Privacy and Impertinence: Talking about Servants in Austen

With a few exceptions Austen does not give servants a distinctive character. Though she may acknowledge the material fact of the labour they do, she rarely brings them forward as individuals. It is noticeable that modern re-writings of Austen's novels often prioritise filling this fictional void. Given the fascinating perspective this offers, it seems pertinent to ask why Austen herself did not do it. This is partly a political question, which also takes us into the social issue of trust and what was appropriate to share in a community. The issue may appear to centre on manners, and has generally been viewed so by critics; but I argue that underlying the manners are ideas about privacy and confidentiality which relate to the way these issues were unfolding in the law—and still are, on both sides of the Atlantic

"Creating something else to be" : negotiating African American female subjectivities in Toni Morrison's Sula, Beloved, and Jazz : a thesis presented in partial fulfilment of the requirements for the degree of Master of Arts in English at Massey University

Toni Morrison's novels, Sula, Beloved, and Jazz delineate the struggles of African American women to attain subject positions in a society where blackness and femaleness mark them as 'others,' and where women are objectified in the male pursuit of subjectivity. Negotiation of a variety of psychoanalytic and feminist theories in reading these texts demonstrates the complexities of African American female subjectivities, and the difficulties of achieving representation of them within a patriarchal and racist order. Morrison's themes and narrative techniques foreground the political implications of acts of reading, writing, and representation, and envisage female subjectivities which disrupt dominant narratives of identity, gender and race. These subjectivities cannot be wholly represented within the dominant order without appropriation, but can be glimpsed as mobile and multiple subjectivities which refuse the masculine economy's structures, and break open prevailing narratives to imagine a female subjective space beyond patriarchal culture, and to re-imagine African American female narratives of self

The reported expression of pain and distress by people with an intellectual disability

Aims and objectives.  To explore the assumption that people with ID are unable to communicate effectively about pain by examining the extent to which they were reported as using language and behaviour that was readily understandable to others to communicate pain as distinct from distress. Background.  The healthcare needs of people with an intellectual disability (ID) are frequently overlooked or dealt with inappropriately. One proposed reason is the difficulty that such individuals have in communicating about their pain. Design.  A postal questionnaire-based mixed method design was used. Methods.  Data from carer reports (n = 29) of the ways people with ID supported expressed pain and distress were categorised and analysed using descriptive statistics and thematic content analysis. Results.  Nineteen of the 22 people who used verbal communication were reported to express pain using words that would be understandable to someone else, often accompanied by behavioural indications of the location of the pain. The language and behaviour that were reported as being used to express distress was more idiosyncratic, and there was little overlap between this and the ways in which pain was expressed. Conclusion.  The results provide some challenges to the view that people with ID are necessarily unable to communicate effectively about their pain and support the view that pain and distress can be conceptually distinguished and differentially communicated by some people with ID. Relevance to clinical practice.  The results suggest that many people with ID can be active participants in describing their experience of pain and that nurses should attempt to obtain this information directly from the individual during the diagnostic process. Nurses should be mindful of the distinction between pain and distress and should not respond to signs of distress in this group as being indicative of pain, without carrying out further assessment

Applying the water safety plan to water reuse: towards a conceptual risk management framework

The Water Safety Plan (WSP) is receiving increasing attention as a recommended risk management approach for water reuse through a range of research programmes, guidelines and standards. Numerous conceptual modifications of the approach – including the Sanitation Safety Plan, the Water Cycle Safety Plan, and even a dedicated Water Reuse Safety Plan – have been put forward for this purpose. However, these approaches have yet to encapsulate the full spectrum of possible water reuse applications, and evidence of their application to reuse remains limited. Through reviewing the existing evidence base, this paper investigates the potential for adapting the WSP into an approach for water reuse. The findings highlight a need for the management of risk to reflect on, and facilitate the inclusion of, broader contexts and objectives for water reuse schemes. We conclude that this could be addressed through a more integrated approach to risk management, encapsulated within an overarching risk management framework (adapted from the WHO's Framework for safe drinking water) and operationalised through the Water Reuse Safety Plan (WRSP). We also propose that the WRSP should be based on modifications to the existing WSP approach, including an increased emphasis on supporting communication and engagement, and improvements in decision support mechanisms to better account for uncertainty, risk interactions and risk prioritisation

Why is child malnutrition lower in urban than rural areas?

"While ample evidence documents that urban children generally have better nutritional status than their rural counterparts, recent research suggests that urban malnutrition is on the rise. The environment, choices, and opportunities of urbanites differ greatly from those of rural dwellers' from employment conditions to social and family networks to access to health care and other services. Given these differences, understanding the relative importance of the various determinants of child malnutrition in urban and rural areas and especially whether they differ is key to designing context-relevant, effective program and policy responses for stemming malnutrition. This study uses Demographic and Health Survey data from 36 developing countries to address the question of whether the socioeconomic determinants of child nutritional status differ across urban and rural areas. The purpose is to answer the broader question of why child malnutrition rates are lower in urban areas. The socioeconomic determinants examined are women's education, women's status, access to safe water and sanitation, and household economic status. The analysis finds little evidence of differences in the nature of the socioeconomic determinants or in the strength of their associations with child nutritional status across urban and rural areas. As expected, however, it documents marked differences in the levels of these determinants in favor of urban areas. Large gaps in favor of urban areas are also found in the levels of key proximate determinants of child nutritional status, especially maternal prenatal and birthing care, quality of complementary feeding, and immunization of children. The conclusion is that better nutritional status of urban children is probably due to the cumulative effect of a series of more favorable socioeconomic conditions, which, in turn, seems to lead to better caring practices for children and their mothers. Given that the nature of the determinants of child nutritional status is largely the same across urban and rural areas, the same program and policy framework can be used to stem malnutrition in both. Efforts to alleviate the most critical socioeconomic constraints specific to the different environments should continue to be prioritized." Authors' Abstractmalnutrition ,Demographic and Health Survey ,

Why is child malnutrition lower in urban than rural areas?

"While ample evidence documents that urban children generally have better nutritional status than their rural counterparts, recent research suggests that urban malnutrition is on the rise. The environment, choices, and opportunities of urbanites differ greatly from those of rural dwellers' from employment conditions to social and family networks to access to health care and other services. Given these differences, understanding the relative importance of the various determinants of child malnutrition in urban and rural areas and especially whether they differ is key to designing context-relevant, effective program and policy responses for stemming malnutrition. This study uses Demographic and Health Survey data from 36 developing countries to address the question of whether the socioeconomic determinants of child nutritional status differ across urban and rural areas. The purpose is to answer the broader question of why child malnutrition rates are lower in urban areas. The socioeconomic determinants examined are women's education, women's status, access to safe water and sanitation, and household economic status. The analysis finds little evidence of differences in the nature of the socioeconomic determinants or in the strength of their associations with child nutritional status across urban and rural areas. As expected, however, it documents marked differences in the levels of these determinants in favor of urban areas. Large gaps in favor of urban areas are also found in the levels of key proximate determinants of child nutritional status, especially maternal prenatal and birthing care, quality of complementary feeding, and immunization of children. The conclusion is that better nutritional status of urban children is probably due to the cumulative effect of a series of more favorable socioeconomic conditions, which, in turn, seems to lead to better caring practices for children and their mothers. Given that the nature of the determinants of child nutritional status is largely the same across urban and rural areas, the same program and policy framework can be used to stem malnutrition in both. Efforts to alleviate the most critical socioeconomic constraints specific to the different environments should continue to be prioritized." Authors' Abstractmalnutrition ,Demographic and Health Survey ,

Requests for malaria prevention advice to Public Health England, Malaria Reference Laboratory: a retrospective observational study.

BACKGROUND: The Malaria Reference Laboratory (MRL) provides a specialist advisory service for complex queries from healthcare professionals. This study was conducted to examine the types of queries that general practitioners and nurses ask around malaria prophylaxis, to identify issues which are not obvious from existing easily available sources. METHODS: We reviewed all the faxed requests received over a period of 6 months at the MRL. RESULTS: There were a total of 608 queries (104 concerning children) relating to 450 travellers. 98% of requests were from general practice (GP or practice nurse). The most common enquiries were about travellers to multiple destinations (95/529, 17.96%), prolonged duration of travel (70/529, 13.23%), the immunosuppressed (38/529, 7.18%), potential drug interactions (69/529, 13.04%), pregnancy and conception (36, 6.81%). 79/529 queries related to patients with multiple conditions requiring expert advice from the MRL. 27% of the enquiries could have been answered by consulting the UK malaria prophylaxis guidelines available on the MRL site. CONCLUSION: Most queries where practitioners requested help were not easily answered with existing guidelines. Pregnancy and epilepsy are areas where guidance needs strengthening. Difficulties for practitioners were multifactorial, it would be difficult to address all scenarios in guidelines without making them unwieldy

Experiences of Therapists and Occupational Therapy Students Using Video Conferencing in Conduction of Focus Groups

A paucity of literature exists on how to conduct an online focus group. The purpose of this study is to describe and learn from participants’ experiences in using virtual technology in a focus group conducted to refine a low vision assessment. Ten low vision therapists and five master’s level students participated. Two cycles of data collection and analysis occurred, one for focus group transcripts of therapists and another for student replies to a questionnaire. A case-by-case matrix was created and data sorted into three categories including: (1) benefits to using the technology; (2) challenges to using the technology; and (3) suggestions for future use of the technology. Therapists valued communicating with their peers from settings of their choice and students gained satisfaction in facilitating the communication. Optimal data collection with online focus groups requires that researchers be knowledgeable in all the technology features and carefully plan for common technology issues

Impact of environmentally friendly packaging on consumers\u27 attitudes and patronage intentions toward apparel retail brands

Consumer interest in social responsibility (SR) has greatly increased in recent years. Providing environmentally friendly packaging (recycled, reusable) is one example of how apparel retail brands can engage in SR. The objective of this research was to explore the impact of using environmentally friendly packaging on consumers’ attitudes and patronage intentions toward apparel retail brands. To conduct this research, undergraduate and graduate students from a major Mid-South University completed an online survey testing consumers’ perceptions, environmental consciousness, attitudes, and patronage intention. Results from this study revealed that young consumers’ perceptions of environmentally friendly packaging has a positive impact on their environmental consciousness and their attitudes toward apparel retail brands engaged in SR. This study also found that consumers’ environmental consciousness has a positive impact on their attitudes toward apparel retail brands engaged in SR, which lead to patronage intentions toward the brand. These findings imply that providing environmentally friendly packaging is important in enhancing positive attitudes and patronage intentions toward apparel retail brands. Retailers are advised to consider changing their current packaging to environmentally friendly packaging

Common errors made by clinic patients responding to the W-22 and NU-6 word lists

This paper presents a study of common errors made during speech discrimination testing