Gender and intoxication: from masculinity to intersectionality

Alcohol use, misuse, and intoxication have long been associated with men and masculinity. In different cultures and at different times, researchers have consistently found significant gender differences in drinking and intoxication prevalence rates. However, more recently gender differences appear to be diminishing. Nevertheless, while this may be the case, it does not necessarily mean that the meaning of drinking and intoxication for young women and men are the same. With this in mind, the aim of this paper is to explore recent theoretical developments by feminist researchers to examine gender and intoxication. Research on intoxicating substances and gender has developed considerably in the last 20?years, especially in the social sciences. Much of the more recent research has explored how the boundaries of acceptable and unacceptable behavior are critically influenced by societal norms about gender performance. While we are fortunate that feminist research has developed and begun to highlight the contradictory discourses about young women’s intoxication, and critique of neo-liberal discourses concerning the position of women, there still remain significant gaps within these research fields if we are to fully understand the role and meaning of intoxication for all young people and not merely for white, middle-class cisgender young people.     

Incentivizing Organ Donor Registrations with Organ Allocation Priority

How donor organs are allocated for transplant can affect their scarcity. In 2008, Israel's Parliament passed an Organ Transplantation Law granting priority on organ donor waiting lists to individuals who had previously registered as organ donors. Beginning in November 2010, public awareness campaigns advertised the priority policy to the public. Since April 2012, priority has been added to the routine medical criteria in organ allocation decisions. We evaluate the introduction of priority for registered organ donors using Israeli data on organ donor registration from 1992 to 2013. We find that registrations increased when information about the priority law was made widely available. We find an even larger increase in registration rates in the 2 months leading up to a program deadline, after which priority would only be granted with a 3‐year delay. We also find that the registration rate responds positively to public awareness campaigns, to the ease of registration (i.e. allowing for registering online and by phone) and to an election drive that included placing registration opportunities in central voting locations. Copyright © 2016 John Wiley & Sons, Ltd.     

Seeking Maternal Care at Times of Conflict: The Case of Lebanon

Providing quality maternity care within the emergency care packages for internally displaced populations in war-affected areas is somewhat challenging, although very essential. In this retrospective study, we describe the experiences and health care seeking behaviors of 1,015 pregnant and postpartum women during the 2006 war in Lebanon. Women reported interruptions in regular maternity care and experienced more complications during this period. Availability of health services and experiences of complications were the most important determinants of health care seeking behaviors. Maternal health services should be a part of any comprehensive emergency responsiveness plan, catering to women's needs in war-affected areas.     

Professional-led versus family-led support groups: Exploring the differences

Support groups often help families cope more effectively with relatives' mental illnesses. This study examines the differences between support groups led by professionals and those led by family members, focusing specifically on group participation benefits and group content. Results indicate that participants of both professional and family-led groups reported that the groups provided them with needed information about mental illness and its treatment and that the groups improved their relationships with their ill relatives. Professional-led groups placed a greater emphasis on the relatives' problems and coping with emotions, and family-led groups placed a greater emphasis on advocacy. Suggestions are provided regarding increased collaboration between professional and family-led support groups.     

A comparison of psychiatrists' clinical-impression-based and social workers' computer-generated GAF scores

The authors studied the utility of the DSM-IV Global Assessment of Functioning (GAF) scale for improving interdisciplinary communication about patient care. Discharge GAF scores for 165 discharged inpatients were computer generated by 13 trained unit social workers and derived by eight psychiatrists on the basis of their clinical impressions. Differences between the scores obtained by the two disciplinary groups were tested by using the paired t test and the nonparametric signed-rank test. Agreement between scores for various GAF categories was tested with kappa agreement indexes. Interdisciplinary agreement on discharge GAF scores was observed across diagnostic categories and across most categories of length of stay. The results suggest that social workers, after receiving systematic training in computer-based GAF reports, can provide reasonable assessments of clients' functioning.     

Brain cancer with induction periods of less than 10 years in young military radar workers

The authors have reported on 5 young patients who had brain tumors that appeared within 10 yr of initial occupational exposures to radar. Four of the patients were less than 30 yr of age when the diagnoses were initially made. Brief induction periods that follow high exposures in individual sentinel patients are a recognized indicator of impending group risk, and these periods call attention to the need for precautionary measures. Similarly, reports of short induction periods for brain cancer on the side of the head in which there has been prior use of cell phones may also indicate increased risk.     

Association between maternal serum ionized magnesium levels at delivery and neonatal intraventricular hemorrhage

OBJECTIVES: To determine whether magnesium sulfate (MgSO(4)) exposure is associated with a reduced risk for neonatal intraventricular hemorrhage (IVH). STUDY DESIGN: In a randomized, controlled trial, women in preterm labor were randomly assigned to receive MgSO(4), "other" tocolytic, or saline control. At delivery, we collected maternal antecubital and umbilical cord blood for determination of serum ionized magnesium levels. Neonatal IVH was diagnosed by cranial ultrasonogram. RESULTS: Among 144 infants, 24 were diagnosed with IVH. Using crude intention-to-treat analysis, we found that 18% (13/74) of survivors exposed after birth to MgSO(4) had IVH compared with 16% (11/70) of babies who were not exposed. Infants who had IVH were more likely to have been delivered by mothers with higher serum ionized magnesium (Mg) levels (0.75 vs 0.56 mmol/L) (P =.01). Using multivariable logistic regression, we confirmed that higher Mg levels are a significant predictor of neonatal IVH (adjusted odds ratio, 15.8; 95% CI, 1.4-175.0) even when adjusted for birth weight, gestational age, antenatal hemorrhage, and neonatal glucocorticoid exposure. CONCLUSIONS: In mothers with preterm labor, our data indicate that antenatal MgSO(4) exposure may be associated with an increased risk for IVH among their newborns.