Background Despite its negative impact on patients and nurses, the use of restraint in somatic health care continues in many settings. Understanding the reasons and justifications for the use of restraint among nurses is crucial in order to manage this challenge. Aim To understand nurses’ justifications for restraint use in neurosurgical care. Research design A qualitative, descriptive design was used. Data were analysed with inductive qualitative content analysis. Participants and research context Semi-structured interviews with 15 nurses working in three neurosurgical (...) departments in Sweden. Ethical considerations Approved by The Regional Ethics Committee, Stockholm, Sweden. Findings The analysis resulted in three categories. The category Patient factors influencing restraint use describes patient factors that trigger restraint, such as a diminished decision-making competence, restlessness, and need for invasive devices. The category Specific reasons for justifying restraint describes reasons for restraining patients, such as restraint being used for the sake of the patient or for the sake of others. The category General reasoning in justifying restraint describes how nurses reason when using restraint, and the decision to use restraint was often based on a consequentialist approach where the nurses’ weighed the pros and cons of different alternatives. Discussion Nurses with experience of restraint use were engaged in a constant process of justifying and balancing different options and actions. Restraint was considered legitimate if the benefit exceeded the suffering, but decisions on which restraint measures to use and when to use them depended on the values of the individual nurse. Conclusion How nurses reason when justifying restraint, why they use restraint, and who they use restraint on must be considered when creating programs and guidelines to reduce the use of restraint and to ensure that when it is used it is used carefully, appropriately, and with respect. (shrink)

Thomas Hobbes (1588-1679) toplum sözleşmesi teorisinin kurucusu olarak kabul edilen önemli bir siyaset kuramcısıdır. Hobbes’un doğal durumu tanımlaması, toplumun oluşmasındaki nedenleri belirtmesi, yetkiye ve siyasi yükümlülüklere dair fikirleri siyasi düşünce tarihinde dikkat çeker. Düşünür, özellikle yaşadığı yüzyılda monarşiyi güçlendirmek adına siyasal itaati meşrulaştırmanın gerekliliği üzerinde durmuş, dönemin koşullarından dolayı Tanrı fikrini tamamıyle dışlayamamıştır. Bu yüzden toplum sözleşmesi fikrini temellendirdikten sonra ahlaki yasalar ve yükümlülükler aracılığı ile Tanrı kavramını teorisine dahil etmeyi seçmiştir. Bununla birlikte, kendisinden önceki düşünürlerin aksine Tanrı’ya siyasal ve (...) toplumsal düzeni sağlama hususunda ancak ikincil bir görev vermiştir. Tanrı kavramını ve yazılı olmayan kuralların yükümlülüğünü dışlaması, söz konusu dönemde Hobbes’un ateist olduğuna dair tartışmalara yol açsa da, kendisi bunu kabul etmemiştir. Bizim kanaatimiz, Hobbes’un aslında bir ateist olduğu ve Tanrı fikrini sadece toplumun düzenini sağlamak için siyasi bir araç olarak kullandığı yönündedir. Bir başka deyişle, argümanımız; Hobbes’un dini ve Tanrı korkusunu, bireyleri yazılı yasalara uymaları yönünde zorlamak için kullandığı şeklindedir. Bu argümanın haklılığını gösterebilmek için makalemizde Hobbes’un De Cive ve Leviathan kitaplarındaki argümanları analiz edilmiş ve geliştirmiş olduğu kuramda dinin ve Tanrı’nın yeri incelenmiştir.Özet: Thomas Hobbes, İngiltere’de sosyal ve siyasi düzenin tehlike altında olduğu ve egemen gücün meşrulaştırılması gerektiği bir dönem olan onyedinci yüzyılda yaşamıştır. Doğal bilimlerdeki ilerlemeler ve felsefik düşünce yapısındaki değişimler, rasyonaliteyi önemli kılarak, söz konusu dönemde egemenin gücünün ve bireylerin özgür istencinin sorgulanmasına olanak vermiştir. Bu yüzden, Tanrı, din ve siyasi yükümlülükler ile ilgili sorunlar da yeni bir boyut kazanmıştır. Hobbes’un esas felsefesi Aristoteles teleolojisini çürütmek ve sonrasında da onu mekanik yaklaşım ile değiştirmekti. Hobbes’un modern doğal bilimlere olan yaklaşımı, siyaset felsefesini de mekanik bir yaklaşımla temellendirmeye itmiştir. Bu sebeple, Tanrı’nın birincil rolünü siyaset felsefesinden çıkarmış, ama bunu yaparken de Tanrı’nın varlığını inkar etmemiştir. Hobbes’un bu makalede tartışılan kitapları; De Cive ve Leviathan’da, bireylerin toplumun önemli parçaları olduğundan ama doğal olarak siyasi birer varlık olmadıklarından bahsedilir. Hobbes’a göre bireyler hayatta kalmak için siyasi bir kurumun altına girmek durumundadırlar. Bir başka deyişle, insanın zayıflığı, siyasi toplumun kurulmasını gerekli kılmıştır. İnsan doğal olarak siyasi bir varlık olmasa dahi, siyasi bir kurum altında yaşamak insan doğasına aykırı bir durum değildir. Hobbes’un üzerinde durduğu temel nokta, sivil toplumun yapay bir ürün olsa dahi bireylerin refahı için gerekli olduğudur. Yazılı yasaların ve bir otoritenin, kısacası zorlayıcı bir gücün olmaması halinde, insanlar tehlike altında olacaktır. Bu koşullar altında, bir kişinin kendisini koruması için ne gerekiyorsa yapacağı şaşırtıcı bir durum değildir. Böylesi bir savaş durumunu engellemek için, kişiler doğal durumdaki sınırsız özgürlüklerini bırakarak, egemen bir gücün altında yaşamayı tercih edeceklerdir. Aslında Hobbes’a göre, insanın güvenliğini sağlayan siyasi toplumun varlığı değil, zorlayıcı bir gücün varlığıdır. Bu güç, insanların barış içerisinde yaşaması için gereken koşuldur. Bir başka deyişle, bireyler önce toplumu oluşturmak için sonra da o toplumun devamlılığını sağlamak için bir güçten korkmalıdırlar. Korku kavramı olmadan Hobbes’un bahsettiği siyasi güce bir temel bulmak zor olacaktır çünkü korku faktörü bireylerin kişisel çıkarları ile toplumsal iyinin karşı karşıya geldiği durumlarda, bireyi korkutarak siyasi güce uymayı zorlayacak ve böylece toplumsal refahı sağlayacaktır. Bu noktada, Hobbes’un kuramına Tanrı kavramı dahil olur. Bu makalede, Hobbes’un kuramında dinin rolü olmadan siyasi yükümlülük kavramının eksik kalacağı tartışılmıştır. Bireyler birbirlerinden korktukları için ve güvenliğe ihtiyaçları oldukları için bir toplumun altında yaşamayı tercih ederler. Hobbes’a göre bu ihtiyaç Tanrı korkusuyla desteklenmelidir. Fakat, Hobbes ne Tanrı korkusunu ne de ahlaki yasaların varlığını doğal durumda kullanmıştır. Bunun yerine, sonrasında siyasi düzen için gerekli olan yükümlülüklere bir temel bulmak için, Tanrı kavramını kullanmayı seçmiştir. Hobbes, burada analiz edilen kitaplarında doğal yasalar, ahlaki yasalar ve ilahi yasalar kavramlarını açıklar. Ona göre, doğal yasalar ahlaki yasalardır ve aynı zamanda ilahi yasalar olarak da adlandırılabilirler. Bu yüzden üçü de aynı görünür ve hepsi de Tanrı tarafından verilir. Tanrı her bireye akıl verdiğinden, herkes bu yasalara akılları aracılığı ile ulaşabilir. Hobbes’un kuramında bu noktaya kadar, sadece sivil toplumda değil, doğal durumda da ahlaki yükümlülüklerin olmasına imkan veriliyordu. Fakat, Hobbes insanların doğal durumda ahlaki bilinçlerinin olmadığını ve ahlaki yasalara uymak zorunda olmadıklarını söyler. Ona göre doğal yasalar, ahlaki yasalar ya da Tanrı’nın yasaları, adına her ne dersek diyelim, yükümlülük yaratan yasalar olmaları için bir sivil otoritenin yaptırımında olması gerekir. Her ne kadar da doğal durumda ahlaki yasaların varlığından söz etse de, söz konusu yasaların insanların toplum altında yaşamaya geçmeden önce yükümlülüğe yol açmadığını da ekler.Doğal yasalar sadece insanları toplum altında birleştirmeye zorlayacak bir güç olması halinde, Tanrı’nın buyrukları olarak zorunluluğa dönüşürler. Bu demektir ki; ahlaki ilkeler siyasi bir güç olmadığı sürece anlamsızdırlar. Hobbes’un felsefesinde aklın buyrukları ve Tanrı’nın yasaları iki farklı kavram olarak ortaya çıkar; bu durum da bizi Hobbes’un aslında Tanrı’ya inanmadığını savunmaya kadar götürebilir. Halbuki, Hobbes’un yükümlülükleri meşrulaştırmak için dinin gücüne ihtiyacı vardır. Bu sebeple, Tanrı’yı bir araç olarak kullanmayı seçmiştir. Böylece, egemenin mutlak gücünü de sınırlamış ve yükümlülükler için de bir temel bulabilmiştir. Bir başka deyişle, Tanrı’nın varlığının dini açıdan meşrulaştırmasını yapmak yerine, egemen gücün eline dini ve Tanrı’yı siyasi ve sosyal düzene ulaşmak için bir araç olarak vermiştir. Hobbes’un göstermeye çalıştığı, Leviathan diye adlandırdığı toplumun bireylerden oluştuğu ve bu bireylerin egemen güce biat etme sebeplerinin, kendilerinin vermiş olduğu rıza ve yetki olduğudur. Kısacası, Hobbes siyaset felsefesinin temeline Tanrı’yı değil, öznelerin özgür iradelerini koyar. Bireyler doğal durumdaki sınırsız özgürlüklerinden feragat ederek bir egemen altında yaşamaya rıza göstermişlerdir, çünkü karşılığında güvenliklerini sağlayacaklardır. Bu anlaşma gereği egemene itaat etmeyi kabul ederler. Böylece siyasal olarak bireyin bağlı bulunduğu yükümlülükler Tanrı kavramı ile sınırlandırılmış olan egemenin gücü ile meşrulaştırılmış olur. Bu makalede, Hobbes’un egemenin mutlak gücünü ilahi irade olan Tanrı ile sınırlandırmış olduğu gösterilir. Aslında Hobbes’un yapmaya çalıştığı, egemenin gücüne mutlakiyet sağlayarak, onu ne dünyevi ne de ilahi bir güce karşı sorumluluk altına sokmaktır. Bunu nasıl başardığı ise bu makalede, Hobbes’un De Cive ve Leviathan kitaplarının analiz edilmesi ile detaylı olarak gösterilmiştir. (shrink)

Faith development theory has evolved as a prominent theoretical perspective during the past three decades to explain different ways of relating to religious beliefs and worldviews. Recent revisions of the theory have elaborated on these characteristic ways as religious styles namely the fundamentalist, mutual, individuative-systemic, and dialogical. The present study developed an Urdu version of its principal measure, i.e., Faith Development Interview, to analyze twelve cases of Muslims of various religious affiliations within Islam in Pakistan. Four case studies representative of (...) each faith style are presented in detail. The cases are compared to analyze Islamic faith in terms of faith development theory and to understand fundamentalism in a Muslim context. The findings support faith development theory as a comprehensive paradigm to address the varieties of faith orientations in Islam. Implications for future research with larger samples in highly religious and collectivistic cultures are discussed. (shrink)

Restraint is regularly used in somatic healthcare settings, and countries have chosen different paths to regulate restraint in somatic healthcare. One overarching problem when regulating restraint is to ensure that patients with reduced decision-making capacity receive the care they need and at the same time ensure that patients with a sufficient degree of decision-making capacity are not forced into care that they do not want. Here, arguments of justice, trust in the healthcare system, minimising harm and respecting autonomy are contrasted (...) with different national regulations. We conclude that a regulation that incorporates an assessment of patients’ decision-making capacity and considers the patient’s best interests is preferable, in contrast to regulations based on psychiatric diagnoses or regulations where there are no legal possibilities to exercise restraint at all in somatic care. (shrink)

This authoritative handbook is the reference of choice for researchers and students of personality.

This article explores the concept of internationally acceptable codes of ethics within the context of an Egyptian nurse’s PhD studies. Theoretical work, including gaining ethical approval for the project, took place in the UK, while the data collection phase of the study was done in Egypt. This highlighted areas where the Arab Muslim interpretation of some ethical principles, especially around the issue of gaining informed consent, differed from that currently accepted in British research ethics. The authors argue that it may (...) not be possible, or even desirable, to standardize codes of ethics globally in areas such as academic research. Ethical principles develop from a unique mix of culture and religion. It may be more important to develop cultural competence that includes the ability to understand and respect the way in which ethical principles are interpreted by various societies. (shrink)

La présente étude se veut une réflexion exploratoire sur la recherche féminine. Elle s’appuie, d’une part, sur les écrits de plus en plus nombreux ces deux dernières décennies sur la question féminine, où la femme est autant productrice qu’objet d’analyse et, d’autre part, sur une expérience de cinq années menée au sein d’un groupe de recherche pluridisciplinaire multilingue spécialisé dans les études sur la femme. Il s’agit en l’occurrence du Groupe Universitaire d’Etudes Féminines (G.U.E.F..

La présente étude se veut une réflexion exploratoire sur la recherche féminine. Elle s’appuie, d’une part, sur les écrits de plus en plus nombreux ces deux dernières décennies sur la question féminine, où la femme est autant productrice qu’objet d’analyse et, d’autre part, sur une expérience de cinq années menée au sein d’un groupe de recherche pluridisciplinaire multilingue spécialisé dans les études sur la femme. Il s’agit en l’occurrence du Groupe Universitaire d’Etudes Féminines (G.U.E.F...

The positive role of religion in reducing prejudice has remained a neglected theme in Psychology of religion, concerning itself mostly with prejudice and fundamentalism. Recently, noting the absence of a positive antithesis to prejudice and fundamentalism, faith development theory presents xenosophia as going beyond mere tolerance to a creative engagement with other religious faiths to develop new insights and broaden one’s own worldview. The current research undertakes a study of Muslim faith contents to get insights into how these beliefs shape (...) construction of self in relation to other faith communities. Conducting inductive thematic analysis of faith development interviews from 12 Muslim participants from three major religious affiliations in Pakistan in an earlier research, the research analyzes a range of xenological patterns from xenophobia to xenosophia with associated potentials for inter-faith dialogue. Focusing on residents of a country with a dense Muslim population, the study carries implications for religious socialization and religious education in a globalized world. (shrink)

Wadud analyzes citizenship in theocratic states governed by Shari’ah, or Islamic law, states which do not traditionally envisage the equality of women. Against such theocratic systems, Wadud argues that the canonical Islamic tradition of jurisprudence is open to reinterpretation in light of changing conditions in Muslim societies. According to Wadud, the Qur’an does not restrict agency on the grounds of gender. The gender disparity that has developed in Islamic tradition and theory denies women the means of completing their duties before (...) Allah. Wadud calls upon all Muslims, female and male, to reform their societies so as to implement the equality inherent in the “tawhidic” Islamic paradigm, which stresses unity and harmony. (shrink)

The following review summarizes and examines Mark Solms's article Dreaming and REM Sleep are controlled by different brain mechanisms, which argues why the understanding of REM sleep as the physiological equivalent of dreaming needs to be re-analyzed. An analysis of Solms's article demonstrates that he makes a convincing argument against the paradigmatic activation-synthesis model proposed by Hobson and McCarley and provides provocative evidence to support his claim that REM and dreaming are dissociable states. In addition, to situate Solms's findings in (...) concurrent research, other studies are mentioned that are further elucidated by his argument. [Solms]. (shrink)

John Locke is one of the key figures in the history of early modern philosophy. He had a great influence on the development of philosophy, which is based on the empirical method, and on the political systems of countries. And even though his works have not been deprived of attention, some questions of his philosophy remain insufficiently disclosed. The author's deals with the religious turn in studies of John Loke. Attention is paid to the role of religion in the philosophy (...) of the thinker. The issue of religious influences on the issue of identity is being discussed. The essence of the term “modern” is highlighted and the criteria according to which John Locke's ideas should be considered modern are indicated. The author notes that some researchers considered John Locke one of the founders of modern philosophy, while others believed that the role of the English philosopher in the development of modern philosophy was overestimated. A characteristic feature of modern philosophy is the emphasis on research and exploration. The author names the identity of John Locke a subjective identity. The main attributes of identity are: reflection, consciousness and memory. Self-reflection and meaningful self-perception allows each person to choose their own way of worshiping God. Consciousness allows a person to evaluate his actions, forms an idea of morality, the concept of sin and so on. The article deals with different meanings of the concept of identity in the religious and secular aspects. The difference - is in memory. Personal responsibility is an integral part of identity. The author of the article notes that we should make a difference between responsibility in religious and political field. Religious responsibility requires observance not only of legal law, but also of moral rules and biblical commandments. (shrink)

Intersectionality has become a significant intellectual approach for those thinking about the ways that race, gender, and other social identities converge in order to create unique forms of oppression. Although the initial work on intersectionality addressed the unique position of black women relative to both black men and white women, the concept has since been expanded to address a range of social identities. Here we consider how to apply some of the theoretical tools provided by intersectionality to the clinical context. (...) We begin with a brief discussion of intersectionality and how it might be useful in a clinical context. We then discuss two clinical scenarios that highlight how we think considering intersectionality could lead to more successful patient–clinician interactions. Finally, we extrapolate general strategies for applying intersectionality to the clinical context before considering objections and replies. (shrink)

Interview of Amina Kkhelufi, Kseniia Myroshnyk, Nataliia Reva with Natalia Viatkina.

In Pakistan, as in many other societies, politico-religious movements or so-called Islamist fundamentalist movements are becoming an important site for women's activism as well as the harnessing of such activism to promote agendas that seem to undermine women's autonomy. This has become a concern for a growing feminist literature which from a variety of political and theoretical positions seeks to understand and explain the subject-position of Muslim women as politico-religious activists. This paper attempts a deconstructive reading of texts by leading (...) Pakistani feminist scholars as they attempt the difficult process of steering between fundamentalism and Orientalism in their accounts of ‘fundamentalist’ women in the political ideological space of Pakistan. (shrink)

Feminist scholarship on women in religious and right-wing social and political movements has moved from a reductive focus on causal or motivational factors to more sophisticated analyses explicating processes of agency and subject formation. With the aim of expanding and deepening this conceptual space, I will discuss some of my interactions with a group of women in the Jamaat-e-Islami in Pakistan, as we attempted to explore the complex meanings of ‘the modern’ that informed the self-understanding of my interviewees. My work (...) corroborates some of the contemporary scholarship on what is referred to as Political Islam in arguing that Islamist movements in Muslim societies are also the catalysts of modernization, rather than simply its interlocutors. This article argues that these processes of social and political organizing entail particular interrogations and the reconstituting of identities in ways that blur the line between ‘the religious’ and ‘the secular’. On the one hand, we need to understand Jamaat women's self-construction as religious or pious women; on the other hand, we must grasp the specificity of their claims to act as modern subjects situated in the time of political and cultural modernity. (shrink)

Personality Psychology: Current Status and Prospects For the Future I want to consider the current status and future of the field of personality psychology, often basing my observations on my own research and theoretical interests. Let me begin by summarizing what I have to say in terms of three points of emphasis: First, the field of personality can be viewed in terms of three disciplines—trait, social cognitive, and psychodynamic—each associated with its own empirical procedures and observations. That is, each is (...) associated with its own form of personality data but all represent relevant data. Second, there is a need in the field for a dynamic systems perspective, one that emphasizes the interplay among the parts of the personality system in the course of the person's ongoing transactions with the physical and interpersonal environment. Third, in the future personality psychologists increasingly will have to integrate findings from biopsychology and neuroscience into their theories and research questions. This raises the question of how they can create bridges across levels of analysis and avoid the problem of reductionism. In other words, there is the issue of how personality psychologists will address the mind-body problem. (shrink)

Interview with Constantine Sigov, dedicated to the history of the "European Dictionary of Philosophies": from the emergence of an idea in the early 90's in France until the accomplishment of the Ukrainian edition in 2019.

Whether hailed for transitioning to the ballot box, or condemned for failing to hold elections, Africa’s postcolonial states exhibit profound contradictions in the arena of gender politics. Where reforms have been achieved, implementation remains minimal, as undemocratic state structures and uncivil societies alike lack the political will to change. This article addresses the emergence of feminism as an intellectual and political force for freedom that radically challenges the ongoing exploitation and oppression of women in Africa. It focuses on the contribution (...) of radical intellectuals to the theory and practice of women’s movements, arguing that the research, analysis, and activism they carry out defines them as a radical public intellectual cadre that continuously mobilizes with, by, and for women to pursue liberation for themselves as much as others. (shrink)

The study of the chaotic dynamics in fractional-order discrete-time systems has received great attention over the last years. Some efforts have been also devoted to analyze fractional maps with special features. This paper makes a contribution to the topic by introducing a new fractional map that is characterized by both particular dynamic behaviors and specific properties related to the system equilibria. In particular, the conceived one dimensional map is algebraically simpler than all the proposed fractional maps in the literature. Using (...) numerical simulation, we investigate the dynamic and complexity of the fractional map. The results indicate that the new one-dimensional fractional map displays various types of coexisting attractors. The approximate entropy is used to observe the changes in the sequence sequence complexity when the fractional order and system parameter. Finally, the fractional map is applied to the problem of encrypting electrophysiological signals. For the encryption process, random numbers were generated using the values of the fractional map. Some statistical tests are given to show the performance of the encryption. (shrink)

Deborah is a thirty-three-year-old who presented to labor and delivery at thirty-seven weeks gestation with complaints of contractions. Upon arrival, she explained that her fetus, Nathan, had been diagnosed with a “lethal” condition by her primary obstetrician. At twenty-two weeks gestation, an amniocentesis confirmed trisomy 13, a chromosomal abnormality leading to miscarriage or stillbirth in nearly one-half of affected pregnancies. During the admission process, Deborah voices the worry that due to Nathan's brain and heart structure, vaginal delivery could be traumatic (...) and cause him to suffer. Deborah wishes for him to have as painless and as dignified a death as possible; cesarean section, she feels, will achieve this. Yet with her history of three prior vaginal deliveries, normally progressing labor, and poor fetal prognosis that is unlikely to improve with cesarean delivery, there is no maternal or fetal indication for a cesarean section. Should the obstetrician proceed with a cesarean delivery despite knowing that it would expose the mother to surgical risks with little or no corresponding fetal or neonatal benefit? (shrink)

Interview of Amina Khelufi, Kseniia Myroshnyk and Nataliia Reva with Natalia Viatkina.

Against a backdrop of continually growing global Islamophobia, this handbook provides a comprehensive, interdisciplinary overview of the key issues, theories, debates, and developments in gendered Islamophobia, unpacking how Western, Orientalist constructions of Muslim men and women affect the lived experiences of Muslim men and women; impact social, legal, and criminological policies, practices, and discourse; and give rise to resistance against gendered Islamophobia. Drawing on theories from philosophy, sociology, gender studies, psychology and criminology, sections examine the interdisciplinary theoretical dimensions of gendered (...) Islamophobia; illustrate the dynamics of gendered Islamophobia through the use of case examples in the UK, Europe, North America, Australasia, the Middle East, and South Asia. This handbook will be valuable reading for scholars, researchers, and policymakers around the globe in Gender Studies, Sociology, Criminology, Politics, and Law, whofocus on the intersections of gender and Islamopobia, and the impact on Muslim men and women respectively. (shrink)

BackgroundCarefully planned research is critical to developing policies and interventions that counter physical, psychological and social challenges faced by young people living with HIV/aids, without increasing burdens. Such studies, however, must navigate a ‘vulnerability paradox’, since including potentially vulnerable groups also risks unintentionally worsening their situation. Through embedded social science research, linked to a cohort study involving Adolescents Living with HIV/aids (ALH) in Kenya, we develop an account of researchers’ responsibilities towards young people, incorporating concepts of vulnerability, resilience, and agency (...) as ‘interacting layers’.MethodsUsing a qualitative, iterative approach across three linked data collection phases including interviews, group discussions, observations and a participatory workshop, we explored stakeholders’ perspectives on vulnerability and resilience of young people living with HIV/aids, in relation to home and community, school, health care and health research participation. A total of 62 policy, provider, research, and community-based stakeholders were involved, including 27 ALH participating in a longitudinal cohort study. Data analysis drew on a Framework Analysis approach; ethical analysis adapts Luna’s layered account of vulnerability.ResultsALH experienced forms of vulnerability and resilience in their daily lives in which socioeconomic context, institutional policies, organisational systems and interpersonal relations were key, interrelated influences. Anticipated and experienced forms of stigma and discrimination in schools, health clinics and communities were linked to actions undermining ART adherence, worsening physical and mental health, and poor educational outcomes, indicating cascading forms of vulnerability, resulting in worsened vulnerabilities. Positive inputs within and across sectors could build resilience, improve outcomes, and support positive research experiences.ConclusionsThe most serious forms of vulnerability faced by ALH in the cohort study were related to structural, inter-sectoral influences, unrelated to study participation and underscored by constraints to their agency. Vulnerabilities, including cascading forms, were potentially responsive to policy-based and interpersonal actions. Stakeholder engagement supported cohort design and implementation, building privacy, stakeholder understanding, interpersonal relations and ancillary care policies. Structural forms of vulnerability underscore researchers’ responsibilities to work within multi-sectoral partnerships to plan and implement studies involving ALH, share findings in a timely way and contribute to policies addressing known causes of vulnerabilities. (shrink)

Objective: To estimate the level of complementary feeding pattern among children aged between 6 to 23 months and to identify the determinants in individual, household and community level in Bangladesh. Methods: From secondary data of Bangladesh Demographic Health Survey 2011 was used in this study. A total of 2,373 children aged between 6 to 23 months were selected. To estimate the level of CFP “dimension index” was used and the score of the index was used as dependent variables. Statistical analyses (...) and tests were guided by the nature of the variables. Multivariable logistic regression analyses were performed to identify the significant determinants of CFP. Results: The overall level of CFP among children aged between 6 to 23 months was low. More than 95% of the children experienced either no or inadequate CFP. The mean levels of CFP as well as percentages of no or inadequate CFP were significantly lower among children of the youngest age group, uneducated parents, unemployed/laborer fathers, socio-economically poor families, food insecure families and rural areas. No weekly exposure to mass media also revealed significant associations with CFP. However, only few variables remained significant for adequate CFP in the multivariable logistic regression analysis. Adequate CFP was significantly lower among the children aged between 6 to 23 months, children of illiterate fathers and socio-economically middle-class families as compared to their reference categories. Conclusion: Inappropriate and inadequate CFP may cause serious health hazards among children of 6 to 23 months in Bangladesh. It is ethical to take effective interventions and strategies by the government and other concerned stakeholders to improve the overall situation of CFP in Bangladesh. (shrink)

Objective: To estimate the level of complementary feeding pattern (CFP) among children aged between 6 to 23 months and to identify the determinants in individual, household and community level in Bangladesh. Methods: From secondary data of Bangladesh Demographic Health Survey (BDHS) 2011 was used in this study. A total of 2,373 children aged between 6 to 23 months were selected. To estimate the level of CFP dimension index and the “score of the index” was used as dependent variables. Statistical analyses (...) and tests were guided by the nature of the variables. Multivariable logistic regression analyses were performed to identify the significant determinants of CFP. Results: The overall level of CFP among children aged between 6 to 23 months was low. More than 95% of the children experienced inadequate (92.7%) CFP level. The mean levels of CFP as well as percentages of no or inadequate (94.1%) CFP were significantly lower among children of the youngest age group (06 months), uneducated parents, unemployed/laborer fathers, socio-economically poor families, food insecure families and rural areas. However, only few variables remained significant for adequate CFP in the multivariable logistic regression analysis. Adequate CFP was significantly lower among the children aged between 6 to 23 months (OR: 0.22, 95% CI: 0.10-0.47), children of illiterate fathers (OR: 0.32, 95% CI: 0.11-0.95) and socio-economically middle-class families (OR: 0.28, 95% CI: 0.09-0.86) as compared to their reference categories. Conclusion: Inappropriate and inadequate CFP may cause serious health hazards among children of 6 to 23 months in Bangladesh. It is ethical to take effective interventions and strategies by the government and other concerned stakeholders to improve the overall situation of CFP in Bangladesh. (shrink)

This article develops a feminist perspective on militarism in Africa, drawing examples from the Nigerian, Sierra Leonean and Liberian civil wars spanning several decades to examine women's participation in the conflict, their survival and livelihood strategies, and their activism. We argue that postcolonial conflicts epitomise some of the worst excesses of militarism in the era of neoliberal globalisation, and that the economic, organisational and ideological features of militarism undermine the prospects for democratisation, social justice and genuine security, especially for women, (...) in post-war societies. Theorisations of ‘new wars’ and the war economy are taken as entry points to a discussion of the conceptual and policy challenges posed by the enduring and systemic cultural and material aspects of militarism. These include the contradictory ways in which women are affected by the complex relationship between gendered capitalist processes and militarism, and the manner in which women negotiate their lives through both. Finally, we highlight the potential of transnational feminist theorising and activism for strengthening intellectual and political solidarities and argue that the globalised military security system can be our ‘common context for struggle'1 as contemporary feminist activist scholars. 1Mohanty, 2003. (shrink)

This paper is an experiment in collective writing conducted in Autumn 2019 at the Faculty of Education at Beijing Normal University. The experiment involves 12 international masters' students readi...

The problems of racism and racially motivated violence in predominantly African American communities in the United States are complex, multifactorial, and historically rooted. While these problems are also deeply morally troubling, bioethicists have not contributed substantially to addressing them. Concern for justice has been one of the core commitments of bioethics. For this and other reasons, bioethicists should contribute to addressing these problems. We consider how bioethicists can offer meaningful contributions to the public discourse, research, teaching, training, policy development, and (...) academic scholarship in response to the alarming and persistent patterns of racism and implicit biases associated with it. To make any useful contribution, bioethicists will require preparation and should expect to play a significant role through collaborative action with others. (shrink)