeeze: A Social and Political History of the Controversial Mammogram chronicles the often turbulent history of screening mammography since its introduction in the early 1970s. This book makes five key points. First, it shows how pivotal decisions during mammography\u27s initial roll-out made it all but inevitable that the test would never be far from controversy. Second, it describes how, at several key points in its history, the establishment of a culture of mammography screening was greatly aided by concurrent social and political forces and movements. Third, it illustrates how politics came to dominate the debate, eventually achieving primacy over science itself. Fourth, The Big Squeeze describes the collateral economy that developed around screening. As mammography was aggressively promoted in the late 1980s to early 1990s, utilization rates rapidly increased. As this occurred, the mundane mammogram became the little pink engine that could, and did, drive the growth of a vast screening-dependent secondary economy. Finally, mammography\u27s burden, overdiagnosis, is considered in the last chapter. Overdiagnosis, the screening detection of cancers that would never otherwise have come to light in the individual\u27s lifetime, is an important yet woefully underdiscussed risk of mammography. This phenomenon is more significant than that, however. Overdiagnosis helped make fighting breast cancer the most favored disease cause and mammography the most favored weapon in the fight

The MacArthur Foundation in Nigeria: Report on Activities 2006

Contains president's message, foundation information, information on focus areas and programs in Nigeria, grantee profiles, lists of recent grants, and lists of board members and staff

Practice Patterns Contributing to Positive Patient Outcomes by Nurse Practitioners

Purpose: The purpose of this study was to identify NP practice patterns most important for positive patient outcomes. Data Sources: A convenience sample (n = 93) of Nurse Practitioners attending the 2005 California Association for Nurse Practitioners Conference (N = 535) completed the survey. Conclusions: The most important practice patterns identified were associated with patient-centered care. When analyzed with years in practice, patient-centered practice patterns continued to be the most important. This study suggests that patient-centered practice patterns are most important to positive patient outcomes for NPs. Implications for practice: Identifying the practice patterns that are most important to positive patient outcomes creates a distinct picture of the quality of care that is unique to nursing. As the role of NP continues to expand and be defined, these practice patterns will provide evidence of the unique quality of care given by the NP profession

Mental health of victims of sexual violence in eastern Congo: associations with daily stressors, stigma, and labeling

Background: The conflict-ridden context of eastern Congo has set the scene for grueling human rights violations, with sexual violence as one of the 'weapons of war'. Currently, sexual violence continues, with a considerable increase in civilian perpetrators. However, little is known regarding the particular impact of different experiences of sexual violence on adolescents' mental health. This study therefore investigates the impact of sexual violence on eastern Congolese adolescents' mental health and its differing associations with daily stressors, stigma, and the labeling of sexual violence (as 'rape' or 'non-consensual sexual experience'). Methods: A cross-sectional, population-based survey design was implemented in 22 secondary schools, randomly selected from a stratified sample, in Bunia, eastern Congo, a region extensively affected by war. A total of 1,305 school-going adolescent girls aged 11 to 23 participated. Self-report measures of mental health symptoms, war-related traumatic events, experiences of sexual violence, daily stressors, and stigmatization were administered. Differences in sociodemographic characteristics, traumatic experiences and daily and social stressors between types of sexual violence (rape, non-consensual sexual violence, no sexual violence) were explored through statistical analysis. ANCOVA analyses investigated associations between those risk factors and adolescents' mental health. Results: More than one third of eastern Congolese adolescent girls reported experiences of sexual violence. Elevated levels of daily stressors, experiences of stigmatization, and stressful war-related events were found amongst girl victims of sexual violence, with the highest levels for girls who labeled the sexual violence as rape. Daily stressors, stigmatization, and war-related events showed a large impact on the girls' mental health. Last, girls who labeled the sexual violence as non-consensual sexual experiences reported more post-traumatic hyper-arousal and intrusion symptoms compared to those labeling the sexual violence as rape. Conclusions: These findings point to the important association between how war-affected adolescent girls label sexual violence (rape or non-consensual sexual experiences) and their mental health. This study also documents the large impact of sexual violence on other stressors (daily stressors, stigmatization, and stressful war events) and the impact of these stressors on girl victims' mental health. It discusses important implications for addressing sexual violence and its consequences in war-affected contexts

Executive Summary: Evaluation of the MacArthur Foundation's Human Rights and International Justice Grantmaking in Nigeria 2000-2012

The MacArthur Foundation commissioned Itad to conduct an evaluation of the Foundation's Human Rights and International Justice (HRIJ) grant?making program in Nigeria between 2000 and 2012. During this period, the Foundation supported 102 HRIJ projects with an end?date in 2000 or later, for a total grant amount of US$23,945,010. The projects broadly fell within the following thematic categories:- Accountability of democratic institutions, including the police- Justice: legal and judicial reform, including international justice standards - Protection and promotion of human rightsThe evaluation was commissioned to seek answers to the following questions: - Approach and strategy: o What has changed in the wider Nigerian HRIJ landscape in Nigeria since 2000? o What was the Foundation's HRIJ grantmaking strategy in Nigeria over this time? o How has the Foundation responded to change in the wider environment? o How has the implementation of grants contributed to strategic aims? - Impact: o What have been the main results of the Foundation's investments? o What was the Foundation's primary contribution to Nigeria HRIJ issues? o What lessons can be drawn for future HRIJ grantmaking in Nigeria

Human Rights and Human Development: earning from Those Who Act

human development, human rights

Statements of Interest: Addendum to the Testimony of 9 To 5, the National Association of Working Women, et al. Before the Commission on the Future of Worker-Management Relations

Addendum_Lichtman_et_al_040694.pdf: 179 downloads, before Oct. 1, 2020

Participation in college sports and protection from sexual victimization

Some sociologists have argued that sport is a male-dominated institution and sexist culture in which female athletes experience various forms of discrimination, including sexual harassment from coaches and male athletes. Some research does indicate that female athletes suffer higher rates of sexual victimization from authority figures in sport than their nonathletic counterparts in education and the workplace. In contrast, researchers have also speculated that athletic participation can protect female athletes from sexual victimization through a variety of social-psychological mechanisms such as team membership, physical strength, and self-confidence. This paper reports on the first descriptive analysis to test the “sport protection hypothesis” among both female and male athletes, using cross-tabulation secondary analyses of data from the National College Health Risk Behavior Survey, conducted in 1995 by the U.S. Centers for Disease Control and Prevention (N=4814). USA college students of traditional undergraduate age (aged 18-24) were included in the sample (N=2903). Some limited support for the protection hypothesis was found, and student athletes were significantly less likely to report sexual victimization during their late high school and early college years than their nonathletic counterparts. A gender gap in the pattern of sexual victimization also appeared between males and females across all student age groups, with females experiencing more sexual victimization than males. However, no significant gender gap was found among athletes. The results are discussed in relation to previous studies of campus athletes and to college prevention policy

Conflict, food insecurity, and globalization:

"We explore how globalization, broadly conceived to include international humanrights norms, humanitarianism, and alternative trade, might influence peaceful and foodsecure outlooks and outcomes. The paper draws on our previous work on conflict as a cause and effect of hunger and also looks at agricultural exports as war commodities. We review studies on the relationships between (1) conflict and food insecurity, (2) conflict and globalization, and (3) globalization and food insecurity. Next, we analyze countrylevel, historical contexts where export crops, such as coffee and cotton, have been implicated in triggering and perpetuating conflict. These cases suggest that it is not export cropping per se, but production and trade structures and food and financial policy contexts that determine peaceful or belligerent outcomes. Export cropping appears to contribute to conflict when fluctuating prices destabilize household and national incomes and when revenues fund hostilities. Also, in these scenarios, governments have not taken steps to progressively realize the right to adequate food or to reduce hunger and poverty. We conclude by exploring implications for agricultural development, trade, and human rights policies." Authors' AbstractHunger, Conflict, war, Globalization, Crops, exports, coffee, Cotton, Human rights, Right to food, Fair trade,