The Empowering Effects of Cooperative Development Among Indigenous Women in Southern Mexico

Abstract The Zapatista uprising, rebellion, and ongoing attempts to create a new way of life inside Mexico is unique. While Zapatistas have purposely isolated themselves from the Mexican government, they are not isolated from surrounding communities. Zapatista influences can be seen in the practices and organization of cooperatives and in the altered role of indigenous women in the surrounding communities. This study focuses on four cooperatives: one located in the city of San Cristobal de las Casas, Mexico, and the others in rural surrounding areas. The selected collectives produce traditional artisan work, basic food staples, natural personal care products, and herbal medicines. Using a snowball sampling technique, the investigator identified prospective interview participants. Nineteen women participated in 1-2 hour formal interviews, four individually and the others in small group settings; all formal interviews were recorded and transcribed verbatim. Participants ranged in age from early 20s to early 50s; the majority self-identified as Tzotzil and Tzeltal, which represent approximately 71% of the indigenous population in Chiapas. Of the four cooperatives represented, two had direct working relationships with Zapatista cooperatives, and all had practices modeled on the Zapatista movement. Based on a phenomenological analysis of the transcripts, this paper argues that while the cooperatives were developed in response to forced internal displacement and extreme poverty, they were sustained because they provided a new kind of partnership, influenced by the Zapatista Movement, for the women to participate in the support and survival of their families. These findings suggest the potential of cooperatives as a cost-effective tool of development to promote gender role equality worldwide as well as provide recognition that this complex study and novel findings were only possible through a multidisciplinary and transnational academic and community partnership, integrating social work, women’s studies, and geography

Reducing inappropriate hypnotic prescribing using a quality improvement initiative in a rural practice

Context This improvement project was set in a single general practice in rural Lincolnshire, East Midlands, UK. All doctors and practice staff were actively engaged in reducing inappropriate long term prescribing of hypnotic drugs in the practice population as part of a Quality Improvement Collaborative (QIC). Problem Hypnotic drugs are only licensed for short term use but inappropriate long-term prescribing of hypnotics is common. Evidence from previous studies shows that hypnotics have limited therapeutic value and potential for significant adverse cognitive and psychiatric effects. Although there is evidence for hypnotic drug withdrawal programmes there have been few improvement projects showing whether and how this might work in practice. Assessment of problem and analysis of its causes Baseline rates of hypnotic prescribing were analysed and charted using statistical process control (SPC) methods. Patients on repeat prescriptions of hypnotic drugs were identified from the practice database. Causes, solutions and barriers were determined using surveys and focus groups of patients and staff. A withdrawal programme was implemented for all patients on long term hypnotics by writing to patients, arranging a consultation, making a detailed assessment and using techniques such as tapering doses of drugs and using cognitive behavioural therapy for insomnia (CBTi) during general practice consultations. The improvement was supported by a QIC called REST (Resources for Effective Sleep Treatment) which supported the practice team to implement sleep assessment and management tools using plan-do-study-act cycles, process mapping and new protocols. Strategy for change The change was coordinated in the practice over six months, with each practitioner maintaining an agreed and consistent approach for managing sleep problems. All staff including doctors, nurses, administrative staff and practice manager took part. Patients were informed of the planned alteration to their treatment for their sleeping problem via a letter detailing exactly how the new regime would be implemented alongside the reasons for this. Patients were offered an appointment to discuss the proposed changes with their GP and all did so. Measurement of improvement We measured improvement by analysing prescribing rates using statistical process control charts. We also surveyed patients and conducted a focus group to explore the patients’ personal experiences of the new service the support they received during the withdrawal programme and how they manage their sleep now. Effects of changes There was a significant reduction in hypnotic prescribing of benzodiazepines (664.9 to 62.0 ADQ per 1000-STAR-PU) and Z drugs (2156.7 to 120.1A ADQ per STAR-PU) in the practice over the six months of the project and this improvement has been sustained since the initiative. Some patients were initially unhappy about being taken off sleeping tablets but with the approach described were successfully withdrawn. No patients are now prescribed long term benzodiazepines or Z drugs for sleep difficulties in the practice. Psychological treatments for the management of sleep problems are used first-line instead of hypnotics. The transition from hypnotics to psychological treatments is evidence of improvement in patient care. Lessons learnt It is possible to implement a hypnotic withdrawal programme over a relatively short period of time in general practice using a carefully constructed programme applied consistently by staff comprising a letter to patients, tapering of drugs and CBTi supported through education of practitioners in sleep management and quality improvement methods. Message for others Key factors for success in this improvement project were a motivated practice team, a range of solutions which could be adapted locally, expert support on sleep management and quality improvement methods and feedback of results. We will present further data on the experience of patients in this improvement project

The Relationship between Parenting Styles and Self-Esteem for Successive Generations

The purpose of this study was to examine the relationship between parenting styles and self-esteem across three generations: Baby Boomers, Generation X, and Generation Y. The researchers hypothesized that parenting styles from Baby Boomers to Generations X and Y have shifted from authoritarian to permissive, so a decrease in authoritarian parenting behaviors and an increase in permissive parenting styles were expected across the three generations. Further, we expected a decrease in self-esteem across the three generations, and speculate that this hypothesized change in parenting styles might relate to the decreases in the self-esteem of each generation. A total of 111 subjects, both males, and females participated and data were collected using an online survey that combined the Parental Authority Questionnaire (Buri, 1989) and the Rosenberg Self-Esteem Scale (Rosenberg, 1965). The results of this study revealed that Baby Boomer’s parents were more authoritarian than Generation Y’s parents, and Generation Y’s parents were more permissive than BB parents. In addition, Generation Y had lower self-esteem than the Baby Boomers. Generation X revealed no discernible differences with parenting style or self-esteem. Therefore, in support of the hypotheses, there was evidence that parenting styles have gotten more permissive, and that self-esteem has gotten lower across the three generations. These findings lend support to the argument that increasing parental permissiveness may relate to decreasing self-esteem

A New Bispectral Test for Nonlinear Serial Dependence

Bispectrum, nonlinearity, time series analysis

Neonatal care practices in sub-Saharan Africa: a systematic review of quantitative and qualitative data.

BACKGROUND: Recommended immediate newborn care practices include thermal care (immediate drying and wrapping, skin-to-skin contact after delivery, delayed bathing), hygienic cord care and early initiation of breastfeeding. This paper systematically reviews quantitative and qualitative data from sub-Saharan Africa on the prevalence of key immediate newborn care practices and the factors that influence them. METHODS: Studies were identified by searching relevant databases and websites, contacting national and international academics and implementers and hand-searching reference lists of included articles. English-language published and unpublished literature reporting primary data from sub-Saharan Africa (published between January 2001 and May 2014) were included if it met the quality criteria. Quantitative prevalence data were extracted and summarized. Qualitative data were synthesized through thematic analysis, with deductive coding used to identify emergent themes within each care practice. A framework approach was used to identify prominent and divergent themes. RESULTS: Forty-two studies were included as well as DHS data - only available for early breastfeeding practices from 33 countries. Results found variation in the prevalence of immediate newborn care practices between countries, with the exception of skin-to-skin contact after delivery which was universally low. The importance of keeping newborn babies warm was well recognized, although thermal care practices were sub-optimal. Similar factors influenced practices across countries, including delayed drying and wrapping because the birth attendant focused on the mother; bathing newborns soon after delivery to remove the dirt and blood; negative beliefs about the vernix; applying substances to the cord to make it drop off quickly; and delayed breastfeeding because of a perception of a lack of milk or because the baby needs to sleep after delivery or does not showing signs of hunger. CONCLUSION: The majority of studies included in this review came from five countries (Ethiopia, Ghana, Malawi, Tanzania and Uganda). There is a need for more research from a wider geographical area, more research on newborn care practices at health facilities and standardization in measuring newborn care practices. The findings of this study could inform behaviour change interventions to improve the uptake of immediate newborn care practices

Quantitative acoustic analysis of the vocal repertoire of the golden rocket frog (\u3ci\u3eAnomaloglossus beebei\u3c/i\u3e)

This study describes the vocal repertoire of the Guyanan golden rocket frog, Anomaloglossus beebei, a bromeliad specialist with biparental care. Using multivariate analyses of nine call properties, as well as the occurrence of nonlinear phenomena, three signal types were distinguished—advertisement, courtship, and aggressive calls. Although all three call types were composed of a short series of rapidly repeated pulses, advertisement calls were produced at higher amplitudes and had longer pulse durations than both courtship calls and aggressive calls. Courtship calls exhibited lower dominant frequencies than both advertisement and aggressive calls, which had similar dominant frequencies. Aggressive calls had more pulses per call, had longer intervals between calls, and occasionally contained one or two introductory pulses preceding the pulsed call. Several acoustic properties predicted aspects of the signaler\u27s body size and condition. Our study demonstrates the reliability of human observers to differentiate the multiple call types of A. beebei based on hearing calls and observing the social context in which they are produced under field conditions

Two-dimensional Yang-Mills theory in the leading 1/N expansion revisited

We obtain a formal solution of an integral equation for $q\bar q$ bound states, depending on a parameter \eta which interpolates between 't Hooft's (\eta=0) and Wu's (\eta=1) equations. We also get an explicit approximate expression for its spectrum for a particular value of the ratio of the coupling constant to the quark mass. The spectrum turns out to be in qualitative agreement with 't Hooft's as long as \eta \neq 1. In the limit \eta=1 (Wu's case) the entire spectrum collapses to zero, in particular no rising Regge trajectories are found.Comment: CERN-TH/96-364, 13 pages, revTeX, no figure