Can\u27t Be Tamed: A Feminist Analysis of Apocrypha and Other Scripture

This paper is my own unique feminist analysis of certain apocryphal texts. Though the texts I use have common themes, they are divided into what I consider the three most societally important aspects of an ancient woman’s identity: virgin, mother, and whore. The Acts of Thecla and The Acts of Xanthippe and Polyxena deal with virginity. II Maccabees, The Martyrdom of Perpetua and Felicitas, and select chapters of Augustine’s Confessions represent motherhood. Finally, the hagiographies Life of Pelagia and Life of Mary navigate through the mire of sexualities that deviate from norms

Maintaining Intergenerational Solidarity in Mexican Transnational Families

This study explored how Mexican transnational families maintain intergenerational relationships, using five of the dimensions of the intergenerational solidarity framework. Interview data from 13 adult migrant children who lived in the U.S. and their parents who lived in Mexico were analyzed. Structural solidarity was challenged by great distance between families. Families maintained associational solidarity by making contact frequently, though visiting was often restricted by lack of documentation. Functional solidarity was expressed through financial support to parents. This involved remittances sent to parents. However, it should be noted that it was often migrants’ siblings in Mexico who managed these remittances. Affectual solidarity was expressed through statements of love and concern for one another. Normative solidarity and consensual solidarity reflected the value of familismo through financial support and the desire to live together. Several dimensions of intergenerational solidarity are interconnected. This study provides evidence for the relevance of the intergenerational solidarity framework in transnational families and suggests that geographic context is relevant when studying intergenerational relationships

Focussing and levelling in the Auckland voices project

Levelling and focussing are well-documented processes, central to the emergence of new dialects, including to the emergence of New Zealand English as a distinct variety in the last hundred and fifty years. We draw on recent recordings from three areas in Auckland to examine the extent to which levelling and focussing continue to be relevant today. Most work on NZ English as a new dialect has concentrated on phonology; we extend the analysis to syntax. We consider the structure of relative clauses used in communities which have very different demographic profiles and histories of immigration. We find evidence that levelling and focussing continue to underpin the development of post-colonial English in New Zealand. Our data suggests that speakers draw on linguistically motivated solutions to the choice among variants when focussing occurs

Definite Change Taking Place: Determiner Realization in Multiethnic Communities in New Zealand

This paper examines data from three communities in Auckland, New Zealand’s largest and most ethnically diverse city. The purpose is to determine whether some of the surprising sociolinguistic patterns emerging in communities where there has been extensive immigration generalise to other, similar urban areas. We examine the realisation of \u27the\u27 prevocalically (N=747): Standard English prescribes [ði], but [ðə] is generalised for many speakers and this generalization typifies many contact varieties of English. Our research confirms that this variant is a diagnostic of highly mixed communities; it occurs principally in the speech of L1 speakers of English exposed to large numbers of L2 English speakers in the two preceding generations. However, we do not find young men leading the change as they do in London. Our analysis suggests that closer scrutiny of the phonetics of unstressed vowels (usually of little interest in variationist sociolinguistics) is warranted, as the quality of these too and how they interact with other vowels in the system may be subject to intergenerational change

Cost-Effectiveness of an Online Intervention for Caregivers of People Living With Dementia

OBJECTIVES: Little evidence exists on costs or cost-effectiveness of online interventions for caregivers of people living with dementia. We aimed to assess cost-effectiveness of online cognitive behavioral therapy (CBT) for dementia caregivers with mild-to-moderate depression/anxiety, with or without telephone support, relative to a psychoeducational control treatment. DESIGN: Cost-effectiveness study of data from 3-armed randomized controlled trial comparing computerized CBT (cCBT) or telephone-supported cCBT (cCBT+Telephone) to modular online educational program on dementia (Psychoeducation). SETTING AND PARTICIPANTS: UK-resident adult dementia caregivers with mild-to-moderate anxiety/depression. COST-EFFECTIVENESS ANALYSIS: We calculated health and social care costs, from participant-reported data collected at baseline, 12, 26 weeks, costs of intervention delivery. We examined 3 outcomes: cost of one-point reduction in General Health Questionnaire-12 (GHQ-12) rating at 26-weeks, cost of prevented "caseness" on GHQ-12 at 26 weeks, and cost per quality-adjusted life year (QALY) based on Short Form-6 Dimensions (SF-6D) over 26 weeks. RESULTS: Data from 176 participants (44 cCBT, 91 cCBT+Telephone, 41 Psychoeducation) were analyzed. Costs did not differ between cCBT and Psychoeducation; costs were £125 higher in cCBT+Telephone. Control and intervention groups did not differ on GHQ-12. Caseness was lower in cCBT+Telephone than Psychoeducation; cost of preventing a case was £610, and probability of cost-effectiveness on this outcome reached 98.5% at willingness to pay (WTP) of £12,900. Mean QALY did not differ between cCBT+Telephone and Psychoeducation. QALY gain in cCBT was 0.01 (95% CI 0.001, 0.021). Cost per QALY was £8130. Although base case probability of cost-effectiveness of cCBT was 93% at WTP-per-QALY of £27,600, sensitivity analyses suggested cCBT+Telephone was the more cost-effective. CONCLUSIONS AND IMPLICATIONS: We report preliminary evidence for adopting telephone-supported online CBT. This may be cost-effective in preventing a case of mental health disorder if, absent a societally accepted WTP threshold for this outcome, payers are willing to pay £12,900. Future research should investigate whether supported/unsupported online CBT improves health-related quality of life

Prevalence of and Factors Associated with Negative Microscopic Diagnosis of Cutaneous Leishmaniasis in Rural Peru.

Cutaneous leishmaniasis is endemic to South America where diagnosis is most commonly conducted via microscopy. Patients with suspected leishmaniasis were referred for enrollment by the Ministry of Health (MoH) in Lima, Iquitos, Puerto Maldonado, and several rural areas of Peru. A 43-question survey requesting age, gender, occupation, characterization of the lesion(s), history of leishmaniasis, and insect-deterrent behaviors was administered. Polymerase chain reaction (PCR) was conducted on lesion materials at the Naval Medical Research Unit No. 6 in Lima, and the results were compared with those obtained by the MoH using microscopy. Factors associated with negative microscopy and positive PCR results were identified using

Delusions in frontotemporal lobar degeneration

We assessed the significance and nature of delusions in frontotemporal lobar degeneration (FTLD), an important cause of young-onset dementia with prominent neuropsychiatric features that remain incompletely characterised. The case notes of all patients meeting diagnostic criteria for FTLD attending a tertiary level cognitive disorders clinic over a three year period were retrospectively reviewed and eight patients with a history of delusions were identified. All patients underwent detailed clinical and neuropsychological evaluation and brain MRI. The diagnosis was confirmed pathologically in two cases. The estimated prevalence of delusions was 14 %. Delusions were an early, prominent and persistent feature. They were phenomenologically diverse; however paranoid and somatic delusions were prominent. Behavioural variant FTLD was the most frequently associated clinical subtype and cerebral atrophy was bilateral or predominantly right-sided in most cases. We conclude that delusions may be a clinical issue in FTLD, and this should be explored further in future work

Use of complementary and alternative medicine and breast cancer survival in the Health, Eating, Activity, and Lifestyle Study

PURPOSE: Use of complementary and alternative medicine (CAM) is common among breast cancer patients, but less is known about whether CAM influences breast cancer survival. METHODS: Health Eating, Activity, and Lifestyle (HEAL) Study participants (n = 707) were diagnosed with stage I-IIIA breast cancer. Participants completed a 30-month post-diagnosis interview including questions on CAM use (natural products such as dietary and botanical supplements, alternative health practices, and alternative medical systems), weight, physical activity, and comorbidities. Outcomes were breast cancer-specific and total mortality, which were ascertained from the Surveillance Epidemiology and End Results registries in Western Washington, Los Angeles County, and New Mexico. Cox proportional hazards regression models were fit to data to estimate hazard ratios (HR) and 95 % confidence intervals (CI) for mortality. Models were adjusted for potential confounding by sociodemographic, health, and cancer-related factors. RESULTS: Among 707 participants, 70 breast cancer-specific deaths and 149 total deaths were reported. 60.2 % of participants reported CAM use post-diagnosis. The most common CAM were natural products (51 %) including plant-based estrogenic supplements (42 %). Manipulative and body-based practices and alternative medical systems were used by 27 and 13 % of participants, respectively. No associations were observed between CAM use and breast cancer-specific (HR 1.04, 95 % CI 0.61-1.76) or total mortality (HR 0.91, 95 % CI 0.63-1.29). CONCLUSION: Complementary and alternative medicine use was not associated with breast cancer-specific mortality or total mortality. Randomized controlled trials may be needed to definitively test whether there is harm or benefit from the types of CAM assessed in HEAL in relation to mortality outcomes in breast cancer survivors