Forced Sexual Relations Among Young Women in Developing Countries

Recent research in developing countries suggests that a considerable number of young women may experience forced sex within marriage, but most women may be inhibited from reporting these experiences due to shame, fear of reprisal or deep-rooted unequal gender norms.The consequences of domestic violence can be severe, and in fact, intimate partner violence is one of the leading causes of death among women 15-44 years of age.(1) Papers highlighting the nature and prevalence of coercion among married young women were presented at a global consultative meeting in New Delhi.Evidence comes from small-scale studies and large population-based surveys, such as Demographic and Health Surveys (DHS), from some developing countries. Many women may under report coercion by a partner within marriage, and there are variations in the framing of questions posed, methods of data collection and the reference period, making findings of small-scale studies difficult to compare. However, available data give an idea of the extent and nature of coercion that married young women experience. Studies reveal that sexual coercion within marriage includes deception, verbal threats or psychological intimidation to obtain sex, attempted rape and forced penetrative sex.(2)Forced marital sex can be accompanied by physical or emotional violence. Sexual coercion is observed in marital partnerships in diverse settings such as South Asia, Latin America, Africa and the Middle East. Although cultural settings and contexts condition the nature of coercion among married young women, there are striking similarities across different settings

Fluoride degradable and thermally debondable polyurethane based adhesive

We report the one-pot, solvent free synthesis of a stimuli-responsive polyurethane (PU) adhesive. The hard domains within the supramolecular PU network contain a silyl protected phenol ‘degradable unit’ (DU). The DU undergoes rapid decomposition (<30 minutes) upon treatment with fluoride ions which causes depolymerisation of the linear PU adhesive. The mechanism of depolymerisation was investigated in solution using 1H NMR spectroscopy by following the degradation of the polymer in the presence of tetra-butylammonium fluoride (TBAF). In the absence of fluoride ions, the material behaves as a typical thermoplastic adhesive, and underwent four adhesion/separation cycles without loss of strength. The fluoride initiated depolymerisation of the PU adhesive in the solution state was verified by GPC analysis, showing reduction in Mn from 26.1 kg mol−1 for the pristine PU to 6.2 kg mol−1 for the degraded material. Degradation studies on solid samples of the PU which had been immersed in acetone/TBAF solution for 30 minutes exhibited a 91% reduction in their modulus of toughness (from 27 to 2 MJ m−3). Lap shear adhesion studies showed the fluoride responsive PU was an excellent material to join metallic, plastic, glass and wood surfaces. Pull adhesion tests confirmed that immersing the adhesive in TBAF/acetone solution resulted in a reduction in strength of up to 40% (from 160 N to 95 N at break) after drying

A pragmatic randomized trial comparing tablet computer informed consent to traditional paper-based methods for an osteoporosis study

AbstractObjectiveMethods to improve informed consent efficiency and effectiveness are needed for pragmatic clinical trials. We compared informed consent using a tablet computer to a paper approach to assess comprehension and satisfaction of patients and clinic staff for a future osteoporosis clinical trial.MethodsNine community-based practices identified and recruited patients to compare the informed consent processes (tablet vs. paper) in a mock osteoporosis clinical trial. The tablet informed consent included an animation summarizing the trial, complete informed consent document, and questions to assess and reinforce comprehension of the study. Participants were women age ≥55 years with ≥1 year of alendronate use. We surveyed participants to assess comprehension and satisfaction and office staff for satisfaction and perceived time demands.ResultsThe nine practices enrolled 33 participants. There was not a significant difference in comprehension between the tablet vs. paper informed consent [mean (SD) tablet: 12.2 (1.0) vs. paper: 11.4 (1.7)]. Office staff preferred the tablet to the paper informed consent for identifying potential study participants (two-sided t-test p = 0.02) despite an increased perceived time spent to complete the tablet process [tablet: 28.3 min (SD 16.3) vs. paper: 19.0 min (SD 6.9); p = 0.08].ConclusionsAlthough, there were no significant differences in participant satisfaction and comprehension with the tablet informed consent compared to a paper informed consent, patients and office staff trended towards greater satisfaction with the tablet informed consent. Larger studies are needed to further evaluate the utility of electronic informed consent in pragmatic clinical trials

Culture change in elite sport performance teams: Examining and advancing effectiveness in the new era

Reflecting the importance of optimizing culture for elite teams, Fletcher and Arnold (2011) recently suggested the need for expertise in culture change. Acknowledging the dearth of literature on the specific process, however, the potential effectiveness of practitioners in this area is unknown. The present paper examines the activity's precise demands and the validity of understanding in sport psychology and organizational research to support its delivery. Recognizing that sport psychologists are being increasingly utilized by elite team management, initial evidence-based guidelines are presented. Finally, to stimulate the development of ecologically valid, practically meaningful knowledge, the paper identifies a number of future research directions

Change management: The case of the elite sport performance team

The effective and efficient implementation of change is often required for both successful performance and management survival across a host of contemporary domains. However, although of major theoretical and practical significance, research to date has overlooked the application of change management (hereafter CM) knowledge to the elite sport performance team environment. Considering that the success of ‘off-field’ sports businesses are largely dependent on the performances of their ‘on-field’ team, this article explores the application of current CM theorizing to this specific setting and the challenges facing its utility. Accordingly, we identify the need and importance of developing theory specific to this area, with practical application in both sport and business, through examination of current knowledge and identification of the domain's unique, dynamic and contested properties. Markers of successful change are then suggested to guide initial enquiry before the article concludes with proposed lines of research which may act to provide a valid and comprehensive theoretical account of CM to optimize the research and practice of those working in the field

An alternative view of self-discharge against medical advice:an opportunity to demonstrate empathy, empowerment, and care

In this article, we present the experiences of discharging against medical advice from the perspectives of 17 hospital and community-based health care practitioners, and 16 patients, and relatives from a range of medical and surgical wards. Semistructured, in-depth interviews were conducted and thematically analyzed. We identified that practitioners, patients, and relatives frequently expressed empathy for each other during the interviews, and discharge against medical advice was presented as a way for patients to have control over their health. Contrary to predominantly negative framings that highlight increased mortality and morbidity, and portray people who discharge against medical advice as poor decision makers, we conclude discharge against medical advice can be framed positively. It can be an opportunity to empathize, empower, and care. We recommend that the vocabulary used in hospital discharge against medical advice policies and documents should be updated to reflect a culture of medicine that values patient autonomy, patient centeredness, and shared decision making

Fluoride-responsive debond on demand adhesives: manipulating polymercrystallinity and hydrogen bonding to optimise adhesion strength at lowbonding temperatures

This paper reports the solvent-free synthesis of a series of sixfluoride responsive debond-on-demand poly-urethane (PU) adhesives that contain a silyl functionalised degradable unit (DU). To optimise the adhesionstrength and debonding nature of the adhesives, the chemical composition of the PUs was varied according tothe structure of the polyol or the diisocyanate component in the polymer mainchain.1H NMR spectroscopy wasused to study the depolymerisation behaviour in solution state. It showed thattetra-butylammoniumfluoride(TBAF) triggered the breakdown of the DU unit without fragmenting the polyol mainchain indiscriminately. Onexposure tofluoride ions, the PUs underwent depolymerisation with reductions in Mnranging from 64 to 90% asmeasured by GPC analysis. The morphology and thermal properties of the PUs were characterised by differentialscanning calorimetry (DSC), rheology and variable temperature (VT) SAXS/WAXS analysis. Each techniquedemonstrated the reversibility of the supramolecular polymer network under thermal stimuli. PUs containingpoly(butadiene) soft segments were amorphous with glass transition and viscoelastic transition temperaturesdependent on the nature of the soft segment and diisocyanate starting materials. The PU containing a polyestersoft segment exhibited a defined melting point at 49 °C. Mechanical stress-strain analysis of the series of PUsshowed each exhibited greater than 70% reduction in toughness after treatment with TBAF for 30 min as aconsequence of the chemo-responsive degradation of the polymer mainchain. The material featuring an ester-based polyol demonstrated excellent adhesion at bonding temperatures as low as 60 °C. Moreover, this materialcould be thermally rebonded if broken by force without loss in adhesion strength over three debond-rebondcycles. Lap shear adhesion tests showed a reduction in adhesive strength of approximately 40% (from 11.4 MPato 7.3 MPa) on exposure tofluoride ion

Health care providers' attitudes towards termination of pregnancy: A qualitative study in South Africa

<p>Abstract</p> <p>Background</p> <p>Despite changes to the abortion legislation in South Africa in 1996, barriers to women accessing abortion services still exist including provider opposition to abortions and a shortage of trained and willing abortion care providers. The dearth of abortion providers undermines the availability of safe, legal abortion, and has serious implications for women's access to abortion services and health service planning.</p> <p>In South Africa, little is known about the personal and professional attitudes of individuals who are currently working in abortion service provision. Exploring the factors which determine health care providers' involvement or disengagement in abortion services may facilitate improvement in the planning and provision of future services.</p> <p>Methods</p> <p>Qualitative research methods were used to collect data. Thirty four in-depth interviews and one focus group discussion were conducted during 2006 and 2007 with health care providers who were involved in a range of abortion provision in the Western Cape Province, South Africa. Data were analysed using a thematic analysis approach.</p> <p>Results</p> <p>Complex patterns of service delivery were prevalent throughout many of the health care facilities, and fragmented levels of service provision operated in order to accommodate health care providers' willingness to be involved in different aspects of abortion provision. Related to this was the need expressed by many providers for dedicated, stand-alone abortion clinics thereby creating a more supportive environment for both clients and providers. Almost all providers were concerned about the numerous difficulties women faced in seeking an abortion and their general quality of care. An overriding concern was poor pre and post abortion counselling including contraceptive counselling and provision.</p> <p>Conclusion</p> <p>This is the first known qualitative study undertaken in South Africa exploring providers' attitudes towards abortion and adds to the body of information addressing the barriers to safe abortion services. In order to sustain a pool of abortion providers, programmes which both attract prospective abortion providers, and retain existing providers, needs to be developed and financial compensation for abortion care providers needs to be considered.</p

The retirement experiences of elite female gymnasts: Self identity and the physical self

This study explored experiences of retirement from elite sport among a sample of retired female gymnasts. Given the young age at which female gymnasts begin and end their sport careers, particular attention was afforded to the role of identity and the physical self in the process of adaptation. Retrospective, semi-structured interviews were conducted and interview transcripts analyzed using interpretative phenomenological analysis. Analysis indicated that retirement from gymnastics engendered adjustment difficulties for six of the seven participants. Identity loss was particularly salient, and for two gymnasts, physical changes associated with retirement were a further source of distress. The challenge of athletic retirement was intensified because the gymnasts had heavily invested in sport during adolescence, a period demarcated for the pursuit of an identity. Furthermore, their retirement coincided with a time when adolescents typically undergo profound changes physiologically. Practical suggestions to facilitate athletes' disengagement from sport are discussed

The Nature of Knowledge in Composition and Literary Understanding: The Question of Specificity

↵PETER SMAGORINSKY is Assistant Professor, College of Education, University of Oklahoma, 820 Van Vleet Oval, Norman, OK 73019-0. He specializes in classroom literacy.Yeshttps://us.sagepub.com/en-us/nam/manuscript-submission-guideline