Exploring Russian-speaking identity from below: the case of Latvia

Recent research on the acculturation strategies of Russian speakers in Latvia has demonstrated that there is a high level of support for integration (identifying with both Latvian and Russian cultures) compared to marginalization, separation, or assimilation. However, a number of researchers have also highlighted the negative impact of top-down narratives and discourses produced by the country's politicians and journalists. These discourses, it is argued, hamper the integration process by creating incompatible identity positions between ‘Russian-speakers’ and ‘Latvians’. Accordingly, this research turns to focus group interviews with Russian speakers in Latvia in order to uncover the nuances of their identity-forming processes, their relations with the respective Russian and Latvian states, and their acculturation strategies, which are commonly overlooked in top-down accounts. Based on the analysis of the qualitative data it will be argued that there is great potential for an integrated, yet culturally distinct Latvian-Russian identity in Latvia

The Russian-speaking populations in the post-Soviet space: language, politics and identity

No abstract available

Identity, memory, temporality and discourse: the evolving discursive positions of Latvia's Russian-speakers

This thesis examines how discourses are utilised by media and political elites to construct, propagate, and alter national and ethnic identities. It uses Latvia as a case study, focusing on the construction of ‘Russian-speaking’ identity from the late Soviet period to the present. A central aim of this research is to study how discursive constructions of identity are created, and to what extent media and politicians are able to influence such constructions. In order to meaningfully assess the extent of multiple influences over discursive production and consumption this research employs a triangulated approach, using data from focus groups, elite interviews with Latvian politicians, survey data, and discourse analysis of the Latvian press. This has allowed for a fuller examination and assessment of top-down and bottom-up influences and pressures on identity creation and how these are interrelated. Previously conducted research on ethnopolitical identities in Latvia has revealed how collective memories, interpretations of the Soviet past, post-Soviet state-building policies, and issues surrounding language usage are all heavily politicised and used to demarcate the boundaries between the ‘core nation’ (Latvians) on the one hand, and ‘Russian-speakers’ on the other. Accordingly, this research explores how the constructions of these positions are negotiated, propagated, intensified, or mitigated through discursive practices, as manifested in media, political, or personal discourses. This research is concerned with the temporally contingent nature of discourses and as such, considers multiple eras, rather than a single de-contextualised and static time period, to investigate how discourses have evolved in the Latvian context. By comparing discursive productions from the late Soviet period with those of the present, it has been possible to examine how certain discursive positions have become meaningfully embedded within popularly conceived notions of identity. It has also facilitated a study of discursive strategies by people who attempt to represent Russian-speakers in the media and political spaces. This research argues that discourses are firmly rooted in the past, even if their contemporary form differs greatly from that of the past

Identity and integration of Russian speakers in the Baltic states: a framework for analysis

Following a review of current scholarship on identity and integration patterns of Russian speakers in the Baltic states, this article proposes an analytical framework to help understand current trends. Rogers Brubaker's widely employed triadic nexus is expanded to demonstrate why a form of Russian-speaking identity has been emerging, but has failed to become fully consolidated, and why significant integration has occurred structurally but not identificationally. By enumerating the subfields of political, economic, and cultural ‘stances’ and ‘representations’ the model helps to understand the complicated integration processes of minority groups that possess complex relationships with ‘external homelands’, ‘nationalizing states’ and ‘international organizations’. Ultimately, it is argued that socio-economic factors largely reduce the capacity for a consolidated identity; political factors have a moderate tendency to reduce this capacity, whereas cultural factors generally increase the potential for a consolidated group identity

Use of Placebo in Supplementation Studies-Vitamin D Research Illustrates an Ethical Quandary.

History has shown that without explicit and enforced guidelines, even well-intentioned researchers can fail to adequately examine the ethical pros and cons of study design choices. One area in which consensus does not yet exist is the use of placebo groups in vitamin supplementation studies. As a prime example, we focus on vitamin D research. We aim to provide an overview of the ethical issues in placebo-controlled studies and guide future discussion about the ethical use of placebo groups. Research in the field of vitamin D shows variation in how placebo groups are used. We outline four types of control groups in use: active-control, placebo-control with restrictions on supplementation, placebo-control without supplementation restrictions, and placebo-control with rescue repletion therapy. The first two types highlight discrete ethical issues: active-control trials limit the ability to detect a difference; placebo-control trials that restrict supplementation potentially place subjects at risk of undue harm. The final two, placebo-control without supplementation restrictions or with rescue repletion therapy, offer potential solutions to these ethical challenges. Building on this, guidelines should be established and enforced on the use of placebo in supplementation studies. Furthermore, the field of vitamin D research has the potential to set an example worthy of emulation

Horizontal citizenship in Estonia: Russian speakers in the borderland city of Narva

This paper critically interrogates the notion of ‘citizenship’ from the politically-charged perspective of Russian speakers in Estonia. Drawing on a broad range of critical citizenship literatures, and ethnographic examples from the borderland city of Narva, we propose re- and de-centring citizenship away from universalising conceptions, towards a historically and culturally grounded horizontal perspective on citizenship. While cognisant of dominant, state-centric approaches in Estonia, we present citizenship as a process unfolding through individual, everyday practices of belonging. We demonstrate how Russian speakers, excluded from membership in the Estonian community, can still become members in many less-formal ways, through vibrant interaction with local space

A Clinical Score to Predict Dose Reductions of Antidiabetes Medications with Intentional Weight Loss: A Retrospective Cohort Study.

Abstract Background We assessed the predictive accuracy of an empirically-derived score (weight loss, insulin resistance, and glycemic control: “WIG”) to predict patients who will be successful in reducing diabetes mellitus (DM) medication use with weight loss. Methods Case records of 121 overweight and obese patients with DM at two outpatient weight management centers were analyzed. Results Mean period of follow-up was 12.5 ± 3.5 months. To derive the “WIG” scoring algorithm, one point each was assigned to “W” (loss of 5% of initial body weight within the first 3 months of attempting weight loss), “I” (triglyceride [TGL]/highdensity lipoprotein ratio \u3e3 [marker of insulin resistance] at baseline), and “G” (glycosylated hemoglobin [A1c%] \u3e8.5 at baseline). WIG score showed moderate accuracy in discriminating anti-DM dose reductions at baseline, and after 3 months of weight loss efforts (likelihood ratios [LR] + \u3e1, LR−0.7), and demonstrated good reproducibility. Conclusions WIG score shows promise as a tool to predict success with dose reductions of antidiabetes medications. Keywords Clinical score; Diabetes mellitus; Insulin resistance; Obesit

Intentional weight loss and dose reductions of anti-diabtetic medications: A retrospective cohort study

Background and Aim Intentional weight loss, primarily by improving insulin resistance, is known to decrease the need for anti-diabetic medications. In this study, we assess the magnitude of weight loss that resulted in dose reductions or discontinuation of anti-diabetic medications in overweight or obese patients with type 2 diabetes (DM) undergoing weight loss treatment. Methods Case records of 50 overweight or obese patients with DM who successfully decreased dosage or discontinued diabetes medications after losing weight via attendance at two University-based, outpatient weight management centers were analyzed. Follow-up visits, weight reduction interventions, and decisions for dose reductions or discontinuation of medications were individualized to patient needs by the treating physician. Results Mean starting BMI was 35 kg/m2, mean age 53.4 years, and 58% were male. All 50 used at least one anti-diabetic medication (30 metformin, 39 sulfonylureas, 31 insulin, 21 sitagliptin) to manage blood sugar. Mean duration of follow-up was 30.2 months. Mean weight loss was 10.8±4.1 kgs (11.1% of initial body weight ±4.7%). 22/50 patients (44%) discontinued anti-diabetes medications (14 sulfonylureas [36%], 7 insulin [23%], 4 sitagliptin [19%]). The mean percentage weight loss achieved at the point of successful discontinuation of medication was 11.2%±3.5% (14% for sulphonylureas, 11% for insulin, and 7.1% for sitagliptin). Mean percentage weight loss of 5.6%±2.8% (5.1% for sulphonylureas, 4.3% for insulin, and 7.1% for sitagliptin) was required for initial dose reduction. For every 5% weight loss, predicted dose reductions were sulphonylureas, 39%; insulin, 42%; and any anti-diabetic medications, 49%. Conclusion Among overweight or obese patients with type 2 diabetes, intentional weight loss of 7–14% was typically required for full discontinuation of at least one anti-diabetic medication. Discontinuation of insulin was achieved at a mean weight reduction of 11% of initial body weight

Serum lipophilic antioxidants levels are associated with leucocyte telomere length among US adults

Background: To examine the association between serum concentrations of antioxidant and telomere length (TL) in U.S adults. Methods: Participants of the National Health and Nutrition Examination Survey (NHANES) with data available on TL measures from 2001 to 2002 were included. Serum lipophilic antioxidants level was measured using high performance liquid chromatography with photodiode array detection. We used analysis of co-variance and multivariable-adjusted linear regression models, accounting for the survey design and sample weights. Results: Of the 5992 eligible participants, 47.5% (n = 2844) were men. The mean age was 46.9 years overall, 47.2 years in men and 46.6 in women (p = 0.071). In age, sex, race, education, marital status, adiposity, smoking, C-reactive protein adjusted linear regressions, antioxidant, serum α-carotene, trans-β-carotene, cis- β-carotene, β-cryptoxanthin and combined Lutein/zeaxanthin were positively and significantly associated with TL (all p < 0.001). Conclusions: Our findings support a possible positive association between serum concentrations of lipophylic antioxidant and TL. The implications of this association deserve further investigation