China’s Islam in Xinjiang: from functionalization to elimination

This thesis examines the practice and effects of the Chinese Communist Party’s religious and minority policies in Xinjiang on the eve of the wholesale repression of Islam and Uyghur culture after 2016. Based on government papers and speeches, publications and communications by the China Islamic Association, as well as fieldwork in Xinjiang itself and among the Uyghur diaspora in Europe between 2013 and 2018, this thesis specifically looks at the shift in the Chinese Communist Party approach to Islam in the context of the “Xinjiang problem”. State restrictions on Uyghur religious life and the state’s apprehensions of Islam as a vessel and cause of Uyghur unrest already existed since the 1990s. The policies of repression and control in Xinjiang have been addressed by several studies, showing that they fueled the use of Islam as an anti-Chinese symbol of resistance. But there was also a state-backed positive policy on Islam, which sought to bind religious communities more firmly to the Party-state, using Islamic scripture and Islamic authority figures to stimulate cultural and political loyalty among Muslims. This thesis looks at this “functionalization” of Islam by the Chinese state to understand what exactly changed in the CCP’s approach in the 2010s, why it changed, and whether the new policies in Xinjiang constituted a deeper shift in the Party’s dealing with religion.Asian Studie

A blended preconception lifestyle programme for couples undergoing IVF:lessons learned from a multicentre randomized controlled trial

Study question: What is the effect of a blended preconception lifestyle programme on reproductive and lifestyle outcomes of couples going through their first 12 months of IVF as compared to an attention control condition?Summery answer:This randomized controlled trial (RCT) was stopped prematurely because of the coronavirus disease 2019 (Covid-19) pandemic but the available data did not suggest that a blended preconception lifestyle programme could meaningfully affect time to ongoing pregnancy or other reproductive and lifestyle outcomes.What is know already:Increasing evidence shows associations between a healthy lifestyle and IVF success rates. Lifestyle programmes provided through a mobile phone application have yet to be evaluated by RCTs in couples undergoing IVF.Study design, size, duration:A multicentre RCT (1:1) was carried out. The RCT started in January 2019 and was prematurely stopped because of the Covid-19 pandemic, leading to a reduced sample size (211 couples initiating IVF) and change in primary outcome (cumulative ongoing pregnancy to time to ongoing pregnancy).Participants/materials, setting, methods:Heterosexual couples initiating IVF in five fertility clinics were randomized between an attention control arm and an intervention arm for 12 months. The attention control arm received treatment information by mobile phone in addition to standard care. The intervention arm received the blended preconception lifestyle (PreLiFe)-programme in addition to standard care. The PreLiFe-programme included a mobile application, offering tailored advice and skills training on diet, physical activity and mindfulness, in combination with motivational interviewing over the telephone. The primary outcome was 'time to ongoing pregnancy'. Secondary reproductive outcomes included the Core Outcome Measures for Infertility Trials and IVF discontinuation. Changes in the following secondary lifestyle outcomes over 3 and 6 months were studied in both partners: diet quality, fruit intake, vegetable intake, total moderate to vigorous physical activity, sedentary behaviour, emotional distress, quality of life, BMI, and waist circumference. Finally, in the intervention arm, acceptability of the programme was evaluated and actual use of the mobile application part of the programme was tracked. Analysis was according to intention to treat.Main results and the role of chance:A total of 211 couples were randomized (105 control arm, 106 intervention arm). The hazard ratio of the intervention for time to ongoing pregnancy was 0.94 (95% CI 0.63 to 1.4). Little to no effect on other reproductive or lifestyle outcomes was identified. Although acceptability of the programme was good (6/10), considerable proportions of men (38%) and 9% of women did not actively use all the modules of the mobile application (diet, physical activity, or mindfulness).Limitations, reasons for caution:The findings of this RCT should be considered exploratory, as the Covid-19 pandemic limited its power and the actual use of the mobile application was low.Wider implications of the findings:This is the first multicentre RCT evaluating the effect of a blended preconception lifestyle programme for women and their partners undergoing IVF on both reproductive and lifestyle outcomes. This exploratory RCT highlights the need for further studies into optimal intervention characteristics and actual use of preconception lifestyle programmes, as well as RCTs evaluating effectiveness.Study fonding/competing intrest(s):Supported by the Research foundation Flanders (Belgium) (FWO-TBM; reference: T005417N). No competing interests to declare.Trial registration number:ClinicalTrials.gov Identifier: NCT03790449TRIAL REGISTRATION DATE 31 December 2018DATE OF FIRST PATIENT'S ENROLMENT 2 January 201

China’s Islam in Xinjiang: from functionalization to elimination

This thesis examines the practice and effects of the Chinese Communist Party’s religious and minority policies in Xinjiang on the eve of the wholesale repression of Islam and Uyghur culture after 2016. Based on government papers and speeches, publications and communications by the China Islamic Association, as well as fieldwork in Xinjiang itself and among the Uyghur diaspora in Europe between 2013 and 2018, this thesis specifically looks at the shift in the Chinese Communist Party approach to Islam in the context of the “Xinjiang problem”. State restrictions on Uyghur religious life and the state’s apprehensions of Islam as a vessel and cause of Uyghur unrest already existed since the 1990s. The policies of repression and control in Xinjiang have been addressed by several studies, showing that they fueled the use of Islam as an anti-Chinese symbol of resistance. But there was also a state-backed positive policy on Islam, which sought to bind religious communities more firmly to the Party-state, using Islamic scripture and Islamic authority figures to stimulate cultural and political loyalty among Muslims. This thesis looks at this “functionalization” of Islam by the Chinese state to understand what exactly changed in the CCP’s approach in the 2010s, why it changed, and whether the new policies in Xinjiang constituted a deeper shift in the Party’s dealing with religion.</p

Patient evaluation of infertility management in an ISO 9001:2008-certified centre for reproductive medicine

Item does not contain fulltextQuality management according to ISO 9001:2008 guidelines includes infertility care quality assessment and improvement. This study aimed to describe the development process of a questionnaire for infertility management. A literature review, qualitative interviews with experts and patients resulted in a content-valid and face-valid questionnaire. Three cross-sectional surveys were performed in 2004, 2007 and 2008 in a tertiary university infertility centre. First (2004), the questionnaire - measuring eight a-priori dimensions of infertility management - was tested. Second (2007), improvement projects for infertility management were evaluated. Third (2008), factor analysis was performed and internal consistency was documented. The developed patient questionnaire to evaluate infertility management and pre-set desired levels of agreement served to set targets for and assess quality improvement projects. The final patient questionnaire to evaluate infertility management within an ISO framework was valid and reliable and contained 14 items covering four dimensions of infertility management: Telephone Access, Reception, Information and Patient-centeredness. ISO 9001:2008-certified infertility centres can evaluate infertility management with this 14-item questionnaire. This top-down approach to evaluate the patients' perspective on quality aspects selected by health professionals can be complementary to the bottom-up approach evaluating the patients' complete experiences of quality of care

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